HomeMy WebLinkAbout4340 Gray StreetCity of Wheat Ridge
AP I
E -Res. Water Heater Replcmnt PERMIT - 202000027
PERMIT NO: 202000027 ISSUED: 01/06/2020
JOB ADDRESS: 4340 Gray St EXPIRES: 01/05/2021
JOB DESCRIPTION: Replacing 40 gallon, 40k gas water heater on main floor.
*** CONTACTS ***
OWNER (303)906-9768 PRIMAVERA GREGORY P
SUB (303)232-6611 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,506.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 94.63
** TOTAL ** 134.63
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
City of Wheat Ridge
E-Res. Water Heater Replemnt PERMIT - 202000027
r
PERMIT NO: 202000027 ISSUED: 01/06/2020
JOB ADDRESS: 4340 Gray St EXPIRES: 01/05/2021
JOB DESCRIPTION: Replacing 40 gallon, 40k gas water heater on main floor.
I, by my signature, do hereby attest that the work to be performed shall comply with ail accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be per
is disclosed in this document andlor 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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
appl�a�le code or an' 9rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chlref Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CUy of Wheot Ridge
01106/2020 07:14 [Vux
Rwlwi9 40 9lbm,
AMOUNT
DPSP 4340 Gray St 134.63
APPL/PERMIT NU: 202OOU027
PhYMEHT RFCElV[U AMOUNT
63
PP / 2268 134.63
AUTH C0DE: 69245418
134 63
TOTAL'
--------------------
|
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Friday, January 3, 2020 4:42 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address (Leave blank if
not known)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
4340 GRAY ST
GREG TRIMAVERA
303-906-9768
PERMITS@APPLEWOODFIXIT.COM
WHEAT RIDGE CC(1).Pdf
CONTRACTOR INFORMATION
Contractor Business APPLEWOOD PLUMBING HEATING AND ELECTRIC
Name
Contractor's License 18236
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-458-5988
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address PERMITS@APPLEWOODFIXIT.COM
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
Is the water heater GAS
or ELECTRIC?
If GAS, enter # of BTUs.
If electric, enter n/a
Where is the water heater
located (for example,
basement, crawlspace,
etc)?
Project Value (contract
value or cost of ALL
materials and labor)
PERMITS@APPLEWOODFIXIT.COM
40
GAS
40000
MAIN FLOOR
0.
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
2
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.
Person Applying for JOSH WARD
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Siding Replacement PERMIT - 201900739
PERMIT NO: 201900739 ISSUED: 04/19/2019
JOB ADDRESS: 4340 Gray St EXPIRES: 04/18/2020
JOB DESCRIPTION: Residential siding replacement with James Hardie vinyl siding. Squares: 14
*** CONTACTS ***
OWNER (303)420-0401 PRIMAVERA GREGORY P
SUB (720)544-7787 Cory Feco 170604 Koalaty Siding Repair Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 %
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00
FEES
Total Valuation 0.00
Use Tax 105.00
Permit Fee 125.05
** TOTAL ** 230.05
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 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.
**A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION.
A final inspection is required at completion.
Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is
subject to field inspections. A mid -inspection is required for house wrap prior to siding
installation. A final inspection is required at completion.
ml -
PERMIT NO:
JOB ADDRESS.
JOB DESCRIPTION
City of Wheat Ridge
E -Res. Siding Replacement PERMIT - 201900739
201900739
ISSUED: 04/19/2019
4340 Gray St EXPIRES: 04/18/2020
Residential siding replacement with James Hardie vinyl siding. Squares: 14
I, by m 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 be performed is disclosed in this document and/or its' accompanying 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 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 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 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 iss ` n or ranting permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applic code r any ance 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.
Dina Kemp (�,o l �60 ?-?) /
From: no-reply@ci.wheatridge.co.us
Sent: Friday, April 19, 2019 1:00 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Siding Repair/Replacement Permit Application
Categories: Dina
Residential Siding Repair/Replacement Permit Application
This application is exclusively for RESIDENTIAL SIDING REPAIR OR
REPLACEMENT.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
residential siding repair or
replacement?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Copy of Credit
Card Authorization Form
4340 Gray St, Wheat Ridge, CO 80212
Sue & Greg Primavera
303-420-0401
Field not completed.
Screen Shot 2019-04-19 at 12.59.14 PM.pnq
CONTRACTOR INFORMATION
Contractor Business Siding Repair Systems dba Koalaty Siding Repair
Name
Contractor's License 170604
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of material is
being removed?
What type of material is
being installed?
How many squares of
siding is being installed?
Project Value (contract
value or cost of ALL
materials and labor)
888-874-3464
sidingrepairdarren@gmail.com
sidingrepairdarren@gmail.com
Vinyl Siding
James Hardie
14sq
3,5
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Yes
Yes
Yes
N
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.
Person Applying for Darren Moore
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201802812
PERMIT NO: 201802812 ISSUED: 10/22/2018
JOB ADDRESS: 4340 Gray St EXPIRES: 10/22/2019
JOB DESCRIPTION: Replace 6 windows; living room and bedroom; u -value = .28
*** CONTACTS ***
OWNER (303)906-9768 PRIMAVERA GREGORY P
SUB (303)375-0745 Paul Bonow 020146 Champion Windows of Denver
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,350.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 70.35
** TOTAL ** 120.35
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit 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
applicable code or any ordiTeRA,014L
or regulation of this jurisdiction. Approval of work is subject to field inspection.
` �? f!
Signature of Chief Build ng Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 22, 2018 1:30 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Kim
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS"
4340 Gray St
Gregory Primavera
303-906-9768
seprimal@aol.com
PrimaveraCC.Pdf
CONTRACTOR INFORMATION
I
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Champion Window Co of Denver
020146
303-375-0745
10035 E 40th Ave Suite 400 Denver, CO 80238
Contractor Email Address shemans@getchampion.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of window
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the a -value to be .32 or
better on windows..
Attach copy of
window/door cut sheets
showing sizes and u -value
Project Value (contract
value or cost of ALL
materials and labor)
shemans@getchampion.com
0
Livingroom and Bedroom
28
Primavera. pdf
3350.00
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
2
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Steve Hemans
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
` Residential Roofing PERMIT - 201705236
�M
PERMIT NO: 201705236 ISSUED: 08/02/2017
JOB ADDRESS: 4340 Gray ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Laminate asphalt shingles
with 11 sq.
*** CONTACTS ***
OWNER (303)420-0401 PRIMAVERA GREGORY P
SUB (303)421-7663 Stephen W. Simpkin 120242 All Around Roofing & 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: 3,500.00
FEES
Total Valuation 0.00
Use Tax 73.50
Permit Fee 109.20
** TOTAL ** 182.70
*** 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.
34.0 �.�. INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
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
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.
Concrete Encased Ground (CEG)
t{
Foundation / P.E. Letter
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector Comments
Initials
Wall Sheathing
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.
