HomeMy WebLinkAbout3990 Jay StreetCity of Wheat Ridge
�Residential Roofing PERMIT - 201703060
PERMIT NO: 201703060 ISSUED: 07/01/2017
JOB ADDRESS: 3990 Jay ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with 23 sq.
*** CONTACTS ***
OWNER (720)442-6363 LILLIE MATTHEW E
SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** 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 one half 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 manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
,�,70076-36Ce,-0
�'Iqo INSPECTION RECORD occu `
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector
Initials
Comments
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Lath / Wall Tie
Do Not Pour
Concrete Prior To Approval Ur I ne Anove inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Under round 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 low voltage permits — Please be sure that rough inspections are completed from the Fire District and eiectncai iow voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Nf. 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: M �� u
Job Address: 7 9T-) S 7 -
Permit
Permit Number: a i 7 D -3 0(o b
❑ No one available for inspection: Time 0 F UAM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
p�Date: Zu ` Inspector•
DOIVOT REMOVE THIS NOTICE
f
City of Wheat Ridge
Residential Roofing PERMIT - 201703060
PERMIT NO: 201703060 ISSUED: 07/01/2017
JOB ADDRESS: 3990 Jay ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with 23 sq.
*** CONTACTS ***
OWNER (720)442-6363 LILLIE MATTHEW E
SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** 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 one half 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 manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201703060
PERMIT NO: 201703060 ISSUED: 07/01/2017
JOB ADDRESS: 3990 Jay ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with 23 sq.
11 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
perf d and that all wor be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
J. [f 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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable rna�nyy 9rdma�t• reg ati of this jurisdiction. Approval of work is subject to field inspection.
*20
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.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 20, 2017 10:51 AM
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 3-5 business days, 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. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3990 Jay St
Matthew Lillie
(720) 442-6363
Field not completed.
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 Formula Roofing
Contractor's License 110274
Number (for the City of
Wheat Ridge)
Contractor Phone 3036008696
Number
Contractor Email Address formularoofing1@gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
formularoofingl @gmail.com
No /
GAF Shingles
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 23
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No , /
Field not completed.
N
TOTAL SQUARES of all 23
roofing material for this
proj ect
Provide additional detail 6/12 Pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract800 —
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Dominick Orrino
Email not displaying correctly? View it in your browser.
3
Customer Name: 1' " 1I
Address: 1 9 q
Customer Phone: //1 i-(�(l'j �/�f(•15 Ph#2
Email:
Insurance:_,( Claim:
Adjuster Name:
Adjuster Phone:
Shingle Manufacturer:
Style of Shingles:
Color of Shingles:
Number of Squares:
Tear o ft# of layers:
Install Felt:
Replace Plumbing Jack:
Replace Roof Vents: t e, +
Ice and Water Shield: {
Nailing Pattern: I vL
Drip Edge: /
Appropriate County/City Code Requirements
Clean-up and haul o ffall trash from root
Roll yard and driveway with magnetic roller
Clean gutters of roofing debris
Formula R & R will furnish all material & labor
Permit pulled by Formula R & R
All new roofs guaranteed for 5 years
All repairs guaranteed for 90 days. _4�
I
Additional Warranty:
Homeowner U
Rep:
Phone:
Email:
Pitch:
Stories:
Adjuster Email:
=*Marster"r°°Elite
V E ER STOPPER' ROOFING LONTRACIOR
Trailer (_
Access:_��
Customer
T7=
/ Initials Formula Roofing & Remodeling will perform all repairs as outlined and approved
the Homeowner's insurance company, including supplements.
