HomeMy WebLinkAbout2843 Benton Street1* � � i City of Wheat Ridge
�� Residential Solar PERMIT - 202100231
PERMIT NO: 202100231 ISSUED: 03/08/2021
JOB ADDRESS: 2843 Benton St EXPIRES: 03/08/2022
JOB DESCRIPTION: Installing 22 solar panels on home, 7.04 kW, structural required.
*** CONTACTS ***
OWNER (585) 748-2879 ARCS ALEXANDER
SUB (830)709-7090 ADAM COOMER 210015 BELLO SOLAR ENERGY 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: 10,208.00
FEES
Total Valuation 0.00
Residential Solar 500.00
** TOTAL ** 500.00
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/08/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Solar PV Installation
Date: Friday, February 5, 2021 11:54:05 AM
Solar PV Installation
This application is exclusively for Solar PV Installations
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
Solar PV Installation?
PROPERTY INFORMATION
Property Address 2843 Benton Street, Wheat Ridge, CO, 80214
Property Owner Name Alexander Arce
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
585-748-2879
axa6849@gmail.com
Electronic Payment Form Wheat Ridae.odf
CONTRACTOR INFORMATION
Contractor Business Bello Solar Energy
Name
Wheat Ridge 210015
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
Scope of Work
KW
# of Panels
Location of Panels
Structural required
Upload engineer letter
or pages on 8 1/2" x
11" only
Solar Installation Plan
Set on 11'x17" only.
Project Value (contract
value or cost of ALL
materials and labor)
801-797-1004
west@bellosolar.com
west@bellosolar.com
Installation of solar panels on existing residential roof. 7.04 KW
7.04
22
House Roof
Yes
Arce Enaineerina Letter.Ddf
ALEXANDER ARCE DESIGN 1-15-21.odf
10208
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Tanner Ledyard
Permit
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.
Email not displaying correctly? View it in your browser.
February 2, 2021 Design Criteria:
Design Wind Speed (ASD)- 115 mph
Bello Solar Energy Ground Snow Load- 44 psf
1640 S. State St. Risk Category- II
Orem, UT 84097 Exposure category- C
RE: Structural Roof Evaluation for the Arce Residence: 2843 Benton Street, Wheat
Ridge, Colorado
As per your request, we have evaluated the roof structure under the proposed solar panel array. The
information used to evaluate this structure was gathered during a field visit by Bello Solar Energy on
behalf of Right Angle Engineering. The roof structure consists of 2x4 rafters spaced at 24" on center. The
roof material consists of asphalt shingles. The design criteria used to analyze this structure are listed
above and included with this letter. The adopted building codes in this jurisdiction are: the 2018
International Building Code, the 2018 International Existing Building Code, and ASCE 7-16.
International Existing Building Code (IEBC) 2018 section 806.2 indicates that alterations to an existing
building that results in less than a 5% increase in the total stress may be performed without a structural
evaluation of the existing building. As demonstrated in the attached calculations, the additional weight
of the solar panels will be less than 5% increase in the gravity loading and the stress on the existing roof
framing.
Based on our assessment we have determined that the existing roof framing will safely and adequately
support the additional loads imposed by the solar panels without reinforcement. In order for the loads
to be evenly distributed, the roof attachments should be staggered and spread evenly throughout the
panel array. Attachment points should be spaced at a maximum of 48" on center. The racking system
should be installed per the manufacture's specifications. There should be a minimum of 29 L -foot
attachment points to the roof. Each attachment should have a 5/16" or 18/8 SS lag screw with 2.5"
minimum penetration centered on each truss top chord. Waterproofing around the roof penetrations is
the responsibility of others. Right Angle Engineering assumes no responsibility for improper installation
of the solar panels.
Regards,
�,pQ Ll A
.0 X,
`.
CL-
P ,E. 0094036,' c�
Robert D Smythe, P.E.
Right Angle Engineering
55 WEST 500 SOUTH, HEBER CITY, UT 84032
T 925.787.3067 U RIGHTANGLEENG.COM
2/2/21
CRY of
7zr
Design Criteria:
Design Wind Speed (3 second gust) 115 mph
Exposure Category C
Risk Category 2
Mean Roof Height 30 ft
Roof Type Gable Roof
Building Type enclosed
Asphalt Shingles
2
psf
5/8" Plywood Sheathing
2
psf
Roof Framing
4
psf
Insulation
0
psf
Gypsum sheathing
0
psf
Solar Panel Array
3
psf
Dead Load Without Panels
8
psf
Dead Load With Solar panels
11
psf
Roof •.•
Existing Roof Live Load
20
psf
ASCE 7-16 Table 4.3-1
Roof Live Load with Solar Panels
0
psf
2018 IBC 1607.13.5.1
Roof SnowLoad-ASCE
Ground Snow Load (pg)
44
psf
Section 7.2
Exposure Factor (Ce)
0.9
Table 7.3-1
Thermal Factor (Ct)
1.1
Table 7.3-2
Importance Factor (Is)
1
Table 1.5-2
Flat Roof Snow Load (Pf)
30
Equation 7.3-1
Slippery surface Slope Factor (Cs)
0.87
Figure 7-2
Nonslippery Surface Slope Factor
(Cs)
1
Figure 7-2
Roof Snow Load
30
psf
Equation 7.4-1
Reduced Roof Snow Load (Slippery
Surface)
26
psf
Equation 7.4-1
With Solar
Without Solar Panels
panels
D + Lr
28 psf
11 psf
D + S
38.5 psf
37.4 psf
cay of
�GGz®�
2
g/Z°�
r3/7'
Roof Slope
Number of panels
Panel Area
GCp Zone 1
GCp Zone 2
GCp Zone 3
Gcpi
Velocity Pressure (qh)
qh= .00256KhKhtKdV^2
Kh
Kht
Kd
Designed wind pressure (P)
P= gh(GCh) - (GChi))
Zone 1 Pressure (P)
Zone 2 Pressure (P)
Zone 3 Pressure (P)
Shear Capacity
Shear tributary area
Pullout Capacity
Lag screw embedment
Total pullout capacity
Pullout max tributary area
Factor of Safety
Minimum number of connections
Beam Span
Spacing
Roof Framing type
Panel Orientation
Number of Panels per rafter
Panel distance from eave
Bending Moment
Vertical Reaction (V1)
Vertical Reaction (V2)
18 degrees
9
157.5 ft^2
-0.9
Figure 30.3 -(2A -5B)
-1.7
Figure 30.3 -(2A -5B)
-2.6
Figure 30.3 -(2A -5B)
0.18
Table 26.13-1
28.2 psf
landscape
Equation 26.10-1
0.98
Table 26.10-1
1
Equation 26.8-1
0.85
Table 26.6-1
psf
Equation 30.8-1
-30.5
-53
-78.4
190
20.9
266
2.5
665
12.5
2.51
29
psf
psf
psf
lbs
ft^2
lbs/in
in
lbs
ft^2
NDS 2015 Table 12K
NDS 2015 Table 12.2A
7
ft
2
ft
2x4 rafters
landscape
2
2
Without Solar
With Solar
Percent
Panels
Panels
Increase
471.5 ft -lbs
474.2 ft -lbs
100.6%
269.4 lbs
279.6 lbs
103.8%
269.4 lbs
184.93 lbs
68.6%
Less than 105%
Less than 105%
Less than 105%
■ A
February 2, 2021
Design Criteria:
Design Wind Speed (ASD)- 115 mph
Bello Solar Energy
Ground Snow Load- 44 psf
1640 S. State St.
Risk Category- II
Orem, UT 84097
Exposure category- C
RE: Structural Roof Evaluation for the Arce Residence: 2843 Benton Street, Wheat
Ridge, Colorado
As per your request, we have evaluated the roof structure under the proposed solar panel array. The
information used to evaluate this structure was gathered during a field visit by Bello Solar Energy on
behalf of Right Angle Engineering. The roof structure consists of 2x4 rafters spaced at 24" on center. The
roof material consists of asphalt shingles. The design criteria used to analyze this structure are listed
above and included with this letter.
