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Home My WebLink About2681 Chase Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: -s=1 'L,,? „ ❑ No one available for inspection: i Re -Inspection required: Yes` No When corrections have been made,el http✓/www. ci. wheatridge. co. usrnspection Date: I /f-" ti' Inspector: for re -inspection online at: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection'6ivision (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: r� _ Permit Number:��; 0 ❑ No one available for inspection: Tim6_�_=�PM Re -Inspection required: Yesl When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: "` �" a"- f % Inspector: i^ � DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201902385 PERMIT NO: 201902385 ISSUED: 11/13/2019 JOB ADDRESS: 2681 Chase St EXPIRES: 11/12/2020 JOB DESCRIPTION: Reroof with mule hid mod bit rolled roofing, 1/12 pitch, 3 squares; GAF Timberline HD, asphalt shingles, 5/12 pitch, 12 squares; 15 squares total *** CONTACTS *** OWNER (386)299-6311 BOUFFARD BRITTANY M SUB (720)270-5600 CHARLES RILEY 150026 LIFETIME CONSTRUCTION LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00 FEES Total Valuation 0.00 Use Tax 157.50 Permit Fee 172.60 ** TOTAL ** 330.10 *** COMMENTS *** *** CONDITIONS *** ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an approved mid -roof inspection, conducted when 25-750 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% 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. COMMERCIAL ROOFS: 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. City of Wheat Ridge Residential Roofing PERMIT - 201902385 PERMIT N0: 201902385 ISSUED: 11/13/2019 JOB ADDRESS: 2681 Chase St EXPIRES: 11/12/2020 JOB DESCRIPTION: Reroof with mule hid mod bit rolled roofing, 1/12 pitch, 3 squares; GAF Timberline HD, asphalt shingles, 5/12 pitch, 12 squares; 15 squares total 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 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 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 6,;kance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge 11/13/2019 1803 C00 Reroof with mule hid C0B022045 AMOUNT BPSP 2681 Chase St 330.10 APPL/PERMITNOf 20190238b PAYMENT RECEIVED PP / 9311 AFH CUE: 66859322 TOTAL ---------- AMOUNT 330.1O 33O.1O Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Wednesday, November 13, 2019 10:29 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Kim Residential Roofing Permit Application 3�5 This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 2681 Chase Street, Wheat Ridge Brittany Bouffard 386-299-6311 Field not completed. Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Lifetime Construction Name Contractor's License 150026 Number Contractor Phone 3035932022 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permitting@lifetimeconstruction.org Retype Contractor Email permitting@lifetimeconstruction.org Address REQUIRED: Credit Card WheatRidge credit card form.pdf Authorization Form DESCRIPTION OF WORK TOTAL SQUARES of 12 the entire scope of work: Project Value (contract 7500.00 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) both? (check all that apply) What is the pitch of the 1/12 FLAT roof? How many squares are 3 part of the FLAT roof? Describe the roofing mule hide modified bit material for the FLAT roof: z Type of material for the FLAT roof: What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 5/12 12 GAF - Timberline HD Asphalt reroofing house only 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 3 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 Caroline Nielsen - contractor Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request n i4pe MIDNIGHT (11:59 to recei an inspect' he following business day PERMIT: *DDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground /Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 1 J 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT ADDRESS: JOB CODE: W, - - - 1A CbWx-5k-- Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works*' 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 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: Aol- 17,0 f:::: Job Address: 7&6 5r Permit Number: 10 ki(-) Y-1 15" ❑ No one available for inspection: Time 17 / AM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 3A-234-5933 Date: l I a ( r N_ Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /fi Job Address: �?- 6 0 / i�_' h0 S� S Permit Number: 20/70 a 91 7 ❑ No one available for inspectio- a_ AM/PM Re -Inspection required: Yes When correc ion;ave been made, call for re -inspection at 303-234-5933 Date: i �l Inspector: { / T DO NOT REMOVE THIS NOTICE ► A City of Wheat Ridge Residential Roofing PERMIT - 201708939 PERMIT NO: 201708939 ISSUED: 11,U8 10 JOB ADDRESS: 2681 Chase ST EXPIRES: 11/08 ;'0;F JOB DESCRIPTION: Permit for reroof: installing 1 square 1/12 pitch self adhered ;rI. : bit and 11.22 squares Owens Corning Oakridge dimensional aspha:t. Main house only. Metal roof will not be replaced at this time. *** CONTACTS *** OWNER (303)781-0841 REINHART JOHN C SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exr_eriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA i Unass:gro(,, SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,600.00 FEES Total Valuation 0.00 Use Tax 75.60 Permit Fee 109.20 ** TOTAL ** 184.80 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party insp(c:: required for both the midroof and final inspections. The 3rd party inspect;nr, THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1103.2 R806. The installation of ridge venting requires the installation or existence sc venting. For calculation purposes, one hat or turtle vent equal to one --half of orae foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved n,irir inspection, conducted when 25-75 percent of the roof covering is installed, prig-�r approval. Installation of roof sheathing (new or overlay) is required ori the er.- t-,: when spaced or board sheathing with ANY gap exceeding one half inch exists. Shea r:. mid -roofs may be called in at the same time, one hundred percent of the sheathi;:g ;m;s complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are rrd.i:r <i to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water sh,t,;� is required. Eave and rake metal is required. A ladder extending 3 feet above the 7 , and secured in place is required to be provided for all roof inspections. Roof ✓en:._ is required to comply with applicable codes and/or manufacturer installation i.ns:-;�t; whichever is more stringent. In order to pass a final inspection of elastomeric type roof coverings, a letter of inspection and approval from the manufacturer representative stating that "the application of the roof at (project address) }:as h applied in accordance with the installation instruction for (roof material brant: name) covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708939 PERMIT N0! 201708939 ISSUED: 11/8 0 2017 JOB ADDRESS: 2681 Chase ST EXPIRES: 11/08/201P JOB DESCRIPTION. Permit for reroof: installing 1 square 1/12 pitch self adhered m)ca.iior-, bit and 11.22 squares Owens Corning Oakridge dimensional asphalt. sh:r:g e. Main house only. Metal roof will not be replaced at this time. I, by my sikl y attest that the work to be performed shall comply with all accompanying approved plans and specifications. applicablend all applicable municipal codes, policies and procedures, and that I am t7�e legal owner or have heen authonicd by the le operty and am authorized to obtain this permitand perform the work described and approved in conjunction �� 1111 this perm at I am legallyauthorized to include all entities named within this document as parties to the work to he perform d to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. f ER or CONTRACTOR (Circle one) Date SignattiKe 0 I, Thi ermit was issued based on the infonnation provided in the pennit application and accompanying plans and specit icatiow, 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 he made in and received prior to the date ofexpiration. An extension of no more than 180 days made be granted at the discretion of the Chief t3uildim-, Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is ai the sole di,,o-ciioui w 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 s)ecit is appro , 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of al`j required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Servicc. 