Mid -Roof
t{
Floodplain Inspection (if applicable)
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
c
I* � I 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: 216Wk 1,*gd
Job Address: GGA S
Permit Number:
61,ilA
F __
❑ No one available for inspection: Time 14. /Q AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for
re-inspection at 303 -234-
Date: -
03 -234 -Date: fit • /% Inspector: JoG'i%
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�9r(303)
Building Inspection Division
_:(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
i
INSPECTION NOTICE/
i
Inspection Type: f�
Job Address: % 3 60 2.4 S
Permit Number: /`? (Fs 5.3 �5
❑ No one available for inspection- Time Z V .AM/PM
s
Re -Inspection required: Yes N
When corrections have been made, call for re-inspegtigh
f , at 303-234-5933
Date: Inspector:
DO NOT REMOVE MIS NOTICE
r"i CITY OF WHEAT RIDGE
4;-
! - Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: --V7 j '
Job Address: r7 `10
Permit Number:FP
G1
,
1 U %r
4 r
❑ No one available for inspection: Time C `"� AM/PfQI)
Re -Inspection required: Yes No
When corrections /have been made, call for re -inspection at 303-234-5933
Date:- t e�l / Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
j Residential Roofing PERMIT - 201705236
PERMIT NO: 201705236 ISSUED: 08/02/2017
JOB ADDRESS: 4340 Gray ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Laminate asphalt shingles
with 11 sq.
*** CONTACTS ***
OWNER (303)420-0401 PRIMAVERA GREGORY P
SUB (303)421-7663 Stephen W. Simpkin 120242 All Around Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATIO
FEES
Total Valuation 0.00 — -
Use Tax 73.50
Permit Fee 109.20
** TOTAL ** 182.70
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201705236
201705236 ISSUED: 08/02/2017
4340 Gray ST EXPIRES: 08/02/2018
Residential Re—roof to install GAF Timberline HD Laminate asphalt shingles
with 11 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner oft , roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this rt. I further a esthat I am le all uthorized to include all entities named within this document as parties to the work to be
per
fpd and that all ork to be perfo d is disclosed in this document and/or its' accompanying approved plans and specifications.
Sigriature 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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cgAebr\any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official M Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, July 25, 2017 2:52 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4340 Gray St a --
Sue
& Gregory Premavera
303-420-0401
frontdesk@allaroundroofing.net
r--
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attach Copy of Contact
Contract Premavera 4340 Gray St.pdf
CONTRACTOR INFORMATION
Contractor Business
All Around Roofing & Exteriors nA /
Name
`//W�
Contractor's License .dada----
Number (for the City of
Wheat Ridge)
Contractor Phone
3034217663
Number
Contractor Email Address
frontdesk@allaround roofing. net
Retype Contractor Email
frontdesk@allaroundroofing.net
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
GAF Timberline HD Laminate Shingles
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
11
material selected above?
t /
Does any portion of the
No v
property include a flat
roof?
If yes, how many squares
o
on the flat roof?
TOTAL SQUARES
11 v
(pitched + flat) of all
2
roofing material for this
project
Provide additional detail House with attached Garage 4/13 pitch Remove and replace
here on the description of roofing materials
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 3500
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Aja Hernandez
Email not displaying correctly? View it in your browser.
3
WInstall new Pipe Jacks.
Replace vents as needed.
Re -flash chimneys and wall abutment as needed and if possible (stucco or siding may be a deterrent.)
U Install _linear feet of series ridge vent.
Install 2 linear feet of Ice & Water Shield to code.
Install— nails per shingle.
i Install Ice and Water Shield around all penetrations and in valleys
Pusan out gutters.
5 Year Warranty on Workmanship only.
I3The Company will provide general liability insurance coverage of at least $2,000,000.
Make a magnetic sweep of driveway and yard for removal of any nails & Remove all debris resulting from work above.
❑ Special instructions:
Wlnsurance Company: ffl 5� Claim #:(7<<J`O�n 1 lY (Policy #: (i���u So�
LX)Cash Estimate $ L{ c'l� ,1 b ❑ Golden Pledge Warranty $
THE SCOPE OF ROOFING SERVICES AND MATERIALS TO BE PROVIDED: Q06 �- h S
Approximate Dates of Service: Ll I N I 1 (Subject to change with possible shortages in materials and weather delays.)
The approximate costs of services based on damages known at this time are entered as: $
The Company, however, will perform the scope of the work approved by the insurance company for the amountof
the insurance
approved proceeds, with no additional costs to you other than you deductible. The final scope and price agreed on between the insurance
company and Company shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades
or any additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your
insurance policy.
THE COMPANY SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE COMPANY HAS
DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS _ PERFORMED A MAJORITY OF THE
ROOFING WORK ON THE RESIDENTIAL PROPERTY."
AMOUNT $1 I �{ >, i. -7 � Date: 17 q Senior Project Manager Initials:.C1
I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to complete any funding process
relative to claim number and referred above.
1 (We) further authorize The Company to pick up in person any loss drafts or the s on both my our behalf of The Company.
Date of Acceptance: Owner's Signatu
A ROOFING CONTRACTOR THAT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A PROPERTY AND CASUALTY
INSURANCE POLICY ISSUED PURSUANT TO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT ADVERTISE OR PROMISETO PAY, WAIVE, OR REBATE ALL OR PART OF
ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY.
vALL5665 Gray St. Unit A PREFERRED
Arvada, CO 80402 CONIUMB ARRI, D
303 -421 -ROOF 7663
www.allaroundroofiing.com F:303-433-1017 ��,.v"�
""
Property Owner: S Ue �� y t/1nGxIJ L Email: C -,q_ PIC vv,& f gl QD 1 Cats
Date: f E Phone t:Phone 2:
�Za("�(�� O
Street: I I! C 7fG�-� 1` City: w K Acle State: i C Zip:_ 0, d`,
We propose to furnish all materials and labor completed in accordance with the specifications below for the sum of: insurance claims. With your
approval, All Around Roofing and Exteriors Inc. (hereafter the "Company'l, will perform the repairs or replacements specified by (A) you; or
(B) by your insurance company for insurance approved proceeds only and with no additional costs to you except for your deductible and any
upgrades or additional work authorized by you that are not part of your insurance claim. Supplemental claims billed by Company on behalf
of the Property Owner (hereafter "Owner"), and are approved by your insurance company for additional work or increases in costs, in
addition to this contract, are a part of this contract as if contained herein.
t
Shingle Manufacturer: Year. 1Color: ✓rvkarSh,'R0 WIInitials:
Remove layers of asphalt shingles and/or wood shingles.
4L Install New Felt Synthetic.
Install pre -painted Drip Edge to code ❑ White 9 Beige ❑ Brown ❑ Light Gray ❑ Charcoal ❑ Forrest Green ❑ Initials c
Install New Decking?] SV-�P-kS
Valley(s) will be 30 Closed ❑ Open
Ridge(s) to be color coordinated.
Ridge(s) will be "High Profile Ridge" color coordinated shingles.
WInstall new Pipe Jacks.
Replace vents as needed.
Re -flash chimneys and wall abutment as needed and if possible (stucco or siding may be a deterrent.)
U Install _linear feet of series ridge vent.
Install 2 linear feet of Ice & Water Shield to code.
Install— nails per shingle.
i Install Ice and Water Shield around all penetrations and in valleys
Pusan out gutters.
5 Year Warranty on Workmanship only.
I3The Company will provide general liability insurance coverage of at least $2,000,000.
Make a magnetic sweep of driveway and yard for removal of any nails & Remove all debris resulting from work above.