Based on our assessment we have determined that the existing roof framing will not adequately support
the additional loads imposed by the solar panels. It is our recommendation that reinforcements are
made according to SK -1. In order for the loads to be evenly distributed, the roof attachments should be
staggered and spread evenly throughout the panel array. Attachment points should be spaced at a
maximum of 48" on center. The racking system should be installed per the manufacture's specifications.
There should be a minimum of 32 L -foot attachment points to the roof. Each attachment should have a
5/16" or 18/8 SS lag screw with 2.5" minimum penetration centered on each truss top chord.
Waterproofing around the roof penetrations is the responsibility of others. Right Angle Engineering
assumes no responsibility for improper installation of the solar panels.
Regards,
o$00 cl0,1
�ooUct4s.,s
�.a. 4µ ^r
90 P.E. 0054038! 4
Robert D Smythe, P.E.
Right Angle Engineering sS��NAC EN
55 WEST 500 SOUTH, HEBER CITY, UT 84032
T 925.787.3067 U RIGHTANGLEENG.COM
Design Wind Speed (3 second gust) 115 mph
Exposure Category C
Risk Category 2
Mean Roof Height 30 ft
Roof Type Gable Roof
Building Type enclosed
Dead Load Without Panels 8 psf
Dead Load With Solar panels 11 psf
Existing Roof Live Load 20 psf ASCE 7-16 Table 4.3-1
Roof Live Load with Solar Panels 0 psf
Ground Snow Load (pg)
44 psf
Section 7.2
Asphalt Shingles
2
psf
5/8" Plywood Sheathing
2
psf
Roof Framing
4
psf
Insulation
0
psf
Gypsum sheathing
0
psf
Solar Panel Array
3
psf
Dead Load Without Panels 8 psf
Dead Load With Solar panels 11 psf
Existing Roof Live Load 20 psf ASCE 7-16 Table 4.3-1
Roof Live Load with Solar Panels 0 psf
Ground Snow Load (pg)
44 psf
Section 7.2
Exposure Factor (Ce)
0.9
Table 7.3-1
Thermal Factor (Ct)
1.1
Table 7.3-2
Importance Factor (Is)
1
Table 1.5-2
Flat Roof Snow Load (Pf)
30
Equation 7.3-1
Slippery surface Slope Factor (Cs)
0.87
Figure 7-2
Nonslippery Surface Slope Factor
(Cs)
1
Figure 7-2
Roof Snow Load 30 psf Equation 7.4-1
Reduced Roof Snow Load (Slippery
Surface) 26 psf Equation 7.4-1
Combinations - ASCE 7-16 Section 2.4.1
...
With Solar
Without Solar Panels panels -111
■ D + Lr 28 psf 11 psf
D + S 38.5 psf 37.4 psf
2
Roof Slope 18 degrees
Number of panels 8
Panel Area 140 ftA2
GCP Zone 1
-0.9
lbs NDS 2015 Table 12K
Figure 30.3 -(2A -5B)
GCP Zone 2
-1.7
Pullout Capacity
Figure 30.3 -(2A -5B)
GCP Zone 3
-2.6
2.5
Figure 30.3 -(2A -5B)
Gcpi
0.18
lbs NDS 2015 Table 12.2A
Table 26.13-1
Velocity Pressure (qh)
28.2
psf
2.21
qh= .00256KhKhtKdVA2
Minimum number of connections
22
Equation 26.10-1
Kh
0.98
Table 26.10-1
Kht
1
Equation 26.8-1
Kd
0.85
Table 26.6-1
Designed wind pressure (P)
psf
Equation 30.8-1
P= gh(GCh) - (GChi))
Zone 1 Pressure (P)
-30.5
psf
Zone 2 Pressure (P)
-53
psf
Zone 3 Pressure (P)
-78.4
psf
Shear Capacity
190
lbs NDS 2015 Table 12K
Shear tributary area
20.9
ftA2
Pullout Capacity
266
lbs/in
Lag screw embedment
2.5
in
Total pullout capacity
665
lbs NDS 2015 Table 12.2A
Pullout max tributary area
12.5
ftA2
Factor of Safety
2.21
Minimum number of connections
22
Roof Slope 9 degrees
Number of panels 5
Panel Area 87.5 ftA2
GCP Zone 1
-0.9
Figure 30.3 -(2A -5B)
GCP Zone 2
-1.7
Figure 30.3 -(2A -5B)
GCP Zone 3
-2.6
Figure 30.3 -(2A -5B)
Gcpi
0.18
Table 26.13-1
Velocity Pressure (qh)
28.2 psf
3
qh= .00256KhKhtKdVA2
Equation 26.10-1
Kh
0.98
Table 26.10-1
Kht
1
Equation 26.8-1
Kd
0.85
Table 26.6-1
Designed wind pressure (P)
psf
Equation 30.8-1
P= gh(GCh) - (GChi))
Zone 1 Pressure (P)
-30.5
psf
Zone 2 Pressure (P)
-53
psf
Zone 3 Pressure (P)
-78.4
psf
Lag Screw Connection
Shear Capacity
190
lbs
NDS 2015 Table 12K
Shear tributary area
41.3
ftA2
Pullout Capacity
266
lbs/in
Lag screw embedment
2.5
in
Total pullout capacity
665
lbs
NDS 2015 Table 12.2A
Pullout max tributary area
12.5
ftA2
Factor of Safety
1.51
Minimum number of connections
10
4
x
ADD 2X4 COLLAR TIE TO
ALL RATERS UNDER THE
SOLAR ARRAY
ACCORDING TO S.7
5'
.3'
M1 M2
M3
1 3
Envelope Only Solution
SK -1
Feb 2, 2021 at 9:23 AM
Alexander Arce Risa.r2d
Mcled W collar tle at each rater. P cle
(2) longitudinal all brans at 1/3rd poirds
of collar tle, (2) 16d nails at each collar Us
MY: Sa¢eWrq Yrds^q'M.e W mwm¢�;
atl kuDaMwN f4hwYmel'm
elbft wlYwS
IM1emlk Ml pent W Wry. Sgk,sll � Y tr
94eM w/en vlatlmrl LA M lSA reY ®I]' ou
aViem
nmflg Sheathing
Use (2g) W common wire nalls ad
Or }" ptyxnotl 9ureet
(12) a 1.5" logs w/ washer 1.
2'/
2N collar tlo
]q"min.
PadhesiveLh2 mnstrhlnbn
N" Use (30) fid common wire milsmils. 3 beads or
boll, zw wide(typ) (12)1"z 1.S logs w/washer
Collar Te Connection Detail (2.2k)
MISC. DETAILS
Ygvou,kr o
YY ws+S S,7
o W WS
Ow1e1b 7g I 4ab WA
Company
11RISA Designer
Job Number
A NEMETSCHEK COMPANY Model Name
Wood Material Properties
Feb 2, 2021
9:23 AM
Checked By:
Label Tvpe Database Species Grade Cm Emod Nu Therm (... Densrk/ftA31
1
DF
Solid Sawn
Visually G.. Douglas Fir -Larch
No.2
2
1
.3
.3
.035
2
SP
Solid Sawn
Visually G.. Southern Pine
No.1
4
1
.3
.3
.035
3
HF
Solid Sawn
Visually G.. Hem -Fir
No.1
1
.3
.3
.035
4
SPF
Solid Sawn
Visually G.. Spruce -Pine -fir
No.1
1
.3
.3
.035
5
24F -1.8E DF ...
Glulam
NDS Tabl... 24F -1.8E DF BAL
na
1
.3
.3
.035
6
24F -1.8E DF ...
Glulam
NDS Tabl... 24F -1.8E DF UNBAL
na
1
.3
.3
.035
7
24F -1.8E SP ...
Glulam
NDS Tabl... 24F -1.8E SP BAL
na
1
.3
.3
.035
8
24F -1.8E SP ...