Gutters
AGREEMENT
000
0
Screens/Glazing Bead
N 7
4560 Columbine 5t.
FORMULA
Fence/Deck
Denver, CO 80216
303.600.8696
ROOFING a REMODELING
Upon signing of the contract the owner reserves the right to a three day rescission period. If the
FAX 303.600.8654
Building Solutions for Colprado
,
Customer Name: 1' " 1I
Address: 1 9 q
Customer Phone: //1 i-(�(l'j �/�f(•15 Ph#2
Email:
Insurance:_,( Claim:
Adjuster Name:
Adjuster Phone:
Shingle Manufacturer:
Style of Shingles:
Color of Shingles:
Number of Squares:
Tear o ft# of layers:
Install Felt:
Replace Plumbing Jack:
Replace Roof Vents: t e, +
Ice and Water Shield: {
Nailing Pattern: I vL
Drip Edge: /
Appropriate County/City Code Requirements
Clean-up and haul o ffall trash from root
Roll yard and driveway with magnetic roller
Clean gutters of roofing debris
Formula R & R will furnish all material & labor
Permit pulled by Formula R & R
All new roofs guaranteed for 5 years
All repairs guaranteed for 90 days. _4�
I
Additional Warranty:
Homeowner U
Rep:
Phone:
Email:
Pitch:
Stories:
Adjuster Email:
=*Marster"r°°Elite
V E ER STOPPER' ROOFING LONTRACIOR
Trailer (_
Access:_��
Customer
T7=
/ Initials Formula Roofing & Remodeling will perform all repairs as outlined and approved
the Homeowner's insurance company, including supplements.
Gutters
j
Windows
0
Screens/Glazing Bead
N 7
Paint
Final payment due upon completion of scope of work as agreed upon, receipt of insurance
Fence/Deck
/% 12
Siding
Upon signing of the contract the owner reserves the right to a three day rescission period. If the
Addit' al Comments:
/� )
Customer By signing this contract 1, the property owner, agree to the above listed w9f/k being completed
Initials as outlined.
Insurance Claim: By signing this contract I do hereby give Limited Power of Attorney to Formula
Roofing & Remodeling, authorizing my insurance company to speak with my contractor Fonnula Roofing
& Remodeling on my behalf with any and all dealings regarding the current claim listed in this contract.
Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full.
Formula Roofing & Remodeling will bill my insurance company for all work, including code required
work necessary, which. in most cases, is payable by my insurance company. 1, the insured, will not be
responsible for any monies not paid by the insurance company except for the deductible and optional
upgrades listed on contract, unless notification is made prior to work being completed, or in
cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are
required to comply with city."county code and are not optional. Formula Roofing & Remodeling will request
the final inspection with the appropriate City!C'ounty Authority. Formula Roofing & Remodeling will perform
any and all supplemental work approved by the property owner's insurance company. Any additional funds
Customer allocated for additional work as part of this claim will be payable to Fomwla Roofing & Remodeling
Initials once the work has been completed and finds have been released.
THE ,TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF
THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT.
Contractor shall hold in trust any payment received from Owner until Contractor has delivered
roofing materials to the site or has performed a majority of the roofing work on the property,
whichever occurs first. 1
Deposit Received: $
t r
Approximate date of service commencement:
,
Insurance claims proceeds: Owner to remit ACS' insurance payment no later than date of
service commencement.
Final payment due upon completion of scope of work as agreed upon, receipt of insurance
proceeds (if applicable) and/or approval of building department final inspection.
Upon signing of the contract the owner reserves the right to a three day rescission period. If the
contract is canceled after that th period, customer will pay 25% of contract price.
Customer Signature({. �.-------- Date: G�
Customer Signature: Date:
Total Cost: S_ t
Formula Representative: Date:
Excluding permit and codi requirements
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: m 1 f _
Job Address:
Permit Number: 0 % (J
.:i
❑ No one available for inspection: Time 9= a AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: i
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: �� o
Job Address: I PT S 7 -
Permit Number: b 1 "i b S 0 6, b
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: '�' �' i Inspector•
0011COT REMOVE THIS NOTICE
6
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: C) 0 / -3 {� t,
r ICr_Anu
�7ill l--PA?7�
❑ No one available for inspection: Time 9 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector: ,_S ?`
DO NOT REMOVE THIS NOTICE
' ' City of Wheat Ridge
Residential Mechanic PERMIT - 102718
PERMIT NO: 102718 ISSUED: 12/09/2010
JOB ADDRESS: 3990 JAY ST EXPIRES: 12/09/2011
DESCRIPTION: Replace 70,000 btu furnace, 2.5 ton A /C, & Tankless water
* ** CONTACTS * **
owner 816/261 -0138 Marlee Kobzej
sub 303/428 -8585 DAVID RAMIREZ 06 -0169 RAMIREZ HEATING, AC, REFRIG
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0419
** FEE SUMMARY **
Permit Fee
Total Valuation
TTvp - Tax - -- - --
** TOTAL �. *_. - •_ — 282.75
Conditions
Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors
are required to be installed in every sleeping room, in hallways outside of
sleeping rooms, and on every level of the structure. Carbon Monoxide detectors
are required to be installed within fifteen(15) feet outside the entrance to
each sleeping room.