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 ani prop inion of ani applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ief Buiffic, to t' Date MADE ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Antoinette Kulick Z/0 1 0 K'l 31 From: no-reply@ci.wheatri dge.co.us Sent: Tuesday, November 7, 2017 5:18 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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. Cl Is this application for a Yes � residential roof? C/� �c How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 2681 Chase Street Property Owner Name John Reinhart Property Owner Phone 720-556-1737 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. .--C� Address i Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Rienhart contract.pdf CONTRACTOR INFORMATION 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) Lousberg Roofing & Exteriors 120073 720-724-3213 Contractor Address 3705 W. 73rd Ave (Primary address of your business) Contractor Email Address jose@lousbergcontracting.com Retype Contractor Email jose@lousbergcontracting.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) 12 3600 No Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or greater) K What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: Type of material for the FLAT roof: What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 1/12 78 Self Adhered Modified Bitumen Rolled 5/12 11.22 Owens corning Oakridge dimensional shingle Asphalt Main house roof only. Metal roofing will not be replaced on left elevation of home. SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City Yes Yes 3 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Jose Silva Email not displaying correctly? View it in your browser. PREFERREDLOUSBERG CONTRACTOR BBB. ROOFING & EXTERIORS CONTRACT SUBMITTED TO' $ DATE; ! ADDRESS: EMAIL: CITY: _ STATE: ZIP: PHONE: WORK PHONE: e - INSURANCE COMPANY: L- CLAIM NUMBER: SCOPE OF WORK AND MATERIALS TO BE PROVIDED: THE SCOPE OF WORK RECOMMENDED BY LOUSBERG ROOFING & EXTERIORS, INC. ARE IDENTIFIED BELOW; HOWEVER, ANY ADDITIONAL WORK NOT APPROVED BY THE INSURANCE COMPANY WILL NOT BE PERFORMED BY LOUSBERG ROOFING & EXTERIORS, UNLESS IT IS APPROVED BY AND PAID FOR BY THE HOM ER. LOUSBERG ROOFING & EXTERIORS IS NOT OBLIGATED TO PERFORM ANY PART OF THE SCOPE OF WORK. TEAR OFF ---LAYER(S) O SHINGLES INSTALL DECKING (7/18" OSB) TO CODE SPECIAL INSTRUCTIONS: 1 I/NST LL ICE & WA.1ER SHIEI0 j0 CODE IN AL 2"X 2" _ 2"X 4' DRIP EDGE COLOR INSTALL NEW FELT '-RECOVER ROOF WITH � ��6 R UFACTURER WARRANY COLOR �IL S PER SHINGLE (NO STAPLES) %� ✓ CLOSED VALLEYS CLASS 4 RIDGE Lei ROOF I..IUTTERS PAINT 1..i WINDOWS OTHER WORK: STANDARD RIDGE , HIGH PROFILE RIDGE . _...... _—._.._..._.. _ _ 3NST L. OF RIDGE VENT _ PIPE �,J�AS 3-N-1 _____4" a.— PAIN F STACKS TO MATCH SHINGLES _ SLANT SACK _ PAINT TO MATCH ��IRECHIMNEYS AND ALL SIDE WALLS {F POSSIBLE :�=BILITY INSURANC/E,C�O'V"�ERAGE OF $2,880�,0,60/,'G,,E.N/E,$AL AGGREGATE; WORKfs4ANS COMP CARRIED O L CREWS LEA1UPIRAULOFFTRASH_______FR!✓07ECTI.dNDSCAPING ._S� €1PPLYPERA#7 .._. LEANOUTGilT7ER5_-LLYARD WITH MAGNETIC ROLLER THE JOBSITE OR HAS PERFORMED A MAJORI ,t� ,Hc T Y OF THE ROOFING WORK ON THE PROPERTY. unt.VNrRAGTOR HAS DEUVERjD THE ROOFlNG M IT IS UNDERSTOOD THAT DATES OF SERVICE ARE SUBJECT TO CONTRACTOR'S SCHEDULING, ANY CHANGE DUE TO UNSUAL DELAYS ATERIALS TO IN TRANSPORTATION OF ORD Y WEATHER 0 YS, OR ANY OTHER CAUSES BEYOND THE RESONABLE CONTROL OF CONTRACTOR. EST! MATED DATES IN SERVICE ARE MATERIALS, NOTICE: IF THE HOMEOWNER PLANS TO USE THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY ISSUED TO PART 1 OR ARTICLE 4 OF THE TITLE 10 C.R.S., TO PAY FOR THE ROOFING WORK, PURSUANT To SECTION 6-22.105, THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE. OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR THE WORK ON THE COVERED RESIDENTIAL PROPERTY, -ACCEPTANCE OF PROPOSAL THE ABOVE TERMS AND CONDITIONS ARE SATISFACTORY AND ARE HEREIN ACCEPTED, I (WE) HEREBY AUTHORIZE & INSCHECKS AFTER TODAYS DATE AS INDICATED ABOVE, TRUCT THE INSURANCE COMPANY AND ALL LEIN HOLDERS TO INCLUDE "LOUSBERG ROOFING & EXTERIORS, INC." AS CO -PAYEE ON ANY SU%E{ ALSO AUTHORIZE UENT DORTH EGAL REPRESENTATIVE AND OR AGENT OF CONTRACTOR TO OBTAIN INFORMATION NECESSARY CLAIM NUMBER SET' FORTH HEREIN TO COMPLETE ANY FUNDING PROCESS RELATE TO I (WE) AUTHORIZE CONTRACTOR TO INVOICE FOR INSURANCE PROCEEDS ON BEHALF OF HOMEOWNER FOR WOR I (WE) AGREE, BY K PERFORMED BY CONTRACTOR 51 G BELOW, TO ALL THE CONTRACT TERMS AND CONDITIONS ON BOTH FRONT g BACK OF THIS AGREEMENT, HOM WN GNATURE HOMEO��_�yyy�R SIGNATURE DATE OF ACCEPTANCE REPRESENATIVE SIGNATURE 3705 W. 73rd Avenue, Westminster, CO 80030 - Phone: 303.8 5,7968 - Fax: 888.801 8377 e-mail: OR OFFICE USE ONLY City of Date: -fy DEVELOPMENT J?� COMMUM Building + nspe tion Se ices Divislan � ` ,. 7500 W. 29thAve., Wheat Ridge, CO 80033 Plea Review Office, 303-235-2855 * Fax. 303-237-8929 Inspection Line; 3013-234-5933 Building er it Application * Please comPlate all highlighted weas , both sides of this form. Incomplete aWications may not be processed. Property Address.- �Z661 ('WSe, ST72CF-T 1,,416'17- i211D6& Property ner (please print): C ) 00 A) 2C/ AJ 1-tf~0, i PropertyOwner ails ray , � tot Mailing Adress: (if different than property address) Address: Contractors City Ucense Phone: ContractorE-mail Address: Sub Contractors-. Electrical. Plumbing: : Me ni l: W.F . City License # W.k City License WHIG. City License Cather City Licensed Sub. Other City Licensed Sub. City License # City License Complete all information on BOTH sides of this form tt_ a �, w s i. r w* as r • mount of materials to be used, etc.) t� �VILL JIIjSr14LL 4 1416P rr Love) / tr WI � Ja tL'Ai,)itJ Sq. FULF Stu's Gallons I#huew .. 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'9 aha Iauioo yoea ' oaY — '614 uo pateool spnis » wr papealgl agi wojl sinu A U6 onx a ' Jnol a€ l 9AOWaU17 lr�r x a� a 'Noeq S 11 € O smajos IC ,(V#qja jo adid OAOIS 4461clis ww Wim papxrlour Lrary ;j ,z oa o i aAoiS 9141 Biel pue 1a)IS s.S lib 411 10401VU jo JOA1a p inN AW6 St i g} Ute U01183 ( M 9djjjj4 Rulz paiq} sa n rpma 5 # l pauelle11 a3el (Smaj s joie i 1004S J101)I1S 111�t3'a! Otiloa13 JO pusli 111JC1 # ,xoga ll 1 u1 sd1uS u1l # uopool jadoid sot (9 96ed) oj q'126 `611 of Jajai 10 ainsuaw adelio Blasi 6u1 1u Tool s # 6ulnocu9J 91!4M yoea jo U0118 001 atlt a1ol 'Sats WU 11auad g11M oMj pue y ouq e i juaJa4ip xls aJ a.say1'6ul s m001 (4uasanan a . o •sa z rxxaap jrnmanbaguoo JO jvlvaplasrz trranaa axaxxa has aaxarsualzxxzszuSNOLLon .10 xxaxrzrllz»xszxl azo# ttx� °paz�tizrxt.xxr paivxs :�rzinxrzrx vza s�zxv+ lsax vzt saauzxsszx pry aAmrs ASSEMBLY (continued) 2.. Route the power card away from stove. Do not Ffg.S- Ricaurrt allow the power cord to touch any hest surfaces. Keep Slower.Ass blY to pawner cord at least 12°` from stove surfaces, rear Hurt Deflector 3. Once stove is positioned, plug power card into a grounded tfhr Nutlet. LOCATINGT_VE t The must be placed on solid concrete, solid 2. The room in which he stave is installed must have 1, stove or when installed on a combustible floor,. a minimum floor to ceiling height of 8 ft,/2.4 rn & a masonry, can an listed UL 1618 Type 2 floor protector, .such minimum stove tap to ceiling height of 55"1140 cm, as Hy -C or Imperial Model UL. 3648BK (US) or 3, The stove must have its oven flue. Co not con' UL4048BK (CAN) or equivalent.. Floor protector nect this unit to a chimney flue serving other must be 1/Z713rnm minimum thickness (V value appliances. 