HomeMy WebLinkAbout3255 Moore Court°ecu anINSPECTION RECORD e
INSPECTION ONLINE FORMCtip://www.ci.wheatridge.co.us/inspection
INSPECTIO QU'ESTOnTle: t3O3)234-5933
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 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
C7
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
g
Roof
C7
II Tie
;Rough
Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Ih
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
r City of Wheat Ridge
� r
Residential Roofing PERMIT - 201706775
PERMIT NO: 201706775 ISSUED: 08/31/2017
JOB ADDRESS: 3255 Moore CT EXPIRES: 08/31/2018
JOB DESCRIPTION: Residential Re -roof to install malarkey legacy class IV asphalt shingles
.and 2 -ply rolled peel n stick with 40SQ(35.5sq pitched and 4.5sq flat)
house and attached garage
*** CONTACTS ***
OWNER (352)266-2559 JOAN G DONNELLY TRUST
SUB (720)921-6717 Kurt Ulrich 170107 The Colorado Roofing Company
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
14,000.00
FEES�°i
°
Total Valuation
0.00
Use Tax
294.00
Permit Fee
267.70
--
** TOTAL **
561.70
*** 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) 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
City of Wheat Ridge
1�9 Residential Roofing PERMIT - 201706775
PERMIT NO: 201706775 ISSUED: 08/31/2017
JOB ADDRESS: 3255 Moore CT EXPIRES: 08/31/2018
JOB DESCRIPTION: Residential Re -roof to install malarkey legacy class IV asphalt shingles
and 2 -ply rolled peel n stick with 40SQ(35.5sq pitched and 4.5sq flat)
house and attached garage
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 thispermit and perform the work described and approved in conjunction with
this permit. I further attest that I am le ally auth rized to include all entities named within this document as parties to the work to be
pert"ormed and that all work to be a is disclosed in this docume and/o ' s' accompanying approved plans and specifications.
s- -
0 9,�7
Signature of OWNER or CONTRACTOR (Circle one) DAe
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuanceor ing of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cod r an ordi� f; ae orlation oft is 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.
9 Blue Sage
Littleton Co 80127
720-921-6717
�
Client Name: r50CIAJ /� 1OAI,V e -
Address: y 32S id(oole- CV -J
`
City: its¢ s 4- R-rA,(
State:
Zip Code: goo
Phone: ��Z " ZJn(a-Z-S-S'9
Email:
Shingle Manufacturer: /tet Rt !tom 1 c <C
ShingleColor:
Perimeter Drip Edge - Color
Step Flashing - Color:
Touch -Up Paint - Color: _
Srae.2A)
THE COLORADO Date: (0/1 Zr,/ 1-0 7
ROOFING COMPANY
r �
The CRC Rep: W ff-
BBB Ceil Phone: 7Z_l) - 21 (r Z/
Im Gutter Replacemen:Ye� N
Gutter Color, a "L / we
Downspout Color:
Paint: Yes /No Color: �� t
Trim: Yes No Color:
Siding: Yes NO Make & Size:
Current Roof Ventilation: 69
Recommended Ventilation: Uyi %,6_a:J V Z&
Accept Decline
Pull all necessary permits / Complete Inspections
Install per local building codes & manufacturers spec's
KZ nails per every shingle
4�new step flashing where appropriate (sidewolis, skylight)
ew pipe jacks
lean roof and gutters of debris
I", agnet sweep for nails after every day
�C- r rform visual inspection for nails and debris every day
Clean neighbor's property of our debris (w/permission)
year warranty on labor
Zileon all sky lights
e & Water shield at eaves, valley's and around skylights
Additional Services:
OF
u r 0 o �c
v oc,SL oo I n c, v S
/R%d�aCalaji
�w
1. (^ fir/
V
.tr
Estimated Date of Work: S2pE
`The CRC cannot be held liable 'or aeays due to rnate(al s�.000ge. weather, loner or
o!her cbcumslonces beyond cur control.
