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3280 Moore Street
RECUR6 Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation InspectionsI Date I Inspector I Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab InspectionsI Date I Inspector I Initials Comments 201 Electrical/ Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection ffMetal n f ath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter --h Plumbing Residential �- `ing Commercial 131 Date Inspector Initials SEE OVER FOR ADDITIONAL INSPECTIONS Comments I ough Inspection (continued) ,16 Rough Mechanical Residential '17 Rough Mechanical Commercial 418 Boiler / Furnace 419 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections 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 ff l Roof l Window/Door dscape/Park/Planning 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 Date I Inspector Initials Comments Date Inspector Initials Comments 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. 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. 1 INSpECr1O Cancellations mucs.bn Online for. ,V Rc��RD t be m: http;//�, Request ainspections will not submitted via the ° ww•ci•wheatrid n inspection before be pertOrmed unless fps before g a n°: us/inspection PERMIT: • MIDNIGHT 11.59 pM this card is poste the day Of the ins to receive an ins d °n the protect inspection ADDRESS: J" inspection the followin Foundatio n � �C'��, y g business d� n Inspections 102 Caissons / p Date In JOB CODE: /��� lets —� 103 F ootin Initials g J P.E. Letter 104 Foundation Comments Setback Cert. 105 Stem Walls 106 F Do oundation wall Insulation Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections 201 Electrical / CableJDate Inspector Underground 202 Sewer Conduit Initials erground Int. 03S Under Comments Underground Ext. 204 Plumbing Under 205 plumbing Int. umbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work PriorTo gpprov Rough Inspection at Of The 301 Rou Inspector Date Ins Abov gh Framing e Inspections 302 Wall Sheathing Initials 303 Roof She athiComments ng 304 Sheer Inspection 305 insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical� Residential 109 Rough Electrical Commercial 10 Electrical Meter Residential 1 Electrical Meter 2 Tem Commercial p. Const. Meter 3 Rough Plumbin 9 Residential Rough plumbing Commercial Steer Pan SEE OVER FOR gDDITIONA L INSPECTIONS 30B CODE. ---------------- f ADDRESS. comments �-� Inspector Date Initials ,spection (continued) al gh Mechanical Cosmmer'cial agh Mechanical Jer I Furnace ,t water tank wall screw and Nail ,,,wall loisture board I shower walls Zough Grading Comments \liscellaneous Inspector Date Initials al Inspections � Gas Meter Release 3 Final Electrical Residential )4 Final Electrical commercial al tial D5 Final MechanicCommercial ,06 Final Mechanical Bing Residential t07 Final Plun' commercial ZI <� uested Bing C entities shall be req 408 Final Plum from the$e 409 Final Roof Inspections advance- lease one week in ad inspections P mdowlDoor and parking 410 Final W call elParklPlanning* *For land 35 284 lease 411 Landscap orks** call 303--23 and drainage inspections P e1public W **For R 412 RowlDrainag Fire Iain Inspection** 303.235-286 lease contact the 413 Flood p protection*** Inspections pour protec 415 Public W orks Finat. 