Glulam
NDS Tabl... 24F -1.8E SP UNBAL
na
1
.3
.3
.035
Wood Section Sets
Label Shape Tvpe Desian List Material Desian Rules A rin2l 190 270 i... 1(0,18 n4
1 2x4 2X4 Beam None DF Typical 5.25 .984 5.359
Joint Coordinates and Temperatures
Label
X rftl
Y rftl
Temp rFl
1
N1
0
0
0
2
N2
12
4
0
3
N3
24
0
0
4
N6
6.75
2.25
0
5
N7
17.25
2.25
0
Joint Boundary Conditions
2 1 N3 Reaction
Wood Design Parameters
Label Shape Lencithrftl Le -out ft Le -in ft le -bend to... le -bend bo... K -out K -in CV Cr Out swav In swa
1
M1
2x4
12.649 0
0
Lb out
Yes
2
M2
2x4
12.649 0
0
Lb out
Yes
3
M3
2x4
24 0
0
Lb out
Yes
4
M4
2x4
10.5 3.3
3.3
Lb out
Yes
Joint Loads and Enforced Displacements
Joint Label L D M Direction Ma nitude k k -ft in rad k"sA2/ft...
No Data to Print ...
Member Distributed Loads (BLC 1 : Dead Load)
Member Distributed Loads (BLC 2: Snow Load)
RISA -2D Version 18.0.0 [\\Mac\Home\Downloads\Alexander Arce Risa.r2d] Page 1
Company Feb 2, 2021
IIRISA Designer : Che AM
ke
Job Number Checked By:
A NEMETSCHEK COMPANY Model Name
Envelope Joint Reactions
.Inin+ X rlrl I r v rel I r RAnmcn+ rlr-f i I r
1
N1
max
0
16
1.182
4
.13
4
2
2
min
0
1
.253
15
.055
15
3
N3
max
0
16
1.171
4
0
16
4
-.078
min
0
1
.248
15
0
1
5
Totals:
max
0
16
2.353
4
1.383e-02
4
6
-.06
min
0
1
.501
15
3.69e-03
15
Envelope Joint Displacements
Inin+ X rinl I r v rinl I r Rnim+inn r-41 I r
1
N1
max
0
16
0
16
0
16
2
2
min
0
1
0
1
0
1
3
N2
max
.045
4
-.051
16
1.352e-03
4
4
-.078
min
.01
15
-.243
4
-1.29e-06
1
5
N3
max
.091
4
0
16
1.383e-02
4
6
-.06
min
.019
15
0
1
3.69e-03
15
7
N6
max
.083
4
-.057
16
4.358e-03
4
8
.71
min
.013
15
-.339
4
8.346e-04
15
9
N7
max
.053
4
-.057
16
-8.334e-04
16
10
5
min
.006
15
-.201
4
-3.2e-03
4
Envelope Member Section Forces
RA-k.r Cor Ovimi el I r Chcmrrel I r RA--+re_fI I r
1
M1
1
max
2.88
4
.261
4
0
1
2
min
.605
15
.053
15
0
1
3
2
max
2.789
4
-.003
15
-.078
15
4
min
.586
15
-.013
4
-.392
4
5
3
max
2.697
4
-.06
15
.083
4
6
min
.567
15
-.287
4
.022
15
7
4
max
.71
4
.064
4
-.009
15
8
min
.145
15
.014
15
-.06
4
9
5
max
.619
4
-.042
15
.17
4
10
min
.126
15
-.21
4
.034
15
11
M2
1
max
.621
4
.204
4
.17
4
12
min
.126
15
.042
15
.034
15
13
2
max
.712
4
-.014
15
-.009
15
14
min
.145
15
-.07
4
-.041
4
15
3
max
2.699
4
.281
4
.121
4
16
min
.567
15
.06
15
.022
15
17
4
max
2.791
4
.007
4
-.078
15
18
min
.586
15
.003
15
-.335
4
19
5
max
2.882
4
-.053
15
.076
4
20
min
.605
15
-.267
4
0
1
21
M3
1
max
-.557
16
-.007
4
.076
4
22
min
-2.65
4
-.011
1
0
1
23
2
max
-.557
16
0
4
.093
4
24
min
-2.65
4
-.004
1
.027
15
25
3
max
-.557
16
.009
4
.065
4
26
min
-2.65
4
.002
15
.028
15
27
4
max
-.557
16
.016
4
0
1
28
min
-2.65
4
.007
15
-.009
4
29
5
max
-.557
16
.024
4
-.055
15
30
min
-2.65
4
.011
15
-.13
4
31
M4
1
max
1.996
4
.007
4
0
1
RISA -2D Version 18.0.0 [\\Mac\Home\Downloads\Alexander Arce Risa.r2d] Page 2
Company Feb 2, 2021
IIRISA Designer : Che AM
ke
Job Number Checked By:
A NEMETSCHEK COMPANY Model Name
Envelope Member Section Forces (Continued)
Mamhar qac Avialrlrl I r ghaarrlrl I r KAnmantrk-ftl I r
32
M1
I
min
.424
15
.004
15
0
1
33
1
2
max
1.996
4
.003
4
-.008
15
34
1
J
min
.424
15
.002
15
-.013
4
35
15
3
max
1.996
4
0
1
-.011
15
36
M2
I
min
.424
15
0
1
-.018
4
37
max
4
max
1.996
4
-.002
15
-.008
15
38
J
min
.424
15
-.003
1
-.013
4
39
15
5
max
1.996
4
-.004
15
0
1
40
M3
1
min
.424
15
-.007
1
0
1
Envelope Member End Reactions
Mamhar Mamha Avialrlrl I r ghaarrlrl I r Mnmantrk-ftl I r
1
M1
I
max
2.88
4
.261
4
0
1
2
1
2
min
.605
15
.053
15
0
1
3
1
J
max
.619
4
-.042
15
.17
4
4
15
1.535
min
.126
15
-.21
4
.034
15
5
M2
I
max
.621
4
.204
4
.17
4
6
max
.514
min
.126
15
.042
15
.034
15
7
J
max
2.882
4
-.053
15
.076
4
8
15
7
min
.605
15
-.267
4
0
1
9
M3
1
max
-.557
16
-.007
4
.076
4
10
15
.037
min
-2.65
4
-.011
1
0
1
11
4
J
max
-.557
16
.024
4
-.055
15
12
min
.024
min
-2.65
4
.011
15
-.13
4
13
M4
I
max
1.996
4
.007
4
0
1
14
4
12
min
.424
15
.004
15
0
1
15
4
J
max
1.996
4
-.004
15
0
1
16
15
.159
min
.424
15
-.007
1
0
1
Envelope Member Section Stresses
Mamhar gar Aviain-ii I r ghaa n-il I r Tnn Ranrlinnrlr 1 r Rnftnm Ranrlin 1 r
1
M1
1
max
.549
4
.075
4
0
1
0
1
2
min
.115
15
.015
15
0
1
0
1
3
2
max
.531
4
0
15
1.535
4
-.306
15
4
min
.112
15
-.004
4
.306
15
-1.535
4
5
3
max
.514
4
-.017
15
-.086
15
.323
4
6
min
.108
15
-.082
4
-.323
4
.086
15
7
4
max
.135
4
.018
4
.233
4
-.037
15
8
min
.028
15
.004
15
.037
15
-.233
4
9
5
max
.118
4
-.012
15
-.134
15
.667
4
10
min
.024
15
-.06
4
-.667
4
.134
15
11
M2
1
max
.118
4
.058
4
-.134
15
.667
4
12
min
.024
15
.012
15
-.667
4
.134
15
13
2
max
.136
4
-.004
15
.159
4
-.037
15
14
min
.028
15
-.02
4
.037
15
-.159
4
15
3
max
.514
4
.08
4
-.085
15
.472
4
16
min
.108
15
.017
15
-.472
4
.085
15
17
4
max
.532
4
.002
4
1.311
4
-.306
15
18
min
.112
15
1 0
15
.306
15
-1.311
4
19
5
max
.549
4
-.015
15
0
1
.298
4
20
min
.115
15
-.076
4
-.298
4
0
1
21
M3
1
max
-.106
16
-.002
4
0
1
.298
4
22
min
-.505
4
-.003
1
-.298
4
0
1
23
2
max
-.106
16
0
4
-.108
15
.366
4
RISA -2D Version 18.0.0 [\\Mac\Home\Downloads\Alexander Arce Risa.r2d] Page 3
Company Feb 2, 2021
IIRISA Designer : Che AM
ke
Job Number Checked By:
A NEMETSCHEK COMPANY Model Name
Envelope Member Section Stresses (Continued)
Mamhar Car Avialrlrcil I r ChParrlrcil I r Tnn Ranrlinnrlr I r Rn#nm Ranrlin I t^
24
M1
1
min
-.505
4
-.001
1
-.366
4
.108
15
25
-.545
3
max
-.106
16
.002
4
-.108
15
.254
4
26
4
1
min
-.505
4
0
15
-.254
4
.108
15
27
.001
4
max
-.106
16
.005
4
.037
4
0
1
28
M4
1
min
-.505
4
.002
15
0
1
-.037
4
29
-.136
5
max
-.106
16
.007
4
.509
4
-.216
15
30
min
-.505
4
.003
15
.216
15
-.509
4
31
M4
1
max
.38
4
.002
4
0
1
0
1
32
min
.081
15
.001
15
0
1
0
1
33
2
max
.38
4
0
4
.052
4
-.031
15
34
min
.081
15
0
15
.031
15
-.052
4
35
3