The Colorado Roofing Company, tic. (The CRC) shall hold in trust any payment received from you, the client, until
The CRC has delivered roofing materials at the site or has performed a majority of roofing work on your premise.
Insurance Related Informotion
Insurance Company:
Policy Number:
Claim Number:
Adjuster:
Claim Date:
Deductible: $
Soy
Paymert Terms ar7c Actual Cash Value) due upon
delivery of materials. Upon completion of work The CRC will
invoice both you, the client, and the insurance company
verifying the deductible has been paid and the work complete.
When final payment from your insurance company is received,
the final payment to The CRC is due.
z�
The Colorado Roofing Company, tic. DATE
I, the property owner of the above listed address, retain The
Colorado Roofing Company, lic. to repair/replace the
roof/property associated with the insurance claim per the
approval and payment of the insurance company. I allow The
CRC to negotiate with the insurance company on my behalf to
ensure that all damage is properly compensated for and that I
am represented fairly. in the event the insurance company fails
to properly reimburse for damages, The CRC may not be held
liable and this contract may be void.
'The clients out of pocket expenses will not exceed the
deductible amount on the policy affiliated with the property
address listed above unless specitrcally noted.
Q_ 0a4X-lC�L4 2
OV n r/Owner's ATE
OV
you, the cfenl, nave the nigh± !o resc+nd this contract within 72 hows of signing. as does Tne CRC. If you plan to use rhe proceeds of a property dna casualty insaance po icy !a pay
for the work, you may rescind tnis contract within 72 hours of receiving written notice the claim has been denied in par, or whole. However. The CRC is enlitMd to reiain paymew or
deposits for work performed in a workman like manner consistent with the standard roofing practice.
Integrity, Quality and Customer Satisfaction to the roofing industry.
Dan Schultz �C) % 7 1 771
From:
no-reply@ci.wheat ridge.co.us
Sent:
Monday, August 28, 2017 7:07 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
J
Categories:
Danny
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 3255 ' ore Ct
Property Owner Name Joan Donnely
Property Owner Phone 352-266-2559
Number (enter WITH
dashes, eg 303-123-4567)
165
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
n/a
Yes
Donnely - Contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
The Colorado Roofing Company, Ilc.
170107
720-921-6717
Contractor Address 9 Blue Sage Littleton CO 80127
(Primary address of your
business)
Contractor Email Address info@coroofingco.com
Retype Contractor Email info@coroofingco.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 40
the entire scope of work:
Project Value (contract 14000
value or cost of ALL
materials and labor)
Are you re -decking the No V
roof?
166
Does the scope of the Yes
project include a flat roo
(less than 2:12 pitch)?
How many squares are
part of the flat roof?
Describe the roofing
material for the flat roof:
Type of material for the
flat roof:
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
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? What is the roof
pitch? Etc)
4.5
2 ply peal and stick
Rolled
Yes
35.5
malarkey legacy class IV
Asphalt
house with attached garage
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
Yes
Yes
167
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant kurt ulrich
Email not displaying correctly? View it in your browser.
168
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �:_• n a
Job Address: 3 ? V`"S` ftl cc ,e C+
Permit Number: 2 C 1> a (e -7-2
Vic-,
❑ No one available for inspection: Time "I ; -9`' 6M/PM
Re -Inspection required: Yes Q/
When corrections have been made, call for re -inspection at 303-234-5933
Date: i Inspector: T]
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 01 d
Job Address: '3 'Z� 57S ill 0 a w o4
Permit Number: q o ) -a01.-7 -7S-
t
❑ No one available for inspection: Time 33'I?(j AMI
Re -Inspection required: Yes ( No
When corrections have been made, call for re -inspection at 303-234-5933
Date: JG Inspector:
DO NOT REMOVE THIS NOTICE
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Concrete Encased Ground (CEG)
Footing/Sternwall P.E. Letter
Do Not Pour
Electrical (Underground)
Sewer Service (Underground)
M
zwmmf�oaml
Mn
E3 -J'3 4M
•
Landscaping & Parking / Planning Dept,
ROW & Drainage / Public Works Dept.