❑ Special instructions:
Wlnsurance Company: ffl 5� Claim #:(7<<J`O�n 1 lY (Policy #: (i���u So�
LX)Cash Estimate $ L{ c'l� ,1 b ❑ Golden Pledge Warranty $
THE SCOPE OF ROOFING SERVICES AND MATERIALS TO BE PROVIDED: Q06 �- h S
Approximate Dates of Service: Ll I N I 1 (Subject to change with possible shortages in materials and weather delays.)
The approximate costs of services based on damages known at this time are entered as: $
The Company, however, will perform the scope of the work approved by the insurance company for the amountof
the insurance
approved proceeds, with no additional costs to you other than you deductible. The final scope and price agreed on between the insurance
company and Company shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades
or any additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your
insurance policy.
THE COMPANY SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE COMPANY HAS
DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS _ PERFORMED A MAJORITY OF THE
ROOFING WORK ON THE RESIDENTIAL PROPERTY."
AMOUNT $1 I �{ >, i. -7 � Date: 17 q Senior Project Manager Initials:.C1
I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to complete any funding process
relative to claim number and referred above.
1 (We) further authorize The Company to pick up in person any loss drafts or the s on both my our behalf of The Company.
Date of Acceptance: Owner's Signatu
A ROOFING CONTRACTOR THAT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A PROPERTY AND CASUALTY
INSURANCE POLICY ISSUED PURSUANT TO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT ADVERTISE OR PROMISETO PAY, WAIVE, OR REBATE ALL OR PART OF
ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY.
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:r2oc
Job Address: ---q y rr,2A fi
Permit Number: 7.�1 `7t)a-3 (�
❑ No one available for inspection: Time. klti LM)PM
Re -Inspection required: YesNo
When corrections have been made, call for re-1ection at 303-234-5933
Date: 11--) Inspector:
DO NOT REMOVE THIS N TICE
tY
CITY OF WHEAT RIDGE
OF oununty uiapr�uun urv�awu
(303) 234 -5933 Inspection line
(303) 235 -2855 Office;' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address ql� A'e'4V .ti 7 — rf°
Permit Number
a ido one available for inspection: Time /1� A YPM
Re- Inspection required: %e No
When corrections have been made, call or re- inspection at 303 -234 -5933
fi
Date:
DO NOT REMOVE THIS NOTICE
♦j4'
V CITY OF WHEAT RIDGE
303) 2 y 5933 I urn Lion li
(303) 234 -5933 Inspection line
(303) 235 -2855 Office,' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address / d<A,477 5 7—
Perm Number
£, r�'e. ✓+�3"r, -°1G r""'�`7 j� >`'ru'W1.° EJ" � � Y � ° fJF'� �-' ..�G�i..- .Cli�.�
❑ No one available for inspection: Time AMIPM
Re- Inspection required: No
When corrections have been made, call for re- inspection at 303 -234- 5933
Date: /0 Inspector
DO NOT REMOVE THIS NOTICE
------- J - r_;__ -_.
(303) -5933 Inspection line
(303) 235 -2855 Office'* (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type .5f � - 5W feli-
Job Address ci'S &RA �P" 51
Permit Number llo9l.$6
for inspection: Time 75 AMIM
red: Yes
ve been made, call for re- inspection at 303- 234 -5933
Inspector:
SOT REMOVE THIS NOTICE
1
City of Wheat Ridge
Residential Roofing PERMIT - 110936
PERMIT NO: 110936 ISSUED: 08/08/2011
JOB ADDRESS: 4340 GRAY ST EXPIRES: 08/07/2012
DESCRIPTION: Remove and replace 13.66 sqs of asphalt shingles & redeck
* ** CONTACTS * **
gc 720/365 -2289 Martinez Constructio 11 -0176 Martinez Construction Inc
Owner 303/420 -0401 Greg Primavera
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0423
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,953.04
FEES
Permit Fee 125.05
Permit fee additions. 15.85,
Total Valuation .00 /1T,
Use Tax 87.94
Use tax additional 19.2
** TOTAL ** 248.05
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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 be performed is disclosed in
this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures. --
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division is 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 grant' g of a permit shall not be construed to be a permit for, or an approval of, any violation of
any prow' io an pplicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to ctio /
Sign. e o Chief tu i ding 0 f ca Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Ci of
tl'
heat II i� Date:
CommumTY DEVELOPMEN ZZZ���
Plan , #
N r r
Building & Inspection Services Division w rn en- to
7500 W. 29" Ave., Wheat Ridge, CO 80033 Permit# I l b
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
J Building Permit Application
Property Address:; `l 3 cio rCe V OTr c �� ct
Property Owner (please print): V tr- P i Phone:
Mailing Address`. (if different than property address)
Address:
City, State, Zip: �r /
Contractors City License #: Phone:
S :Contractors_
Electrical: Plumbing: Mechanical:
City License # City License # City License #
bes`cr7i - 1 6 h` ofvtrork
Contract Value* e CAP
Bldg Valuation:
♦�4'
• CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) -8929 Fax
INSPECTION NOTICE
< Inspection Type PsvRfrf
Job Address VYYe2 6RA y S z°
Permit Number 11617.G
0S ,, ,161, -P'XOVS fi F/k X"
,
f s � .�asPl S�� �:�t�,�.�ld +;�1p/��
5
" 4' City of Wheat Ridge
Residential Roofing PERMIT - 110936
PERMIT NO: 110936 ISSUED: 08/08/2011
JOB ADDRESS: 4340 GRAY ST EXPIRES: 08/07/2012
DESCRIPTION: Remove and replace 13.66 sqs of asphalt shingles
* ** CONTACTS * **
go 720/365 -2289 Martinez Constructio 11 -0176 Martinez Construction Inc
Owner 303/420 -0401 Greg Primavera
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0423 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,885.79
FEES
Permit Fee 125.05 B M Total Valuation .00
Use Tax 87.94
** TOTAL ** 212.99
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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 withir j his document as lea to the work to be performed and that all work to be performed is disclosed in
this documerWZnd its' accompanying p owed plans and specifications.
Signature df OWNER or CONT)�CCTOR (fircle one)
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection. _ A
Signature of Chief Builf/ng 9FfJfical Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
e s�a City of �,
W heat 1 ��
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
B Permit A / pplication
Property Address L 4,Y qo G rat! ,�4tc , -T /
Property Owner (please print): ()[Q P! t AA
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Coti "_tractor: i'Vl.& Akt AtL -
Contractors City License M If --VI 7 1
()J
.�uu;yontrQccvrs5
Electrical: Plumbing: Mechanical:
City License # City License # City License #
4 ( y�
0 ( -m- rJ o+ � LGay � (n4- -G / �r Il Confry G� 7 9
1 • �� 0 - Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
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 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.