Subject to field inspections.
USE: UA
BLOCK /LOT #: 0/
ESTIMATED PROJECT VALUATION: 7,000.00
FEES
156.75
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 Iam legally authorized to include all
entities named -thin this document as parties to the work to be performed and that all work to be performed is disclosed in
this etiment /or it ecompanying approved plans and specifications.
/Z -9-10
Signature of
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.
S. 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�ssaance orgrant ng of permits - hall nof construed to be a permit or, pnroval o£, any vi olatron o�
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Signature of Chading Offical
Date
INSPECTIO REQWEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS KUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
v 4d e
s City of
Wheat iid¢e
- COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 " Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Owner (please print) M(2,V G � z e )
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Kam tre z Ha-lq rt.
Date:
Plan #
Permit #
Phone: O Z � /���
Electrical: Plumbing: Mechanical:
City License # City License # City License #
� ESCrJpC1f�O:TiS , L)
F-epledQ P}(IS�tNr� �GtIlA/GcGdP l�7✓ OrvGCl�to�nv $
Review
Review Fee (due . at time of submittal):..
D
Squares BTU's 7 '�) Gallons Amos So 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: !
SIGNATi7RE: DATE.
Bldg Valuation: $
9v30'.+XAVkCkvXtA�bd=:ChYS �.
♦ � � i CITY OF WHEAT RIDGE
�(
Bui lding Inspection Division
(303) 234 -5933 Inspection line
3) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: g5'1AA s' ,-`FI
Job Address: 9 95 1 0 5 W"A 7°
Permit Number: 0
i klr s Fy
t-
f ..
❑ No one available for inspection: Time rl AM /PM
Re- Inspection required: Yes <:
E.
When corrections have been made, call for re- Inspection at 303 - 234 -5933
4 f
Date: rfel�G Inspector: /?
r r
r DO NOT REMOVE THIS NOTICE
INSPECTII�
■ CAAS■%
Occupancy/Type
®'INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
a y : �F' o receive inspection t e' o owing usmess ay.
I AT
E>
, SPECTOR 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
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBUCE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
- POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED'
CONCRETE SLAB FLOOR
' Electrical (Underground)
Plumbing (Underground)
1 -' Heating (Underground):
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED.
ROUGHS
Sheathing
Lath / Wall tie
's =r
Mid -Roof
'Electrical Service
'Rough Electric
-h` Rough Plumbing
Gas Piping
` Rough Mechanical
)'
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
0
Framing
c
s Insulation
y Drywall Screw
FINALS
Electrical
tr/y/& r
lee—
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBUCE 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
--- O�A�GERTIFIC ;ATE- OFOGCUPANCY`IdOR P- ERMISSION.FOR�OCCUPANCY --
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
Imo:.
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ZA,~A it FFd
Job Address: 3951d 44;r S 7
Permit Number: 0170'7_3'7
V04ve_c;~
❑ No one available for inspection: Time H.'7_5' AM/PM
' Re-Inspection required: Yes (NOD.
*When corrections have been made, calf for re-Inspection at 303-234-5933
Date: H FJ Inspector:
DO NOT REMOVE THIS NOTICE
i
INSPECTION RECORD OccupancylTVpe
INSPECTION LINE: (303) 234-5933
x. Inspections will not be made unless this card is posted on the building site
{
Caall boo receive inspection the following business ay.;
t
3
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 SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground):
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED:
c.
` ROUGHS
Sheathing
n:
Lath / Wall tie
Mid Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
' Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
' Insulation
" Drywall Screw
i
g
0.
