HomeMy WebLinkAbout3232 Nelson StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Date: Thursday, November 4, 20215:23:53 PM
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 83232 Nelson St. Wheat Ridge, CO. 80033
Property Owner Name Brenda Ching
Property Owner Phone 720-988-4504
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
bching@internalassist.com
CONTRACTOR INFORMATION
Contractor Business High 5 Plumbing
Name
Contractor's License 120216
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
Number of gallons
0181BUT,SI§lN
permits@high5plumbing.com
permits@high5plumbing.com
1.9181
Is the water heater GAS
GAS or ELECTRIC?
If GAS, enter # of 40,000
BTUs. If electric, enter
n/a
Where is the water Basment
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract $5,181.14
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 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.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Levi Torres
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
V'r
E -Res. A/C Replacement PERMIT - 2.01901231
PERMIT NO: 201901231 ISSUED: 06/14/2019
JOB ADDRESS: 3232 Nelson St EXPIRES: 06/13/2020
JOB DESCRIPTION: Replace 3 ton, 16 SEER AC unit in backyard with rehook; replace 70K BTU,
80% eff gas furnace in basement
*** CONTACTS ***
OWNER (303)710-1606 CHING GREG
SUB (303)466-4209 ROSALIE COOPER 018111 COOPER HEATING & COOLING
SUB (303)466-4209 ROSALIE COOPER 018111 COOPER HEATING & COOLING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 9,398.00
FEES
A/C Replacement
60.00
Furnace Replacement
40.00
Total Valuation
0.00
Use Tax
197.36
** TOTAL **
297.36
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
City of Wheat Ridge
E -Res. A/C Replacement PERMIT - 201901231
PERMIT NO: 201901231 ISSUED: 06/14/2019
JOB ADDRESS: 3232 Nelson St EXPIRES: 06/13/2020
JOB DESCRIPTION: Replace 3 ton, 16 SEER AC unit in backyard with rehook; replace 70K BTU,
80% eff gas furnace in basement
I, by my signature, do hereby attest that the work
0'e 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 a11 authorized to obtain this permit and perform the work described and approved in conjunction with
this�ppermit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
pertbrmed and that all work to be perrmeisdisclsed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of�aa permit
�shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordioatWe r egula o of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
q01 0-�3
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 13, 2019 3:58 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Residential Replacement Air Conditioner/Evaporative Cooler Permit
Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential replacement
AC or Evaporative Cooler
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
3232 Nelson St.
Greg Ching
303-710-1606
bliddicoat@gmail.com
chinq permits.pdf
CONTRACTOR INFORMATION
1
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
COOPER HEATING
018111
720-361-4245
Contractor Email Address kdaniels@coopergreenteam.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of replacement
unit are you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located
(for example, rooftop,
backyard on ground etc)?
kdaniels@coopergreenteam.com
Replacement Air Conditioner
3
16
backyard
Is electrical needed for re- Yes
hook?
If electrical work is being 018111
performed, you must
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
Project Value (contract 4997
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
z
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 been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Kathi Daniels
Permit
Email not displaying correctly? View it in your browser.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 13, 2019 3:54 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
3232 Nelson St.
Greg Ching
303-710-1606
bliddicoat@gmail.com
china permits.pdf
CONTRACTOR INFORMATION
Contractor Business Cooper Heating and Cooling
Name
4
Contractor's License 018111
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-361-4245
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address kdaniels@coopergreenteam.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of unit is being
installed?
Number of BTUs
What is the efficiency
(%) of the unit?
Is the unit GAS or
ELECTRIC?
Where is the furnace or
boiler located (for
example, basement,
crawlspace, etc)?
kdaniels@coopergreenteam.com
Furnace
70000
80
gas
basement
Project Value (contract 4401
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 work Yes
may not begin on this
property until a permit
5
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Kathi Daniels
Permit
Email not displaying correctly? View it in your browser.
PERMIT"/9(/)t9A Q ADDRESS: -�2, A )e "sem �. JOB CODE:
Rough Inspection continued
g p
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler/ Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
/LZY
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day cf the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: Z�/'� 09 () ADDRESS: AIAT, - JOB CODE:
Foundation Inspections
Date
Inspector
CommentsInitials
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground 1 Slab Inspections
Date
Inspector
CommentsInitials
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
B
Do Not Cover Underground or Below / In -Slab Work Prior To Approvai UT i ne ADove inspecuvns
Rough Inspection
Date
Inspector
Initials
Comments
.301 Rough Framing
Wall Sheathing
Roof Sheathing
'heer Inspection
g. ^. isulation
30F wild -Roof
B
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
ono AnnITIONAL INSPECTIONS
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: qoc Of
Job Address: 3 �-3 I IVP ]Son r
Permit Number: �11/0
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes oNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: / / 0// Inspector: PI f ! ff
DO NOT REMOVE THIS NOTICE
44, CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: qac,jo)F
Job Address: 3d -3d- so5 0 4 5,/,
Permit Number: ?-01_7o0'1-9-11C)
❑ No one available for inspe ion: Time / AM/PM
Re -Inspection required:Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: / / a Inspector: K H
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
®
Residential Roofing PERMIT - 201702240
PERMIT NO: 201702240 ISSUED: 06/20/2017
JOB ADDRESS: 3232 Nelson ST EXPIRES: 06/20/2018
JOB DESCRIPTION: RESIDENTIAL RE -ROOF W/ OWENS CORNING ASPHALT SHINGLES - 15 SQ.
*** CONTACTS ***
OWNER (303)435-4752 LUCERO HELEN A
GC (303)819-2792 John Theodorakis 170198 Lumin Systems
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00
FEES
Total Valuation 0.00
Use Tax 105.00
Permit Fee 125.05
** TOTAL ** 230.05
*** COMMENTS ***
*** CONDITIONS ***
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 k/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€rms 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201702240
201702240
3232 Nelson ST
ISSUED: 06/20/2017
EXPIRES: 06/20/2018
RESIDENTIAL RE -ROOF W/ OWENS CORNING ASPHALT SHINGLES - 15 SQ.
'b'
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 ermtt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding
Official and may be subject to a fee equal to one-half of the originalermit 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 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 al] required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or grant' of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or or ance or regulation of this, jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time-u.q.gestwil>�,]�eptebx a ail nlyy_>�� ail 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.