CIRCLE ONE: OWW E ',,ll(� (CONTRRACTOR)) or ((AUTHORIZED REPRESENTATIVE) of WNER) (CONTRACTOR)
PRINTNAME: ht �-/ - t I t- l • W�l X.M GNATURE: DATE: -('� 6 / /
r : u r✓ rrz r �✓ ,+ r r �n ✓t a
✓' ✓ ✓� r� ` �'� ` �`DEPk+R�AAENTSUSE LY" � ���� ; � � � ,'� ✓ y ` �
-�ZO INGCOfaMENTS r ✓,,, ✓r ✓ s �� s / ✓t'4 i :i ' y; v �fJ, �-s..ri s ✓ 7. r .� i
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r \ Zgning�� � � M� '� t S� r ✓� v�%i- Cy✓rr� � 5 r� „u K .� / �r , ✓ ✓d
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'BUILDING �EPARTMI:NT COMMENT+S''r�� J �� - .-,, < i' � � � > �c �' a � � r r� <r" cru ti �'�.��✓"'�,''k > .� f., >✓-. ^a's <` -
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✓ ✓ r� a r + 7 1 ✓> U tin ✓✓ ✓�� ✓✓^4�sr�
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Date:
Plan #
Permit #
Bldg Valuation: $
A
41
r CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type �qecl�z.
Job Address U3q0
Permit Number r/t 3f_,
' `lL t , iF /A EJ9� f, A l' 4AY /3
1
4
o No one available for inspection: Time AWd
Re- Inspection required: Yes Nod
When corrections have been made, call or re- i } speCtpn at 303 - 234 - 5933
Date: Inspector: <
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033. (303-235-2855)
Building Permit Number: 15694
Date: 6/13/2003
Property Owner: GREG PRIMAVERA
Property Address: 4340 GRAY ST
Contractor License No. : 21666
Company: Jason A. Richards
Phone: 420-0401
Phone: 422-6556
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 responsibllity for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W at Ridge ordin cas, for work under this per it.
(OWNER)(CONTRACTOR) SIGNED w-~ DATE (, /3 O?
Total:
$1,200.00
$58.34
$0.00
$14.40
$72.74
Use:
Description:
SERVICE CHANGE AND SUBPANEL RAN TO GARAGE
If~~~]
BUILDING DEPARTMENT USE ONLY
Zoning Com(ilents:
Approval:
Zoning:
Buildicig:Comm~l
Approval:
PUl)il!:~Work~!;:9mmlllJtG
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No : 21666
Company :Jason A. Richards
Expiration Date: 2/28/2005
Approval: OK/KS
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) 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 of the job.
(6) The issuanc f 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
provi io f t buil ing es or any other ordinance, law, rule or regulation.
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COLORp.,'I)O
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPLICATiON
Building Pennit Number:
Date:
Property Owner: GF.8q- f li'-l/VI/\ II EIt/l<
Property Address: 4:''\0 ~(1.A'1 <),.
Contractor License No.: .;;1. t &/R(P
Company: j f\'So"'! '" (I.. ( C II Ail ~5
Phone: '""]/1:;;'0 o-foi
Phone: 3/1U -(.5,t
QWJ'\ERlCONTRACTOR 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 Wheal Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge
Building Code (U.B,C) and all other applicable Wheat Ridge Ordinances, for work under
thIS permll
(OWNERXCONTRACTOR) SIGNED ~ ~~ DATE ~}3/C3
(OWNER)(CONTRACTOR) PRJNTED DATE
Construction Value:$ 12.-00ES!-
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTION: SeRviCe. Oflrr'6E tfrJD
sv8f?MeL
I'M TV M.eA&t:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
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) Tbis pennit was issued in accordance with the provisions set fonh in your application and is subject to tbe laws of the Slate of Colorado and to the Zoning
Regulations and Building Codes of\\'heat Ridge, Colorado or any other applicable ordinances of the City
(2) This pennit shall expire if(A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this pennit expires, a Ilew penni! may be acquired for a fee of one-half the amount nonnally 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 (I) year. If changes have been or if suspension or
abandonment exceeds one (I) year, full fees shall be paid for a new pennil
(4) No work of any manner shall be done that will cbange the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) bours in advance for all inspections and shall receive wriuen approval on inspection card
before proceeding with successive phases of the job.
(6) The issuance of a pennit or the approval of drawings and specifications shall not be construed to be a pemlit for, nor an apprm'alof, any violation of the
provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector
I
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BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
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Correction Notice
Job Located at /../ ~ &/0 ;;.,- -4/ <; J
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
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You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
q/,)%o
.
Inspector lor Building Dept.
0.C-
DO NOT REMOVE THIS TAG
FORM WR8-22
--~'..._'._--~.~--.'~--,_."" ._.~ - ~_._' -~_'_~'_"_'__'~"'~":""'''~'-' _..,-._,~-
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION. 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
9288
8/5/99
Property Owner:
Property Address: 4340 GRAY ST
Contractor License No. : 20415
Company: RAW. BUILDERS
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone : 420~0401
Phone: 289-9470
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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; tha m ure ents shown, and allegations
made are accurate; that I have read and a~ree t de all nditians printed on this
application, and that I assume full responslbili pha with the Wheat Ridge Building
Code (U.S.C.) and all other applicable Whe rdin s, for work under this :~
(OWNER)(CONTRACTOR) SIGNED DATE ~
/
Total:
$8,484.00
$167.25
$0.00
$127.26
$294.51
Use:
Description:
NEW FREE STANDING 20 X 24 GARAGE
-- .. I
Approval:
Zoning:
SIC:
BUILDING DEPARTMENT USE ONLY
Sq. Ft.: 480
IIIIIIBIIIIIIII
Approval: BG 8/5/99
SEE NOTES ON PLANS.
.....- --
Approval:
Occupancy:
Roof:
Residential Units:
Stories:
Walls:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
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 of the job.
Thrle i -~~~erm..it. or.th.e ap. pr.oval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
~ . /-'~ esc;:~~,l?tl}~rQ(d.inance, law, rule or regulation.
/. -" ...,..
(1)
(2)
(3)
(4)
(5)
(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
BUILDING PERMIT
For inspection this permit must be posted on
the site and visible from the street .
TERMS AND CONDITIONS
As applicant for a building permit in the City of Wheat Ridge, I do hereby agree to the terms and conditions
set forth belw for the issuance of a Certificate of Occupany in connection with this building permit. The
issuance of a Certificate of Occupancy requires:
1. The completion and approval of final inspections and any necessary corrections of electrical,
plumbing, mechanical and framing systems. Inspections are performed by the Building Division.
2. The completion of site drainage/grading requirements per the approved site grading plan
andlor final drainage report and plan, if such report and plan is applicable. For all residential and
nonresidential projects with an approved final drainage report and plan, a letter of certification is
required from the projects civil engineer of record. Inspection are performed by the Public
Works Department.
3. The completion and acceptance by the City of Wheat Ridge of all required public
improvements, or a Development Covenant may be processed in lieu of constructinf said
improvements. The Public Works Department performs these inspections or provides the
Development Covenant.
4. The completion of all required landscaping and related site improvements. Inspections
are performed by the Planning and Zoning Division.
All the above items must be completed and signed off by Planning and Zoning, Building and Public
Works before a Certificate of Occupancy is issued. Final Inspection by the Building Division does not
constitute authorization of a Certificate of Occupancy nor permission for occupancy. Occupancy of the
structure is not permitted until the Certificate of Occupancy is issued. (Unfiform Building Code,
Section 109)
Thc City is not responsible for any real estate closings or other agreements concerning the property which
may be affected by failure to compete the above items and obtain a Certificate of Occupancy.
I have read, understand and agree to the foregoing terms and conditions.