7 1 inspections call 303-235-2861. For fire inspections
Fire Inspection Fire Protection Dist. contact the Fire Protection District for your project,
------------ - - ---
;0�mm mI �
NA A'
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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AM UANT
3 mn-e' ""T
Ai-1PL/9,'V"KN1T At 26116804416
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Landscaping & Parking / Planning Dept,
ROW & Drainage / Public Works Dept.
7 1 inspections call 303-235-2861. For fire inspections
Fire Inspection Fire Protection Dist. contact the Fire Protection District for your project,
------------ - - ---
;0�mm mI �
NA A'
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A
w' city Of Date; e'at TIC]
".100 commoNiTY'DEVELOPMENT
Building Division
75,60 . 2 °h Ave,_ WheatRidge, CO 80033
303-236-2855'* -;-8929
Inspe0op a 434-5933
111 11111111
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OCCUPANCY,
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� � CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234 -5933 Inspection line
(303) 235 -2855 Office ` (303) 235 -2857 Fax
INSPECTION �J NOTICE
Inspection Type: Poor ,n1
Job Address /Permit Number: (I. k W/,' 5 �
7 �
t
�l-
Er .
❑ No one available for inspection: Time t AM
F Re- Inspection required: "Yes No
When corrections have been made, call for re -ins ection at 303 - 234 -5933
Date: Inspector.
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: ? , �°I'mc
Job Address: 3� ;_5 M:` rrg 0
Permit Number: d 01(o
❑ No one available for inspection: Tim fIJ
Re- Inspection required: Yes N
When corrections have been made, call or r -ins action a
Date: Inspector: rt L OU - 6a2
NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
r4000'r Residential Roofing PERMIT - 091653
PERMIT NO: 091653' ISSUED: 08/26/2009
JOB-ADDRESS: -3255MOORE CT EXPIRES:: -02/22/2010
DESCRIPTION: Reroof:35 sqs
* * CONTACTS
OWNER 501/318-4957 Bill Vickory
sub " 720/427-1392 Denis Casey. 09-0185 Casey's Construction LLC
PARCEL` INFO
ZONE CODE: UA f: USE: UA
SUBDIVISION: 0647. >BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED :PROJECT =VALUATION: `8,250.00.
FEES a.
Permit Fee 217.50 )
Total Valuation .00 V1
Use Tax 148.50
TOTAL 366.00
Conditions:
6 nail installation mid-roof inspection required. Board sheathing spaced more
than es 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls.
Subject to field inspections.
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. l(I.B.C)' and all other l:
applicable Wh Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Signature ofcontractor/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. tither: applicable
ordinances of the City..
2. This permit shall expire. 180 days., from the issue date... Requests for an extension must be received :prior to expiration
date. An extension may be grantedat the discretion of the Building Official.
3 If this permit expires, '.a new permit may beacquired for a fee ofone-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 for if suspension or abandonment, exceeds one (1) year, f, full fees shall
be paid for a.'new permit.
4. No work of any manner shall be done that will'. change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection 'card before proceeding with successive phases of the job:
6. The. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
so approval of, any violation of the provisions of the building codes or any other ordinance, law;rule or regulation.
All plan review i s t to field inspections.
Signature of Ch' TIffdig Official date
INSPECTIO REQUEST LINE: (303)234-.5933 'BUILDING OFFICE:: (303)235-2855
REQUESTS MUST BE :MADE BY 3PM ANY%BUSINESS DAY FOR:.:INSPECTION THE FOLLOWING BUSINESS DAY.