W
FINALS
Electrical
/~`e Y
Ae,--
Plumbing
Mechanical
Roof
Building Final
Fire Department
R O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
'CERTIFICATEOFOCCUPANCYISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OF A:CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
OFwHE'?lR City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
o !m
Office: 303-235-2855 * Fax: 303-235-2857
c o Inspection Line: 303-234-5933
OCORPO
Date:
Plan
Permit
Building Permit Application
Property Address: -399e) J A i
Property Owner (please print): 12~EEjR Phone:/6 ZlC ~7~5
Mailing Address: (if different than property address)
Address: : ~ 99(D f1j,y S)`-
City State Zip: LO E A-7- b ]ACr4f ~6
Contractor: ~rt L~jL t-z~cl- 0 C-
Contractor License 3631
Phone: S-06 -n
Sub Contractors:
9Z-100Y
Lic
n
i
l Cit
#
M
h
#
Plumbing City L
Electrical City License r
an
ca
y
e
se
:
ec
icense
:
Company: 131v45 ei^E4:~71-ktc Company
Company:
Exp. Date: Exp. Date:
Exp. Date:
Approval: Approval:
Approval:
Use of space (description): ~G~ b~ Sey~JyC
Construction Value: $ /S~9d
Description of work: Td Z s w /r( / i
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's
Gallons Amps ZG°-qe)
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: ~~(~~OgWqNER) (CONTTfRACT R) or PERSONAL REPREESEN VE of (OW ER ( eTRA R)
PRINT NAME: Wi l-C 1.4A1 PC IC6 SIGNATURE: 'l Date:
A 41 f itv of Wheat Ridap
S
CbwY.
oeW"Eqr~ City of Wheat Ridge Building Division Date: bq
° 7500 W. 29th Ave. Wheat `Ridge CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
cOto,~no°. Inspection Line: 303-234-5933 Permit #:O ROD,
Building Permit Application mvrt4,
Property Address` '3 2,io Pe',4 ,
Property Owner (please print):Eo yi r e, .`dL < n -ty, Phone: 7- tr)G d - 3 ~D ( f
Mailing Address: (if different than property address)
Address;
City State Zip.
Contractor' + E ~2Cc`
Contractor License ft: Phone:
H (Q; ~f~ea
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ C!5-0 5-
. (as calculated per the Building Valuation Data sheef)I-. r<<
Description of work: "rOct
Plan Review (due at time of submittal): $
Sq. F~/LFtadded- $ Iquares BTU's Gallons Amps
OWNER/CONTRACTORSIGNATU RE 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 Ihave 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 (LB.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESE TIVE;fZ((y~~~/~/~/~~EER))((CONTRATOR)
PRINT NAME: ~ r°F^~ t tn; /C6, SIGNATURE 5 •'\l°Dater'
ZONING COMMENTS:.
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT:: 0 approved wl comments ❑ disapproved 0 no review required
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at
'? cMO
\....).4,/ < f
/
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:
,) j..-[/#'M/J1l! I
) /1 I '
Y 1"6' /Jp.- ii,
d; F <
,J/of",,1
,I. f 1..-1< I. .,
/'
p /:h<;~../' IbOO'/
/ < I
.pIer I Y. C.v1l.
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date 5/~9;//)-r,
/,.--J ~-
, >
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6.22
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 15485
Date: 5/8/2003
Property Owner: DALEY
Property Address: 3990 JAY ST
Contractor License No.: 18183
Company: C & M Construction & Roofing
Phone:
Phone: 657-0647
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 respon . 'lity fa compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applica ge ord' r work under th~'U.-;
(OWNER)(CONTRACTOR) SIGNE DATE . t'
Total:
$2,500.00
$108.30
$0.00
$30.00
$138.30
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
REPLACE PATIO COVER (28' X 8')
~r'1 _
J lC!Sn'i }
... ...
BUILDING DEPARTMENT USE ONLY
Zoningr~pmm,:imIT
Approval
Zoning
~rrlldi..smml!nl~~
Approval OM
p~li~wQ'r:&~Comm;ft~:
Approval
Occupancy: Walls:
SIC:
Sq. Ft.