Name (please pri~ . d17C~;f" .......l,<-- 1..--'"
Signature: . / /~ Date: y ~ 2 /9 c:j
( r r
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date: &// Wff
APPL\C",IDN
Property Owner: a,~ '? ,e'M"'v=-~
Property Address: 43$'0 C:.,-eF1y s r
Contractor License No, :, lIe.. qPP cL fie< ~
Company: ?,<hv ~'-'l L~dl-r
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone : !'~t>. o'fo I
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 conditions printed on this
application, and that I assume full responsibili comp.' nee with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe . g~", for WO~ under this permit.
(OWNER)(CONTRACTOR) SIGNED ""~ DATE ~/N
Phone: ;Z fJ-9 - 9- '17 tl
Construction Value: 8'13'1. DQ
Permit Fee:
Use Tax:
Total:
Use:
Description: ,;? 0 'I' -:L Y V,
IG Q-9-I'2-.'1.r
o 4e~7 e-
~
Approval: ~ \..~
Zoning: R -3
Approval: 6. 6. yf;).~
BUILDING DEPARTMENT USE ONLY
~DII\Q~'S u:o/~.3 0UL'6cc"
SIC:
Approval:
Occupancy:
Walls:
Roof:
Stories:
w,' I/' 11<7/e,
Electrical License No :
Company:
Plumbing 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 yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of \Nheat 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 (B) the building authorized is suspended or
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 nonnally required. provided no changes have been or will be made in the
original plans and specIfications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
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 of 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 yother ordinance, law, rule or regulation.
(4)
(5)
(6)
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,.... Notet
0wDer I contnctor Is responsible fbr 1ocatIn8 .........ty 28'
Ones and collSlnlCllnS improvements acconrms 10 lba
approved plan and re4I.uirea development standards.
The City Is not rcsponsi~le for inaccurate infonnation ,
IUbmitted within the plan set and any conslTllctica
errors resulting from inaccurate ill'~::".1ation.
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Section 26-30(N) of WR Code ofLawl
For residential uses, the first 2S feet from
edge of pavement efa public street into the
property shall lie paved to a width no loss
than 20 foot
2-11-7/8" MircoLam Head,"
16'~7' Ovemead Door
20'
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R.A.W. Builders
303-940-0511
i&ame: GreQ Primavera.
~ddress:~~ 4~4~Q Gray St
pity: Wheatridge CD
f~hQne~#: 303-420-0401. ____n
;Projed:.~. 20x24 Garage ~.____ --
Zip: 80212
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l::Jt===~ .~=--=~n .~~=l~
front
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right side
r::=-- -.--.----..-.-~,,:_."-.'-_1 l
. -----:120~----- -1! :i---l
I lIfbc~__'~_~_____~1 ':-I
r ____.. 11____-1 II 2868 I~
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"-'--
--- 20' 0.- ------ .
Rear
5T.r'....Q' ~-- .-,
-
,-" -
24'0"
left side
.
2x6 cross ties 4' o.c. -,
\
2x8 common rafters 24" o.c.
2x6 jack rafters 24" o.C.
#235 Roofing w/#15 felt -~--_
--------
7/16" ass
1x6-~
2x10 top plate ---......
2x4 plate
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2x4 studs 16" o.c. -----1
Steel Siding - : 1
Temoply wall sheathing "
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2x4 treated _.._~ ll' / r- 6x6x10 wire mesh
Min 6" above grade..~~_-::'-~- i ," ! f 4" concrete floor
Grad~ -:=~ ~11~T~----;;~lLlr--;-~-
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610rkfl J..c/;/t~
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Hips 2x10
Over Head garage door header 2-11-7/8" Mirco Lams
Window & Service Door Headers 2- 2x6
Floor will Slop from back to Front Min. of 1 ~1f2"
Ceiling 8' high
7" x 1/2" L bolt 4' o.c.
.-
min 12" x 12" footingj ..-
below grade
PL:CTG,
S E:.G.(::.R 'S:,U -e:. D \ '-J \ S. \ eN
j'E..F'"F~R<;' aN. C.a\.A~TY
[Sl
COLUMBINE SURVEYING,'
31501 Baut=h Coran_ . Bul". 8
Englewoad. COlD. 801.0
781-2982
#:43,SO
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IMPROVEMENT LOCATION CERTIFICATE
I 'h 'f h h b. I' .f' " September 21. 1979
. U!,re_ V Cf?'rtl y t at tea aye Improvement ocatlon certl lcafe was prepareu on ____~___~____.___ _________~________.u_____
of the property described above. The improvement location being bi:l~ttiJ ull-th~ (;.ontrol ~$ thcl.'Jr. abf'JlYfI, ",," that it is not to be
relied upon for the establishment of fence. building or other future improvement lines.
I further certify that the improvements on the above described parcel, except utility connections, are entirely within the boundaries
of the parcel, extept as shown, that there are no encroachments upon the described premises by improvements on any adjoining
premises, except as indicated, and that there is no evidence or sign of any easement crossing or burdening any part of said parcel
except as noted.
BUYER:
PRIMAVERA
(Western Federal)
PRICE:
DATE
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ORDER NO:
40-1990
099- 387
ADDRESS:
4340 Gray Street
Continental Title
TITLE CO:
CASE NO:
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 6961
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 4/28/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 4340 Gray Street
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 420-0401
Phone:
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$7,000.00
$125.50
$0.00
$175.00
$300.50
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 8Qree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Use:
Description:
Detached 2 car garage, PERMIT CANCELLED, NO GARAGE, NO CARPORT NO WORK AT ALL.
NO REFUND!!
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Approval: MLC
Zoning: R-3
Approval:
See attached P.W. review sheet
Approval :GK
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 yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or jf 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 of thel'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.
(4)
(5)
(6)
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
l"'~a~i:~=g~1r::1:":::;':~';;~:''''''-
1'1 CITY OF WHEAT RIDGE Date: 4/28/98
, .' 7500 WEST 29TH AVENUE
_ WHEAT RIDGE, CO 80215
'&
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Property Owner:
Property Address: 4340 Gray Street
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 420-0401
Phone:
Construction Value:
Permit Fee:
Plan Review Fee :
Use Tax :
Total:
$7,000.00
$125.50
$0.00
$175.00
$300.50
I hereby certify that the setback distances proposed by this penntt application are accurate,
and do not violate applicable ordinances, rules or regulations of the CIIy of Wheat Ridge or
covenants, easements orrestrtctlons of record: that all measurements shown, and allegations
made are accurate; that I hevllread and agree to abide by all condllions printed on this
application, and that I assume full resPQnsiblllty for co!'1P"ance with the Wheat Ridge Building
Code.(U.B.C.) and all other aPPllcabl8%at R~ces, for wort< under this penntt.
(QWNER)(CONTRACTOR) SIGNee () C!~1)ATE~
Use:
Description:
Detached 2 car garage
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft:
Approval: GK
Occupancy: Walls:
See attached P .W. review sheet
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) This permitwaa issued In lICCOItlance with the provisions set forth In yopur eppIicetion end Is sublect tothel8ws of the State of Colorado end to the ZonIng
Regulations and Bulldiog COde of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shel expire II (A) the work authoR zed Is not commenced wlthl,; sixty (60) clays from issue dale or (B) the building authori~ is suspended or
abandoned for a period 01120 days.