0,84} R value = 0.53, see page 23 for calculation 4, After observing the clearances to cornbus formulas) non-combustible material or equivalent. tible materials (figures 6v-8), locate your floor US Requirements: The floor protector must extend protector accordingly (figura 6) and careful - at least 167141cm beyond the front of the access ly .place the stave in your selected locatiom door.6715.2cmto the sides, 12130.5crnbeyond the Install stove pipe, elbows, and thimble as rear and must extend under and 2751 torn beyond required, utilizing either a recently cleaned and either side of the stove pipe connector if it is at- inspected 6"1152mm masonry chimney or a bowed towards a wall, (See figures 6--8 and consult 6"t152mm i,d. UL 103 HT {US)/ULC-5629 (CION) local building codes and fire protection ordinances.) listed manufactured chimney. , Canadian Requirements: The base moist extend 5, Use round 671 a2€T m dia., minimum 24 MSG black at least 1 "746.8cm beyond the front of the access or 26 MSG blue steel stove pipe to connect the door, 8 t20,3cm to the sides, 8720,3cm behind the stave to the chimney. DO NOT USE GALVANIZED suave and must extend under and 2`751 turn beyond DUCT PIPE AS A CONNECTOR. Secure pipe,' either side of the strive pipe if it is elbowed towards elbow sections with a minimum of three (3) equally a wait, (See figures and consult local building spaced sheet metal screws at each joint and at the codes and fire protection ordinances), stave collar to make the pipe rigid. CO NOT CON - CAUTION, (FIRE HAZARD) CARPETING AND NECT THIS STOVE TO ANY AIR DISTRIBUTION OTHER COMBUSTIBLE MATERIAL SHALL OR DUCT SYSTEM, NOT COVER THE FLOOR PROTECTCaFI.THESE 6. Recheck clearances from the stove, MATERIALS MUST REMAIN OUTSIDE OF connector stove pipe, and corner clearanc- COMBUSTISLE CLEARANCES, SEE FIG. 6 - S. es using the illustrations in figures 6-8 and continued on next page TOP VIEW i USA CLEARANCES TOP VIEW r CANAMAN CLEARANCES `.. AaB HSR t) R6 STOVSY9dM YH ACCgrkttANCffi iNYM HxtiA }} I}3'P48V.F OtX#YTt43CENiai 22i 2i: !11 o-1 Ct�xDtW daS .4 u r i .....i fDR&3UN$.85?BMM iKl&Ii4DK1'Af. GNM6MEYC4FC'iOR 3:. + L--SACKWAL3. 3$ AMD d.MNf Y r Y" fi Y""'^+'s' pAtltPh'68 #HOW Hb AtC HC4OR $ Y S a`°•"Pi$i'biWAi„is P 1 39 R YtiN1bl 6 Y ku� x t $. RIMY £X7ENt fNGT . AE YGdk@OEFt:a'f 3B k' 8$ �� e w } Y?"1,m-'.- s' t �D�m t._.....,.....�. (--„! 9RYYiltt1YpCMV $� ...,..�-; 92 P36.�eiYt } itxSSSrQ.JCYtli [ i 'OyIQCYYf t. ».m.�.w. mDxisvrouro} .,Wry. "e" kB"}2t7,.�erie y$ m^*Y � I t 44`I111cm A—ft— i'c8'fd#5,�.ars+ 9trCureewr ;tRlE.MAt& t #S@"d45,9am r ��lar � r aWRaS' i ! tcwmWB b Y E Y axJAWr+rc t AtYYOA y,-.—YB"F+Vd,6�m a�9n. r^-1S"%A&.iGPd'Y VOGFBCTpG _W_9�"'1Gk Scm ^•+C•••,P 8"r7A.¢Sm Yftrik i C ,pgyyp�, .. tR"1+1R.9cm inept. _ #ti#b. 29"i54..�SSm--^w•^.;••A"d2il.C»t ittM. ' 6 LOCATING 7 your local building codes or fire protection CAUTION; KEEP FURNISHINGS ANIS ordinances. OTHER COMBUSTIBLE MATERIALS AWAY NOTICE: Any wall containing combustible FROM THE STOVE AND OUTSIDE MINIMUM materials such as wooden studs, drywall and CLEARANCES. faced with brick or stone MUST bre considered a combustible surface. CAUTION: REPLACE FIREBRICKS BEFORE FIRING i/OODSTOVE. POSITION FIREBRICKS Do NOT Install this stove In a mobile home, SC NO CAPS REMAIN BETWEEN BRICKS. manufactured home, trailer or tent — NO EXCEPTIONS! (HUD Federal Standard: 24 CFR Ch,xx) 8. The clearances Prodded are minimum dimensions Set by UL 1482-2010 & ULC S627-001 tested CORNER CLEARANCES and applied by OMNI Test ;Laboratories, Inc., the manufacturer's testing laboratory. Installation of this stove must comply with the latest edition of NFF'A 1 2,730.5cm 211 (US)/CAN/CSA-B365 865 (CDN) for reduced clear- ances and/or your local building aide rulings. Use whichever minimum dimensions are the LARGES Clearances listed and shown MUST be adhered to for safe operation of this appliance. CLEARANCES MAY NOT BE REDUCED BY ANY MEANS IN USA OR CANADA. 12tw/ 9a NEVER OPERATE THIS STOVE WITHOUT THE 30. cm ASH CLEANOUT DOOR OR WITH THE ASI/ DRAWER REMOVED — very dangerous operating conditions could result. Failure to fallow these minimum clearance require- Minimum Comer Clearances meats may result in are unsafe installation and could from Combustible Surfaces cause a fire. 16. This stove meets U.S.Test Standard: UL 1482-2010 Canadian Standard' ULC -S627-00, €'rtratitmed tm rsext Visage 11. Always locate Stove to provide p Source of fresh air into the room where the unit is installed: Failure to do so may result in air Starvation of other fuel burning appliances and the possible develop - anent of hazardous conditions - w I » CEILING USA CEILING T UL 1482 18"146crn y tC4rniratrm NOTICE, For toardslde Room Hergtvt wall venting maintain floorlo a mancttstc va riacaI rise celarng: 4t 24" betwvean the trip „ 4" a tt of stover and horizontal 61 Cit .qm pFPa aootions. 3. tCrrt' t5,a 12 38, . c 30 5crrs FLOOR PROTECTOR FLOOR PROTECTOR Fig. aha - Front View Flag. 8b - Sloe View Minimum Clearance Minimum Clearance Dimensions Dimensions from Combustible Surfaces from Combustible Surfaces CEILING ILING gGj[[Aj�.�i�h4gGf� � �IICS§tn:atn Haight '- Steve top # l coiling. 5to " I intrnurn tside HCYTIMIn td66 ROOM Height wau vtain boor to ami"t8cat 24. c.11tng. IT rlae offrom astre t.e horizontal 36»ict ions, 3,5crn FLOOR PROTECTOR FLOO R lTE, CP Fig. Sc - Front View Fig. 8d - Sade View !Minimum Clearance Minimum Clearance Dimensions ns Dimensions from Combustible Surfaces from Combustible Surfaces FIREBRICK ASSEMBLY Firebrick extends the life of your stove and radiates heat more evenly. Check to see that all firebricks are to their correct positions and have not become misaligned during shipping or assembly. If removed for ease of locating stove, firebrick and ash dump cover roust be replaced before firing. See diagrams, fig. 9a — Jc, for proper positioning, AUTION: NEVER iP PAT TOVE WITH Fig. a- Step 1, Bottom Firebrick Installation FMISSING ®I C AC Ca PI I BFIIGl I Two (2) FF -Size; Saver (2) T -Size, Two () X -Sizer. 11 One (1) YSize; One (1) Z -Size I Fig, 10 - StovepipelFlue Connections m s � s _ � � a .� � � s s � s • • +� s � •. s �r _ mss♦ s .. s ., s • � - s • ss s .• s s • .» ♦ . s s ♦� -. s s „ • s ^ s • • s • • s s s ,� w .. ,. • s s IIvI1'C R AN FP R draft is the force which moves air from the appliance p through the chimney. amount of draft in your chlrnney depends ort the ler$gth of the chimrsey, local geography, nearby obstructions and, other factors. Too much draftnma the c excessive terperat(Ires in heappIiance. Inadequate draft may cause backpufng into the room imney connector joints.' "Inadequate draft will cause the appliance to leak smoke Into the room through app "An uncontrollable burn or excessive temperature indicates excessive draft." The stave must be connected to either a codeapproved masonry chimney with flue liner or manufactured metal chimney system built and tested to the specifications listed on the previous pages, Chimneys perform two functions - 1,. As a means of exhausting smoke and flue gases which are the result of fuel combustion, . The chimney (only) provides "draft" which allows oxygen to be continuously introduced into the appliance, so that proper combustion is possible. This stove relies on natural draft to operate. NOTICE: Always provide a source of fresh air Into the room where the stave is !dated. Failure to do so may scan in air starvation of other fuel burning appliances and the possible development of hazardous conditions, fire or death. A stove DOES NOT T create draft. Draft is provided by the chimney, To achieve proper draft your chimney must meet the four minimum height requirements