HomeMy WebLinkAbout4692-4694 Independence StreetINSPECTION 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 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 day
PERMIT: a1)0/Sr)e)99'9 ADDRESS: x SOB CODE -4-%
Foundation Inspections
Date
Inspector
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 Inspections
Date
Inspector
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
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
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
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: tP62 6)bg gPADDRESS: � - �-JOB CODE:
Rough Inspection (continued)
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
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
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.
City of Wheat Ridge
r° Residential Miscella PERMIT - 201800282
PERMIT NO: 201800282 ISSUED: 01/29/2018
JOB ADDRESS: 4692 Independence ST EXPIRES: 01/29/2019
JOB DESCRIPTION: Residential siding on detached garage in back replacing vinyl siding on
front and right elevation. 290 sq ft.
*** CONTACTS ***
OWNER (720)201-8104 KIRKEGAARD ROBERT J
SUB (303)325-7652 Jacob Motzko 130190 Majestic Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00
FEES
Total Valuation 0.00
Use Tax 31.50
Permit Fee 60.50
** TOTAL ** 92.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 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.
I, by in 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
thispermit. 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't , all wo , rk, to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature f OWNER or CONTRACTOR (Circle one) Date
I. This ermit 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 an � manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit ho der 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 ermit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicablMcoraryy.prdma ce 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.
City of
Wheat j�idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(o)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: I /
Plan/Permit #
,�ol�)0(1Z-k'-,7_
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address: L�i� yZ /1/I�,C/��i� nl�`✓C/G S7_ %1I/�""
Property Owner (please print): jeoe/t,e7' kC ek.4v 60/7 le a Phone: 7.20-201 - 9MY
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: I'Mogmre ,%keny S, l.L f
/�
Contractors City License #: l 3 C' / � 0 Phone:
Contractor E-mail Address: ;)gkellJ!'?/'�J/z`siZ'� -'o/L/Zlpo_5. rtJi�T
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): MklE 11,47T& Phone: L2--3drZ -076 %
CONTACT EMAIL(p/ease print): JgkjnQ y-7XJ/zo-X-(f 1'j�/c' 5- y✓�; 9`
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL eRESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
&,OTHER (Describe) �' ��>�`'C. -l= t �.4 1-
(For ALL projects, please provide a detailed description of work to be -performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
r"A) 7-
c4'76
c4'76
Sq. Ft./LF r
Amps
6,44,*61e sw /3,,ft! k
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provi4PA1 nn th`application.
CIRCLE ONE: (OWNER) (CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): / - i DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
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 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 day
PERMIT: a1)0/Sr)e)99'9 ADDRESS: x SOB CODE -4-%
Foundation Inspections
Date
Inspector
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 Inspections
Date
Inspector
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
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
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
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: tP62 6)bg gPADDRESS: � - �-JOB CODE:
Rough Inspection (continued)
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
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
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.
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: 3 07
Job Address: 416C71), S
Permit Number: �F0190 d -,g
❑ No one available for inspectio - : ime !/ :�j / AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ( Inspector: M7—Y
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: �� a--;
Job Address:
Permit Number:)
❑ No one available for inspection: Time �l AM/F
Re -Inspection required: Yes,, No,)
When corrections have been made, call for re -inspection at 303-234-5933
Date101111-1- Inspector:L� 6/
DO NOT REMOVE THIS NOTICE
1* � 4 i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 67 Z 1�,.IoF_ p o D-� t X_C- ST�
Permit Number:
❑ No one available for inspection: Time AMI�M
Re -Inspection required: Yes0No:)
When corrections have been made, call for re-iction at 303-234- 3
Date: ' Inspector:
DO NOT REMOVE THIS NOTICE
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14x:00
FEES ,f"4
Total Valuation 0.00
Use Tax 299.59
Permit Fee 283.55
** TOTAL ** 583.14
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT -
201705295
PERMIT NO:
201705295
ISSUED:
08/02/2017
JOB ADDRESS:
4692 Independence ST
EXPIRES:
08/02/2018
JOB DESCRIPTION:
Residential Re -roof to install CertainTeed Landmark
IR asphalt shingles -
46 sq
*** CONTACTS ***
OWNER (720)201-8104 KIRKEGAARD ROBERT J
SUB (303)425-7531 John Borfitz
019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2002 / KIPLING, I-70 & CLEARCREEK
ARE BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14x:00
FEES ,f"4
Total Valuation 0.00
Use Tax 299.59
Permit Fee 283.55
** TOTAL ** 583.14
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201705295
PERMIT N0: 201705295 ISSUED: 08/02/2017
JOB ADDRESS: 4692 Independence ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark IR asphalt shingles -
46 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perto and that all work to be pert"ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or MVRACTOR (Crone) Date I f
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 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
6. The issuance or granting of a permit shall not be construed to be a for, or an approval of, an v. Iition of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Ap al o� o f �oorrk 6°° ct t 1 inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 70170 5-7
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, July 24, 2017 2:04 PM
To:
CommDev Permits""
Subject:
Online Form Submittal: Residential Roofing Permit Application
-
Categories:
Gina
C
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 Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4692-4694 Independence St 1L
Robert Kirkegaard
720-201-8104
Field not completed.