(3) If this permit expin:p:.=:armtt may be acquired for a fee of one-hatf the amount normally required, provided no changes have be8n or wiD be made in the
original plans and . .. and any suspension or abandonment has not exceeded one (1) year. If changes 81'8 made or if susplenSion or abandonment
exceeds one (1) year, full fees shaA be Paid for a new permit
(45) No work of any manner shall be done that will change the natural flow ofwater causl~ a drainage problem.
() COntractor shan notify the Building Inspector twenty40ur (24) hours In advance for all InspectionS and shall receive written approval on Inspection card before
_ilng with luci:esslve Dh.... of the lob.
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.
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
)
PUBLIC WORKS REVIEW FEE STRUCTURE FOR BUILDING PERMIT APPLICATIONS
Date
Phone# 4?r>-04e>}
Applicant
Location of Construction (address) ~O 6..z.D<i ~.
Purpose of Construction fV~~"" (n.A 9 Q,AQ. f
Building Permit Value $ 1- 00 () o.g Commercial
I
DEVELOPMENT REVIEW FEES (this section to be completed by City)
Development Review Processing Fee: $50.00
Residential ~
$ 56.00
Single Family Residential Review Fee: $25.00
[includes review of construction drawings for improvements in public right-of~way] $ ZS, ce
Multi-Family/Commercial: .$50 minimum fee [confirmation of existing technical
documents]. $500.00 maximum fee [includes review of construction drawings for
improvements in public right-of~way, review of preliminary/final drainage study
and erosion control plan(s) if required]
Site Plan: $50.00 (Not applicable for single family residential)
Right-<>f -WaylEasement $40.00 + $5.00/page recording fee
Development Agreement Residential = $50.00 Commercial = $100.00
State Highway Access Pennit: $75.00 application fee
Traffic Impact Review & Report: $100.00 processing fee
Flood Plain Variance: Class I = $75.00 Class II = $150.00
TOTAL REVIEW FEES: (due at time of building permit issuance)
$ _0'"
$ - 0'"
$ _0'
$ - O.
$ -0-
$ _0 ,.
$ -0 -
$ 9S~
Please note that additional fees will be assessed for those pennits related to construction of
public improvements. If you have any questions, please feel free to contact the Development Review
office at 235-2868.
Signature of Applicant
Date
The City of
7500 WEST 29TH AVENUE
.
WHEAT RIDGE, COLORADO 80215
GWheat
<Ridge
LETTER OF NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION
DATE4tJZ1- ~
ADDRESS
A"?40 ~ ~.
Dear Contractor:
In conjunction with the approval of the building permit
application for the above referenced address, this letter is to
inform you that all existing public improvements located along
the frontage of said address shall be restored, (if damaged from
related construction) to an acceptable condition, as determined
by City of Wheat Ridge Public Works Department, and prior to the
issuance of a Certificate of Occupancy.
Prior to any construction commencing, the City's representative
will conduct an onsite inspection to determine the existing
condition{s}of the public improvements at this address.
any questions, please contact me at 235-2868.
'.n erely ~
G e~uds n, M.P.A.
De~~lJ~ment Review Engineer
cc: File
(303) 234.5900 . ADMINISTRATION FAX: 234.5924
POLICE DEPARTMENT FAX: 235-2949
DEPARTMENT OF PUBLIC WORKS
BUILDING PERMIT APPLlCA TION REVIEW
Date: 4 1"2-:1 J c:r~
f I
Location: .A~ ~ ~.
CaselBuilding Permit No.:
Attention: Building Department
I have reviewed the attached materials submitted in application for approval of a Z, CEA.<' ~lIL~
at the above referenced address. Please note the summary comments below. ~l~
1. "......,..- ~oundary Closure: --OK _ Not OK; refer to stipulations.
2. ~ Drainage:
a. Drainage plan and report needed
b. Drainage plan not needed $-
c. Drainage provisions have been reviewed and are found to be:
/ _ OK _ Not OK; refer to stipulations.
3. _ NPDES Permit Required: Yes ~ No
4. ~ Legal Description: :::K OK _ Not OK; refer to stipulations.
If not OK, please explain:
5. ~publiC Improvements:
a. street paving needed: _ Yes
b. curb and gutter needed: Yes
c. sidewalk needed: Yes
d. street lights needed: Yes
e. storm sewer needed: Yes
f escrow required: _ Yes
If an escrow is required, for what improvements?
1- No
--.:L. No
~No
i.. No
..L No
....:t.. No
Amount of escrow:
Development Agreement required:
If Yes, for
Traffic impact analysis and report required: _ Yes
State Highway Access Permit needed: _ Yes
New roadway or alley R.O.W. dedication recommended: _ Yes
If yes, what is recommended?
10. ~ All exis. dedicated roadways/alleys meet the standards of the City:.-lS... Yes
If no hi do not and what IS requested:
11. _____- AP RO AL: T ublic W ks Department has reviewed this request and hereby gives its
ap 0 , subje to the ab e and/or attached stipulations.
6.~.
7 ".-
8: /"
9. ~
_ Yes
.><-'No
..lL No
~No
--15... No
No
12. _
4/'Z-:; hI
I eg Knudson Date I I
N APP OV . The Public Works Department has reviewed this request and does not give
its approval for the reasons stated:
-
Dale
13.':::::'
14.~
Signature Greg Knudson
Stipulations attached: es
iummary Co ,en:
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MEMORANDUM
II Approved
Date
II
DEPARTMIBNT OF PUBUC WORKS
TO: John Eckert, Chief Building Inspector
FROM: Greg Knudson, Development Review Engineer
DATE: April 16, 1998
SUBJECT: Building Permit Application For 4340 Gray Street
This memo is to advise you that the building permit application received
on April 16, 1998 for the above referenced address can not be processed
by the Public Works Department until the following items have been
submitted for review and approval:
~~we will need a grading plan that designates the existing topography
of the entire lot, and the proposed topography around the new
structure.
'~The site grading plan will need to show the proposed direction of
~~"flow from the proposed structure(s).
.\~ The site grading plan will need to show how flows from the site
~ are to be properly conveyed so that adjacent properties are not
adversely impacted by the proposed onsite improvements.
~The site grading plan will need to show the proposed finished floor
elevation of the structure.
If you, or the contact person for this project have any questions
regarding the above items, please feel free to contact me at 235-2868.
\\l \! tzE'c I t> 4 fz=rt
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cc: Alan White, Planning & Development Director
Dave Kotecki, Sr. Project Engineer
File
Pl.-a,. Co.
'SE:G,~_K s:'U~D\\"} IS \ uN
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COLUMBINE SURVEYING,-
31501 Sautih Carane .. Sul~. B
Engl.wood. Colo. 801.0
781-2882
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IMPROVEMENT LOCATION CERTIFICATE
I hereby certify that the above improvement location certificate was prepared on __~ept~~er_2_~'_!?_~9 ---- --- -~-
of the propeny described above. The improvement location being based on.the control as 'shown above, and that it is not to ue
,elied upon for the establishment of fence, building or other future improvement lines.