detailed in figures 11 —13, if these minimum requirements are not met your Move will not operate properly. A minimum of 0.05 w.c, (Measured in water column) is required for proper drafting to prevent back puffing, smoke spillage; and to maximise perforrraance. (gauges to measure draft are readily available at stove stores and are economical to rent car purchase,) Factors such as wind„ barometric pressure, trees, terrain and chimney temperature be held responsible for external factors leading to can have an adverse effect on the draft. The manufacturer' cannot te draft, you should contact a licensed heating and less than optimal drafting. Should you have a problem with inadequa cooling contractor for assistance in solving the problem. For a more in-depth explanation see Chimney Craft on page 1. CHIMNEY THIMBLE FLUE COLLAR C ROUND 24 ga. BLACK 5/8"TILE CONNECTOR CHIMNEY STOVEPIPE LINER MASONRY $'"MIN, a"" CHIMNEY �;, �� '� LINER„ BELOW M , w ENTRY HOLE ic. 10 - Masonry r Chimney Connection 10 CHIMNEY CONNECTIONS continued— IIS POETAI T INSIAILATION POINTS t. Size chimney flue to stove collar, This stove requires a minimum of a 6" diameter flue. 2. Never connect this unit to a chimney serving another appliance. , The chimney must meet all minimum height requirements. 4. Never use a chimney to ventilate a cellar or basement: 6, Contact your local building authority for approved methods of installation and any necessary permits and/or inspections, CNR ' %II Connection may be made to a code -approved masonry chimney with flue liner. Before using an existing masonry chimney, clean the chimney; inspect the flue liner and snake any repairs needed to be sure it is safe to use. Make repairs before attaching the stove. The connector stove pipe and fittings you will need to connect directly to a lined masonry chimney are shown in figure 10, If the connector stove pipe must go through a combustible wall before entering the masonry chimney, consult a qualified reason or chimney dealer. The installation must conform to local building and fire codes and latest edition of NFPA 211. If there is a'clean out opening in the base of the chimney, close it tightly, MANUFACTURED CHIMNEY REFER TO CHIMNEYAND CHIMNEY CONNECTOR MAKER'S INSTRUCTIONS FOR INSTALLATION AND USE. Use only " diameter chimney listed to UL 103 HT Chimney made to this listing is High Temperature rated to 2100 degrees Fahrenheit. Use chimney from only one manufacturer, Never mix brands. Carefully follow the'chimney manufacturer's stated requirements and clearances. Use the chimney manufacturer's attic guards, roof supports, flashing and fire stops when; passing through;a ceiling. Use a listed thimble when passing through a combustible wall. Flo not use makeshift compromises during installation. WARNING" DO NOT USE A SINGLE-WALL CONNECTION PIPE AS ACHIMNEY! ' When using a preexisting chimney, have it's condition and installation inspected before using. Make sure that the chimney meets all of the UL rating requirements listed above, Be aware that not all manufactured chimney is of the UL 103 HT type. NOTE: It is recommended that you contact a licensed heating and cooling contractor (consult your local yellow pages) for chimney installation. Manufactured` chimney with the proper required UL listing is available from most home centers, hardware stores, and HVAC supply stores. If you have access to the internet, you may wish to view chimney manufacturers' information can -litre, See, .duravent.com, . eikirkin ,corn, or wwwmtlfab.com, VENTING TO EXISTING FIREPLACE In some instances,. people desire to convert an existing fireplace for Move use. Usually, safe connection to an existing masonry chimney requires more work than using a prefabricated chimney, The existing fireplace must be closed and sealed at the damper with high- temperature caulk, ceramic wool, or furnace cement. Prior to installation, clean and inspect the existing flue and smoke shelf, Installation should be designed so the system can be dismantled for periodic cleaning and inspection. Before conversion, make sure the existing chimney is structurally sound, the chimney incorporates a flue liner and make sure it is in goad conditions (A fide liner consists of clay the that protects the brickwork of a chimney, If a chimney does not have a liner: or it is damaged, have it relined by a professional. Chimney Minimum Height uc,rr3HF CHIMNEY MANDATORY CHIMNEY CAP i,iL 103HT Requirements: CHIMNEY�kAN CiRYCNIt�NEYCA€ (1) Overall Height — 15 t. min: 2 FF' MIN () Height above roof --' ft 3 Fr. (alta, z rT rN () Height above slope �- ft. 10 r, a0 FT 3FT,aaik 45 FT, MIN, min. within 10 ft. (4) Minimum rise before horiz, section _ 24 in, �"``~ NOTICE. if minimum chimney CONNECTOR requirements are not met, I FT' MIN. i . PIPE(S) P�FERrocili NEY our stove will not operate REFER TO CHIMNEY �srr.iaiN. MANUFACTURER'S MANUFACTURER FARTS AFi@ INuTRUC-. property CONNECTOR TIONS AND iN TRuc. rioNs Pipets) 0 Lj Figure 11 Figure 1 h FLOC>R PROTECTOR FLOOR r ROiEGFo 12 FLOOR PROTECTOR ^' Figure 1 - Chimney Connection t0 Firebox through Masonry Weil CLEARANCE REDUCER (FDR MANTEL) G" (24 MSG) STOVEPIPE NoTtCEE, 24" 4dtN Iut o 31SE REFORHQRt2iiNTAL A DAMPER PE SECTION TO ENSURE —CLOSTHRED D AND PROPER DRAFT " � RNC SEM1LE.D LISTED FLOOR ... PROTECTOR 1.1 li Fig. 14 - Fireplace Conversion CHIMNEY CONNECTIONS ... 3"12013 mm of liner must remain below the entry position. When locating the stove and stovepipe, all NOTE: DONOT ATTEMPT TO ROUTE THE minimum clearances roust be observed from com- CHIMNEY CONNECTOR PIPE THROUGH «l TIB bust ble surfaces including mantels, combustible THROAT OF ;A FIREPLACE. trim work, ceilings and malls. Positioning the center of the stove pipe entry into the chimney 24"161 cm bele the ceiling should insure proper clearance for a ,"1132 mm stovepipe. 2. Install a fire clay (506716rm minimum thickness) thimble. Dake sure the thimble is flush with the inner surface of the chimney liner and does not protrude into the flue (see figure 10 on page ). 3. Secure the thimble with refractory mortar. The thimble should be surrounded by 12'7305 mm of solid unit masonry brickwork or 24761 cm of stone. 4, Install the stovepipe into the thimble as far as pos- sibie without extending past the flue lining (see figures 10& 11 on pages g & 10). 6: A small airspace (about 112°'113 mm) should re- main between the stovepipe and thimble to alloy for expansion of the pipe. Seal this airspace with high-temperature caulking or ceramic wool. Secure and seal the damper in the closed posi- tion using high temp caulking„ ceramic wool, or furnace cement, Also check to see if the chimney has a cleanout. If it does, snake sureit is closed and sealed as well. A leaky cleanout will greatly reduce draft efficiency. If you have any questions regarding venting your stove, contact the manufacturer or contact the stational Fire protection Association (NFPA) and request a copy of the latest editions of NEPA Standard 211 and NFPA Standard 903. Their address is: National Fire Protection Association Battery Larch Park Quincy, MA 02269. M CHIMNEY CONNECTOR SYSTEMS & CLEARANCES minimumClearanze to brick and com=2 in. (51 third) Minimum cleanince A. Brick Masonry Minimum 12 in, (305 mm) 3,5-/89mm thick brick masonry all framed into of brick combustible wall with a minimum of 12'7305mm brick separation from clay liner to combustibles. The fireclay liner shall run from outer surface of Chimney brick wall to, but not beyond, the inner surface of connector chimney flue liner and shall be firmly cemented in Fire clay 12 in, (305 mm" masa ivy chimney liner place, to combustible's constructed to NFPA 211 minimum chimney clearance from masonry to sheet steel supports and combustibles 2 in, (51 mm) Minimum C cleafame 9 in. (229 mm) B. Insulated Sleeve imn., Nonsolub a AZE <4 8olid-insulated, listed factory -built chimney length of