Kimberly Cook 2 L
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 12, 2017 1:11 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 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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
3232 Nelson St
Helen Lucero
303-435-4752
helenlicero77@yahoo.com
Yes
CONTRACTOR INFORMATION
Contractor Name Lumin Systems
Contractor's License
170198
Number (for the City of
Wheat Ridge)
Contractor Phone
303/819-2792
Number
Contractor Email Address
john@luminsystems.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
john@luminsystems.com
Address
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
Owens Corning
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
15
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
15
roofing material for this
project
N
Provide additional detail Residential reroof
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 5000.00
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
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 John Theodorakis
Email not displaying correctly? View it in your browser.
3
33455 Meadow Hill Lane
Elizabeth, Colorado 80107
LUMiN info@luminsystems.com
GENERAL CONTRACTORS
Phone &Fax: 888-90-LUMIN(58646)
GL Info: MHIA 303-975-6133
Helen Lucero
5-17-17
5-8-17
Customer
Date
Date of Loss
3232 Nelson St
303-435-4752
8-17
Address
Customer Phone Number
Approximate Date of Service
Wheat Ridge
80033
HelenIucero77@yahoo.com
City
Zip
Customer Email Address
Roofing Damage
❑✓
Window Damage
❑
Attic Damage
❑
Siding Damage
❑✓
Screen Damage
❑✓
Interior Damage
❑
Gutter/ Down. Damage
®
Stucco Damage
❑
Visible Mold
❑
Paint damage
®
Deck/ Patio Damage
®
Emergency Repair
❑
Lumin General Contractors, LLC ("Lumin") will invest its time and expertise in assisting the property owner with the insurance claim. This proposal is
contingent upon the insurance company settling the claim with the assistance of Lumin and will be void ab initio if the claim is not approved by the
insurance company. The insurance company and LUMIN will determine and set the price and scope of the claim. LUMIN is authorized to invoice the
insurance company for additional repairs/ supplements, as necessary. The property owner and LUMIN will agree to the work as specified on the
insurance adjuster's claim summary. This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and does not obligate the property owner or
LUMIN unless repairs and payment are approved by the insurance company. By signing this agreement, the property owner agrees to use LUMIN as
its restoration contractor to complete the insurance scope of repairs. In the event the property owner cancels this agreement after insurance approval,
the property owner shall pay LUMIN a fee based upon work performed and expenses incurred for parts, materials and overhead. The property owner's
initial out-of-pocket expense is the insurance deductible. Any expense over the deductible will only apply in the case where: (1) the property owner
wants to upgrade product; or (2) property owner's insurance policy only covers the actual cash value of the loss (if property owner carries an ACV policy
they will be responsible for the non-recoverable depreciation amount), or (3) Property owner's insurance policy does not include "ordinance and law"
coverage. If the property owner does not have "ordinance & law" coverage, the property owner will be responsible for all costs not covered by the
insurance settlement of complying with current government laws and codes.
CANCELLATION POLICY: LUMIN shall invest substantial time and resources in preparing to perform the scope of work described in this agreement
and shall suffer losses if the property owner cancels the work. Therefore, the following cancellation policy shall apply in order to partially compensate
If the cancellation occurs:
Following the initial consultation with the property owner
Following property inspection by LUMIN
Following preparation of estimate
Following LUMIN's consultation with insurance adjuster
Following settlement with insurance company
Farmers
INSURANCE COMPANY
3008636286
CLAIM #
PRO TY OWNER
LUMIN for such preparation work.
Then the property owner pays LUMIN:
$0.00
$0.00
$50.00
$200.00
10% of total settlement
844-818-0459
INSURANCE PHONE EXT.
20000
Appr7�r
'roject (This is not a set price, just and idea)
5-17-17 5-17-17
DATE COMPANY REPRESENTATIVE DATE
If ACV policy, the
contract will be Thank You!
void with no
penalty!
INFORMATION PROVIDED BY PROPERTY OWNER; COVENANTS. The property owner warrants that all information provided to Lumin General
Contractors, LLC (hereinafter referred to as "LUMIN") is complete and accurate to the best of the property owner's knowledge, i t being understood and
agreed by the property owner that LUMIN is relying upon property owner's information in the preparation of this agreement and the performance of the work
described herein. The property owner represents and warrants to LUMIN that he or she owns the premises described in this agreement and has the authority
to enter into this agreement without any other consents. It is the responsibility of the property owner to obtain approvals required by their home owner's
association or other group with jurisdiction over the property.
STANDARD OF CARE. The services provided by LUMIN in connection with this agreement shall be performed in accordance with generally accepted
principles and procedures, consistent with the level of care and skill ordinarily practiced by roofing and restoration specialists currently providing similar
services under similar circumstances at the time the services described herein were provided. The property owner shall provide LUMIN written notice of any
claim or default under this agreement. LUMIN shall then be afforded the opportunity to inspect the premises and respond to the claim either by making a
monetary settlement offer or offering to remedy the construction defect in accordance with applicable law.
ENTIRE AGREEMENT; INTEGRATION; GOVERNING LAW. This agreement is the entire agreement between the parties concerning services to be provided
to the property owner by LUMIN and replaces and supersedes any prior or contemporaneous negotiations, oral representations, agreements or
understanding among or attributable to the parties hereto. No verbal agreements of any kind will be honored by LUMIN. This agreement and all
performance thereunder shall be governed by and construed in accordance with the laws of the state where the property is located. If the property is
located in the State of Colorado, LUMIN and property owner hereby expressly agree that any and all claims arising from the work by LUMIN shall be subject
to the rights, remedies and procedures set forth in the Colorado Construction Defect Reform Act, C.R.S. section
13-20-802 et seq. If any provision of this agreement is held to be invalid or unenforceable by a court of competent jurisdiction, the validity of the
remaining provisions shall not be affected thereby. The terms and conditions set forth herein are hereby integrated into all agreements by and between
LUMIN and the property owner, whether or not explicitly stated therein.