max
.38
4
0
1
.069
4
-.041
15
36
min
.081
15
0
1
.041
15
-.069
4
37
4
max
.38
4
0
15
.052
4
-.031
15
38
min
.081
15
0
1
.031
15
-.052
4
39
5
max
.38
4
-.001
15
0
1
0
1
40
min
.081
15
-.002
1
0
1
0
1
Envelope Beam Deflections
KAamhar I ahal Cnan I nratinn rffl w rinl (n1 I 'hi' Patin I C
1
M1
1
max
12.386
-.052
NC
15
2
1.785
1
min
3.689
-.545
320
4
3
M2
1
max
11.595
-.145
NC
4
4
4
1
min
0
-.216
163
4
5
M3
1
max
23.5
.001
NC
15
6
24
1
min
9.25
.779
369
4
7
M4
1
max
10.391
-.096
NC
1
8
.012
1
min
5.25
-.136
3096
1
Envelope Wood Code Checks
Mamhar Chance (-rla I nrrfFl I r Chaar I nrrftl I (. Fr' n -ii FY n -ii Ph, n -ii Fv' n -ii PR r^1 r. P-
1
M1
2X4
.951
3.031
4
.490
7.115
4
1.785
.992
1.785
.207
0
1
1
3.9-3
2
M2
2X4
.945
5.534
4
.482
5.534
4
1.785
.932
1.677
.207
15.366
.939
1
3.9-3
3
M3
2X4
.877
5.25
4
.034
24
1
1.785
.752
1.354
.162
21.166
.758
1
3.9-1
4
M4
2X4
.611
0
4
.012
0
1
.623
.949
1.707
.162
14
.956
.349
3.6.3
RISA -2D Version 18.0.0 [\\Mac\Home\Downloads\Alexander Arce Risa.r2d] Page 4
INSPECTION RECORD
3V-A_7'�t-�,_!�4NSPECTION REQUEST LINE: (303) 234-5933
�ccupanc
Inspector
Initials
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To ApDroval Of The Above Insnections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof /
- / -'-�
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For iow voltage permits — Piease be sure tnat rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
For notification of your assigned inspection time window please email insptimerequq%ua ci.wheatridge.co.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
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: Cf c -7 - I
Job Address: 2 S `4 3 C_; e;-1 4 of') S
Permit Number: --d o r-7 o r R&
❑ No one available for inspection: Time 2 � 37 AMXM
Re -Inspection required: Yes &
When corrections have been made, call for re -inspection at 303-234-5933
Date: ► s- / Inspector: T
DO NOT REMOVE THIS NOTICE
1* � 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: 3 0 (, - /1) , d
Job Address: `91s `-1 3 F3 ,. ,�, „ S4_
Permit Number: -,p 0 ► -7 0
j- Q0Ar
❑ No one available for inspection: Time i = t-/<7- Am PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ,;;L 4,? )/-7 Inspector: _75
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701962
PERMIT NO: 201701962 ISSUED: 06/13/2017
JOB ADDRESS: 2843 Benton ST EXPIRES: 06/13/2018
JOB DESCRIPTION: Residential Reroof: Install Tamko Heritage Rustic Black 11.64 squares,
detached garage roof 4.59 squares
*** CONTACTS ***
OWNER (585)748-2879 ARCE ALEXANDER
SUB (720)504-7571 Ken Medina 150198 Prestige Roofing 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: 4,500.00
FEES
Total Valuation 0.00
Use Tax 94.50
Permit Fee 125.05
* * TOTAL * * 219.55 r�-'—
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's 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 - 201701962
PERMIT NO: 201701962 ISSUED: 06/13/2017
JOB ADDRESS: 2843 Benton ST EXPIRES: 06/13/2018
JOB DESCRIPTION: Residential Reroof: Install Tamko Heritage Rustic Black 11.64 squares,
detached garage roof 4.59 squares
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 ermrt. 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 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 originalermit tee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting of a permit shall not be construed to be a permit for, or oval of, any violation of any, provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of rk ' ubject to fi ecti e +
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
---U'q1 0� C t v -,>---
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 8, 2017 12:29 PM
To: Permits CommDev
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. 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address 2843 Benton St
Property Owner Name Alexander Arce
Property Owner Phone 5857482879
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Prestige Roofing, LLC
Contractor's License 150198
Number (for the City of
Wheat Ridge)
Contractor Phone 7205047571
Number
Contractor Email Address melissa@myprestigeroofing.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing Tamko Heritage Rustic Black
Material
How many squares of 11.64
material?
Provide additional detail Detached Garage Roof will also be done 4.59 SQ"s
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 4500.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
2
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Melissa Salas
Email not displaying correctly? View it in your browser.
Or Current Owner/Occupant
MICHAEL ARVE
2115 ROBB ST
WHEAT RIDGE CO 80215
Regarding Permit: 201300321; New kitchen, bath and windows, remove structural wall with
beam and update electrical, plumbing and HVAC
2843 Benton ST, Wheat Ridge, CO 80214
Our Records indicate that the above noted permit was issued on 03/14/13. Our last
inspection related to that permit was on 09/13/13.
Because of the inactivity on this permit, it will become void as of 12/31/2015,
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co-us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
Please don't hesitate to contact us at 303-235-2855, option 7.
Melissa Mackey
Senior Permit Technician
City of
Wh6atY,,,d c
COMMUNiTy DEVELOPMENT
�Wzml
Address:
ik: i
I
7J
I
I
8
20
SINGLE-FAMILY RESID94M REMODEL
m
z
CD Z-11
All
0
71
7d
7
7u
to
7 ) ,
gg
SINGLE-FAMILY RESID94M REMODEL
2843 BENTON STREET
WHEATRIDGF, COLORADO
.. .. .
.
� ,._,__.,
\
6
«
;
.
�
>,
.. 2
c
�
\ 0-
. 04-
v « »»
0
,.
z
I F
d
Ell
tom
1
A
n"
r'
qe t
#, f
°c - l
� f
�w
0
u5
i f
SINGLE-RWILY RESIDENCE REMODEL,,.,
2043 BEAM4 STREET
MMMUS 10
2°
«S
�.
u
\
\
� .
y
<
0
.
. .
U c
>
<
0-
ca
� .g
p .
Ci
..