Courtney length refractory 0. chimney cement connatlot the same inside diameter as the chimney connector Chimney length and having I 725.4cm or more of insulation with a flush erth 9 It C c inside minimum 9'7229mm air space between the outer of tfus Use chimney Air parts to wall of the chimney length and combustibles. ir space aaach connector 9 im (229 min) min, securely solid-insulalad, listed htctorybuift Masonq chimney chimney length 'y constructed #to NFPA 211 siteet steel supports C. Ventilated Thimble - n muchimney clearance Sheet steel chimne connector minimum 24 au e m to Sheet steel supports and combustibles 2 In, (51 mm) Two air channots each I an, (25,4 mm) Chimney connector W'n 152 mm) glass Two Ventilated air hbor Insulation channels each I In. (26A mm), Constmiction of Masonry chimney 'Sheat steel sheaf steel, constructed to supports NFPA 211 Minimum chimney clearance to sheet steel supports and combustibles Minimum clearance sheet steel 2 in, (51 mm) 2 in, (5 1 MM) 7 supports 1-h (25A.mm) sit space to Chimney chimney length section Chimney connector Chimney connector Air space 1f Chimney length 2 mm) masonry chimney Sheet sleet constructed supports to NFPA 211 X11 i FLOOR PROTECTOR MATERIAL CALCULATIONS This stove has been tested for and must be installed on a floor protector with the properThermal Resistance or R•value as stated in the installation instructions on page 6, "Locating Stove' step 1, of this manual, If the floor protector materials listed in the instructions are not available, materials with aro equivalent -value may be substituted. Alternate materials may be rated with C -factor (Thermal Conductance) or -factor (Thermal Conductivity) ratings which must be converted t R -value to determine if the alternate material meets the tasted requirements. -value. The following instructions provide the proper information and formulas for conversion to R To determine if alternate materials are acceptable follow this sequence. 1. Convert material specifications to Rwvalue: a. R -value given --- no conversion necessary b. -factor is given with a required thickness (T) in inches: R=11kxT c. C -factor is given: R = 1 /C 2, determine the R -value of ,proposed alternate floor protector: a. Use formulas in step 1 above to calculate R -value of proposmaterial(s). b. For multiple layers} add R -values of each layer to determine coverall R -value: 3. If the overall Rµvalue of the floor protector system is equal to or greater than the floor protector specifications given„ the alternate is acceptable. Definitions: BTU Thermal conductance (C) = (hr)()(°R) {m}( tutu} `inch` W _ Btu „r Thermal conductivity (k) (hr)(W)ff) _ (m)(°) {hr)(ft)(OR) Thermal resistance (R) � Btu Example: The specs of floor protector material should be 3/4 -inch thick material with a k -factor of 6.64. The proposed alternative material is 4" brick with a C -factor of 1.25 over 1/8 -inch mineral board with a k-factor'of 0.29. Step 1. Convert specs to R -value. R = 1/k x T = 106.64 075 = Q.3g3 System must have a R -value of OM3 = Rspecs Step 2: Calculate R -value of individual components 4' Brick with C -factor = 1.25, R = 1/C = 1'1.25 = 0.30 = Rbrick 113 -inch (0,125") mineral board with k -factor = 0,2 9. R = 1/0.29 x 0.125 = 0A31 = Rmin.br . Step 3: Add R -values of components to get total R -value of system Rbrick + Rmin.brd = 3.30 + 3.431 = 1.231'= Rsystem Step 4Compare Rsy tem to Rspecs Rsystern = 1,231 is larger than Rspecs of 0,893, System R -value exceeds the required specifications and therefore is an acceptable alternative. 24 b INSPECTION RECORD Occupancyrrype INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. -I om I � 1 ')T INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (EEG) Concrete Encased Ground Reinforcing or Monolithic 1 — t Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical I E UN I IL ABOVE HAS BEEN TO BE SIGNED PRIOR TO Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof 1 — t Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED 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 NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER CITY OF WHEAT RIDGE ` Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address , Ulw C V Permit Number F a, f ; ' w/ il" 1 C ' .. G: r c k G. Yes " ' City of Wheat Ridge _��•- Residential Roofing PERMIT - 102505 PERMIT NO: 102505 ISSUED: 11/02/2010 JOB ADDRESS: 2681 CHASE ST EXPIRES: 11/02/2011 DESCRIPTION: Reroof 14.2 sqs with 3 tab 25 yr GAF /ELK shingles * ** CONTACTS * ** owner 303/781 -0841 John Reinhart sub 303/526 -1300 Jack Jones 10 -0334 Countrywide Shingle ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0538 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,417.07 FEES Permit Fee 125.05 Total Valuation * 00 Use Tax 79.51 ** TOTAL ** 204.56 Conditions: 6 nails per shingle is required. Ice dam membrane is required from save 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 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Whe idge rdinances, for work under this permit. Plans subject to field inspection. Signature of co rector/ date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. 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 proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. OA of Building ,Official date REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Electrical: Plumbing: Mechanical: City License # City License # bescrltif�on ofwork Squares / / BTU's Gallons — Amps . SgFt City License # Cont act Value: Review Fee (due at time of submittal); OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. . CIRCLE ONE City of WheatRi g Date: COMMUNITY DEVELOPMENT PRINT NAME: 11i L'-k � f'O A /1 5 f-,K Plan # Building & Inspection Services Division Permit # l 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application P ropertyAddiess << Property Owner (please print) ph n r`Ze;nhR� Phone: - po3- 78I - O � L /l Mailing Address: (if different than property address) Address: City, State, Zip: n tractofi: l�lArt}S� Q1e na, Contractors City License #: D -U5 ° Il Phone: 303- Sa(a - / CJC� Electrical: Plumbing: Mechanical: City License # City License # bescrltif�on ofwork Squares / / BTU's Gallons — Amps . SgFt City License # Cont act Value: Review Fee (due at time of submittal); OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. Bldg Valuation: $ . CIRCLE ONE . ONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: 11i L'-k � f'O A /1 5 f-,K SIGNATURE: rJ � a, i /,✓bi'L2 - DATE: /,:9 Bldg Valuation: $ Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR ,INITIALS ° COMMENTS:: Footings /Caissons Stemwall / (CEG),Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ' CONCRETE SLAEIFLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED`. A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE - Inspection Type: AGE Job Address: p1G �/ e-_ffASf 57- Permit Number: ZMAdago ❑ No one available for inspection: Time C7 AM,PM Re- Inspection required: Yes When corrections have been made, call for re-inspection at 303 -234 -5933 Date: Inspector DO NOT REMOVE THIS NOTICE Cit of {W: h6a.� �e Date: O COMMUNIlY DEVELOPMENT LL �� - Plan # Building & Inspection Services Division permit # 0 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Adii'r_oss ,?6�2 / Cif 4Se S Property Owner (please print): , Phone: 33 9' 7d13 Mailing Address: (if different than property address) Address: City, State, Zip: Conn "ractot: �YAC l{cor� 4 Cs >frio, Contractors City License #: pR _ b(z Phone: 3a3- 6 g- oa.) y dub Contractors: Electrical �� Plumbing: Mechanical: City License # City License # City License # I)escrtptlnii,.o�'work� r-- 5�t // N - 7,S - e4llo� Contract Value: �.Gn KG.S.S r'•t(,f. t~mi ca. /TVS- $ JS1Dp s Review Fee (due at time of submittal): Squares BTU's j9160 o Gallons _ Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge . codes and ordinances for work under any permit issued based on this application; that i am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity . on this application. CIRCLE ONE (OWNER) (CONTRACTOR). or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE: DATE: 4 ZOJ1111g w ✓ i ✓� ✓� � s" ✓� � � � � � �? vu �✓ s r i � r � ✓� � ✓ w! Re�VjeWe1' s ,+ � 'ar ✓'`> i >i � ,`r,�. '`�-r r+f � ✓ ✓, ✓ BIiILt?1NG EPA72T �ER7�/ ,"- ,� s. z� 7 .,� a ✓ ��""h✓ ?