414 Fire Insp. I Fire P ***For fire I** protection District for y 416 Storm \N ater Mgmt ** Final Inspection* Building 417 Zoning orks, Fire and Inspection public W Inspection does not Final Insp roved by planning, 418 Building royal of the Final Building must be completed and app All items pccupancy is issued. App Note: completed by the Fire District an before a Certificate of of occupancy.ections are constitute authorizationlease be sure that rough insp Voltage permits p Division. For Low voltage by the Building Electrical low ► ' City of Wheat Ridge Residential Roofing PERMIT - 201708813 PERMIT NO: 201708813 ISSUED: 11/02/2017 JOB ADDRESS: 3280 Moore ST EXPIRES: 11/02/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30.7 sq Pitch = 4/12 *** CONTACTS *** OWNER (720)940-3689 WHITTLE BRAD SUB (303)239-6633 Robert Pachmayer 170045 Beyond Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,889.90 FEES Total Valuation 0.00 Use Tax 165.69 Permit Fee 172.60 ** TOTAL ** 338.29 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708813 PERMIT NO: 201708813 ISSUED: 11/02/2017 JOB ADDRESS: 3280 Moore ST EXPIRES: 11/02/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30.7 sq Pitch = 4/12 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. 1 f� ttest that I am le a11y authorized to include all entities named within this document as parties to the work to be performed anchat all wor be p r o ed is di ed in this document and/or its' accom anying approved plans and specifications. Signature of OWNER CONTRA -ircle one) Date I. This permit was issue�b on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpenmt 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 Off-cial and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. lX�. 1 WV�►� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. BEYOND ROOFING HOMEOWNER— STREET CITY JLC STATE C a ZIP IC30033 HOME#_ WORK# q CELL# Z " ! 0 685 FAX# EMAILtdk & e 82 C Wul-i, Com SPECIFICATIONS - ROOF HOMEOWNER AGREEMENT INSURANCE CO. SA fP C 0 CLAIM NO. S65-757,5-60-33 ADJUSTER / R/ ,96,2 PHONE &75 -_SSZ - -7696 EMAIL M'COYA5.W/&fZF-9C(,,(AQ rn(/T'V& Col t MANUFACTURER STYLE COLOR TE1CR OFF NO. LAYERS *EPLACE DECKI G _ Alk E & WATER SHIELD ;�FELT RIP EDGE LF NTS COLOR Wf ❑ OTHER y�v�► V�ir� v�i�p SPECIFICATIONS -0 ER r �f ERS LF_ ��/ DN SPOUTS YDS ` COLOR ' " i 7,%V.INDOWS #4 O 66TYLE COLOR ❑ IDING SQUARE_1n STYLE COLOR The cost of the labor and materials fo the rk contemplated in this Agreement, based on damage known at the time this Agreement is entered into, is estimated to be $ S d 7 . Beyond Roofing LLC ("Beyond Roofing") may subsequently obtain a revised or updated coverage amount and scope'&f work (the "Supplement") from Homeowner's insurance company. Any such Supplement shall, when added to the original work and amount contemplated herein, become the final price and scope of work of this Agreement (the 'Work"). Payment Schedule: ❑ 50% or Full ACV due prior to material delivery. Remainder due upon subs Vialcompletion. then 5279 fi3 C r/S7j i` �P2 Initiai4g This Agreement does not ob the Homeowner /i`zGi g g wner or Beyond Roofing in any way unless and until 8 mens! for the Work is approved by the Homeowner's insurance company and approved and accepted by Beyond Roofing. if accepted by Beyond Roofing, the Work shall be provided with no additional cost to the Homeowner except for the deductible and agreed upon amounts related to additional work not covered by the Homeowner's insurance. Colorado SB38 and CRS 18.13.119.5 prohibit Beyond Roofing from paying, waiving or rebating the Homeowner's Insurance deductible. Beyond Roofing will effort to begin the Work within fifteen (15) business days after the receipt of Homeowner's Initial payment and complete the Work within ninety(90) days of beginning. Subject to applicable terms and conditions, Homeowner has the right to rescind this Agreement and obtain a full refund of any deposit within 72 hours after entering into this Agreement. If Homeowner plans to use the proceeds of a property and casualty insurance policy to pay for the Work, Homeowner may rescind this contract within- 72 hours after recelving written notice from the property and casualty insurer that Homeowner's claim has been