I further 'certify-that tne impiovement~ on the above described pa-fcel, except utility connections, are entirely within tne:boundaries
of the parcel, except as shown, that there are no encroachments upon the described premises by improvements on any adjoining
premises, except as indicated, and that there is no evidence or sign of any easement crossing or burdening any 'part of said parcel
except as noted,
BUYER:
PRIMAVERA
(Wes tern Federal)
TITLE co:
Continental Title
ADDRESS:
4340 Gray Street
CASE NO:
ORDER NO:
40-1990
099- 387
PRICE:
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PERMIT TRACKING FORM
ADDRESS---=:9 ::/)<1 () C ~ I'A- \J ,,5~ I: C e t-
,
DATE SUBMITTED.::;;! ~:; -C)'I( PERMIT NUMBER...!oqlr, \ TYPE OF PERMIT I\d . (--:><, a.:'t 0S).d.
CONTRACTOR hC'V\1 ( C)\J..Jvu~ PHONE
OWNER (-.:1({'c;prr~J PnnnQ.U(T(, PHONE~~"1C\ -0<\0 I
TYPE OF REQUEST ~\ \I \ C\ <:J ('w"" '3 Q..(C Cjj'/
"'1 ~lilTnK~lIi.JIl/llJ 4-66-Q1') DATE AND REASON FOR PERMIT DENIAL
REQUIRED CONDITIONS MET PRIOR TO PERMIT APPLICATION 7 YES NO N/A
CONDITIONS OF APPROVAL
DATE IN
4--")Ji ~
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c\.- -:>'~C'\'i'.\
DATE OUT
~/ ~
BUILDING D9f'~ENT
g{ ENGINEERING PARTMENT
)If PLANNING DEPARTMENT In
0 FIRE DEPARTMENT ..-
0 ClrY~BORIST .' j- I
0 POLICE DEPARTMEN/
0 SEWER DISTRICT
0 WATER DISTRICT
0 OTHER
CERTIFIC
0 BUILDING DEPARTMENT
0 ENGINEERING DEPARTMENT
0 PLANNING DEPARTMENT
0 FIRE DEPARTMENT
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I CERTIFICATE OF COMPLETION
DATE IN
DATE OUT
DATE CERTIFICATE OF OCCUPANCY CERTIFICATE OF COM~TIO ISSUED
o BUILDING DEPARTMENT
o ENGINEERING DEPARTMENT
o PLANNING DEPARTMENT
o FIRE DEPARTMENT
PLANNING ESCROW CONDITIONS
,
MOUNT
ENGINEERING ESCROW CONDITIONS
DATE TEMPORARY CERTIFICATE OF OCCUPANCY ISSUED
AMOUNT
DATE EXPIRED
PERMIT TRACKING NOTES
(') ,\.(. 1l/27
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
,-,
C -((:(.';.~(., tJv;r.,./1 -::.\\,'1: i-
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Phone: -5
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Phone:
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 a~ree to abide by all conditions printed on this
application, and that I assume full responsibility for com nee with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe ,Ridge lna ces, for work under this permit.
Construction Value: -;; 0", (
Permit Fee:
Use Tax:
(OWNER)(CONTRACTOR) SIGNED
Total: $0.00
DATE '/- J ,',y
- - Use:
+
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Description:
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BUILDING DEPARTMENT USE ONLY
t..pnlm:rn~_omlaU~
Approval: ~'-~
Zoning: R - "3
(JfJ~Jk.1
SIC:
4,7,19
Sq. Fl: 5lc[.)
Approval:
Occupancy:
!}~~vJ.
. 1- '2.-1- ~
Walls. I 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:
(4)
(5)
(6)
This pennit was Issued In accordance with the provtslons set forth in yopur appHcation and is subjed. to the laws of the State of COkx'ado and to the Zoning
Regulations and BUilcli"9. Code of Wheat Ridc;le. CcMorado or any other applicable ordinanc:es of the City.
This permit shaD expire .f (A) the work authonzed is not commeneed within sixty (60) days from Issue date or (8) the building authoriZed is suspended Of
abandoned for a period of 120 daxs. _
If this permit expires, a new permit may be acquired for a fee of one-half the amount nonnalty required. provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No woOl; 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 app<<lval on Inspection card before
p" .. 0"'" successive phases of the Job.
The' nee?f permitZ7the ap. al o(drawlngs and spedflCations shall not be construed to be a pennit for. nor an approval of. any violation of the provisions
of e ilding es or any: nance, law, rule or regulation. .
I z., /"" ~
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hief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
(1)
(2)
(3)
The City of
7500 WEST 29TH AVENUE
.
WHEAT RIDGE. COLORADO 80215
GWheat
'Ridge
SINGLE F AMIL Y MINOR EXCAVATION AND FILL PERMIT
NAME OF APPLICANT: J.:{{2f, (., Yf7\~'~~ a.
ADDRESS OF EXCA V ATION/FILL: 4'AO bz.b.1 Sr.
APPLICANT ADDRESS: ~o ~Il.i Sc;.
DATE OF APPLICATION: 4- ('2-1- ~'O
All permits shall be applied for through the Public Works Department. An approved permit is
effective for a period of one (I) year from the date of issuance, and may be renewed. All fees
shall be in accordance with those fees established by the Uniform Building Code (UBC), or by
other applicable City adopted Resolution or Ordinances.
Grading Plan Review Fees*:
o to 100 cubic yards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
101 to 1 ,000cubic yards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~
1,001 to 10,000 cubic yards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... $30.00
10,001 to 20,000 cubic yards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . .. $45.00
SUB-TOTAL:
Grading Permit Fees*:
Ot050cubicyards.................................... ...... ............~
51 to 100 cubic yards. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
101 to 1000 cubic yards -- $22.50 for the first 100 cubic yards, plus $10.50 for each additional
100 cubic yards or fraction thereof: C. Y. Amount Due: $
1,001 to 10,000 cubic yards -- $117.00 for the first 1,000 cubic yards, plus $9.00 for each
additional 1,000 cubic yards or fraction thereof: C. Y. Amount Due: $
10,001 to 20,000 cubic yards. . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . .. $238.50
~
TOTAL FEES DUE: $ .". -
(303) 234.5900 . ADMINISTRATION FAX: 234.5924 . POLICE DEPARTMENT FAX; 235-2949
Building sites whose total excavation and fill exceeds 20,000 cubic yards must be processed
under the provisions of Section 26-33 of the Wheat Ridge City Code. Upon conformance
with Section 26-33 of the City Code, grading plan review fees and grading permit fees shall
be established in conformance with Section 3310, Table A-33-A, and Table A-33-B
respectively ofthe Uniform Building Code.
* Uniform Building Code, Section 3310
I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT, AND
UNDERSTAND THAT THE REQUESTED WORK CAN NOT BEGIN UNTIL THIS
APPLICATION IS APPROVED BY THE CITY OF WHEAT RIDGE. I AGREE TO
COMPLY WITH THE LAWS OF THE STATE OF COLORADO, WITH ZONING
REGULATIONS AND WITH THE BUILDING CODE OF THE CITY OF WHEAT
RIDGE. ANY VIOLATION WILL BE CAUSE FOR IMMEDIATE REVOCATION OF
THIS PERMIT, AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGS BY
THE CITY OF WHEAT RIDGE. THIS APPROVED PERMIT WILL BE KEPT IN MY
POSSESSION, OR PERMANENTLY ON THE JOB SITE.