}�'�.a y��, ` i v '�' ✓ j r , � °f" ✓i`' 1 ��1��s �N1 60�AtulEt�TS� ✓✓ ✓ t � �2 �✓ ��F" ✓,s >. . > s r � � �✓ ✓ - .�✓ � r �e ✓a i"r'-,i /l a,J � </2. w,✓ � ys.? �x5 `^ar � ll l ✓ ✓ a r » r ✓� � �/ c� /✓ L l r PUB�10 WORKS COIyJ�ENT$ � ✓• , "�' > S✓ "- ' "' ^" /p i' �.^ OCCU�A,�GY t � ,✓ f�eXlawer G -✓ '' / r ✓ y ' ' r .ws '� "`�o-y "fix' y ,a„xc .ur s FIRE 6EPARTMENT �q approved Wl corr�ment§'� t7 d�sepprovec� ❑ rdo view regwued . Bldg Valuation $ 2 Certificate of Completion AND/OR Compliance CITY OF WHEAT RIDGE 7500 W. 29TH AVENUE WHEAT RIDGE, COLORADO 80215 THIS CERTIFICATE VERIFIES THAT THE PROPERTY DESCRIBED BELOW, DOES C01v1PL Y WITH THE WHEAT RIDGE BUILDING CODE, ZONING AND OTHER RELATED LAND USE AND DEVELOPMENT LAWS OF THE CITY OF WHEAT RIDGE FOR THE FOLLOWING PURPOSE: 10972 SINGLE FAMILY ADDITION OWNER: Virg:inia Walden ADDRESS: 2681 Chase Street PROPERTY ADDRESS: 2681 Chase Street. Wheat Ridge. CO 80033 ZONING ADMINISTRATOR DATE Se?t. 21. 2000 CHIEF BUILDING OFFICIAL BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at 26'(3 ( , Ch t1 ~ 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: t)IlJd 11;) C ()ekJ-~ 10 befr.lOr>-- 9' &~ r2 fj/ )2F , f I You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. DO NOT REMOVE T Date FORM WR6-22 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number: Date: 10972 8/7/2000 Property Owner: Property Address: 2681 CHASE ST Contractor License No. : 20747 Company: WAYNE LUKE CONSTRUCTION LLC OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 238-8320 Phone: 985-0024 Construction Value: Permit Fee: Plan Review Fee: Use Tax: Total: $10,000.00 $181.25 $0.00 $150.00 $331.25 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 a9ree to abide by all conditions printed on this application, and that I assume full responSibility for compliance with the Whaat Ridge Building Code (U.B.C.) and all other applicable Whaat Ridga ordinance r ork under this permit. (OWNER)(CONTRACTOR) SIGNE DATE~~z:. Use: 8' X 14' ROOM ADDITION SINGLE STORY O.J:. ..tP6t,1. OJ:: 3/~:S)OI:' 16. c;' $';zz w Description: BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: 112 Approval: Occupancy: SntOO / / J/ {JI(J~. O.k. ~ /;1..'1/00 tJ~ u . F. ~!~: (7. K'- "htla::- 11' y t:tJ+r (J -K.. 't-?,/~p-l1 PI/' 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 subiect to the laws of the State of Col0f8do and to the Zoning Reguiatlons and Building Code of Wheat Ridge, Colorado or any other al?plicable ordinances of the City. This permit shail expire if (A) the work authorfzed is not commenced withm 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 originai plans and speciflC8t1ons and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, fuil fees shall be paid for a new permit. No work of any manner shall be done that will change the natural now of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for aU inspections and shall receive written approval on inspection card before proceed ling with successive phases of the job. Th~I5SUa 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 I s other ordinance, law, rule or regulation. "' hief Building I (4) (5) (6) 1,.", '-" / ~ I DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number: 10972 Date: 8/7/2000 Property Owner: Property Address: 2681 CHASE ST Contractor License No. . 20747 Company: WAYNE LUKE CONSTRUCTION LLC OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 238-6320 Phone: 985-0024 (OWNER)(CONTRACTOR) SIGNED Total: $10,000.00 $181.25 $0.00 $150.00 $331.25 t 7 5. t/{) T 10(,2-5 I hereby certify that the setback distances proposed by this pennit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, r war under this permit. Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: 8' X 14' ROOM ADDITION SINGLE STORY BUILDING DEPARTMENT USE ONLY ----- Approval: TRC Zoning: R-3 "~1IIIIIilId Approval: BG SIC: Sq. Ft.: 112 8/7/00 "III~_ .'.ES~_I 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: (4) (5) (6) 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 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. 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 t~:ng codes or yother ordinance, law, rule or regulation. (1) (2) (3) i .'1 -J "j ~f\0 r .' UJ .~ 1>: t):5 1'!0,,~ ~ \Ill") ::;:~ ~b-, Cl':=> ~ "":) ~ <Q '7. {p If { c !~A >'~ >( ~(Q)[J2J~ RECEPTION NO. F 1. 0/9/38 7/05/2000 13:38:07 PG: 001-001 PAGE FEE: 5.00 DOC.FEE: 13.00 RECORDED IN JEFFERSON COUNTY, COLORADO WARRANTY DEED THIS DEED, Mude tlris 30th between Frederick A. Ott day of June 2000, ofllieCounty of Jefferson grantor, and Virginia R, Walden aud State of Colorado .fJfr' _/10/ zcdD'1 5-+ . o~ecrI t?~ {CIa whose legal uddre" is *!tt t:llasl< a.t rjee \ ' lWh~,,\t ~i4g"\, <{o ler4d~ 1tD?{1(41 of the Coun ty of Jef ferson alld Slale of Colorado , gWl1tce: WITNESSETH, Thallhe gran lor, for and ill consideration of (he sum of ONE HUNDRED THIRTY THOUSAND AND NO/100-----------------------------______________________________________ ______h_~___h____ ------ -- ____h____________ ------ -_ -DOLLARS. ($13 0,000.00 I. the receipt and sufficiency of which is hereby acknowledged, has grullted, bargained. sold and conveyed, and by these presents does grant, bargain, sell, collvey and connrm, unto the grantee, his heirs and assigns forever, aU the real property together with improvements, if any, situate, lying and being ill the County of Jefferson , nud State of Colorado, described as follows: Lots 29, 30, 31 and 32, Block 14, Except the South 80 feet of said lots, Princes Resubdivision of Block 14, Lakeside, County of Jefferson, State of Colorado alsokuownbystreetandnurnbcras 2681 Chase Street, [toJheat Ridge, Colorado 80214 TOGETHEH ~vith aU .lnd singular the hereditamcllts and appurtcnances thereunto beionging, or in unywise appertaining, and the reversion and reYiJl"sions, remainder <lud remainders, rents, issues ..lIld profits thereof, and aU the estate, right, litle, interest, claim and demand whatsoever of the grantor, either ill law or equity, oJ', in and to the above bargained premises, with (he hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargaillcd and described, with the appurtenam.:es, unto the grantee, his heirs and assigns forcver. And the grantor, for himself, his heirs and personal representatives, does covenant, grant, bargain and agree to and with the grantee, his heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, has good, sure, perfect, absolute aud indefeasible estate of inheritance, ill law, iu fee simple, and has good right, full power :Iud lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from :Ill former and other grants, bargains, sales, liens, taxes, assessmenls, encumbrances and restrictions of whatever kind or nature socver, except for taxes for the ClIfl'ellt ycur,.l licn but not yet due or payable, ensemeuts, restdctions, reservations, coveunuts unt! rights-of-way of record, if uny, The grantor shall.md will WARRANT AND FOREVER DEFEND lhe above-bargained premises ill lhe quiet and peaceable posses- sion of the grantee, his heirs and assigns, against all and every persoll or persons lawfully claiming the whole or allY part thereof. The singular number shall indude the plural, the plural the singular, und the use of any gender shall be applicable to all genders. IN WITNESS WHEHEOF, the grilulor has executed this deed 011 the date set forth above. c1k~~ Frederick A. Ott ", I'" 'j1 ',1 ('I \'\." ~;;"'i.'.'.' / 1~4:::':",:':_ 'fv 'iT-\. fl.!" "'*~~""/-- ---.~ ,( ." 't.. \\\'1..