denied in whole or in part. Beyond Roofing shall hold in trust any payment received from Homeowner until the earlier to occur of (1) Beyond Roofing delivering materials at the site or (11) Beyond Roofing performing a majority of the Work for the Homeowner. Homeowner has read and agrees to this Agreement, including all terms and conditions on both the front and back of this Agreement. omeowner/Date Homeowner/Date Beyond Roofing/Date 3535 S. Platte River Drive Suite G2 - Englewood, CO 80110 Phone: 303.239.6633 , Fax: 720.508,4186 - www.beyondroofing.corn Dane Lovett 7 0 1700 1 _�' From: no-reply@ci.wheatridge.co.us Sent: Thursday, November 2, 2017 10:35 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 3280 Moore St., Wheat Rdige, Co 80033 Brad Whittle 720-940-3689 17 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes 170189 CONTRACTS.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Beyond Roofing, LLC 170045 303-239-6633 3535 S. Platte River Dr., Suite G2 Sheridan, CO 80110 Contractor Email Address info@beyondroofing.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or info@beyondroofing.com 30.7 62 .22 No Pitched roof (2:12 pitch or greater) 18 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof. Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) Mostly 4/12, small .65 SQ 2/12 area over front door 30.7 SQ Tamko Heritage Asphalt House only SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 19 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant David Brostrom Email not displaying correctly? View it in your browser. 20 i CITY OF WHEAT RIDGE �(303) Building Inspection Division(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC inspection Type: Job Address: v G r r S Permit Number: ,�©/ )o r > 3 ❑ No one available for inspection: Time AMAW',,, Re -Inspection required: Yes to,� When corrections have been made, call for re -inspection at 303 -234- Date: - 03 -234 -Date: J�Inspector: DO NOT REMOVE THIS NOTICE i . CITY OF WHEAT RIDGE _1�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: Pa/ Z0? ❑ No one available for inspection: Time AM 60 Re -Inspection required: Yes 140 When corrections have been made, can for re -inspection l lat 303-234-5933 Date:f�� & - /7 Inspector: ) ta11jW DO NOT REMOVE THIS NOTICE ► ' City of Wheat Ridge Residential Roofing PERMIT - 201708813 PERMIT NO: 201708813 ISSUED: 11/02/2017 JOB ADDRESS: 3280 Moore ST EXPIRES: 11/02/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30.7 sq Pitch = 4/12 *** CONTACTS *** OWNER (720)940-3689 WHITTLE BRAD SUB (303)239-6633 Robert Pachmayer 170045 Beyond Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,889.90 FEES Total Valuation 0.00 Use Tax 165.69 Permit Fee 172.60 ** TOTAL ** 338.29 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708813 PERMIT NO: 201708813 ISSUED: 11/02/2017 JOB ADDRESS: 3280 Moore ST EXPIRES: 11/02/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30.7 sq Pitch = 4/12 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. 1 f� ttest that I am le a11y authorized to include all entities named within this document as parties to the work to be performed anchat all wor be p r o ed is di ed in this document and/or its' accom anying approved plans and specifications. Signature of OWNER CONTRA -ircle one) Date I. This permit was issue�b on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpenmt 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 Off-cial and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. lX�. 1 WV�►� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 7 0 1700 1 _�' From: no-reply@ci.wheatridge.co.us Sent: Thursday, November 2, 2017 10:35 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 3280 Moore St., Wheat Rdige, Co 80033 Brad Whittle 720-940-3689 17 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes 170189 CONTRACTS.