Roof:
~/~fs'ea.eNote:
Illes 8lId con.tllu . resPonsible r.
aPProved I cting imprOve or locating Pro
The City iS~:r:nd required de':e~:rs according l~f:>'
submitted,,. h. spons/ble fur: pmenr standa d e
\ 1t III the 1 ,naCCurat. r s.
'rrors resuJt' , ' P an Scl and e mfol1liatio
.Ins from' 1 any con tr . n
inaccurate' r .is UCiJOn
EnlQrrnation
Stories Residential Units: .
OK. 5/8/03
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (6) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one.half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issua 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
prov.isi of e b '1 ' des or any other ordinance, law, rule or regulation.
Building Permit Number:
Date:
CO~TYDEVELOPMENTDEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
. APPLICATION
~(!J
3'9;;:CJ 3~ :> 7
(~I ;i-I (cf)[t:r!J{(('ttO'I
J fi/I Y3
~~. 01 ~H(Ar .",
~ 0
- "
u ~
COt ORJl..QO
Property Owner:
Property Address:
Contractor License No.:
Company:
Phone: "D P+ T
I ?V/.on?.7~-t.f5?
C~l W
Phone:3o.) b.>7-<7? cr;fyJ1ot.~
OWNERJCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:$ -< S'deJ.
,
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$,z 7-VU' v<
/
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 orrestrictions 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 fOT compliance with the Wheat Ridge
Building Code (U.B.C) and all other applic Wheat Ridge Ordinances, for work under
this ~ennit.
-DA~
(OWNER)(CONTRACTOR): SIGNED
DESCRIPTION:
If -p// vee 13.t.~ CcN~
/ .
? f X i D <<--'t-j;, lea! '1/;t ~ t7lJ' '4 t k
~/[/
BUILDING DEPARTMENT USE ONLY
SIC:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS: , J~ f),
Approval: ~ orr-. ~ n1Y3
PUBLIC WORKS COMMENTS:
Approval:
Residential Units:
Stories:
Roof:
Walls:
Occupancy:
Mechanical License No:
Company:
Plumbing License No:
Company:
Electrical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(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 theZoning
Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not conunenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided nO changes have been or will be made in
the original plans and specifications and any suspension or abandonmenthas not exceeded one (1) year. Ifchanges have been orifsuspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit
(4) No worlc.ofany manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspectortwenty-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 pencit 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 ding codes or any other ordinance, law, role or regulation.
6197
Building Guide
Colorado Chapter of the International Conference of Building Officials
How to Use this Guide
At least three completed documents must be provided to apply for a building permit:
1 Complete Uti. Building Guide by filling in the blanks on page two, and indicating
which construction details will be used.
2 Provide a Aoor Plan (site plan) showing dimensions of your project or addition
and its relationship to existing buildings or structures on the property and the distance
to existing property lines.
3 Fill out a building permit application.
The majority of permit applications are
processed with little delay. The submitted
documents will help determine if the
project is in compliance with building
safety codes, zoning ordinances and other
applicable laws.
/
,
n (~-'-.-,
v 'Yy
~
c--
~""
The Colorado Chapter of the International Conference
of Building Officials is a professional organization
seeking to promote the public health, safety and welfare
relative to building construction.
We appreciate your feedback and suggestions. To obtain
a master copy of this Building Guide, please write to
Colorado Chapter of the International Conference of
Building Officials, P.O. Box 961, Arvada, CO 80001. __'
This handout was developed by the Colorado Chapter
of the International Conference of Building Officials as
a basic plan submittal under the 1994 Uniform Codes.
It is not intended to cover all circumstances. Check with
your Building Department for additional requirements.
City of Wheat Ridge
Building Division
7500 w, 29m A venue
Wheat Ridge, CO 80215
(303)-235-2855
"~' .H[.,1'/
,~ 0
- G
U ~
"OLOR!>sf':-
1
6/97
Single Family Residential Patio Covers &: Carports
IIrecUons bm'
1. Fill in the blanks with dimensions and materials which W/. ~ :r~ 'f 'i"T
will be used to build the structure. Please print legIbly. ~~ -'7.~
2. Indicate in the check boxes which details from page 3 will be used. Please note if any of the sides of your
carport addition are closer than 3'-0" to the property line, that side of the carport must be enclosed with a
solid 1 hour fire rated wall as shown in Alternate Details Band C. You must however, keep at least two sides
of the carport open to conform to the building code requirements. A zoning variance may be required.