- fiCJ~:~: U,,'l .1. hIOTAli', i'; 1';1..1(' S'j ,Trc ( ':' ,. i lil"1 \, i J..:..li....._;;....-.-<-:.__< :;",., ;>, "'., \,\.;;'. COLORADO STATE OF COUNTY OF JEFFERSON )J, J " ) &s. I II I;: The foregoing instrumcnt was ut.:knowledg0d bdore m~ this Frederick A. Ott 2000 by My Commission expires: November 14, 2001 Rene Lufkin WAIU~ANTY DEED ((or 1'll{Jto~l"allhk 1(\:\'Ord) (ASSUMPVI'l)i ~:I}XPW hie # I-IC30046800 - 2- ",4 (QNT. ----1 I E'p~x'1 o {lILt. (," I 7'f1'. I I I I If ~/#r. ~ I I I ;Vo.,-iI" I I _.J ~- -It4C,,/l1',-2- . TO EXIST. TYR TIE .FOUNDATION W~'L- hv~OI'9T/C"V TION '-ou,<)tJ If . rt r" Jf](I:1T. /Y1 ,...,-", NlA., #"'.,.. ,1/~,..J or 8 ",,"-OM o ""/0 N ;:"C> vNP A DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~\ON Property Owner: V I R... ~ / AJ A W/ll.. 0"" AJ ~ Property Address: ~ro'i1l C-HA-')e S( WJ4Milpl..I071i . 8l-J) C *;. 14b 3 ~ )f/cA IS 7 :2-3 Contractor License No. : . D/iL!iJ!i.il. A-1..>1toR.~ Company: WA-Y /o.J1L J,vl(tf ~~ --f...;I: ,C-, OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Building Permit Number: Date: !Oqid Phone: (S<J)) 2J?-b3 2. 0 Phone (50~) S9'fl~cJ2-'1" Construction Vaiue : I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge Ordina~ce~, for w~rk under this permit. (OWNER)(CONTRACTOR) SIGNED W~ ~ DATE 0 I-L~ , ~();::IVv\ 400 ,T,o IV 5"1 ij I.t!. Permit Fee: /~I JuO ~ 1'8/- ;1-;- Approval: S/7/dll ~ Approval: Occupancy: Walls: Roof: Stories: e SIC :I":~' F~ ll~~ ir--;"-;... r.\;"i~, , '.,,;~ , ,.'._,"~. ~r-D . ." j-' ....1 d 'f ....~~~ '1" C:. ('J;: ' iJJ.... 21 ?rnr)' 1,\ J . i '.'.Q; .' \'"A ..,/ /iJtf:7:r;-'i~'/ Residential .;D . j./ Use Tax: (~6. 00 Totai: 3>? I. ,5' KJ.J ~ >VI :/13...<;-<50 ('eN L- TJ fOro. ~ ./ Use: Description: I , SXI4- '---- .,/t/~ BUILDING DEPARTMENT USE ONLY Electrical License No : Company: tIIo 110ilS llL.rif Plumbing License No: IJ.A. Company: Mechanical License No: /lJA. 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 wor!< 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 wor!< 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 ofthel'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. 62.L Chief Building ;rs;:tor (4) (5) (6) DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~\QN Property Owner: V I k. q i IJ A WA ~ f) I:/J Property Address: ~lo'irl C.1t~5E SI WijIi'ATR'~ ContractorLicenseNo.: tB/..Q'C .,1J11..14-r..3 € ~AI~7.2.5 . l)€)Nlit<. AVIWR-A Company: WAy,ut! kIJKIi: (gv;T I...l ~ . Building Permit Number: Date: Phone (<]03) .1. '3' ~..(., '3 :LD Phone :(3e>3) 5 "~-O2.. '1" OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit 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 responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinan 5, for work under this permit. (OWNER)(CONTRACTOR) SIGNED W DATE O'1-:lS:::yc Use. Total: b~o~ Description: <6' X 14 ~ 4-1:> 611, (, V <;; f4l..rz:. <70A Y --~ - BUILDING DEPARTMENT USE ONLY .",_\ ;..~ . SIC: Sq.H: Approval: Zoning: , \,J \,,\ ,'tl' \ ~ .... ,- .. \ , ' ".8 ;(/) r , Approval: if /Jlop _WUlWllJB Approval: Occupancy: Walls: Roof: Stories: / i ~':> ,/~, .- I ~"f-:r-'~_,,_.. . .~,~ . \/ Residentia ., :.::.~ ~ Electrical License No : Company: tvCl 5'J.lAA1S ~ Plumbing License No: NA ' Company: Mechanical License No: tJ.1\, 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 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 Ofthe/'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. rs~ ,,/~ Chief Building Ins ctor (4) (5) (6) - - - .....:-..- - --- I I I I I I , , i i 1m "l(. -I ~ -eo ~ I? 1(\ I~ 4-e I~ e '^ 1- - 17/~ ~ )->, !~ /7' I I I I I .N I - I -.- - - ~. - - -L -... 5r-1- r- ~ - ....1 CYI'sT7~Of fjASI r=P()~ I \"';'6:-..<-11 I"( ~ PLoT plAf-; II :2.6'&' I CH-AS lZ. sT Wf+~,A-~\{)9 It:.. I Ci;. W~P,CI<:. Yf',Q.O f",~c€ r-- '-.. ';"." - _. - _. _. - ----.-.- .... I I I I t"I U") J: ~: I \;; I T j:-' ":...D D~3+'-J V!, I \t - 1"'-/.7.' v- ,-, ~I '37' J;;:;;lI<;Ti'AJj "'Urj\"'1i. rll-.","tly IfutJ S"/'t Ar2.b 8' I C~Asr ",-g . ).:> ~ 1 1''7'--1 t I " .._- -. CI-\I\SI:::- ST h"...-"_-.....~..,,._......_,'''''__~...._..,..,'...,....,_....'''"____'''.___~_ I 4 "I 1 ltIl ~l , ~I ~ 1 1'1 I ~I ! I 1 I i ! .,. _.- -+ -.. t , I . 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I-WlJ:l &1 t> ":>1 II' ~ .- '". ",,~~:~~- -;", .., "I '. 2 '4 CONT. .. WAL.L. .0. lOCAL-E, 1/2" . I' -(ZI" ~\\\\I"""',,1. ~~\t. ~~P/f'l"'" . ~0v..$ TEk ::--'7 ~"\t ~~ ~ = :: t! = - . - . .- -- ~ I ;: ~.:~ !OoO A ~~I A~'<.~..."~~ 'lJ' ~ J' ... ..' * "'", ;;,ri.........."'\,\:,<<':,~ ~'" <' 0 F ell ~\\\ "'1/11111111" I If' NJ< '/ Otl/Lt. - 2- 11-4 C()NT". --- -1 ,I ~ 7<(1'. -tl.4-COIl1". -2. . I I I I I If ~/6r, /V I I I ;V".,-J:1" I I -1 ~- TO EXIST. YD TIE T r: ATION FOUND W,A'? hv#CJrl7"'/OA/ "-/0 IV . ;::"ovpQA r-' 1f7f/!?T. /Vi ,.rG M A., ,1/", r ,.v....-t--l r -r OM 0 8&>.,- r/oN. ;00 vNP A 11'"Il1~""'11. ~ ~111~ J. Pit. ~ 0/ ~~...."" . , * ~l' .. ~~ Q,\$ ~ (Jl~ ~~'''' :::; ';s: ~., = j :: ....1-> e.;: ... ;., I !II: it ~ <;' 's;,;t tv{ A ~~"" /"." ~ ?,li'.......,......o\\)~\\" ~''- (' OF C III' """'1""1111' ~(Q)[j2)W WARRANTY DEED THIS DEED. M;.ioC lhi~ 30th between Frederick A. Ott day of June 2000, of the County of ,Jefferson gnill101'. and Virgir.:a R. Walden and Slate of Colorado whoselegaladdrcssii' 2681 Chase Street, vJheat Ridge, Colorado 80214 of the County of .."feffer-son ;mdSlnl(,!of Colorado . grantee: WITNESSETH, That the grantor. for ,111('\ in consideration of the sum of ONE HUNDRED THIRTY THOUSAND I' AND NO/ 100 -------- u____u_____________________nn________u_nn_u______n CC_uuu_n____ _ nuu_______u__uu_______u_u_u_DOLLARS. ($130,000.00 ), the receipt and sufficiency of which is h.:rcby 11l..:knowledged, has grnnted. bargained. sold and conveyed. and by these presents does grant. bargain. sdl, t:ollvey llnd confirm. unto the grantee. his heirs and assigns forever. all the real property together with improvements. if UllY, situate, lying and bdng ill th~ County of Jefferson , and State of Colorado. described as follows: Lots 29, 30. 31 and 32. Block 14. Except the South 80 feet of said lots, Princes Resubdivi::;ion of Block 14, Lakeside, County of Jefferson, State of Colorado also known by street ilud number as 2681 Chase Street I Wheat Ridge, Colorado 80214 TOGETHER ~\lilh all alld ..iugular the hereditaments and "ppurlcnances Ihl,.~reunto beionging., or in anywise appertaining. and the reversiou .tllll n~wrsions. Jl'ln<lind~~r :lud rernninderi, rents. issues and profits Ihel'eof, and all the estate, right. title, interest. claim and demulld whats.()cv~r of the gran lor. eilher in lilw or equity. of. in and to the above bargained premises, with the hereditaments ~md appurlenallL:l:s. TO UA VE ANU TO 1-1 OLD !Iii: ",:lid prcmif'es above barg:lincd and des.cribed, with the appuflenances, unto the grantee. his heirs and assiglls forever. And the grantor, for himself. his heirs llnd personal1'epreselltatives, does covenant. grant, bargain and agree to and with the grantee. hi~ heirs and assigns, that at the time rjf the ensealing and delivery of these presents. he is well seized of the premises nblwe I,;onveyed, has good. sure, pt:rfecf. absolute and indefeasible estate of inheritance. an law, in fee simple. and has good right. full power and lawful authority to granl. bargain, sell and convey the same in maimer and form as aforesaid. and that the same are free and dear fWID all former and other grants. bargains, sales. liens. taxes, assessments, encumbrances am} restrktions of whatever kind or nature soever. excel}t for taxes for the current year, II lien but not yet due or payabl~. eusemcnts, fl.