� g
�� .
co
§
y d
i
E
•
;a
CL
*
a LV
CX
c s ao
CD
'
�;;
4'
d
o
a
E in
V4
ai
Q7
to o
ca tn
M s 4 "
'
u
CL
..�
„
w
.
wow
i
E
•
1
k Yr
9
I
a
;a
CL
CL
CX
010
CD
'
�;;
4'
d
1
k Yr
9
I
a
;a
'
�;;
4'
d
as
u
1
k Yr
9
I
a
'p - L 41 13x5-v're19
.. •
Address:
City, State, Zip:
Amum
EMEMSM
Mechanical:
City License
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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, casements or restrictions of record; that all measurement,, 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 Midge 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 pefform 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.
CINCLEONE (t)► SLR) (C 1 T �� wro
' CT 1R g (AUTHORIZED '.�C�`IVE) of (OWNER) } (CONTR�CTO
`- r
l�AE. stAT ,
UBL11
City of
Wh6atlk c
CommuNn MVFLOPMENT
ol
Ml�
Address:
{amity, State, Zip:
am
F c& (d 3 0 P'
m
(COATRACTOR) gr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
SIGNATM:
PUS
9=
MVTz=
e_ ._e_
,..'.,...,.".......""...... .'."'.'
-
~,... 7--. e --~
.....
'"
'"
......
'"
... ~..- +>
OJ .s!:~O OJ
.CJ ,,->- '"
E c:~:: ...
OJ 10::0 +>
> Cl~.. V., ~
0 .: >.~ ..
Z ,,-- c: c:
_ 0._
~ :iEO 0 ..
DO.. +> "
..V~ c: c:
0 .. .c.... OJ ..
1ii - ..- CJ:l ..
Z 0 -0- .!:!
o -c i M 0
" "E "'"
< .. ~ 0. CO c:
"00 N 0
Oa;-
P-t g-.o~ .~
~ 0. -c CD tJ)
.." tJ)
::g-g w
0 a:
W ~ ~ v.. 0
0 g..~ CD~CD 0
:5-cct) <( -:;.. -
0 ~ ~
a:~O o >-" 0
c:" -"'c: "
to- ~ <<I -g ~ cG ~ 1ii U " ,\\
~ j3<(C ato~'ci D .. .. 0 i~:
.. .c 0. ~
.co -c o.CD~ ~ .. ,
0 .. -- S --= .,
:r-O - c: c:a-- 0 '" L;,
~~,; gOQig 0 Cl c: i~i
.:'O::g. t: c: E !:
~ 1L~.g .. U ~
ct)C: CD CD .. " 15
O~~ c: ca~ Cf.l ~ .. "3 <(
~ 8lDO~ >-
.. 5 lD Cl ..
~"'"Z 0.0 '0 CD 5 :2 E ::;; t
< c:Ec::5 E c: 15
_ .c --= g .c 0
U ~ -~cu...
0 ~ c: 0.E .. 0 N U.
~ - c:'O " >-
.oEc~ .. 0
- Vl E c:
~ CD... 00. E ..
~CDN::J .. 0.
- a. _ U '" D ~
- CUCDCDU V
~>-co ~ 1ii V
~ _OOCD 0
Cf.l.oo.o .c
Vl .~ .. 0
~ CDcGO>' E 3: .. ..
;:CDC:cG '" Cl_
~ -':..c::oE .~ .- c: ..
CD--'O .. 0
> ...:i c: ~ ... .c~
0 CD CD co c:a ~ OJ V '"
-" .~ ""
~5&m 0 ..
3: tJ) :Z zo
:E -:2.g tJ) 0
.. t:~a:a: ~ w ii:
.. ... a:
u. 8.!cucu QJ 0 -','
:; (DECDCD "" a: 0 a:
0 -CD..c:~ 0 <( 0
5 ~a~~ .... ~ '" :l:
0 w
jE <( a: 0
a: a: w '-' E
i w .... 0. <( ~
Z
~ ~ z 0 C) or
.. 0 a: w :<
.!!! 0 0. -'
"""
S8SS-L6
DATE:
A CERTIFICATE OF OCCUPANCY HAS BEEN REQUE TED FOR:
o'j g Lj'
~VZ-- .~
Building Dept. Approval:
Remarks:
PURPOSE OF STRUCTURE:
Zoning Approval:
Remarks:
~
10 ~ /c,,=f-
PUBLIC SERVICE COMPA Y OF COLORADO
"-<lOA
88235
APT. NO.
SPECIFY
~./ ACTION TAKEN
-":'N;o SHUT OFF
o APPLIANCE OFF
o BOTH APPl. & METER OFF
o METER SHUT OFF
- WARNING
THE CONOITION FOUNO, AS SHOWN 8ElOW, IS NOT IN COMPLlA CE WITH CURRENTlY ACCEPTED PRACTICES ANO
PRDCEOURES AND COULD CREATE A HAZAIlO. CORRECTIONS SHOULD BE MADE BY A QUALlFIEO CONTRACTOR. CONTACT
YOUR LOCAl 8UILDING DEPARTMENT FOR CDOE ANO PERMIT REQUlREME S PRIDR TO PERFORMING REPAIR WDRK.
r.,
TAGGeosv
FOR FURTHER I FORMATION. PHONE:
Me DATe
1'0-/'1-
T
DAre
E.
-
I INSPECTIONS WILL NOT BE ADE UNLESS
, THIS CARD IS POSTED ON THE BUILDING SITE I
24 HOURS NOTICE REQUIRED F PR INSPECTION$_u-:/5
WHEAT RIDGE, CC LORADO
7500 WEST 29th AVENUE (303) 234-5933
INSPECTION R ECORD
JOB ADDRESS ;;)81.3 BCt..JTON S T I TYPE I OCCUPANCY ,
BUILDING PERMIT NO. 97 - "::'-.s;-&~ DATE ISSUED S 4-97
OWNER Vert L>iJt/i,G..-WI ~
, , ' ,
CONTRACTOR
SETBACKS FROM PROPERTY LINES: NORTH SOUTH EAST WEST
.
INSPECTOR MUST SIGN ALL SPACES PERTAlr ING TO THIS JOB
INSPECTION DATE INSPECTOR
Foundations
Footings
Caissons
Reinforcing or Monolithic Ok $//4'/9'-7 ,K. ~-
Weatherproofing . .
POUR No CONCRETE UNTIL ABOVE HAS ~EEN SIGNED
Concrete Slab Floor:
Electrical (Ground Work)
Plumbing (Ground Work)
Heating (Ground Work)
Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Rough Electrical
Rough Plumbing
Air Test Gas Piping
Rough Heating & Ventilation
(above must be signed prior to framing inspection)
Framing
Insulation -
Drywall nailing
Roofing
Refrigeration
Electrical underground
Final
Electrical OIJ,. 1-5 hY"7'" L ~
PlumbinQ
Heating & Ventilation
Frame (;'<1, It! / z./ / ~ 7 /. . c..
R.OW. & Drainage ,
Fire Department
Parking & Landscaping
o,t(' ///;z.,//"?7 I .~
OCCUPANCY NOT PERMITTED UNTil CERTIFICATE OF
OCCUPANCY IS ISSU :0
PROTECT THIS CARD FROM THE IVEATHER
"~..d
"-- - . _ _ . ~r;-;..l.~
~.'l_'-;'
-- _~~CcCyf_dU'_ -- L
'-'. ,,~ .--
-).." '. -, '-' E).c. Z
_: .~~_~_. ~--_ = ~-=- s ., 4 -0 .~
--
\.!OC)fln~- SP~clfY .--
1:/ [",It undczrlu'i
.;It/ pIY'NO()(J .slw.iJihlrJg
\ ;",0
, ~n~~7"=1
~-
F ;G. T~r.Y5S E S
211 Ofl _ 0,. c...
DoubllZ P\llb
.___ __ 2x1's- 1{,,"o.C.
C /
'v f
I '.( I
I' "
\:.