MISCELLANEOUS. Finance charges of one and one-half percent (1.5%) per month will be added after thirty (30) days of completion if the charges
incurred under this agreement are not timely paid in full. If collection and/or legal action is taken by LUMIN in connection with this agreement, LUMIN shall
be entitled to reasonable attorney and court fees and costs. LUMIN reserves all its legal and equitable remedies for non- payment, including, without
limitation, the right to file a lien against the property. All excess materials shall be the property of LUMIN. Performance hereunder by LUMIN is
contingent upon labor strikes, material shortages, accidents or delays beyond the reasonable control of LUMIN. This agreement may be canceled by
LUMIN within 30 days.
LIMITED WARRANTY. Lumin General Contractors is not a manufacturer. If any equipment or materials are used or purchased by LUMIN for use on-site,
the manufacturers' warranties, if any, of the equipment and materials are provided solely by the manufacturer. LUMIN provides a two-year
warranty on LUMIN's workmanship, subject to normal use and conditions and the other terms and conditions set forth herein. The following
conditions are unrelated to LUMIN's workmanship and are excluded from warranty coverage: damage caused by settling of the foundation or
the premises, fire, misuse, maintenance failures, lightning, windstorm, hailstorm or other weather conditions or casualties. Unless LUMIN's scope of
work includes such areas, LUMIN is not responsible for any damage below the roof; liability is limited to the roof repair only. LUMIN is not responsible for
damage caused by improper original construction, faulty framing, wiring, plumbing, masonry, drywall cracks, bracing, roof decks or pre-existing
conditions. LUMIN is not responsible for decayed siding, paint and sheetrock damage caused by vibration or otherwise. LUMIN is not responsible for
damaged electrical cable, air conditioning or plumbing lines which are installed within six (6) inches of the roofline. LUMIN is not responsible for any
structural movement, settling, vibrations, cracks in drywall or driveway due to the roofing or loading process. During the normal course of work, it is
possible that dust and dirt may infiltrate into the attic space during installation or removal of roofing tiles, particularly slate and underlying felt. LUMIN will
not be responsible for clean-up of attic space or any other interior areas. It is the responsibility of the property owner to notify LUMIN if the premises contain
exposed decking such as cathedral ceilings so that proper length nails can be used.
LUMIN's limited warranty for roof work is conditioned upon the property owner's performance of general roof maintenance, including the matters set forth
herein. Please be advised that the accumulation of leaves or pine needles in gutters or roof valley produce what is commonly referred to as "water dam,"
which can force water under the roofing and produce leaks through the roof structure. These leaks can travel along roof joints, etc. and produce interior
damage at points far distant from the leak. Water dams and ice dams are the responsibility of the property owner to prevent. Adequate ventilation is
necessary to keep attic temperature close to outside temperature, helping to prevent the deck delamination at the roof and the formation of ice dams in
gutters and valleys. Adequate ventilation is essential to the life of asphalt shingles. Inadequate ventilation may result in moisture condensation and
can cause rotting of the wood deck and/or blistering or curling of asphalt shingles, which is not a defect in the shingle, but is a direct result of moisture being
drawn through the shingle by the sun. Installation or relocation of antennae or other equipment on the roof may cause leaks unless proper sealants are used
at any point where screws or other anchoring devices enter the roof. Avoid all unnecessary roof traffic, particularly on concrete tiles, as it can damage tiles and
greatly diminish the life of the roof. Leaking can occur in or around the chimney, unless it is periodically tuck -pointed. The flashing compounds around the
chimney and vent pipe areas require normal maintenance on an annual basis. These areas should be inspected periodically for cracking or indication of
weathering and must be reflashed accordingly.
SB12-38: 1. LUMIN does not claim to be or act as a public insu rance adjuster adjusting claims for losses or damages. 2. In accordance with Colorado
Revised Statutes (C.R.S.) Section 6-22-105, LUMIN may not pay, waive, or rebate, or promise to pay, waiver or rebate, all or pa rt of your insurance
deductible. 3. Pursuant to C.R.S. Section 6-22-104, you may rescind this contract within 72 hours following your receipt of notice from the insurance company
that your claim has been denied in whole or in part, unless the denial was related to a request for supplemental roofing services if the damage requiring the
supplemental roofing services could not have been reasonably foreseen as a necessary and related roofing service at the time of the initial roofing inspection
by LUMIN or the execution of this contract. 4. LUMIN shall hold your payments in trust until the delivery of roofing materials to your site or until
LUMIN has performed a majority of the roofing work described in this contract.
rk
t
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: \A X��
Job Address: 3,139, K)
Permit Number: :;X'b t -7 u a- 7- d
S A i N
3s PL Fe� m�
❑ No one available for inspection: Time ZL GUAM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
'
Date. �f
dg
s
O;OrWh6atl le
COMMUNITY D V LOt'MEN PlaWftnnif
Building & Inspection Services Division c 'l 0 all
750 . 2e Ave., Wheat Ridge, CO 80033 Plan Review
Office: 303-235-2555 * Fax: 303-237-8 929
Inspection Line: 303-234-5933
Email: g[mits ci.wheatrid e.co u
Building Permit Application
* Please complete all highlighted areas on both sides of this form. lncompjelelloatioasmay not be, processed.
Property Address:
Property Owner (please print):HeZlel one:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip
Arch tectfEn one r E-mail: Phone
Costa rtrir-
c4�
"
Electrical; Plumbing: Mechanical:
W.R, City License # W,R, City License ## W.R. City License '#
Other City Licensed Sub; Other City Licensed Sub;
City License # City License #
Complete all information on BOTH skies of this form
111 M i 111 1M t • ID i b•.. • • i
!. � i • 111+ i tllr IR i R1. � • N j
av V6A101. VA 4ricsr4f1av7 i 4di.,'i a.78r 5Ay &v+�
S''0 v
Sq, FULF Stu's Gallons w .
Amps Squares Other
FOR OFFICE USE ONLY
City of
Date:
Wh6at le
idg
COMMUNITY DEVELONAENT"�'
Buildings & Inspection Services Division
7500 W.29th Ave., Wheat Ridge, CO 80033 Plan Review
Office: 303-235-2555 * Fax: 303-237-5929
Inspection Line: 303.23* -5933
Building er it Application
Mailing Address: (if dffferent than property address)
Address.
+iii Mate; i
Arc
ht+ ng r E-mail.- Pio
+Contractor, r �� .