~oFW"eqT ~o City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
°ocorano° Inspection Line: 303-234-5933
Property Address} 3 z &kg c7
Property Owner (please print): I' GG i~ r G~ ~ Phone~~/ t el ~57
Mailing Address: (if different than property address)
Address: dt/
State,
Building Permit Application
r
Date:
Plan
Permit #:OR ( V~>3
Contractor c 43~
7-;r
if
Contractor License
GI _
01-eJ
Phone: ~Z (
9/2 7 C j rJ
Sub Contraiaors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ rl ZS~
Description of-w4~k: (as calculated per the Building Valuation Data sheet)
4k' Rat/ly 4rle-,44(- ~~✓~/r° Plan Review (due at time of submittal): $
Sq. Ft./L. Ft added: Squares BTU's Gallons Amps
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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:
reguired,:~ Bldg Valuation: $
7500 wESr 29tn nvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 Ex7. 255 P.O. eoX 638 BUILDING INSPECTION DIVISION PERMIT N0. g93#4822
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEFBUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCAMPANY THIS APPLICATION
- e--
BUSINESS NAME ADD12E55
COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED
.l0 ~ .
~v
_ i& -
' Aoo~7lUN
LINE
E S W
~
SPECIFY NORTH
STREET NAME H0oRE GouRT (CIRCLE FRONT)
SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAxIMUM OR AVERAGE DISTANCE.
OWNERS
LEGAL DESCRIPTION
CONTRACTOR i e-I'- If RLALL(7E 2 LIC. N0. METES AND BOUNDS DESCRIPTION A7TACHED
_37 a'i~i q 04J@-E PHONE Z:'S2'~{02S ADDRESS~ 5~ /"Y~ dQYL.~ C Z-
ADDRESS
pTYWµEhY RlO6~ ZIPCODE gOO3 3 i0T N0. BLOCK N0.
~S7~ ~
LOT WIDTH O~[~ DEPTH AREA SUBDIVISION FILING
INDICATE THOSE Of THE FOLLOW ING OFF- SI7E IMPROVEMENTS NOW EXISTING: Cwb 8 Gutter ✓Straef PovlnqLiWatei-' Sewer if-'storm Drainops
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES-NO-
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NOl~-'
OCCUPANCY EXTERIOR_MATERIALS: WALLS WOOD ROOF Fhiv6(.F-s SHAl~Y'
eTneirc I iinIITC RFMGRKS:AQd~~ /7 S~ T r
OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
PERMIT FEE
O 7.
I hereby certity ihaf ihe above setbock distances shown on this peimif application are accurate, and do not violote
ti
n
of re-
t
t
i
USE TAX
'4", 0-()
s or res
i
c
o
s
applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easemen
cord; that all meosurements shown, und ollegations mode are accurafe; that I have reod and agree to abide by all
TOTAL FEE
$ d 7 o-Q
conditions printed on fhis aOPlication, and ihot I assume full resDOnsibility for compliance with the Wheat Ridqe
NOT VALID UNLESS RECEIPTED
Building Code (U.B.C.) and oll other applicable Wheat Ridge ordinances, for work under ihis Dermit.
(OWNER) (CONTRACTOR) SIGNED DATE
-In
BUILDING DEPARTMENT USE ONLY
OUCK=RV
S~~FT COST
Cnq~1
- THE PROPERTY LOCATED AT
PRESENTLY ZONED ~
BASEMENT-FINISHED IS
ED UNDER THE ZONING ORDINANCE
A
~
.
LLAW
IS) (_IS NOT)
GROUND FLOOR THE PROPOSED USE
SECOND FLOOR COMMENTS:
GARAfiE
OTHER
BUILDINGCOST $2 C01
OTHER
ELECTRICAL PERMIT
PLUMBWG PERMIT
MECHANICAL PERMIT
STATE N0. S9 CITY N0.
STATE N0. CITY N0.
CITY N0.
PLANS REVIEWED (-OK)(-NOTOK)
PLANS REVIEWED (-OK)(-NOT OK)
PLANS REVIEWED- (-OK) (-NOT OK)
NO PLANS NEEDED
NO PLANS NEEDED
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT--
PLUMBING PERMIT
MECHANICAL PERMIT
PERMIT ISSUED TO C-40NAM 1i
PERMIT ISSUED TO
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO
PER REOUEST AS PER PLANS N0.