10
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business
J&K Roofing
Name
Contractor's License
019983
Number (for the City of
Wheat Ridge)
Contractor Phone
303-425-7531
Number
Contractor Email Address
kathyv@jkroofing.com
Retype Contractor Email
kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
Are you re-decking the
N� `
roof?
Description of Roofing
CertainTeed Landmark IR
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
46
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
46
(pitched + flat) of all
/
roofing material for this
project
2
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
14266
House - 5/12
Project Value (contract
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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
CONTRACT 1115 ff C
J&K Rooring
13000 W. 43rd Drive • Golden, CO 80403
Phone: 303-425-7531 • Fax- 303-425-1562
www.jkroofing.com
Representative ��,,,mY L' --- Contact Date 20
Name _,. Crl- ki�'�i� rd Phone 7ZO °- 2C,1 - 5rLN emailr��iS win"
I/ I
Address _ t �_ 1-0
City Zip -ZX -3
Pinnacol Assurance Cincinnati Specialty Underwriters
303-361-4000 303-653-0023
Workers Compensation Insurance General Liability Insurance
Policy #4079290 Policy #CS00061742 :'
LABOR AND MATERIAL SPECIFICATIONS, TERMS,
AND CQNDITIONS. PLEASE READ CAREFULLY:
1, Recover roof with &t79i`yta;Qd 60 -pr to _
A Color of shingles�tLcu.d�.IOC
Manufacturer's Warranty ")A'e
Tear off tLi l if�C
Z Install Underlayment
I Double all Eaves
Re -Flash Chimney and/or Skylights
New Valleys _lC. 4- I&Xn y- �5h j e t C1
I Replace Ridge
`:X Ventilation t46 CCILt
Galvanized Fasteners_(P j 4 I1 aal 0
1X Replace n Li
Plumbing Jacks
Paint roof stacks to match
Install Metal Edging m
9 4o t'oj�lo
19 Patio or Flat roof_
19 ear Warranty on labor
4 J 8 K Roofing to furnish all material and labor
t[Z' Permit: —„-X-- included
NOT Included
I Clean-up debris and haul off all trash from roof
7 Roll yard with magnetic roller
5' Gutters cleaned of roofing debris
0 Decking Repairs
D Hrdden Layers (tear off) $� per
per layer
(Policy Number]
-(Adjust rj
fMortaa
19 Extra work
The property owner is ( is not using proceeds from
property and casualty insurance policy.
1 . acts; recd $
Deductible if applicable
Per Colorado State Law CRS § 6-22-105 which states; 100%
the
Roofresng onswill }nottre reimburse oof the r promise topay
reimburse in whole or
in part any amount of the deductible.
Estimated Start Date __k_ $___ p�
�� i
TOTAL ESTIMATE R
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
.....�WIJLr
Date
Dat�//
Date
seg "Number) Expiration
You have the right to rectnd this contract and obtain a full refund of any deposit within 72 hours after r - - - -
proceeds from a property and casualty insurance policy to pay for the roofing work,
written notice from your insurance carrier that your claim has been denied in whole or in part. Howey entering the contract. If you plan to use
deposits to corn you may rescind this contract within 72 hours after receiving ,
compensate for roofing work actually performed in a workmanlike manner consistent with standard fang
However, J an Rooting is entitled a retain payments or
PLEASE SEE F3EVSE SIE FOR roofing practises.
r-M
IMPORTANT INFORMATION i
INSPECTION RECORD Occuaancv/TVae
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.