Roof coverin
12
pitch 13
.................
'.
".
.
.
.
.
".
'.
.'
..... ..........
Existing
building
<:tOetall A
o Alternate A
(see page 3)
Maximum
rise 8"
at door
J
Underlayment ~ >/6
(example: 2/ayers 15# felt)
Sheathing
(ex
l,p5-
2x~rafters spacerl'J'i" a.c.
(exampJe: 2 x 8 rafters spa.ced'2J';tc.)
Overhang
(::0~"x /O"beam
(example: (2) 2'x1O")
.
.
... ........
... ..
.
",
"
.
.
..
"
........
-1(/}A( 6<..<5eJ{, /I",..k
Span / 0
(example: 10'-3")
Slope
~"x~"posts
(exSmpJe: 4"x4') II
spaced 9 apart
(example: 61
Siding
(for Alternate 8 only)
Concrete Slab
Minimum Diameter Pier 8'
.. 31_OR
. : minimum
~ . :--.L
. .
.. r. -- ~..
.' .
.,. ~.. -...
, ,
......
Footing L"X~"
(for Alternate C only)
This handout was developed by the Colorado Chapter of the
International Conference of Building Officials as a basic plan submittal
under the 1994 Uniform Codes. It is not intended to cover all
circumstances. Check with your Building Department for additional
requirements.
2
6197
Single Family Residential Patio Covers &: Carports
Detail A
Alternate Detail A
Existing roof rafters or trusSes
Galvanized metal joist or rafter hangers
c:Extend underlayment Nom
new roof a minimum of 18"
onto existing roof
Lap underlayment a minimum of 1S" under existing roofing fefts
Solid 2x
blocking
\
\
Cont. 2x ledger )
Remove existing fascia
Secure to wall with 4'/," x 318" bolts @-16" O.C.
Locate botts to penetrate top plate or studs
Note: Remove brick veneer or siding at top of
wall before installi'1l1 "'l(ltinuo~s 2x ledger
~
I
\
'-------=-- Existing Roof
ConI. 2x6 secured to existing roof w/4'12"x31S" lag
bofts at each rafter or truss
Solid 2x blocking
Alternate Detail B - One Hour Wall
Exterior siding
Solid 2x blocking 2x cedar or
redwood facia
)
lS/8' exterior gypsum
board soffit
Galvanized metal
post/beam connector
':\
5/8" type "X" exterior
gypsum sheathing
Galvanized metal post/beam
connector
Infill between posts wI
2x4's @ 16" C.C.
Alternate Detail C - One Hour Wall
8" minimum
diameter
concrete
caisson
~
Galvanized
column base wI
1" spacer to
concrete
Bottom plate shall be treated
wood or Foundation redwood
Infill between posts
w/2x4's @ 16" C.C.
Minimum31/2") I..
concrete slab ~
Minimum 3 1/2") 11"
concrete slab L
Galvanized column
base wI l' spacer
to concrete
31.0"
minimum
~
Tie slab to
foundation wI
2'-0' x 2'-0' #4
bent rebar
I- 8" 'I
Check local
building
department for
swelling soils.
caissons may
be required.
I
31.0.
minimum
.-L
l!ooting
II
II
This handout was developed by the Colorado Chapter at the Intemational
Conference of Building Offk;ials as a basic plan submittal under the
1994 Uniform Codes, It is not intended to cover all circumstances.
Check with your Building Depan.ment for additional requirements.