PER REOUEST AS PER PLANS N0.
AS APPROVED AND ON FILE IN MY OFFICE
AS APPROVED AND ON FILE IN MYOFFICE
AS APPROVED AND ON FILE IN MYOFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
CHIEF BUILDIN6 INSPECTOR
CHIEF BUILDING INSPECTOR
DATE CLEARED BY
DATE CLEARED BY
DATE CLEARED BY
CHIEF UI IN PECTOR
-
CHIEF BUILDINGINSPECTOR
CHIEF BUILDINGINSPECTOR
~
~
1
82
BY
.G~
DATE
DATE
CONDITIONS~
(I) TNIS PERMIT WAS ISSUED IN ACCORDANCE WITH THE PROVISIONS SET FORTN IN YOUR APPLICATION AND IS SUBJECT TO THE LGWS OF THE STATE OF COLORR00
AND TO THE 20NING REGULATIONS AND BUILDING COOE OF WHEAT RIDGE, COLORADO OR ANY OTMER APPLICABLE ORDINANCES OF THE GITY.
(p) THIS PEFMIT SMPLL E%PIqE IF (p) THE WOfiK AUTHORIZED IS NOT COMMENCED WITHIN SI%TY (80) DIYS FROM ISSUE DPTE OR (B) THE BUILDING AUTHORIZED IS
SUSPENDED OR ABANDONED FOfl A PERIOD OF 120 DAYS.
(3) IF THIS VERMIT EXPIRES, A NEW PERMIT MAV BE ACOUIFED FOR A FEE OF ONE-HALF THE AMOUNT NORMALLY REOUIFED, PflOVIDED NO CHANdES HAVE BEEN Ofl WILL
BE MADE IN THE ORIGINAL VLPNS AND SPECiFICATIONS AND ANY SUSPENSION OR ABANDONMENT NAS NOT E%GEEDED ONE (I)YEAfl. IF CHANGES AFE MADE OP IF
SUSPENSION OR ABANpONMENT E%CEEDS ONE (l)YEAR, iULL FEES SHALL BE PAID FON i NEW PENMiT.
(4) NO WORN OF ANY MAN R SHALL BE DONE TMAT WILl08STRUCT THE NATUR FLOW OF WATER CAUSI A DNAINAOE PROBLEM.
ON UILDING INSVECTOR TWENTY-FOUR (24) WS IN ADVANGE FOfi INSP TIONS AND SHALI NECEIVE WFITTEN AVPRWAL
(S) CONTNPGTOR SHAL IFY THE
INS PEGTION RD EFOflE G OCEEDING WITH VE PM4SE5 OF JOB.
PP OVED
~Q 2~ ~
INSPECTOR
PLANNING & DEVELOPMENT
BUILDING PERMIT REVIEW CHECK LIST
Address: 52'SJ5 In,~
Zoning: y~k
Existing use: ~'i :jvuM.-~
Permit is for:
Deed: ✓
Survey: 7
Plot Plan: -
STANDARDS
Required
Proposed
Setbacks/Height:
Front: C-
-77
y,~,~,~.~.
4 --j s t
Side:
Side:
1
~
Re
r
A
a
: ~
Structure Height:
Coverages:
Building Coverage:
ZA-qX60 %10l°'11.1
Lot Coverage:
Area and Width
Lot Area: ¢ p~~p
Lot Width:
Landscaping Requirements:
Landscaping Percentage:
Number of Street Trees:
Number oP Trees/Shrubs:
Parking Requirements:
Required Parking Ratio:
Number of Spaces:
Number o£ Handicap:
Signs:
Free Standing:
Wall:
Other:
Location
Lighting shown:
~
~
INSPECTION TICKET
JOB
ADDRESS _337.S-
DATE: _ ~G-_Za BLDG. P RM TM ~~2 Z
PERMIT#
BLDG. CONTR.