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Beyond Roofing, LLC 170045 303-239-6633 3535 S. Platte River Dr., Suite G2 Sheridan, CO 80110 Contractor Email Address info@beyondroofing.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or info@beyondroofing.com 30.7 62 .22 No Pitched roof (2:12 pitch or greater) 18 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof. Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) Mostly 4/12, small .65 SQ 2/12 area over front door 30.7 SQ Tamko Heritage Asphalt House only SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 19 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant David Brostrom Email not displaying correctly? View it in your browser. 20 BEYOND ROOFING HOMEOWNER— STREET CITY JLC STATE C a ZIP IC30033 HOME#_ WORK# q CELL# Z " ! 0 685 FAX# EMAILtdk & e 82 C Wul-i, Com SPECIFICATIONS - ROOF HOMEOWNER AGREEMENT INSURANCE CO. SA fP C 0 CLAIM NO. S65-757,5-60-33 ADJUSTER / R/ ,96,2 PHONE &75 -_SSZ - -7696 EMAIL M'COYA5.W/&fZF-9C(,,(AQ rn(/T'V& Col t MANUFACTURER STYLE COLOR TE1CR OFF NO. LAYERS *EPLACE DECKI G _ Alk E & WATER SHIELD ;�FELT RIP EDGE LF NTS COLOR Wf ❑ OTHER y�v�► V�ir� v�i�p SPECIFICATIONS -0 ER r �f ERS LF_ ��/ DN SPOUTS YDS ` COLOR ' " i 7,%V.INDOWS #4 O 66TYLE COLOR ❑ IDING SQUARE_1n STYLE COLOR The cost of the labor and materials fo the rk contemplated in this Agreement, based on damage known at the time this Agreement is entered into, is estimated to be $ S d 7 . Beyond Roofing LLC ("Beyond Roofing") may subsequently obtain a revised or updated coverage amount and scope'&f work (the "Supplement") from Homeowner's insurance company. Any such Supplement shall, when added to the original work and amount contemplated herein, become the final price and scope of work of this Agreement (the 'Work"). Payment Schedule: ❑ 50% or Full ACV due prior to material delivery. Remainder due upon subs Vialcompletion. then 5279 fi3 C r/S7j i` �P2 Initiai4g This Agreement does not ob the Homeowner /i`zGi g g wner or Beyond Roofing in any way unless and until 8 mens! for the Work is approved by the Homeowner's insurance company and approved and accepted by Beyond Roofing. if accepted by Beyond Roofing, the Work shall be provided with no additional cost to the Homeowner except for the deductible and agreed upon amounts related to additional work not covered by the Homeowner's insurance. Colorado SB38 and CRS 18.13.119.5 prohibit Beyond Roofing from paying, waiving or rebating the Homeowner's Insurance deductible. Beyond Roofing will effort to begin the Work within fifteen (15) business days after the receipt of Homeowner's Initial payment and complete the Work within ninety(90) days of beginning. Subject to applicable terms and conditions, Homeowner has the right to rescind this Agreement and obtain a full refund of any deposit within 72 hours after entering into this Agreement. If Homeowner plans to use the proceeds of a property and casualty insurance policy to pay for the Work, Homeowner may rescind this contract within- 72 hours after recelving written notice from the property and casualty insurer that Homeowner's claim has been denied in whole or in part. Beyond Roofing shall hold in trust any payment received from Homeowner until the earlier to occur of (1) Beyond Roofing delivering materials at the site or (11) Beyond Roofing performing a majority of the Work for the Homeowner. Homeowner has read and agrees to this Agreement, including all terms and conditions on both the front and back of this Agreement. omeowner/Date Homeowner/Date Beyond Roofing/Date 3535 S. Platte River Drive Suite G2 - Englewood, CO 80110 Phone: 303.239.6633 , Fax: 720.508,4186 - www.beyondroofing.corn 6 k� if - -, � dO/ •/ n gee. L � � lo IL � z TiT'd wd62 Ee L6. 