Contractors Citi license #; pleb
Contractor E-mail car+. '
Sub Contractors,
Electrical: Plumbing: Mechanical:
W.k City License # W.R. City License # WR City License
Other City Licensed Sub: Other.City Licensed Sub:
City License # City License
Complete all information on BOTH sides of this form
Sq. FULF tu's Gallons
Amps Squares Other
14002/002
INSPECTION RECORD OccDDancv/TyUe
® 'INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
CITY OF 01EAT RIDGE
18127/89 _ 2.30 PH edbti
da®e5 R'191isel --
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIAL$
COMMENTS:
Footings /Caissons
__ ,.
- Aereit Feb _
Stemwall t (CEG) Concrete
Encased Ground
Use Tax-....- ....
101.95
- PAYIRT -RECEIVED .....
Reinforcing or Monolithic
VS 4224
Ruth Code'',r 7"
... ........818457...__...._....... - - ..._.- _..._..._.._._....
Weatherproof I French Drain
TOTAL
TOTAL
_..__.. -_,..-
264.95
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
ROUGHS
I.OVUIII 1V
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
Parking & Landscaping
"NOTE: ALL ITEMS MUST
CERTIFICATE OF OCCUPAI
PRIOR
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
ANNING AND ZONING,< BUILDING AND PUBLIC WORKS SEFOREA
''' N7,U" `,ING DIVISION DICES NOT CONSTITUTE AUTHORIZATION
CITY OF 01EAT RIDGE
18127/89 _ 2.30 PH edbti
da®e5 R'191isel --
__ _
RECEIRT NO:CDB083k40 . -..
ApOUNT .
DPSP Reroof 32 sqs
264.85
093647.
__ ,.
- Aereit Feb _
162.90
Use Tax-....- ....
101.95
- PAYIRT -RECEIVED .....
AOOURT
VS 4224
Ruth Code'',r 7"
... ........818457...__...._....... - - ..._.- _..._..._.._._....
TOTAL
TOTAL
_..__.. -_,..-
264.95
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
ANNING AND ZONING,< BUILDING AND PUBLIC WORKS SEFOREA
''' N7,U" `,ING DIVISION DICES NOT CONSTITUTE AUTHORIZATION
e ` A s CITY OF WHEAT RIDGE
® Building Inspection Division
(303) 234-5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: fi -a <
Permit Number: 3✓ y ?
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When correc have been made, cart for re- inspection at 303 -234 -5933
Date: Inspector.
D r/ O NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
f (303) 234 -5933 Inspection line
r (303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: �Z32 i/n /n�Sf
Permit Number: �9.36y
r.
r
i
No one available for inspection: Time 12.10 AM r,�I
Re- Inspection required: Ye No
When corrections have been made, call for re inspection at 303 - 234 - 5933
Date: :3 i2 -1 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: cP X-24)04-
Job Address: 33
oZ ~'~tca
Permit Number:> ~f
No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
*When correchons have been made, calf for n e-4 nspectfon at -3-03--23-4-4-93-3-
Date: Inspector: 6' 2,7
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ssfi~>=
Job Address: 3,232 a6~LSa sr
Permit Number: e9'~677
❑ No one available for inspection: Time 0 AM/V--.)-
Re-Inspection required: Yes, " No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: .111101, 9 Inspector:
DO NOT REMOVE THIS NOTICE
4' CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ;I,J~'~., i r? is
Job Address: '5~~ a ~ ~If'4",/"., (f
Permit Number: (01(r,177
f~ f
t'f t,f`J`<t,M~?Y-^ FV1P? br 4?i?i T'l~C ff ijA./ '
~i UA[/rll" 57v S>~G-fl y ~L
❑ No one available for inspection: Time Sri AIV} PMT
Re-Inspection required: Yes No
When corrections have been made, call for r, -fns action at 303-234-
Date: Inspector:,"
- v
DO NOT REMOVE THIS NOTICE
" , City of Wheat Ridge
Faxed Roof Permit PERMIT - 093697
PERMIT NO: ?093697ISSUED:' 10/27/2009
JOB ;ADDRESS;3232 NELSON STEXPIRES: 04/25/2010
DESCRIPTION:: Reroof 32 sqs
CONTACTS
owner 303/358-3988 Tom Evans
sub 303/699-7999 James Mosel' 08-0268 Trinity Roofing
**PARCEL INFO
ZONE CODE: UA MUSE: UA
SUBDIVISION:! 0647: BLOCK/LOT#: 0/'
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,664.00
FEES
Permit Fee 162.90
Total Valuation .00 ~frT(,6v)~q g
Use:. Tax 101.95
TOTAL 264.85
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED.
6 nail installation mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exteriorwalls.
***Contractor/Property owner shall provideladder(s) secured in place for'.
inpsections.:
Subject to field inspection.' b
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 withthe Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to 'field inspection.
Signature of contractor/owner date
1. This permit was issued in accordance with the provisions : set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received :prior to expiration
date. An extension maybe granted at the discretion of the Building Official(
3. If this permit expires, a new permit may be acquired fora fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment ` has not
exceeded one (1) year. If changes have been or if suspension or abandonment: exceeds one (1) year,i full fees shall
be paid for anew permit.
4. No work of any manner shall be done that will change the-'natural-flow-of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.`
6. Theissuance of a permit: or the approval of drawings andspecifications shall not be construed to be a permit for, nor
an app:oval any violation of the provisions of the building codes or any other ordinance, law, :rule or regulation.
Al _ 1$ ieW is subject to field: inspections.
Sign reChief Building Official .:date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING'. OFFICE:, (303)235-2855!.
REQUESTS MUST.-BE-MADE BY 3PM-ANY:BUSINESS ;DAY FOR INSPECTION-THE-FOLLOW I
NG BUSINESS DAY.
INSPECTION RECORD OccupancylTvpe
'!~°INSPECTION_LINE: _(303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
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)
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainaae
SIGNED PRIOR TO PR .
CITY OF WHEAT RIDGE
-10/27/09 2:30 PM
cdbb "
James R Mosel
RECEIPT NO:CDBB03140
AMOUNT
BPSP Reroof 32 sqs
264.85
093697
Permit Fee
162.98
Use Tax
101.95
PAYMENT RECEIVED
AMOUNT
VS 4224
264.85
Auth Code:
818457
TOTAL
264.85
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping I 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
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
- - . _ PRQT_ECT TH1S.-CARQ. FROMTHE. WEAT..HER-.__. . _ -.m-_.