Applicant's Signature
City Engineer
APPLICANT:
CITY OF WHEAT RIDGE:
Owner's Signature (if different than above)
" J Z=1 j,e
Approval Da~ '
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Design Wor~ (R), Hugh M Woods, , .~.140, Ph()ne_# ~26-1452
Fri Mar 27 14:53:03 19980
Plan ID: CQ2963
Drawing: Plan View
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Design Works (R), Hugh M Woods" # 140, Phone # 426-0452
Fri Mar 2714:53:0319980
Plan ID: CQ2963
Front View
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Design Works (R), Hugh M Woods" # 140, Phone # 426-0452
Fri Mar 2714:53:0319980
Plan ID: CQ2963
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Design Works (R), Hugh M Woods" # 14 , Phone # 426-0452
Fri Mar 2714:53:0319980
Plan ID: CQ2963
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Design Works (R), Hugh M Woods" # 14 , Phone # 426-0452
Fri Ma.t 27 i4:53:03 19980
Plan ID: CQ2963
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Design Works (R), Hugh M Woods" # 140, Phone # 426-0452
Fri Ma'r 27 14:53:03 19980
The materials in this garage will cost $2945.31
This Price does not
Plan ID: CQ2963
Drawing: 3-Dimensional View
,., Ask For A Construction Detail Sheet Before You Begin Your Project
PLaT Co
'SE:GIf..R ~\...U~:>D\'-J\C,\()N
..Jt.rF ~K<;' a\-.l COV, \\\,-y
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CDLUMBINE SURVEYING,_
31501 Saut;h Caran. . Bulto. B
Enlll.wood, Colo. 801.0
781.2882
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IMPROVEMENT LOCATION CERTIFICATE
I hereby certify that the above improvement location certificate was prepared on _..._~_epte.!"ber_2~._~~9. ___~____.~.
of the property described above. The improvement location being based on 'the control as "shown above, and that it is not to be
relied upon for the establishment of fence. building or other future improvement lines.
I further certify that the improvements on the above described parcel, except utility connections, are entirely within the boundaries
of the parcel, except as shown, that there are no encroachments upon the described premises by improvements on any adjoining
premises, except as indicated, and that there is no evidence or sign of any easement crossing or burdening any part of said parcel
except as noted.
BUYER:
PRI MAVE RA
(Wes tern Federal)
CASE NO:
40-1990
ADDRESS:
4340 Gray Street
TITLE CO:
Continental Title
ORDER NO:
099- 387
PRICE:
_rded al... . ........... ..........o.cloell. ........ .
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i Trus DEED.
i
\ hetween
Mode thi. 21ST doy ot SEPTEMBER
JAMES A. SKRBINA
.19 79,
nl.JNG STAMP
"I Ihe Count, .t JEFFERSON
Colorado, 01 lh~ lirat part, and
GREGORY P. PRIMAVERA AND SUE E. PRIMAVERA
Grantee's Address: 4340 Gray
and Stat. ot
.
;
i
l
\
"t Ihe r:ounty 01 JEFFERSON
I Colorado, or the lecond part;
and Stille ,.t
I
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WITNE~~":TJI. that thf! aa.id party of the tirMt part. for .rut in eOnllduaUon of the IUm of
.
j
j
FORTY NINE THOUSAND AND NOjlOOTHS----------------------------------
DO....ARS
and nthrr ~1I"ll arid valuable rOl\",idf'ratinn9 to Ulf~ aaid pll",t}' of the fint part in hllnd paid by thl! ....id parties of th~
se('ulId part, thf': TN'eipt whprf>ol III hE'rehy C'Onff!8SM and adnowlPdKed. ha. granted. bargained, lold and ('onve,ed.
and hy thp5r> prf'!lf"ntl don grant, ha'A'llin, tell. C'onvt"y and confinn unto the .aid partie. of Iec:ond part, th..lr
h.-ir" and B~!!Ii~ns for~vf'r, not in lpnaory in rommnn bit in joint tenanc" all thfl! followinr d~lIerihf'd lot or
pBl"'C!el or land. f1iluat~. tyin~ and lipilll!' in the County of Jefferson and Rlate
ot ColorA,do, to wit:
c'
j
i
Plot 6,
SEGER SUBDIVISION,
County of Jefferson, Colorado.
The plat of which is recorded in Plat Book 6 at Page 62.
Also known and numbered as: 4340 Gray, Wheat Ridge, CO.
TOGETIIF.R with all and sinrutar the hereditament. ond appurtenanee. thereunto belonling, or in any.be
appertaining and the "version and reversiona, remainder and remainders, renta, laut. and profiu thereofj and
all the e.tate, right, title, interut, elaim and demand ~..hat.oever of the aaid part,. of the tint part, either In law or
equity, of, in and to the above bargained premises, with the hereditament. and appurtenanee..
TO nAVE AND TO HOLD the .aid premises above bargained and deaeribed, with the .o.ppurtenanee., unto the
.aidparUel of the second part, their heirs and ..aigna forever. And the aaJd -party of the tint part, for himsell, hi.
hein, executors, and administratorl, doe. covenant, crant, bargain and agree to and with the aaid partiel of the
leCond part. their hein and uaiPI, that at the time ot the enee.Jin. and delivery of the.. pre.enta, h. III well seized
of the premiae. above eonveyed, .. of rood, lure. perfeet, absolute and indefeaaible atate ot inheritance, in law, in
It. .lmpl.. and h.. ,oocI rI,ht, full power and lawful auth.rlt, to arant. barvain, "II and c.nvoy the ume in manner
and fonn afore.ald, and th.t tbe urne are free and clear from all former and other gn..ntl, bargalnl, ulel. lien.,
taxe.. al.e.smenta and enwmbraneel of whatever kind or nl.ture soever, except taxes and assessments
due and payable subsequent to the date hereof, and easements, restrictions
and covenants of record, if any.
and the ahov. barr&lned premls.. in the quiet and peaeeable po.leuion of the laid partit-. of the seeond part, th,.
lurvivor of them, their u.11T\l and the hel,. and ...Igna of .ueh IUMvor. a.ainet all and every penon or perlllona
I.wfull, clllmin.. .r t. elllm the wh.l. or any port thereot, Ibe oold party ot tho tirat port .holl and will WARRANT
ANll FOREVER DEFEND. Th. olngular numher thall Include the plural. tho plurallhe .ingular, and the u.. of any
...ndor .hall b. applicabl. t. oIlgend.ra.
IN WITNESS WHEREOF tho .00d party .t the lirat port h.. hereunto .el hi. hand nnd ...1 the day and y.o,
--tI-nt..ahOV8 wrltten.
Slped, Sealed and Delivered In the PrlPlenee of
pn~ALI
JAMES A. SKRBINA
I',.
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[S~;ALI
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L\:b
[SEALI
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STATE OF COLORADO
!..
,
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C.unty.f Jefferson
Tho t.r....ln. Inatrument woo ..kn.wled..ed bel.r. mt thl.
b, JAMES A. SKRBINA
21st
day ot S b
eptem er
.19 79.
My Comml..I.n ..pl....
.19
. Witne" my hand alld offitial leal.
Hot..., Publle
No. '2IA. WA.RANTY DIID.-To Jolftl T."onl'.