8T :1a CQ 7MHJ M=J7n M =HRAIH] 07CTCQbCMC 'CT: /T iCzl 12/22/1997 17:13 3034691326 RANDALL W DEPEW PAGE 02 DATE '98/95 FEE 85.00 JOe4 -3595 MoRTCAOE co. AFFILIATED COLORADO MTG. L A N D B u R V E Y 1 N G ADDRESS 3280 MOORE'ST. 9460 WARD ROAD • SUrTE 160 BORROWERS NAME LODGE ARVADA, COLORADO 8000E (708) 420.4786 tMPROV[MENt LOCATION CERTIFICATE LEDAL DESCRI"ICN Attn: THERESA I t - � rtR CUO.n 'LOTS 4, BLOCK S ROLLING HILLS JEFFERS60� AND TE OF COLOR ;1 Z /.f h L 1 w to V1 O 7 0 33• (. ti � J N W L. - , o � o ,w M S:..t M D7.ao •, I •� i �it.RwuwE.: . /,J : 32 N 2••V� �LoU`2_a .. �.:.,;� _.•_ �_ IINIYIIDI.EII IauaMUanaxeau. On the basleof my knowledge, klfOlmaSon e(bell, ereby ce fY that this improvement loco n certeloste Wee Bred for t D b not a Lend Plat or Improvement SurvAjETdtFAT6RnSlLik VZ welled upon for the Osten rant Of nce, bulldhg, or o r me Improvement lines. I further ceNfy that veme a on the above described Its et on thin date, exc t utility connections, are entirely within the bounda parc 1 except so shown, that there a no encroachments on the described premises by Improvements On anpreml as. except as Irdlceteof end that there la no apparent a once Or elfin of any essemmt aoeaing or bwdening sold aroel, emapt NOTICBr Accon:&W to CoMado+ewyeu mus •any acorn � acOwraoch dfeM nA event. may any acpon Any afxt kl C Nan ten years r M• deb d tla Cert9d8m allOen hnewl. 27268 = : h� o B : O , 4 ? 4 4321 0 M. Hayd en, L.B. 27268 �m.�Nll 1 A O - IIIIIIIIIIRe i I DEPARTMENT OF PLANNING AND DEVELOPMENT ' BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Date 6679 3/5/98 Property Owner : Property Address : 3280 Moore Street Contractor License No. : 19681 Company : LAKE ELECTRIC Phone: 205-9149 Phone : 433-9134 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 fult responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinance , for ork under this permit. (OWNER)(CONTRACTOR)SIGNED DATE Description : GFI insYalled in enclosure, also insYall GFI under panel Construction Value Permit Fee Plan Review Fee Use Tax Total $135.00 $25.00 $0.00 $2.03 $27.02 Use: Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: (1) This permitwas issued in accortlance with the provisions set foM in yopur application and is subjecl to the laws of the State of Coloretlo and to the Zoning Regulalions and Building Code of Wheat Ridge, Cobrado or any other applicable ordinances of the City. (2) This permit shall expire if (A) ihe work authorized is not commencetl within sixry (60) tlays from issue date or (B) ihe buildin9 authorized is suspended or abandoned for a periotl of 120 days. (3) It this permit expires, a new permR may be acquired for a fee oF one-half the amount normalry required, pmvided no changes have been or will be made in the onginal plans and speciflcations and any suspension or abandonment has not exceedetl one (1) year. It 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 ihat will change ihe natural Bow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the 7~ob. (8) TTe issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit kr, nor an approval of, any violation of the provisions of Me builtling codes or any other ortlinance, law, iule or regulaUOn. Chief Building Inspector Building Permit Number THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : p6, vY U q~ ( Property Address : 3 ayo m a o r~ ~ Phone : a U S' 9!c( cJ Contractor License No. (,Q ~ I Company : ~-C 4- - Phone : 3 3 - `f ~ 3 y OWNER/CONTR.4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :*ff 5. O 0 I hereby certiry that the setback distances proposed by this pertnit appliwtion are accurete, and do not violate applicabie ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restric[ions 