10/27/2009 13:58
3038142560
TRINITY ROOFING JIM
PAGE 01/01
♦~AI
City of
J COMMUNITY EeVEOPmEN'r~~ Peermit J
Building Division
7500 W, 29th Ave-, Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax' 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address:
Property Owner (please prino: T 6tq t- f~_ f~W S Phone ~,r~ ~5 3q8 g
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: TRiN,T•7 RoeFinlC
Contractor License#: ~gr,2,8 Phone ~Za, ;Ly ygyg
Sub Contractors:
Cgim-pany Name: License Rnlration Date; Frade/Profession Approval
Use of s ace (description):
Descrlp7lon of work:
Ft-/L-Ft added=
BTU's
Plan Review (due at lima ofsubmiltel): S
OWNERfcONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are acMrate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge Or covenants, easements or restrictions of mwrd; that all measunanems 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 aii other appl cable Wheat Ridge Onlinanoes, for work
under this permit. Plans subject to field Inspection.
C/RLCE ONE:: OWNE (CONTRACTOR) or PERSONAL REFIRE ATIV f (OWNS CONTRATOR)
PRINT NAME: SICNATURE: Date: •~L6L-
DEPAR7MENT E ONLY
' 7onurg
Rev*w
[F14RM G COMMENTS.
WORka; COMMENW-
.
ReviQWaF
N60EPAf~'ftyIErj'r CpN{YR;: .
EPA-Rbr, OCCUPANCY:_
PARI'MW-, li appfov 6dW pdnimalds.'. 11 disapproved d no review tequUad Bldg Valuation-$ rlo&l~ele
Print name: JuUM o LM o L
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
14895
12/9/02
Property Owner: THOMAS & MONICA EVANS
Property Address : 3232 NELSON ST
Contractor License No. : 20120
Company : American Exteriors Inc.
Phone : 239-8054
Phone : 794-6369
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback disfances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenanGs, 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 responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Construction Value :
$9.800.00
Permit Fee :
$181.25
Plan Review Fee :
$0.00
Use Tax :
$117.60
Total:
$298.85
(OWNER)(CONTRACTOR) SIGNED DATE US@ :
Description : INSTALLATION OF VINYL RETRO FIT WINDOWS (14 TOTAL)
BUILDING DEPARTMENT USE ONLY
400 NINI. SIC: Sq.Ft.:
Approval :
Zoning :
1219/02 •
Approval: BG
1.e: : e . 11.1110
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval :
(t) This pertnit was issued in accordance wilh the provisions set forth in yopur application and is subject lo the laws of the Slate of Cobrado and to lhe Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This pertnit shall ezpire if (A) the work authorized is not commenced within sixry (80) days from issue aate or (B) the buitding authonzed 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 anA any suspension or abandonment has not exceedetl one (1) year. If changes are matle or if suspension or abantlonment
axceeds one (1) year, tull fees shall be paid for a new parmiL (4) No work of any manner shall be done that will change ihe naNral Flow of water causing a drainage problem.
(5) Contractor shall notify ihe BuilOing Inspedor N+enly-four (24) hours in atlvance for all inspections and shall receive writlen approval on inspection card before
p dtlng with su ssive phases ot the job.
(6) Skd~ss n it or the approval of drawings and specifcations shall not be consirued to be a permit for, nor an approval of, any violation of the
pp@(y~si~s o ~ dinq codes or any other ordinance, law, rule or regulation.
r. ,7ae~ye_.,
Chief Building Inspector
Sep-22-98 10:18A DEVREVFAX 303 235 2857 P.03
DEPARTMENT OF PLANNING AND DEVELOPME JT Bwiding Permit Number :
BUIIDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE o7o~y Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : T7.is.Nqa se , ✓np-vt i'C a ICva-H. S
Properiy Address :.3aZ3 a-T ti~so-r~ S~- Phone : JOJ' 07,3 %-S~~
Contractor License No. : a01,90
Company: fW,i6_rIcc.,f,4 ~xTBY'lDfS.~nC Phone: ~p3-~9y~03~y
OWNER/CONTRACTOR SIGNA7URE OF UNOERSTANDING ANO AGRFi :MENT Construction Value :
I hereby certify that the set0adc Cistanyea proposM hy this pertnR a00lication arc ac< inte,
and Co not violaro applicable ordinances, ivMs or rpWatione of the Clry ol YMnt Ric le or
eovenants. aasements or rcslriqions of rocortl; that ad measurcments shown, and ail -.gaGo
maCe arc accunte: that I tuva road and a9ree to ab1Ae by aY cenditiona Drinted on m s
aPOlintion, and [hat 1 assume tuq rc5ponsibiB r lor Complianm wilM lhe VJheat Ritlge )uildii
Code (U.B.C.) and all oNer aDPlicabk Whea ta e o irances, for work under this p rtn t.
(OWNER)(CONTRAGTOR) SIGNE _ TE. /75
Description: 1hS444iQ4lai V;,,yl Ke~nar'~ w"i'vI
(6e2 OacHec~,f11ee
~
Approvat:
Zoning :
WtC1117Cb11111fiR6'9
Approvai : I ' A/Oy
eumrsxwa
Approval:
Occupancy : Walls
BUILDING DEPARTMENT J$E.OtslLY
SIC
- y/
. r
"
Permit Fee : a,s'
Use Tax : 1/7- CU
7ota1: a9R. SfC50'0(f
Sq. FL :
Roo/: - : tories ; Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Mechanical license No :
Company :
Expiratlon Dale :
Approval:
Expiralion Date :
Approval:
(t) Tiis pnmrt was IstuaE In amptEanca wqt py poNypns aet kM N fopur aoptiraeon ar : Is iuljbC b tlr yws uf qw Stw d CobraOO sq b Cr Im.q
Ml9Wi7Ma iM BNIUifI~ COEe OI W111 "e. COb9Q0IX i111 Otl~l1 aOC~e ONiNI 230( tlM Ci{~'.