I i
1," " I
uL:----'----~#: 1
1 \ '2." \ \ << I
DE-tAc.H- t-75 G ~ 1;4 E ~ ~/fIY)E J
,-\V _A Lt. 0 ~) E C r ION 0
- ------.- ------
~M.dO N O..1J T -H i. 0 -5 L 1-\ D"
j. --
" nCIG "u_
3/8 "1.x+. PIYVJOOcl---/
V2." Imp SRiZilfhtnq-
Sldlni1:
I
i'
I
------- /
-------
/' --
/' I
i
I:
~! /
1\
tin, Gradel i
.. -~-----..__.-
1-
,
I
~o
_d.. //
....... , /
.,~/-~--:---
l: ,.(1"' -r - ..'
III .', . .
II' ,"
'I! '
L.l
"
',1
,-
_.__ yz.. Ancho( bolt." - (,"0" D.C.
.-2.t'1 Plntll
-!_I..lt~-~ r<tba:--Top 4 E>or.
',' \__ (jfr,xro(to t-'\(lSM
--------- ---~ 1
_ _. _ _;"...:0 ___ .r_-..' --- -
, " ',', . hl '.
/ --
.'
'[
i
i
I
i
i
i
I
I
,
,
j
I
\(.
(jl
~I
'4
I
>
~y
,
f'
'I
if)
r
j
""I
~
<',.
,
\ ".
;.t 0 ).
t)5,'~' )'4'
f'" , "
4-,- I /'
Do, ' I A ' ~.,.
r,; _._- r ;;..
I . f
I ''I'
l" '/;. .r- '~) ~ i
! '../" ,'~: ", ~ '
~i-. L, fL,.' ;.:.
~ '~-"~'--",-
,"':' ',..
. -, P''''''
//'1</"(:"
I
,\>.
~7
I
() -"
" .1C:
~ ' ..
f-;'" , ' ~"
~ , .
,"
/.... !
,_,;',_c,,~"_.___./' ,.."...~..<,.-,.-._'"_~____
. <:
Of
:) r \
1 -
.>
'~ ~
:.~
'-
-:'~
"
'.
'f,;-)>
"'"
~
",
~r
\:,
"-
~.
'~
'.\
----
I;z.
~
l~.__-.
~
l
, -') ""'( (~',,-j' ~.
, 1"
-") ~.:L~~~.~
'[ ,
I
.-{
~-~''?;
"
i
,
i
,
,
, I
f""'!;
i
.,
" '
.....!
,
I
I
I
;> I
~
...~
r-
'I
'"
M
-
I
v~
\-'Ij
\ "
W
.:~ ,-',..~
').'~!-l'~" ';'1\"'-.)'1" '~\
r:-
~
3
r,-
i
..rJ
c. .+~ ,;j
c
.;:::-
-r'
r
"oJ ~ I
r___~_'.__ -1 Ll W -., i
, I
I I
l !
,
,
i
I
,
I
,
i
i
I
I
I
I
I
,
;. i
1111
,
,
'"i
.,,,-,\
r-(\l
, i
1
i
,
i
I
I
i
i
i
.
I '
I ,J
l
1
IY'
I ,"'
I '
i-
1 ,0
.,
/
It
! 0
12
i
I
1
I
I ;
,,'_4\J...4f6_~i
I
'.J
r"I\
I
!
,
I
I,
I
I
I
i ~\
" ,
! ,;,
~
d "
r ,,..+
:J
"'''
'r,
;;
..} ~ I
,C'\-)'~\ ...,
..",!>-"= , "H :?~~
_-.-----.--,.-~., I
''t; I: (,' ';..' ",,-<:. '" _...~-~
~. .\
,
"
i
"-.../'
, I
!
~
-a~\ ".
1
~.
I
~
.' j I
~ .' .' j )'.''{/
, ,I r, f\
...j--.._,_,~~>Q:,r-,,-.- ...
,
,
,
i
i
i
,
,
\
---.--.",."
1
~ <: -
~\
1
i
7:Pt"
,
J
,
, .
..
..t
i .;
.-~
ll'
\fI j ,~
,I
I
.1 ,
" l\r;.
i "
$ ,~
., 1.,
Q '"
"
, ~ i
, .'
,
,
, V,l
- i ~" \
, ''It-''''.
~ .A
\\,
~..~)\.
I ".~...
I ~.C'
I ,
, ,
~- Cll'
i. 0lI('
1
.
~
...,
-
I
I
I
I
~<
...
.. '
. <, V
. I
..
M
IS"
"..
- --;>
/1"
~.
\-\0
"l~4i
'"
,
- .. . I..
.
lJ'
-l"
..
!
I
:.,.~'
u~~ ..,
IJ_UJJ . JJ
l~4- \V
g.
. I I
._-L_._L
I
,
___1.
~6
~....\"I'
"
3
:So
r",. I
III --~._---
I:" '
.'
....,,,->
"i'
r
I
I
I
I
,.
I
I
~,
t: I
.~_.____L
J
'"
~
ij..
\f1
I
..q--I-
, I
. <ft'...1 . ..
(1! I
"". --,-
I :
;,
is
o
a
i-
J - -r-t
I ' ,
~L_._:
, ,
!
,
I
-.-.-t
,
,.
I
- I
'"
..
~ = j
.-
....4. .....
r - ~
I <-4
r
I l-
I IJ
I ~.
1">'>."'
I
V
I
o
~ c.. \""'C..
I
I
V
- ---;~
I
-,,,
Dear Borrower:
Gillans Incorporated recently completed an Improvement Location Ce
shown on the opposite side of this paper. This step in the real estate cl
mortgage company.
In order to provide this certificate, a member of our staff was at your si
of all structures and major improvements while measuring their plan vi
location. The results were compared to the legal description provided
I
- Gt!l~n8
,
.
ificate for your property as
ing process was ordered by your
. He or she noted the existence
w sizes and approximate
d then drafted into a certificate.
An Improvement Location Certificate is not a Boundary Survey (somet mes called a pin survey). In
general, a boundary survey would entail bringing our surveying theodo ite and electronic distance meter
to the property, measuring angles and distances from known monumen ,observing property boundaries,
setting property corners and filing a land survey plat with the county.
Gillans Incorporated has been in business since 1978. We maintain a h gh percentage of repeat business
by providing architecture, engineering and surveying services conscien iously, quickly and
inexpensively. All Improvement Location Certificates are prepared in ccordance with the State of
Colorado Statutes. If you have further questions regarding our work, p ase call our Surveying Director.
In addition, our firm provides a full range of architecture, engineering d surveying services. Should
the need arise, we would appreciate the opportunity to perform follow- p work for you. Examples are
civil engineering to resolve drainage problems, structural visual observ tions for post-construction
problems in your house, or boundary surveys to establish property line for construction of
improvements.
Thank you for this opportunity to serve you.
Gillans Incorporated
ARCHITECTURE. ENGINEERING. SURVEYING
-~_..-
GILLANS INCORPORATED, 8471 Turnpike Drive, Suite 200, Westminster, 80030, (3D3) 426-1731
Branch Office: 124 Main Street. Suite 211, Dillon, CO 80435, 970) 262-6795
r
...60.-
,
Address:
Borrower(s):
Title search by:
Commitment no. :
Legal Description: PER CLIENT
Lots 11 AND 12, Block 3,
LAKESIDE RESUBDIVISION,
County of JEFFERSON,
State of COLORADO.
Gill~n5
GILLAN5 INCORPORATED A hitecture, Engineering &. 5U1veying
8471 Turnpike Drive, Suite 200 W stmlnster, CO 80030 ' (303) 426-1731
t 24 Main Street. Suite 2 t 1 I lion, CO 80435 (970) 262-6795
IMPROVEMENT
LOCATlC N
CERTIFICATE
2843 BENTON ST
WILLIAMS
_.- - -
50'
}
"1_
"'~'
.+11 A',p Acr "UI'!, Ao"l{l./>vtt>.t>
i'1 t\ I' > A (Lt "', P...O. w.