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 applieable W eat Ridge ordma es, or work under this permit. O (OWNER)lCONTRACTORISIGNED DATE ✓ -S-y~/ Use: PermitFee: Use Tax : Total: $0.00 SlG~~~e~ il~ ~PnC~oS4Y'~ Description a~(so I hsr"r( G~Fz c~hd~r Approval : Zoning : BUILDING DEPARTMENT USE ONLY SIC Approval: Approval: Occupancy : Walls Roof Sq. Ft. : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company: Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval: (1) This permN was Issuetl In axortlance with the provisions set IoM in yo0ur aOPlication and is subf'eel to Na laws ol Ihe Slale of Colo2CO and to the Zoning Regula6ons and Buildiny Code o! Wheat Ridae, Colorado or any other applitable wdinances of ihe Ciy. (2) This permit shell expire d(A) ihe work authonzetl is not wmmerKed wiNin sizty (80) Oays irom issue Eate or (e) ihe Duiltlinp auNorized ia suspendetl a abandonetl lor a periotl o172o days. (3) tl this permit ezpires, a new permil may be acquired for a fee of one-half the amount nomwly required, piovided no changes have bean or will be made in the original plans and speciflrations and eny suspension or abandonment has not exceeEed one (1) Year. If changes are maEe w N wspenabn or abandonment eaceeds one (1) year, (ull fees shall be pald for a new parmiL (4) No wwk of any manner shall be done Nat will change ihe natural fiow ot water causing a tl2inage pro0lem. (5J ConhaMOr shall notify the Building Inspettor twenty-lour (24) hours in a0vance lor all Inspedions and shall recelve written approval on Inspedion rartl before praceediing with successiva phases of Me1'ob. (8) Tha isauance of a pertnit w Ne approval of drawin9s and specifiwtions shall not Ee conswed to be a pertnit tar, nor an approval of, arry Wolation of the provislona of the builCinp codes or any other ortlinanee, law, rule or repula0on. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION .DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 6467 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 3280 Moore Street Phone : 205-9149 Contractor License No. : 19532 Company : Patio Enclosures Phone : 293 9707 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 applicabie ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of reeord; that all measurements shown, and allegations made are accurete; 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.CJ and all other applicable Wheat Ridga ordin nces~,for work under this permit. -~--~g~ (OWNER)(CONTRACTOR) SIGNED Y'~» DATAI3 4~ Construction Value : $17,718.00 Permit Fee : $250.50 Pian Review Fee : $0.00 Use Tax : $265.77 Total: $516.27 Use: Description : lJnheated hot tub / spa enclosure, electrical permit to be separate BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : 384 Approval : SM Proposed patio enclosure will not encroach setbacks Zoning : R1 ~ Electrical by separete permit Approval: JE G Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (7) This partnil was issued fn accardance wtth the pmvisions set foM in yopur application and is subject to the laws of Ne State of Coloretlo antl to fhe Zoning Reguladons and Builtling Code of Wheat Ridge, Coloredo or any other appliwble ordinances of the Ciry. (Z) bantlonmefttl f~o ea~ penio~d of~120 CaWyS ~ auNOnzed is not commencetl within sinly (eo) tlays trom issue date or (B) the building authorized is suspended or (3) it this permit expires, a new permR may be acqulred for a lee of one-halt the amount normally required, provitletl no changes have been or will ba metle in Me onginal plans antl specificatlons antl arry suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, tull feea shall be paitl for a new permit. (4) No work of arry manner shall be done ihat will change the naturel flax of water causing a draina9e problem. (5) CoMractor shall notAy the Bullding InspeMor lwenry•four (24) hours in atlvance for all inspedions and shall receive written approval on inspec0on card before proceednnp w'ith successivepha sea of the ob. (8) 7rie issuance of a permR or the approval ~d2wings and specifcations shall not be wnstrued to be a permit for, nor an approval M, any violatlon of the provisions of the building cotles nr any oMer oMmance, law, rule or regulation. Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 12/22/1997 17:13 3034691326 RANDALL W DEPEW PAGE 66 DEPARTMENT OF PLANNING AND DEVEI.OPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : ~-Z. y2-17 7500 WEST 29TH AVENUE . WHEAT RIDGE, CO 80215 • ProperlyOwner: I,-Ob&15 Property Address :'32Op Moo2er 5T Phone : 205 9.1 iq Contraetor license No. : {q^55-z- I R 5 5 '-~L- Company : Phane : Z~{'~707 ~Tip EN[~,DS~Xz~S~ (1JC , OWNER/CONTRACTOR SIGNATURE OF UNpERSTANDING ANO AGREEMENT I Mfeby nAify lhat Me eefWCk tlbhnus prapOSetl Oy tha pertnil applieatian ars aCCUrole, and da not vio7ata appitabh ordinancss, rylas ar rapulaliom of Ine Ciry W whaat RMpe or eevanants, eanemants or mMdiona ol reeood; that all measurornenls shown, and al"atiens ma0e, ara aaunte; t11at t haw road and aptee ro abida by an rAnditbns printed on fhis applicatlon, Pn0 Glat I auume NII rosppnsi0il' for OpmPUanca wNh tlhs WMat Ritlqa 9uatlinp Code (U.B.C.) antl all oMer applirabli VYhaa~jdyqobinpnoes, for work unAer thb parmit (OWNER)(CONiRACT0111)SIGNED07 ~ DATE 1222'`97 Deseription: (JNAwkregb N*~~VS~SPA~CLOSUf't~ ConsWdion Value. t7o"7f$eO Permit Fee : Plan Review Fee : Use Tax: TOtai: • BUILDING DEPARTMEN7 USE ONLY SIC : ! • Approval Py~.~.,,,,q ~to P.c~.[.f.o~~nnn u-tJQ(, ~w-1~ BM Zoning :-pp ~L~-c:~RC_Y1L ✓~.~~,~p-7' Approval: Approval: Oecupancy : Walls : Root : Stories : sq. Fe. : :55q-~ rz ltiaF0 V ED JAN 0 B 1998 RestdenUal Units : Eleeuical license No ; Plumbing License No : Mechanicai License No : Company; Company: Compeny: Facpiration Date : ExpiraNon Date : ExpfraNOn Date : Approval ; Approval ; Approval : 0 ~(~l4ii~~IMf!!~ n ~la~.'Ri~01R(tl~ 0 (I) Rpm ~"i W Bwltl~ d WMM PIM OfoN7bnf sM IoM M Yopv ~OO~etlan mtl b whNe.i b IM tIM e! IM Slale W Cdee~do Nh b ~M 2alinp UUm ia y~, Coleredo a aery o1M~ applneN aa4nr~, d IM CNy. 121 nro o.n+t wa w~CaN (N ma.ak wwiaizw a na mmmNxw wim.+ WM 1~) d+rs hom u~w ane a tel ms o~+d~w .umani.a b wsp.ww « u.naama aa wiou oIt Zo e.y.. (7> n ws w?*M 0mw1, a iww p.mw m.r be moaw,w a a ho aonrMx uo unouM nannh reawnd. p~o~la~a iro en~nwa nava wen a Ww ee mra h nr 0~9W pMS anC aDp~tlon7 NW MIY swOM14a1 x aGnOanm~nt Aas rol *auW~E oM (1) y@r. M~qn ~ro ~M x M w~p~nYen a aWnOax~MM e.was on~ (i) y~+~IW tNS wo e~ pYd tor ~ rNw OemiM (1) Ne waN W Mry I11WnR Nqtl p~ deN QW W Wnpa 1M ninr4 bw W w~ur nu a ar~NUq! proekm. (SI Cenroaly m. wfl" M -rour (24) noUrs m.MFia ror w nspKtlons ma OM racei.e wMtan appow mh~qalan carewlae wcc~a~v~pn~~e rrrol 1 • p.yNl a ths s +~m-~ved~atlrn~ sNM int w mnYruea m ee a pmmA ror, rwr an aovwM ef, +^Y Walsmn auw porisuu am. wwyp 0 .Iwi.M11Ml~OW~tlIXI. 11jBuilding Inspector For Mayor THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPEC70R AND MAYOR CALL: 274-5913 24 HOl1RS PRIOR 70 INSPECTION 12/22/1997 17:13 3034691326 RANDPLL W DEPEw PAGE 02 owre 'B/8/86 Fcc 85.00 ) os+96-3595 rnonx~ceeo.AFFILIATE0 COLONADO MTG. L A N D 8 U R V E Y 1 N G woowesa 3280 IIOpRE'ST. 54e0 wAno aeAo • eoprS ieo eoeeowKes Nwwc LODGE AwvAu, cowR•oo sooos (aos) 419.47ee IMFlIOVKMlNT LOC^TION C[IITIIICqT! . LZ"1 OWRIRION . Attn: TFIERESA °M`~•ND ~ LOT6 4 BL , OCK ! ROLLING HILLS JEFFER ~ E SON 7 ~ T 'OF~ OR~ L J ~ z7.r ~ . M . LN , Op I N ' ' 11.,. . . _ • , . . N' D 9-vE . r~..nr.a..