(2) TMl PlII~M Y4O Q1pft d(A) ft Mpk eYUq11ib if Iql COIIMM.IIU.4 MIW11 »Ify tM Ct/ frdll IS]Y! Qi1Q p(8) tIO bNIQI(q 1Ye1MLl41! W1Ql110lC Of
aWiqmeG M a pMOO a 120 Eaya.
(3) uMOaI+R tYD+a. a ner p~rtM nuy Ot acyuirtd fa a ke d enetutl M amount rom aly repuuM. poNpep ~q cJynpea nrve Dem avA De mMe n ux
aqinal paro anp spplkauons and ury wapension a a0anaa.imOM roa rot e.fecWed ~a reM. u w~es aro m.a a a s~nan~ a soamo~eni
umeAS a~e (t) yex. fu0 fees flw Ge paq fa a Mw permll
No wdR ol an/ rtamnH f1uY pe Ep'y ryt w4 d4np! IM eu1uW Ilow M waln fiusinp a ininaqa popkfn.
51 ConYattor anal rouN tlro BWObip INpeC1ul MMy.fprt R4) Iqun in aWanct b aM nsi scliW and sN11 rxeive wnAen approval m InapeCtian tstE Delas
poce~aq v~itl~ sucosuWe~naus a~ oyqb
(e) 1T~ ~s~uann W ~ Vemtl a ir q~pmor d ern.Yqa and so~ntlons wn na oe oau vea m n. a vnmit Ior. nor an aowwai aC aM vlWauon m ar pioMaiom
. W U+e OutlOrp mpRa a+M' o1M adMwnae. 4w. rvle w n9WaGOn. .
iief Building 1 pecfor fui Mayor
THtS PERMIT VALID ONLY WHEN SIGNED BY 7HE CHIF F BUIIDING INSPECTOR ANO MAYOR
CAIL: 234-5933 24 HOURS PRIOF TO INSPECTION
"Please complete both sides of appT cation form with submittai"
LV " 5 a-wt d.-S G 1'1~(0-ct, G Ct
' .3a a a
101,NCId-ac) { tA ro r'wLaic;L-1/L y~
~ S/ te Ko&.n ~otaTlc-n
) 34,4e5 l,',Ie~- 9y%ax SS
~y i,;h~ Ot~o-vc,
~ 3 ~,4t S7~ ~e f 93 %8 x sx% ,1 Ji,
V y~
a slhc~je Jr~ic~e~'s ~/75~8lr S9 ~ar,~-~rf~/S~
~ r SJ7 ovrYi
p 3'~~yX 3q;~ e,~
1 5rh ~~2 S~~d'2`(
s ~l N i vt p KDittw(
1 S~~ lQ Sl, ~4e,- y~ J/ X y6 r~ ~
~ sr~~Per aa%y x aa~ ~a A
n1as te(- Bat-a7;vl
,
► s,~ /.e SU~er f~ S/S x 3y ~8 Yasfe r
3y ~ Frcw~t ~~c~rc°C•sr~
~ $ I n~l~ slriPe~ E~ s/~ X 3y f r o-K~f Q~~roo~(
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14896
BUILDING INSPECTION LINE - 303-234-5933 Date : 12/9/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: THOMAS & MONICA EVANS
Property Address : 3232 NELSON ST Phone : 239-8054
Contractor License No. : 20120
Company : American Exteriors Inc. Phone : 794-6369
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permil application are accurete, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easement, or restrictions of record; that all measuremenfs shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : INSTALLATION OF VINYL SIDING
Construction Value :
$6,350.00
Permit Fee :
$13925
Plan Review Fee :
$0.00
Use Tax :
$7620
Total:
$215.45
Use:
mo
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
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, Colo2do or any other applicable ordinances of the City.
(2) This permit shall explre if (A) the work authorized is not commenced within sixty (80) days fivm issue date or (B) the building authonzed is suspended or
abandoned !or a period of 120 days.
(3) It this permit axpires, a nm pertnit may be acquired for a tee of one-half the amount nortnally requireQ 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 abantlonment
exceeds one (1) year, (ull fees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainaBe problem.
(5) Contractor shall noUy the Building Inspector twenty-four (24) houre in advance for all inspedions and shall receive written approval on inspedion card betore
proceediing with successive phases of the job.
(8) T issuance of a pertnit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
roision uilding codes or any other ordinance, law, rule or regulatioa .
r _
Chief Buil4i g Inspector
Sep-22-98 10:18A DEVREVFAX 303 235 2857 P.03
DEPARTMENT OF PLANNING AND DEVELOPMF JF Building Permit Number :
BUILOING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE -0 a S
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Praperty Owner :7-h&-**V1-5 ~~/a H~'cQ C Va-vIl 5
Properiy Address : 3g337 Contractor License No. :a~
ComPan / '
Y: YNtifICO..N.GX7PrrnPT rNr..
OWNERlCONTRACTOR SIGNA7URE OF UNOERSTANDING AND AGRFI :MENT
I hereby ceRfij that Ihe setback dislancdes pmposed hy Nis pemM aD0liotiun are ac< mte,
and Co not violaro appNcable o/dinances, ruks or fequblions of tne Ciry ot YVTeat Ric le or
eovemnts. easements or rcstAUions of recoM; Ihat au measuremenh snown, and an •qations
maQe arc accunte; thal 1 tuva nid and aqme to abide Cy a11 con0ition3 Drintetl on tn s
2pDli[11{i0n, and Ih2t 1 assume (ull rc50ansibil' COmPL ce wan tAe Wheat Ritlg~~ lutleing
CoCe (U.B.CJ and all oNer apPliUde WAeat~gy ordy acea. lor woAc under thfz p.rtniy. _
(OWNER)(CONTRALTOR)
~Q ~ i
Description ~//N y/d/P A o 'f C-
000~111
Approvat :
Zoning :
HOIIEIlfa4l3biM1_IISRCt9
Approval : / 1 /Olv
eum[c~watxwamn1prifu,
Approval:
Occupancy : Walls :
Date :
Phone : 30V- 073Y- $615'`1
Phone: ?a-f _
Construction Value :
~c 350. ct,)
Permit Fee :
J39, XS
Use Tax :
76
7otal:
,7lS,
BUILDING DEPARTMENT 1SE ONLY
„tc v 3 2002
, .