- ~ I-r--/~ - - - -:9, I- Ff'-F\Ms :5J1E]""
" C)'" C."00-
I\l
IZ.~
",
I()
I>'l!:~T~'"
6,.
"'".
0'"
(.,Da
1I
"',Il!.
,
L'~ ~ _I
"',
"
leq.
G:"
I - 5-mt::-
F/?J'1'v'i-
I~OIJSE,
It~/>;~
"I~
r.F,.,
\()
'"
;~~
~~
~~
'\
::.
,.,
v-
-
~)
"">
7':-
'.
r --
I
I
I
I
I
I
I
I
II,)
I~
Ie
I~
I~
,<:::)
I
I
,
It)'?
\ ( -.J?$'"
f/UlPO'%'D I I
~II
I,
I,
I
,.1
~I
~I
,I
,I
I I
"
II
II
II
II
: i
....
"z r-
,3:.PJLE- ~ I"~ zo '
SO I
'l p (;Jr 'G
Yeti\/'
ff)0TOf\J 51.
(&o'g:,o,W)
It is hereby certified that the above described property
in accordance with the current Hun Federal Administration Flood Hazard Boundary maps.
,"'A
located within a I 00 year flood hazard boundary
Map Dated
/VIA
. Map No.
~IIA
,Zone
I ~ 1,-
On the basis of my knowledge. infonnation and belief I hereby certify that this improvement I ation certificate was prepared for
WILLIAMS
under my supervision and that it is not a Land Survey Plat or Improvement Survey Plat. and t t it is not to be relied upon for the establishment of
fence. building. or other future improvement lines. I further certify that the improvements on t e above described parcel on this date. except utility
connections and fences and landscaping, are entirely within the boundaries of the parcel. excep as shown, that there are no encroachments upon the
described premises by improvements on any adjoining premises, except as indicated, and that t ere is no apparent evidence or sign of any easement
crossing or burdening any part of said parcel. except as noted. "Notice: According to Colorado aw you must commence any legal action based upon
any defect in this survey within three years after you first discover such defect. In no event. m any action ba..ed upon any defect in this survey be
commenced more than ten years from the date of the certification shown hereon."
CENSUS TRACT NO.:
107.02
, ';.,..,
, \. ~-<
(". ()
/IV" _r'::""
111,\1- ,11. II "i,~~(IV,'Y1 "Jr'
-'7-- //1"1 ' ~':," . ;''J;'!
DATE .,...., .~,-..,..., ~-\ --..Y
Job No.: 3318-97
Fee: $95.00
I
,5582
8!41frl
ii:,
''',_' ,,'_ ,:,.i'.~, - ~i "':, _>.,,, " ,,! , . I .""
'C) "~......().Nne' I
,;; :'--4', ;,!f,~~t,~';:; ,,'," .,; r,"', '-~: .:,:':,_, ,". _",":, ' ';,
.) :. P,~,~: 214'9I$NTON lilT .
'C<>>ltIaOtoCLlcenil&ND.:') ,...
. COmpany:
Phone: 233-1748
Phone :
,',
'-;'r '-/'1" ,\ \"'. 't,
, ) .' . " Value~' :
~ i' perrllItFee:':
! . PIari Revklw Fee :
',- '!, ;:-, u~" r- .
;... ..;,.
~ 1:
., $4iOO(i 00
i '~.:oo' ",
$O,1lQ:
$8l1.Co '
, , $,.Jooi,
Total :
'0"
I " i ~
:-1
t,L/
.:
!,I
yl ,",
I: - : :,.
: SIC: , Sq: Ft,: ~.
~MtI. SETBACK QP S"'ROM
i
,.
,r,,,
/" ",,; ! ~-': ,;j,- ,:S'~ : ,'" ;,~!
PRO_~ GllBAGE NeED
.:, EFn"'1:~ 'i S
-'" ," -', _,'. ' "-"-'; I I'
, -'"
i,'"
, ,
; ;
.'\
'.
_,I', '
,
RO!lf:
S~e$,:
,., :
i'l
,
Residential UnItS:
".;,'
,~'\;~~:::
:;~y:
ii
i Meoilanic8i ~No:'
: ComPany:'
, '~
. .JNSfecTOR AND MAYOR
iI'1ON' .
, ,,; ,
i; : I
c' _, )~',
'"'"
. ,!~:'"
Dii:PARl'MENT OF PLANNING AND DEVELOPMENT Bu ding Permit Number:
.BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
Company:
(~1fL, \h//LL
"A,f?/fj tf LAf;/{} 1/
fA
s
Phone: -5~iJ-;{ J' J-Fl 'I;
Phone:
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
covenan~s, 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 responS,ibilitY,Pliffi" h the Wheat Ridge Building
Code (U.B.C.) and all other applicabl heat id '~rdina ces, for work under this permit.
Lh ~ /V
(OWNER)(CONTRACTOR) SIGNED /. -:A Cf. . .natATE '1-7-'/7
Description: Ve J./JM,e/ ~r
BUILDING DEPARTMENT USE ON Y
Construction Value: 1ft) ad . o--;p
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
z:Ollirtgk~Eltline.ll!!l~-7 /~t !~-r
Approval: -?t-v. 1kL
Zoning: ~
Bqlld!ng:go,!,me!i~.;]
Approval:
E.~IjIic;ll!V~1!<J!i',p~JiJm~~-;
Approval:
Occupancy:
SIC:
Sq. Ft: 'Z~~
~ "-' 1M. fA., .
pu~ ~~.
~.D~~
~,~
~~
,
c:;1 ~ --tlM. ~
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :Q.:I" .r:;;,!'"t/
Company :fh.&/ ~4 [':'. I t".-
.( "'f:." ~ }l"" '. "1' .r"
LclJ,!A.M...,o. .~'..;iif I 1T' y." "',
Expiration Date :jz - ~ f - '11
Approval:
. 1!,flans'ffi."'1l1l1ifllBl
f,lTI..- " ,.." ,. .
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
BlIeUI1"li1~eItalr~~_
Expiration Date:
Approval:
II le.!aJjs~e.!lI!!~~
(4)
151
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject the laws of the State of Colorado and 10 the Zoning
Regulations and Building Code- of Wheat Ridge, Colorado or any other applicable ordinances or. the C
ThiS permit shan expire If (A) 1M work authorized 1$ not commenced wIthin sixty (60) days from Issue ate or (B) the building authorized is suspended or
abandoned, for a period of 120 days.
If this permit expIres, a new permit may be aCl:1uired for a fee of one-half the amount normally require ,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 shailbe done that Will change the natural now of water causing a drainage pr bler.l
Contractor sh otlfy the Building Inspector twenty-rour (24) hours In advance for allmspectlons and hall receive written approval on Inspection card before
proceediin ilh uccessive phases of the job
The ISSU ce 0 a permit or the approval of dra gs and specifications shall not be construed to be permit for, nor an approval of, any violation of the provisions
of the b Ilding cdeyr MY Olh~ on:li nee, , rule or regulation
"'/1t
(11
121
131
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUlL ING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INS ECTION
-
STATE OF COLORAD
JEFFERSON COU
. CERTIFICATI N
N~ 39852
. I, NORMAN C. ALLEN, Clerk an Recorder of the
County of Jefferson, State of Colorad , do hereby certify
that the attached is a full, true, and complete copy of
Recorded 0
upon the records oJ my office.
Book No.~ Page No.
Reception #--L11 ~nH,
I have hereunto set my hand and
the County of JEFFERSON, State of
day of
as appears
.
ffixed the Seal of
olorado, this IO--J.Pv
A.D., 19 93
"tl.....,.",
,"',,-'ON n ""
'\::J ""-J'.,t:
....'L:.~ ....... O.J"~"~
..... :.~\.-:. e. V' #.
':-t*'~.... ....... ...~\
~ ~. .. ~.