~. . . . On tlv WNbd m! wwwNCOeoMamwtlwauW . I hweDy c~ Vud W~ a Improram~M WrvIf P+TdtFVTBQhSFY4VYt lMEGwA~d for No sstaWislvn Ynprovem~nt Anes. 1 NrNor ceN~y Uwt th knprovame s a+ tM abow da~erlbM pmnacMwr. w antlroy wMhh thc bua~tlarle at iM 0~ I. axcapt ea e~+own, thet tln deacrWd W~lass q' ~++fxrn'~maMe on uM Mpn d M' ws*rt~t ava.hp at buMaNnO dMng Pr~ exesPt _~nl fLe S~e P~ of wW uc.l. ~YCaptj ~ f a W d~o vi t ~ ~ I a~rtlllcW Wu far n r no~ ■ ~.nd v~ es, bWWkq, or N on thb tlab, me t utlPry ve ro enawdhrtNnr tIM fMn b ro spPVnrc e ar iYwiwy~~wY~lM~ M~I IM}M'I /~~C/'1 NYI Ill~(LN Cr . ~V• ~Y~V~ Ati '17268 io~' Ih~ -4 DEC 18 '97 93:39PM p,2i1 ~v s~ ~ ~ ~ ~ ~ 8d S. . CD ~ k \ ~ \ , ~f •P n ~ ~ L ~ rn ~l l w~ • ~ J ~ • ~ 3~►'~~' ~ ~ x ~ - T P ~s~~= ➢ ~ v y y r~~~5p s ~ l~ ~ g 0 rf N C i1 O ~ ~~y gN D L s At~-+ C A p ~oss n c~Fv m O -1 Z y O ~9E N ~ ~ ~ m (Tj y N +~j ~T Ay ^ 1 g N a J ou ^ ^ ~~q q M ~ • . . y y m f~ ~OS ~ S P $ ^ q~ R rl \n X S ~S o a S~ ~ r G[ ~ 12/22/1997 17:13 3834691326 tiEC ie 197 03:29PM RANDALL W DEPEW r nr~ O ~ ~ge 'R ~ r7 ~gg rlt ~l~pA , A~~~ ~ ~ ~ r-- ~ ~ r- L_ e~ I~ a i ~ ~ ~ . / i7K ~ r- . ~ a ~ . ~ ~ r ~ ~ PAGE 03 P.1/1 ~ ~r x L' d ti ~ ~ l Please Return To: New America Financial, Inc. 905 West 27th Street Scottsbluff, NE 69361 [Spece Abovc Thii Lirc F. RawOing lbu] DEED OF TRUST Lqan No. : 7200322 THIS DEED OF TRUST ("Security Instrument") is made on December 4 , 19 97 among the grantor, David H. Lodge ("Borrower"), the Public Trustee of Jefferson Counry ("Trustee"), and the beneficiary, New America Financial, Inc. ,which is organized and existing under the laws of the State of Texas , and whose address is 1515 Arapahce Street, Suite 1550, Denver, CD 80202 ("Lender"). Borrower owes Lender the principal sum of one hundred thirty seven thousand and NO/100ths Dollazs (U.S. $ 137, 000.00 This debt is evidenced by Borrower's note da[ed the same date as this Security Instrument ("Note"),which provides for monthly payments, with the full debt, if not paid eazlier, due and payable on January 1, 2028 . This Security Instrumen[ secures to Lender: (a) the repayment of the debt evidenced by [he Note, with interest, and all renewals, extensions and modifications of the Note; (b) the payment of all other sums, with interes[, advanced under pazagraph 7 to protect the securiry of this Securiry Instrumenr, and (c) the performance of Borrower's covenants and agreements under this Sewrity Instrument and the Note. For this purpose, Borrower, in consideration of the debt and the trust herein created, irrevocably grants and conveys to Trustee, in trust, with power of sale, the following described property located in Jefferson County, Colorado: IAT 4, BL/JCEC 6, ROLLING HILIS, BLOCRS 6, 7 AND S, COLIIV'I'Y OF JEFFIILSON, STATE OF CbL.ORADO. which has the address of 3280 Moore Street, Wheat Ridge Isuu1l Iairl Colorado 80033 ("Property Address"); (Lip Codej TOGETHER WITH all the improvements now or hereafrer erected on the property, and all easements, appurtenances, and fixtures now or hereafter a part of the property. All replacements and addi[ions shal] also be covered by this Security Instrumen[. All of the foregoing is referred to in this Security Instrument as the "Property." BORROWER COVENANTS that Borrower is lawfullyseised of the estate hereby conveyed and has [he right to grant and convey the Property and that the Property is unencumbered, except for encumbrances of record. Bonower warrants and will defend generally the title [o the Property against all claims and demands, subject to any encumbrances of record. THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniform covenants with limited variations by jurisdiction to constitute a uniform securiry instrument covering real property. COLORADO -Single Family- Fannie Mae/Freddie Mac iINIFORM INSTRUMENT Page 1 of 4 Form 3006 1/91 SICOC/ (J9l)