3
I
I
I
I
I
o
~
~
C~~
::
...
oj
JI i::
~~
:1 ~
...
nm LOCnlON or THE JlI!9IIIDICB
IS ",iPPJI.OIDU.IB"
I.ND IS _ llJ>ON CO_TlON
OF OCCuPA110H LDlBS BD Sl'RIRT
DlPROYEKIHTS
(NO JfARKS OR JlONUJaN7S 1ITU FOUND)
lJJ/U'lfUy'lSMENT LOCA C 'GATE B UN rAl 'IES
'AN AC'fU.AL UNlI SURVEY J IFF. rS)
If. 40TH AVE r:.. COl.OIUDO ur yOU IlUS1' PRi SlONAL 1.0 SURV 'ORS
o INa' ANY ACrIIJN &.SIll /JPO/i ANr 3300 mR all., 11 ~UBORA, B001<l
52.90' rlUms ~z.oam>N l3Il2D'1C.lnr BUS: _-11133 FAX: (SOS) 1I1IlI-1I189
r 4 ~.3~ 'f:: .=:=- ~ JOB NO: JAY-3990
.: NY -.cr IN III'JI"RWlI'UtJl:(:noJf BORROlfER: DALY
~ Dftlfc.tft n _ IfOJlI' :nww 10 l'&UIS
.. _ ru "''1'2 (1f' 1m CIlII!DI'CAftDN _ BIlION.
OJ5';t ",. CERTIFICATION
~ MI I .IIIII8r c.amrr 1IlI.l IIfJIJlmPDDf'I' I.OC.tr.ION CJrBftII'.IC.U' as PRSP.tJWI' FOR:
...... RraN ,,_~ ~GB
~ ./ ~. nror IT IS IWI' . SOl LI' GII __ smmrr PUr JIID ....r IT IS
...... I NOf'ro.._m 1IIll~or_IIIIIUIllfGQI
, " .. . ...... ~ _ 'UIlJIB. I ~ aamrr....r _
~ .'. ~}I ..... _ Off 1'1 I _......_~. p.uarr, 0If Ot/OI,*"", DCIP2'
r....l\3 If "'. lIIIUIT~........._rll'mlllf__""_P_
vJ. Cl ,~~ _AS_.~__M>__""""_OIf1!m
Ioo.:l' .'. :-" -"'_~AS~-'>>ID_IllHO__
: -::I 0 ,,,; : I' 0 ~ 10 .ur .ma:n. -- .11lllKa GI/ B1CN (1f' ANr _ .- ... lIUJlJHflIJMIONr PU!7 or
~ 0 ,'._ i ,~ i O' _P.......Illl::I:PrUMITD. ftIIScmmm:.mr__~..u"'.
~ .. '.:IrJ.:'"J E .. tDf 4. BLU:I SVBDl1'mI'ON. COUNJY 01 mu.a.t.aCJI TO DI'InIIIJC o..riDSJfD' QI'.IASDII'M W'DCOBD NOT
~. . :. '..:. Ii... .ar.l'~. SJ:U'JJ' OP COl.O&&DO. Cf.MJIL.T SIII1ftf ON nrr..llDCOllDCD pur. AU.16SDIBI SI!fOD.dI' PD nil
...... ~ .- __ UCOBDD PUr r.JM.BS! U1~ BT.AftIJ. 'JIll' PBOI rr DIl!iaIDID
.. -J '-'ww-u'" I'D UNIJI:II. mu ClMIIIInfKN'l' __ ( ) IS lI:I IS NOr m'II1N . SPBCUJ, J1.IlllD &l . BKIImdY IN
l-.:J 1f<1'I PJI/} ~ ImJf 2D _ ClIIIJID7 >>ID .,..AIUllfJI lOll _ lWW
.-::1 1W'_G2/IUII__COJ/IlllIIIIPI'P'-'~ __OOOIlC
l21li .Cl.'llNCY or _ PLO<lJ) _ IS HOr . l'MI!r or mPJCAft'OH.
LEGEND
_ __ . ROllP
1I't~ ar~
GII' .... ... Dr,l>>Cllr.... I
m ..... . -... ~\\\
11'0'" It& ...- . ~~~~.
,.........,~ ~
... ~ CIIIf QJaID ')..; .
JIll .... C. w..-r ~...
tm. __ '1'. -..-......-r : ~'f"
AC IUCII'MI . . ....... ......,. : . ~
,. r.r._ V~ vmrrr..-r "~
I/Iff ......,. :t .... II o.
m .I'iIIIf . .... . .... :::-<. ..
,..... CIOI!l:lf:e'
ctI cat.. IInl2 . .
~.I4
I; -.' ~. .
,52.90'
30 0'" 30
EEl I
GllAPHIC SCALf; - FEEl'
60
90