c
SUBCONTRACTOR
DATE INSP. REQ._
TYPE OF INSP. INSPECTION MADE~~-/
REMARKS
INSPECTION TICKET
JOB
ADDRESS 3
~93
DATE: BLDG. PE MITX PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. V
INSPECTION MADE
REMARKS
W.R. FORM &18
7
I
( JT
i
~
INSPECTION TICKET
ADDRESS '3 S ~ ~ ~j
5
DATE: bl~ G BLDG. PE M TA 'Fka a
PERMIT#
BLDG. CONTR.-t-c"',
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
REMARKS
W.R. FORM 6-18
INSPECTION tICKET
JOB
ODRESS ~ Z •S S
DATE: BLDG. PERMIT#
PERMITM
BLDCa. CONTR. /
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
REMARKS'
W.P.FORM 6.19
INSPECTION TICKET
JOB j
ADDRESS
I~
DATE: BLDG. EflMITk
PERMIT#
BLDG. CONTR.~
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. _
I
INSPECTION MADE
REMARKS
INSPECTION TICKET
u
JOB
ADDRESS ~-2 '57 S
j
DATE: 6~BLDG. PERMIT# Z
PERMIT#
BLDG. CONTR.
U
SUBCONTRACTOR
12 M
DATE INSP. REQ. 9-~ ~ INSPECTION TICKET
JOB ADDRESS J~ S S`h?C~c 2_ 9
rl ~
DATE: BLOG. ERMITM ~fr Z'Z
PERMIT#
BLDG. CONTR.~U
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION
REMARKS
W.R. FORM 678
l
~
~ io 5
INSPECTION TICKET
,Joe 3
ADDRESS -
DATE: BLDG. PERMITM 1122
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
REMARKS
s
TYPE OF INSP.
INSPECTION MADE
REMARKS
W.R.FONM 679
~
DEPARTMENT OF PLANNING & DEVELOPMENT
REQUEST FOR PUBLIC WORKS REVIEW
)6
Date: F- 9 3 Case/Building Permit No.
Location: ~1"-'-e (9
Please review the attached materials submitted in application for approval f
of a-~, S-S~'\- , and indicate your decision on those items
ctieck below, and please add any other comments which you may have under
number 16.
1. q Boundary CL
2. p Area:
3. [7 Drainage:
a. Drainage
b. Drainage
c. Drainage
be:
Dsure:[::IOK L=1Not
Acres
plan (and report) ne
Plan not needed m
provisions have been
C1 OK d Not
OK; refer to Stipulations
_ Square Feet
3ded Ct
reviewed and are found to
OK; refer to Stipulations
4. o Legal Description:
If not okay, please
O OK
explain:
d Not OK; refer to Stipulations
5. el"Public Improvements:
a. Street Paving needed
c. Sidewalk needed
e. Storm Sewer needed
Escrow required, for
Y~ b. Curb &
OY N d. Street
Y ~ f. Escrow
what imp r~ ements7 In
Gutter needed Y N
Lights needed Y
required Y N If
what amount?
6. Ci Development Agreement required Y N
If Yes, for
All necessary documents have been initiated by Public Works and are
attached hereto:
8• L-J Is a treffic impact analysis and report required? Y N
9. ~ New roadway or alley R.O.W. dedication is recommended:
If yes, what is recommended;
10. O All existing dedicated roadways and alleys meet the standards of
the City:
if no, which do not and what is requested:
11.1-7 All exiating and proposed ded'ications have been reviewed and found
t9 be: p OK o Not OK; refer to numbers 8& 9.