RtloT.` " Itories
EtecVical License No :
Company :
ExpireGon Oate :
Approval:
Plumbing License No :
Company :
Residential Units :
Mechanical License No :
Company:
Expiration Date :
Approval:
SIC : Sq. FL :
Expiration Date :
Approval:
(1) tnfaaemd WasiuwalnamaeanuwnnMaM'AsbnssetaminnPW aopK+eon,.tIa,.Aied rotn.wsolm•sbwatawseomaauw2oi:q
RegWtlona and BWOing CoOe M NToM RiEyo. CdonEe x Lry oNer appYOMr p0inu ::n o( Ne CM1y.
(YI 1'M Vemm W9 wrVre d(A) IM wak ~Wiaiz~C b nd mimierr,cE wnl~n aiwM (!O) are . f'om Isaue aaia v(B)Ne OuikYq aiMwicN u wfiendedar
aWnaoneC far a peeb0 a1770 Gya. (7) I/ tlut OOMK 1011W113. a naw PMm4 rtuy Ef 807NWed bI a ke d aK-Np Mt amounl ndr allr rNUirtO. Dalidecl no Wnqef " Deen Of riY Df moCe in Me
aqwl pym pq spplfcitlOni &W My Wfplnwn p aOLqOnmCn1 Ni n01 !xClMNI M(1) rtit. U Wnp" wp maft y j( mponyM Of aDiMplTwnl
!xrlelS one (1) y!>. M f!es aluC 0! PWO (a s new oemiil
4) No wM e/vry mtnner aN0 Eelone Opi xM1 thyqr, yy,uyurtl Ilpw W waler vuiinp a fninaga poEkm,
s) CmYaewr anal ro6y Ina BudeMq Inapacmr Mvnly.lour (iA) Mwa In saanee ler a nar xtiau ane snan recerva wriam spponi on Inapcction ar7 Delore
pa~aeUiin9 ~NO, waasL.epIy f~a a 9r Io0 .
(O) iT~ ufuanp q~ pqnq a IM ~ppiov~l dMMYqs W fplOAntlOns fMll n0! W Wnf NW b 0e a pamld M. nOf an pprMl of. siry HoytlM of IM proNSlpns
. d tlw euAtlup oqp~a q+nP mnw atlMance. Iw+. rvM a re9uutan. .
e / /
iief Building Inspe or FOi Mayor
TH(5 PERMIT VALID ONLY WHEN SIGNED BY THE CHIf F BUILDING INSPECTOR AND MAYOft CALL: 234-5973 24 HOURS PRIOF 70 INSPECTION
~
"Please complete both sides of apPl cation form with submittai"
DEPARTMENT OF PLANNING AND DEVELOPMENT
` BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
8769
4/14/99
Property Owner :
Property Address : 3232 NELSON ST
Contractor License No. :
Company :
Phone : 238-8054
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
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
ConstructionValue
: $1,097.00
Permit Fee
: $41.80
Plan Review Fee
: $0.00
Use Tax
: $27.43
Total
: $69.21
Use:
Description : Replace blown down 6' foot fence
BUILDING DEPARTMENT USE ONLY
~a:~SM"n SIC : Sq. Ft. :
Approval MLC Meets fence regulations
Zoning : R-1
"MIR:. ~W"' Okay
Approval: DM
.,,°l. MWMMsz s
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(7) This permit was issued in accordance with the provisions set forth in yopur application and is subjecl to the laws of the State of Coloredo and to the Zoning
Regulations antl Building Code of Wheat Ritlge, Colorado or any other applicable ordinances ot [he Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) tlays from issue tlate or (B) the builtling authonzetl is suspended or
abandoned for a period of 120 tlays.
(3) If this permit expires, a new permit may be acquired for a(ee of one-half the amount normally required, provitletl no changes have been or will be made in lhe
original plans and specifications antl any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone that will change the natural Flow oFwater causing a draina9e problem.
(5) Contractor shall notify the Builtling Inspector hventy-four (24) hours in advance for all inspections and shall receive wntlen appmval on inspection card before
proceediing with successive phases of ihe job.
(6) ihe issuance of a permit or Ihe approval of drawings and specifcations shall not 6e construed to be a permit for, nor an approval o[ any violation of ihe provisions
of t~hil~di❑p,/~~p/~ s or any other ordinance, law, rule or regulation.
wY. a° ~/,,(~„~,s+~"~D•-
u
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : yJ11/P9
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qPPLICATIo N
Property Owner :T,,1p yqy5 -r-
Property Address : 31-3 ;L- rvF- i-S'2- ST Phone :}Ip
Contractor License No. :
Company : 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 Ciry of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED Z2~.~_ . ..~C_DATE b&/99
Description : RPPt-rk-e 131-0 FJ!5,~ cr'
~ l `~C~CSL
Construction Value :1,. p q), JO
Permit Fee : Q'1 iC)
use Tax :
Total : (D j , ~~?3
Use:
Zo in „ 3-ii- 3
Approvai: ~~AC
Zoning : R _ 1
Approvai:
Approval :
BUILDING DEPARTMENT USE ONLY
:~\QC~`S`_lC~~d~ ~ SIC
O
0)-)- y-,
Occupancy : Walis
Roof : Stories :
.~..:Sq. Ft.
A.
RECEiVED
RPR 0 9 -i-q
Electrical License No :
Company :
Expiration Date :
Approval :
Piumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiretion Date :
Approval :
(i) This pertnit was issued In a¢ortlance wiM the provisions set forth in yopur application and is subI'ect lo the laws of the State ol ColoraCO and to the Zoning
Regulations anA Building CoCe of Wheat Ridge, Colo2do or any other applicable oNinances o( Ne Ciry.
(2) This pertnit shall ezpire if (A) the wark auMonzeE is not commence0 wiNin sixty (80) Cays from issue tlale or (B) the builtling auNOnzed is suspentletl or
abanAOnetl for a peno0 01120 days.
(3) If ihis pertnit expires, a new permit may be acquireC for a lee ol ane-half the amount normally required, pravided no changes have been or will Ce made in the
onqinal plans anG specifications and any suspension or abantlonment has not e:ceeded one (1) year. If changes are made or II suspension or aEanCOnment
exceeGS one (1) year, /ull (ees shall Ee paiC for a new permit.