H:;fgEAL\><~
-... .-
: . .. =
. . ..-
;, . ... ......- .. ~
-:.. .. ~
.. e. ..'"'- .:
'',..,t: cO......... <"\V ~~
" Ln1lI ~'y "
"'f',#, VA." ,..,.."
I',I.....III',\:
NORMAN C. ALLE
CLERK AND RECO DER
C.
Deputy
FEE..i..L1.:!L
-'"
,;;
~
..
.
.
~
;
~
..
WWING t:
M9 IS A CHEMICALLY TREAT!I.'D PiPER
DO' IIOT LEAVE IN DlREGT SUNLIGHT
OVER EX?OSURE TO LIGUTS WILL CAUSE
PAPIR TO DARKEN
I
..
~-l U i:'/ 0;1
a.orW .t..._...................O.doek-..N_.... ---..-
-""' N....~~ ?~.6 __....-._..~._..._...... ..-....-..-......
..._.
_aD.... l'I'd.
." (")
;=V'lC?
f9'I ~..f.
""!:.!.
=m-"
TIlls Duo. Ii_ Iklo I iW . ... ..
. .. .... ,_ 01 .. Lont. ... .......... ... II..... ...
....-
LUCRETIA M, JOHNSTON
,.1 -
s ~
c n
2~"
-...-.
....T ..
~~;:~
';""l". .,J
...tC -
~:::
--~.. ~.
':E''i' 0:"'>.,
~ . ",.r~<.
.....3' ~L:'::'"
...-"
Hay
Sixty Five
~
...:..;....',
"'-"'r-.
~ .:f::i~:('''-\;<.,_,~\~~:~...~,;7~~...j-:..~.:.. .............'- - -_:~
!"of the -,,\,~': /~,~,..../'1~,' CcMIaI7 01 Jefferson", aM. StItt of
.CeIorIdoo" ....1Inl......... ,:, .. .
.. WAVA LEE WILLIAMS and VERL LEE WILLIAMS
,...
~')~
'" tho c-"" J e Herson... Slate .. .. .... ....... pot"
.' WITNESSETH;"'" the .... ,.rty. of 1M fir.' put. 'or ... .. CClII.kleratioD the 11l1li of
TeN DOLLARS and other good and valuable consid ation9....pULL^k~
10 the taw. part y of the ntl' ,." III hand paW by tM AW partitt 01 the d part, the r<<cipt whereof I.
benbrc:onfC'tted and ac:\cnowlf'dlfll. ha ....nlcd. barplntcl. IOld .nd cun,,~,t'd .nd bJ then' prelenll do es
I".nl. ba........ lien, C'on""J .~d Itonlirm anln Ihe laid paC'tlel of lhe N'cond part. Ih Ir heirl and ...lll'll forn"r. not
ill tf'nanc, in common bat In )olnt ten.nc,. .11 the lollowin. deN'rlbM lot or par el 01 land. lil...tl', Iyinl .nd
beln, in the eo.nt,oI .Jel.:tct'son and State
of Colorado. to-wit:
Lots 11 and 12. Block 3, LAKESIDE, according t
thereof, subject to eas8Il1ents and restrictions
the recorded
of record
plat
.
11-'
. .
-- -
'. . ~
~ ~ ~ I-
t! ',;;"------ ~ ~
-;r-~' ~
T. ::: ;' /1\~
- - - '" ,,;<;
~ ' -,; -;--. .-
;..-------
o . .
~3:; ~..n_. ~,
.,:: ~I\.....g ~ ~
- ~~; ~.,~-:<! ~
"....
TOGETHER with an and lineatal Ihe hendltunentl and appurtm.ncel I rnnto belon,ln" or In an)'wi.e
.ppelt.i.,in., the r""e..."'" and reweuionl. remainder and rem.lnde.... relltl. I.. .nd prolitl therf'of: and all thl'
utale, ri.hI. tjtle, intf'ftSt. claim and demand ....tlOlrYft' of the said part V of.. lint put, either in law or eqult"
u', in and to Ih~~ .bon bar..inl'd prl'ml.e.. with Ihe hereditamenl. .nd appurtrnan u"
TO IIAVE AND TO nOLO the laad premiK..bon barpintd ;,nd described, Ith the appurtenance~, unlo the said
partlel of the Ifl'ond part, their heirs and ...ipI forenr: And the ...lel part y of e liut parI. for l'et' lel f
nerhf'lu. uecatou, and adnlinlllral01'l do CS cMenant, ,dtIt. bar.ain and airel' 10 and wilh Ihf' ,aid rartie~
of the' ,,<<nnd rart. their htoi" and a'RlIn.. Ihat at Ihe "me "of the enlulin. and d livery of thele p"tIIent. S \ 1 e l s
well Jeil.1-d 01 the premile. abon conveyed, aR of load. lure. petteet. ab.olate and ndefulible toltalt of inheritance. in
law. in fee ~imple. anel ha S IJNld riaM, full power and lawlul authority to ,tant, a",.in. sell and conny the ,amc in
tuanm~r ~nd f(l~m ~fo~('Iaid, and thOlt tlu. ~:&Int are frce and clear Irom aU former a uther Iranll. b.\rlainl. plu. liell~,
taxel, allnsmmtl and encumbnn<<s 01 whalever kiwi 01 naturctone1. excel taxes [or 19:1J
rn:~ble in 19JGI
und the above barlained premisel in Ihe quiet and peaceable polselllon of Ihe ..ld rliel of thf' second part. tlldr helu
and anillu. aSain.. all and ",'ery penon or Jlenonl la.full, ctaiminl or to claim t I' whole or any part therf'of, the ..id
}'O'rt ut tl.e tint II.l.11 ~h",1I ,llld will WARRANT AND FOREVER DEt'E 'd.
IN WITNt:S~ WHEREOt" the pid part of Ibe finl part .haS hereu"to .el her hanll
the day and ,ear finl abon wrinen.
\
'I
Ii
II ..,I
1\ ",nol. ><,1'" ...s 0.1i..,,,, In lhe P....... 01 l'
\ HblO~f,~l [-,nf"';"'I'\ \
(,'\.;:i1/ II>:; ';;jJ.~:Tf..QF:CQt.OkAD!'. \...
~; '>~_K:...nl'. I
\1'..' ", ~(~ ij~~j~~~'rlllllenl~. .a~ ~~kn.OWlel.ht:CII hdl\fC mt thi~
\ ....,;: ,"),,~..L\!cm;Tll\ :t. JO::ll=,TON
\1 'I; "".....J.: i...... . '.' .19 . w;"'...m,I....t~. """;'I"'~/ +./.
':' .' \, (;::~yli,.:~_.upilesO<.L28,1961 ~(t.....
~k':'~--'-~.c- ~...d<~_o~
II
alltl
~r-[SE^L]
.....................................,...,...".,.....lSEAl.l
[SEAL]
f'lT
dil
I
I
\
Ii
p
I'
I'
I;
_lay of
N"'", P.....Ie.
No. '21, WAJl.a"l\lTt bEI:O-Te J.&"I T........ B..dl.........'...... r.IIIU"" c....pe.",.1 t...fU....lBlrHt.PHl....l'.c..k>......
a "..;,I,~,~jl\ n;~\::..:h~7.:i~;~.,':r ~;~.~:":~f h:.':~,I,~,'7.:', ~~:~:~..':~. :~:::~~~. 1!1~'!..!.'t::;n"rh~~~ ~:;"t~;':_n::::':;:~.~';.~,;;~.,~fW~:, ~',~}~.'::);.;'~ ,~.~
I'"'.''''''''' Ih'." lll~'" 1111''''''''' .."d, "rrt... "I "rn,...'''''~ Ih.. pr....ll..nl..r ..Il,," ..U"'''' "r ....d. ,.un'"'''''''''' """""11111 1'<1.,r..r",OI
.t.,....",/.,/!l.......,. !,<". 11~.t.l l'"lond" Hr........d tll.tut.. U'S.
1 i:l'i 1!1I
~
'~ '.
.
"'
,fI