/
12.r-q' ppproval: The Public Works Department has reviewed this request
and hereby gives its approval, subfect to the above and/or attached
stipulations.
n Signa r 3
13. p The Public Works partment has reviewed this requesteand does not
approve for the reasons stated:
Signature Date
14. p Stipulations attached: Yes No
15. C1 DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT REPLY:
16. Summary Comments:
pc/reqPWreview
rev.01/89
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L A N D S U R V JJ?i5" I N G
5430 WaRO ROau • Sul'rE 160
A:2VADA,COLORADO 80002
(303) 420-4788
IMPROVEMENT LOCATION CEFTIFICATE
1'7G-Y ~ G ~ I ~ - ll0
DATE FEEJOB#_,T_F ~
MOrFIGAGE CO
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ADDRE55_ ,
t7oNROwERS NaNiE
LEGAL DESCRIPTION
~ tPEH CLIENTi ~
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On ihe basis of my knowledqe, information and belief, I hereby certify that this iniprovement location certificate was prepared for
F I 1:S i L I I't I- 1 NAh;(.I t1L ( t) that it is not a Land Survey Plat
or Improvement Survey Plat, and that it is not to be relied upon for the,establishment of fence, building, or other future
improvement lines. I further certify that the improvements on the abo~'ve described parcel on this date, except utility
connections, are entirely within the boundaries of the parcel, except as $hown, that there are no encrpppachments upon the
described premises by improvements on any adjoining pr mises, except as indicated, and that there is no ~pparent evidence or
sign of any easement crossing or burdenirig any part of s~d parcel, except ~Wd11~~l~~lU~~~ ~
~~~o~`~ 0 R E&~~"~., I
~~NOTICE: According ro Colorado law you m~st commence Iny legal ac[ion ~~~pur~~y (~~!t) [his swvey wdh~h three years after you
first discover such defec[. In no event, rnay any a tion based up any defect ii\i~pg~pOp'NUe ref more than terl years from [he date ol
the certificetion snown hereon. ~a
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It is my mterpretation that the above described ;Qz ~z
propzrtY~~. Ia:atedwithina100 27.. 8
ycarMcy~~ h1 ~!~-,undary oascd on Fedsral
in ~ fi en zdl•:suranc2 S
~`~~m ~ flr' P.ubert E.11urtjS321 or rt M. Hayden, L.S. 27268
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cEli7.' `1'O TH$ POgNrl OF
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THIS DEED , Made this day of
May 17, 1991
kECEPTIi?N NO. 51042741
5/21/91 12:15 15
kECORiIEU IN
GOUNTY iiF JEFFEkSON
STATE OF GOLOkADO
becueen
MICHAEL V. SIOOLA and IARI J. SICOIA, as Joint Tenants
of the Coun[y of JEF~''g2$ON aM State of
Colorado, of the first part, and
BILL RICHARD VICIQZOY and LSNOA SUE VIC[QZOY
75
uhose le9al address is 3255 D400RE CXJUFQ'
WHE'11T RIIIGE._[. 00. 80033
of the County of JC.F'FERSOAI and State of Colorado, of the second part•
uITUE55ETM, That the said party of the first part, for and in consideration of the sum of (***$107,500.00)
ONE HUNDRED SEVEN THWSAND FIVE HUNDRED DOLLARS AND 00/100THS
and o[her good and valuable consideration to the said party of the first part in hand paid by the said parties of the
second part, the receipt uhereof is hereby confessed and acknouledged, has granted, bargained, sold aM conveyed, and by
these presents does 9rant, bargain, sell, convey and confirm unto the said par[ies of the second part, their heirs and
assigns forever, not in tenancy in comnon but in joint tenancy, all the follouing described lot or parcel of land,
lying and being in the County of JF,FFERSON and State of Colorado, to wit:
Block
BF~BINNING TA 7HE HIS~OUf'f~WES~T fSfbR~6 7 QER OSAfD IL7P 4: ZiiINCE NO~Ki3 ~'I~2I,YS113.