-'StrlCtioIlS. rCSCI'VlltiUl1S, COVi:lumls nud rights.of.way of record, If any, The gnl.lltor shull <lIH.1 will WARRANT ANU fOREVER DEFEND lhe ::.bove-bargained premises III the qUiet and peaceable posses. .lion of the gral1l~e, his beirs amI assigns, aguinst all and every persoll or persons lawfully claiming the whole or an~< part thereof. TIle sing.ular numbcl shall indude (ll~ plural. tile plurai the singul;u. and lhe use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, tbe !)rautm h:ls executed this I.bed un the dale set forth above. Frederick A. Ott STATE OF COLORADO ) )",8. I COUNTY OF JEFFERSGN The foregning inS\rUm~1l1 \>'-',1"; 'I>:knowk'd',!,.:d b~I\.H'e me thi" 3 C th Frederick A. Ott .. day of June 2000 by My Commission expi1'<:s' November 14, 2001 Witness my hand and official seal. Rene Lufkin Notary Public "ARUANTY DEED (fvl l'I:.jIUIo:.I;l1,111(' I<""'"nl,i ,"S.s'JMPWO! File il HC30046BOV ~(Q)[F)W' WARRANTY DEED THIS OKIU). MiJu\1lhis 30t.h day f.1f b~weM FredericK A. Ott June , 2000, ofUle County of ~lefferson gl"LH1tor. i:md Virgin:a R. Walden and Sture of Colorado whose legaladdre" i< 2681 Chase Street, Wheat R"dge, Colorado 80214 oftbe County of .Jefferson ;'HldSI:lI;:of cclorado .gl'antee: WITNESSETH. That lha grantor, for llnd in consideration of the sum uf ONE HUNDRED THIRTY 'l'HOUSAND . 'c, AND NO/lOa _..-- - ---- -- u u_ _ __uu___ n_ _ _ _ _00__.00 _____________n u__.__ __u__ ..",~_____... __ __ u _ _ __ __ _ uun _ n ___ _n _ U OO_n - n _U ----DOLLARS. ($13 0,000.00 l. the receipt and sufficiency of which is b\Jl'cby o..:kuowledged. has glonted, barga.inod. sold and conveyed. and by Ihne presenlJ does grunt. b&l'gaiu. sell. I:ollvey and (,:onl'il'm. unto the grantee, his heus and assigns forever. all the real property lOgetber with improvements. if ony. :;ituat~. lying ,and bdng in Ih.: County of Jefferson , and State of Colorado. described as follows: Lots 29, 30, ]1 and 32. Bleck 14. Except the South 80 feet of said lots. Princes Resubdi vil:don of BlclCK 14, Lakes.idel County of Jefferson, State of Coloradc also known by succi "nd numbel.s 2631 Chase Street, Whe"",. Ridge, Colorado }0;214. _'_.___ I TOGETHElt ~Vilb JIl .11\1.\ silJg.ulnr the hcrodjlJmenfs ;\llttappurh,ma.llCeS t1ll.'I'elln\o beiol\ging. 01' in IHlywi.e appertainmg, and the reversion ,!Ill! 1"JV~r~IOll~, l ~~Hluil1d~r :md 1'~!I\3illdel& lents. issues Jill..! prOfJti thereof. anJ aJl the estate., right. title. lnlerell.1. claim a.od d~numd Wha!~LH~VI01 of lbt: ~mIlIOI'. cilluer ill lllW 01' equity. of, in and 10 tbe above blu'gained premises. with the hel'edltilment~ and appUl'lelHill~cs, TO HAVE ANU TO BOLl) thl.: :->uid prcmi"es above b!lrgaln~lllnll dcso;;ribed. wHh tbe appw'lenances, unto the grantee. his heirs and assigns forever, And 1I~ grantol'. for himself, hl$ beirs and i>t1'$onal representatives. doe. covenant. grant. bargain and agJ:ce to imd wilb the': gnmtee, Ius heirs nud assigns, that :1[ (he lime of the ensl"aHng e.nd delivery of these presents. he is well seized of the premiiC's ab...1Ve CUl1vtyed. has good. sure. ~rfe<:1. !Ibsolute and indefeasible "tate of inheritance, in law. in fet simple, Ilnd has good right, fulllX'wcr and iawful authority to ~ralll. bargain. sell and convey the same in malUlcr and form as aforesaid. and lbat the same are free and clear fn.1m aU former alld other grana. bargsins. sales. liens, lues. assessments. tncumbrances il11lJ restrklions of whatever kind or nature ~oever, eXcClpt for taxes for the current year, a lien but not yet due ~r pllyablt, easements, nlStrictiol1s. r\ls""'''tltluns. CO'H:l1ftnts Illld rigbls.of-WBY of record. It any. Th~ gl'OlIl\Ol' shull ,llal Will WARRANT ANI.) fOREVER DEF:ENI) 1I1e aMve-bnl'gained premiJei u'llhe qutet and peaceable posses- sion of the gl'onll.lte, hi~ hoin. iilld il.'isigllS. against nil and ~velY pCl'liOn 0" person~ lawfuUy claiming the whole O:f illlY piU1 thereof. The singular nUI1\~I' shall indudc Ill.: piurni. lh~ plur:d lh~ f:ingubr. aud the u!:tl or !lay gender shall be applicable to all genders. IN WITNESS WHERl~OF. Ill..: ~n.\l1hll' llU& exc..:ulcd t!ll~ J<.;t:J un the dale set fortb above. Frederick A, Ott STATE OF COLORADO COUNTY OF JEFFERSON )ss, ) The roregoil1~ inj\'!I'uml.lnl \"iil~ <i~:know)~dg..:d bl!IOII!: tilL'; :11i, 30th Frederick A. Ott day of June 2000 by MyCommir;61ioneXpll~s' NovernbQr 14, 2001 Witncu my h13l1d and official seal. Rene Lufkin Notary Public .d "AAMANn' llEED ,rul' 1'!lU)lll,:""I'IUl' It.,.........!, ....s~\J"'I'WC>.1 Pile' HCJOO46fW(J Management & Consulting Services Civil design, Construction management, and Inspection 4.M.CS August 2, 2000 RE.: Foundation 2681 Chase Street Wheatridge, CO. To Whom it May Concern: I, William 1. Phillips, hereby certifY that I have inspected the forming and concrete placement for the footings and foundation walls for subject project. All construction including forms, steel placement and concrete placement were constructed in accordance with, or exceeded, approved plans and was performed in accordance with accepted industry standards for this type of construction. Based on the above I recommend that this construction be considered complete and acceptable for subject proiect. ~\"'O"",,,,1. Mr.~\~ J. p~iI",.... Re II '81:1 . ~..- J~E ~,. ~ @"~., . i - () -v -.: . , . .- _ -: ~ 0::: :: W~J. P ip$j F. IE - .. ~ ~:'':';;: ~S.'Cl ~ ,"" ", ' .lV'S!. ~\:,. .-"-"i"G" ~ ~..... Al ,,' ~.{< ~ '11';.,..........".;.\:,~ .,!-' "'I.... <: OF CO'- ",-. 1111"""11\\\\ 7840 E. 88TH AVENUE' HENDERSON. COLORADO 80640' (303) 288-4168 . DEPARTMENT OF PLANNING AND DEVELOPMEN" BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: 8351 1/5/99 Property Owner: Property Address: 2681 CHASE ST Contractor License No. : 18986 Company: Electrical Remodel Services OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 202-5177 Phone: 989 2393 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility. for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable t idge or on ces, fo~ under this permit. (OWNER)(CONTRACTOR) SIGNED DATE j-S -'If Total: $850.00 $30.00 $0.00 $12.75 $42.75 Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: 125 AMP SERVICE CHANGE BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft Approval: 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: (4) (5) (6) 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. 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 afJ~;r any ather ordinance, law, rule ar regulation. ~hief Build. Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (1) (2) (3) _ DEPARTMENT OF PLANNING AND DEVELOPMEN Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: j-S_Ot; 7500 WEST 29TH AVENUE 7i WHEAT RIDGE, CO 80215 APPl\C(\,ID N Property Owner: 'f'RE.D Property Address: ;} 6 g J C ha.5 -e. 5 f . Contractor License No. : I '8 'I-?l4- Company: tJedt-1caf ~ewtoJeI Serllic.'es OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT :70 2- Phone: 'ol <:) ~ S 177 ?/J 3- Phone: 9'if9 - ;;). s 9 :3 Construction Value: 1/50, oc> Permit Fee: 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 ar:e accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responslbili for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicab idge or 'nances, under this permit. DATE/-5'-?9 Use Tax: (OWNER)(CONTRACTOR) SIG Total: Use: Description: 1;;25" 11mf> Senllc:..e clw.Y19~ BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: mm~;w.~ Approval: Zon ing : ~~OlJllll.fll(Q Approval: eDti1JelYlQrl\...~mmeOJ6 Approval: Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Piumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date : Approval: Expiration Date: Approval: (4) (5) (6) 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 (8) 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 pennit. No work of any manner shall be done that will change the natural now of water causing a drainage problem, Contractor shall notify the Building Insfector twenty.four (24) hours in advance for all inspections and shall receive written approval on Inspection card before proceediing with successive phases 0 thel'Ob, The issuance of a pennit or the approval 0 drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (1) (2) (3) Chief Building Inspector