(d) No work of any manner shall be Eone that will chan9e the natural Ilov.• of water wusing a drainage problem.
(5) Contractor shall notify the BuilAing Inspector Iwenry-lour (24) hours in advance lor all inspections anC shall receive wntten approval on inspection car0 Ee/ore
proceetliing wiM successive phases of Ue job.
(6) The issuanceoLa permit or the apDroval ol drawings and specifwtions shall not be wnsWeG to be a pertnil for, nor an approval of. any violatlon ot the pmvisions
of the bui4 ~Kf9 cdtle other ordinance, law, rule or re9ulation. .
/
(
Chief Building I ctor
~ r
~ u8A 5u'.~,EvING INC. INiPROViif1ENT LOCATlG.V CEPTIFICATE
~ 5.0'i 13, IILOCK 8
, ROLLING riILLS BLOQCS 6, 7 F4YD $
~ COUNTY Or JEFFERSON
~ S1ATE OF COLORADO
DRA SUFVEYING INC. `
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This property is not located '
within a £l003 hazard area.
I HEREBY CERTIFY THAT THIS IMPROVEMENT LOCATION CEATIFICATE WAS PREPARED FOR
MOORE MORTGAC'E THAT IT IS NOT A LAND SURVEY PLAT OA IM?ROVEMENT
SURVEY PLAT, AND THAT IT IS NOT TO BE RcLIED UPON FOR ESTABLISHMENT OF FENCE, BUILDING, OA
OTHER c^UTURE IMPROVEMENT LINES. I FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE A30VE
DnSCRIBEDPARCELONTHISDATE 7/26/84 ,EXCcPTUTILITYCONNECTIONS,AREENTIRELYWiTHI:V
ThE BOUNDARIES Or^ T'rIE PARCEL, EXCE°T AS SHOV✓N, TH.4T?HERE ARE NO ENCROACHMENTS U?ON TH E
DESC'2,IBED PREMISES BY IMPROVEMENTS Or ANY ADJGINI\'G PREN.ISES, EXCEPT AS INDICATED, AND
THAT T 3ERE IS NO APPARENT EVIDENCE OR SIGN O:' ANY EASEMENT CROSSING OR BURDENING ANY
PART OF SAID PARCEL, EXCEPT AS NOTED.
~,~~~i1in,y,,.
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Scale: 1 '-20'
~ 21
LoT
WhBAT pIDGc, COLOFADO
~ CWNER: Evans
ADDRESS: 3232 Nelson Street
YWR N0:
:A.TE 7/20/84
SURVEY \0. ,4„
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Recorded
Reception
o'clock M.,
TfiIS DEED, Made this 3rd day of August 19 84
between RICHARD A. HAINES and NANCY N. HAINES
ofthe Countyof Jef£eYSOn andStateof
Colorado, of the first part, and THOMAS S. EVANS and
MONICA EVANS
whose legal address is 3232 Nelson, Wheat Ridge, Co 80033
of the County of Jef ferson and State of
Colorado, of the second part:
Rf-_C[:1=7:[UN N0. 1340713622
06/17/84 1:5:40 14. ;Ei
iif:1:0RDL-:D IN
C:OLIN7Y Uf' ,lE"f'f"E:('t ;ON /
:37AT[i Of-" I;OLOI:FlI)6 ' . .
I I f
WITNESSETH, that the said party of the first part, for and in consideration of the sum of ONE HUNDRED
D.F. FIFTEEN THOUSAND SEVEN HUNDRED FIFTY AND NO/100
DOLLARS
and other good and valuable considerations to the said party of the first part in hand paid by the said parties of the
second part, the receipt whereof is hereby confessed and aeknowledged, has granted, bargained, sold and conveyed, and
by these presents does grant, bargain, sell, convey and confirm unto the said parties of second part, their heirs and
assigns forever, not in tenancy in common but injoint tenancy, all the following described lot or parcel of
land, situate, lying and being in the County of Jefferson and State of Colorado, to wit:
Lot 13,
Block 8,
ROLLING HILLS-BLOCKS 6, 7 and 8,
SEFFERSON COUNTY,
State of Colorado,
also known as street and number 3232 Nelson, Wheat Ridge, Colorado 80033
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TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise apper-
taining and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and all the
estate, right, title, interest, claim and demand whatsoever of the said party of the first part, either in law or equity, of, in
and to the above bargained premiaea, with the hereditaments and appurtenances.
TO HAVE AND TO HOLD the said premises above bargained and described, with the appm•tenanees, unto the said
parties of the second part, their heirs and assigns forever. And the said party of the first part, for himself, hia heirs,
executors, and administrators, doea covenant, grant, bargain and agree to and with the said parties of the second part,
their heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises
above conveyed, as of good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has
good right, full power and ]awful authority to grant, bargain, sell and convey the same in manner and form aforesaid,
and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments and
encumbrances of whatever kind or nature soever, except general taxes for 1984 and subsequent
years, except easements, restrictions, reservations, rights of way and covenants,
apparent or of record,
and the above bargained premises in the quiet and peaceable possession of the said parties of the second part, the
suroivor of them, their assigns and the heirs and assigns of such survivor, against all and every person or persons
lawfully claiming or to claim the whole or any part thereof, the said party of the first part shall and will WARRANT AND
FOREVER DEFEND. The singular number shall inelude the plural, the plural the singular, and the use of any gender
shall be applicable to all genders.
IN WITNESS WHEREOF the said party of the first part has hereunto set his hand and settl the day and year first
above written.
Signed, Sealed and Delivered in the Preaence of [SEAL]
Richard A. Haines
_[SEAL]
[SEAL]
Nancy N. Haines
STATE OF COLORADO
ss.
Countyof Jefferson . J yQ
The foregoing inatrument was acknowledged beFore me this 3rd day of August 1$ ~4
bY RICHARD A. HAINES and NANCY N. HAINES
, ~~~~a~n
d
My Commisaion expirea June 25 8. Witness my handp~pd~al eeL- c ~~1Q~`
940 Wadsworth l/1 3, Lake od, Co
N0.921A. WARRAN7YDEEb'.=7'6Joi1d'Tm.nl.