58 F'EET AIDNG TfE SOLJ'PFIERLY PROPEEri'Y IINE OF SAID ICri' 4'lU A FOINP ON A C.T7RVE
BEING TfIE SOUTHEAST COF2NER OF SAID T_OT 4; ZHENCE 23.03 FEEP NOKiS-]EE2LY AIANG A 60
FOOP RADIUS CUF2VE `Ib POIN'P OF TANGENCY (WfIIQ-I POINT IS FS7KIi-IER DFSCRIBED AS BEING
ON 'PHE EAST PROPEF2TY I.IIdE OF SAID LC)T 4 84.50 FEET SOiII'H OF 'IS-IE NORIHEAST ~RNER
OF SAID LOT 4) ;`PfIINCE SOUI'HWFSTERLY 12~3.45 FEEP TO THE POINP OF BDGINNING. CWNPY
OF JEFFERSON, STATE OF COTARA[X).
also knoun as street number 3255. D100RE COURT
TOGETHER uith all and singular the hereditaments aM appurtenances thereto belorging, or in anyuise appertaining, and
the reversion and reverstons, remainder and remainders, rents, issues and profits thereof; and all the estate, right, Citle
interest, claim and demand uhatsoever of the said party of the first part, either in law or equity,of, in and to the
above bargained premises, uith the hereditaments and appurtenances.
TO NAVE AND TO HOLD the said premises above bargained ard described, uith the appurtenances, unto the said parties of
the second part, their heirs and assigns forever. And the said party of the first par[, for himself, his heirs, ezecutors,
and administra[ors, does covenant, grant, bargain and agree to and with the said parties of the second part, their heirs
and assigns, that ^t the time of the ensealin9 arcl detivary of :heee preseMC, he is uell seized of the premicca -bcva
conveyed, as of good,sure, perfect, absolute and indefeasible estate of inheritance, in lau, in fee simple, ard has good
righc, futt power and lawful authority to granx, bargain, sell aM convey the same in mamer aM form as aforesaid, and
chat the same are free and clear from all former and other grants, bargains, sates, liens, taxes, assessments and
encunbrances ot uhatever kind or nature soever,
EXC};LsP GFrIERAL TAXES AND ASSFSSMEN'IS FOR TfE YF11R 1991 AND SUBSEQIJF.NT YEARS AND
SUB-7ECI' TO EASIIv7IINTS, RFSERVATIONS, RESTRICPIONS, COVENANZS AND RICdfI5 OF aY OF
RECORD, IF ANY, EXCEP'L A FIRST llEED OF TRUST FOR THE llSE OF ADMINISTRATION OF THE SMALL
BUSINESS ADMINISTRATION, AN AGENCY OF THE GOVERNMENT OF THE UNITED STATE OF AMERICA
RECORDED MARCH 14, 1988 UNDER RECEPTION N0. 88024049 WHICH PARTIES OF THE SECOPID PART
AGREE TO ASSUME AND PAY.
and the aboved bargained premises in the quiet and peaceable possession of said parties of the second part, the survivor of
[hem, thefr assigns and the heirs and assigns of such survivor, against all and every person or persons laufully claiming
or to claim the whole or any part thereof, the said party of the first part shall and uill LIARRANT AND FIXiEVER DEFEND. The
singular number shall include the plurat, the pWral the sin9ular, and the use of any gercler shall be appLiwble to all
genders.
IN WITNESS WHEREOF, the said party of the first part has hereunto set his hand seal the day and year first above
wrlt[en. ~
Signcd, Sealed and Delivered in the Presence of (SEAU
~ • (SEAL)
I LSKL J . SIOULA
STATE OF COLORADO
County of
.7E ss.
I
The foregoing instrunent uas acknouledged before me this day of
bY MICHAEL V. SICT>LA and IDRI J. SIODLA
ny conniission expiresOC:'t0172Y 15, 1993
uitness mv hand and official_seal__....
-,~•f,~n~~ PRICE
May 17, 1991
i ~
Notary Public
- Form 921A COMPUTER UARRANTT DEED - To Joint Tenants
r!';~~t, B10781.0310335 H0310335
~
Filed for record the day of ,A.D. 19_, at o
, Reception No.