INS ECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS: -
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
_312-111i
IBC
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
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
INSPECTIONS TO BE SIGNED PRIOR TO
FINALS
Electrical
Plumbing
Mechanical
Roof
_312-111i
IBC
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
' "NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
r CITY OF WHEAT RIDGE
Building Inspection Division
r0000r (303) 234 -5933 Inspection line
(303) 235 -2855 Office ` (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type Ax-wL tea"=
Job Address VL 72 - y
Permit Number /M55, 'zb
❑ No one available for inspection: Time AM /P-M-F)
❑ No one available for inspection: Time AM /P-M-F)
" ' City of Wheat Ridge
]�� Residential Roofing PERMIT - 110240
PERMIT NO: 110240 ISSUED: 03/11/2011
. JOB ADDRESS: 4692 -94 Independence St EXPIRES: 03/10/2012
DESCRIPTION: Reroof 32 sqs with 30 yr GAF /ELK shingles
* ** CONTACTS * **
owner 720/207 -8104 Bob Kirkegaard
sub 303/973 -7160 Micheal McConnell 02 -0148 Stanford Roofing Company
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0800 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 8,952.00
FEES
m
Permit Fee 188.45
Total Valuation .00 Use Tax 161.14 D i m
** TOTAL ** 349.59 - °
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that 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 oc ment and /or its' accompanying approved plans and specifications.
lY This permit was issued based on U e information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all 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 i.Sm Ct
Signature 3fv Chj(o Building Of£ical Date
INSPECTION 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.
City of 7
heat � C
- COMMUNnYDEVELOPMENT
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855' Fax: 303- 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Atlilress: � U� io 9 7
Property Owner (please print):
Mailing Address: (if different than property address)
Address: / 3 7 (� W �U D �✓Q� /7
City, State, Zip: //
d�AkF14IMA / �
Contractor:
Contractors Citv License #: /
Date:
Plan #
Permit#
/) Phone: 134' 4`9V-
a W,�cto„rsr
Electrical: Plumbing: Mechanical:
City License # City License# City License #
i�escr,a #Ion: ofi work:; �//(
1q// ,L/gYZ - x.5 1 $ Contract Value- 0 '
- Y�J L / v (� Y Q c/� /�G/� T� �/BE/L �r ,(�t —�� Review Fee (due at time of submittal);
Squares 1 — BTU's / Gallons Amps Sq Ft. $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
- I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that d am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity.insluded - on-this -apple - ' n to list that entity on tthis application.
.
CIRCLE ONE: (OWNER) (CONTRACTOR) r (AUTHORIZED REPRESEN T/V of (OWNER) (CONTRACTOR)
� f
PRINT NAME: / % e // J��� -/ SIGNATURE: , ATE: � / / -/
IRI: DEPARTMENT C7 approved w1 Conimt6 ❑ tllsappro�ed ❑ f1A rCW1)N fegL�red Bldg Valuation: $
r
1
.
DEPARTMENT OF PLANNING AND DEVELOP NT Building Permit Nu ber: 6433
.~ BUILDING INSPECTION DIVISION - 235-285
CITY OF WHEAT RIDGE ate:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: I?ol:urf + L.:na4.... &
Property Address: 4692 Independence 51.
Contractor License No.: -.qiJ,<f</
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AG
I hereby certify that the setback distances proposed by this permK sppllcation Sill CCIIIllte,
and do not violate appllcabl8 ordlnaIlces, rules or regulallons of the City of Wheat Idge or
covenants, easements or restriCliolls of 1llCOfd: that all measulllments shown, an Ilegallona
made alll aCCllrata: that I have iliad and agraato abide by all conditions printad this
appllcatlon, and that I assume full rasponslbll for complIance with the Wheat RI e Building
Code(U.B...C.)~... .,aU,olller.~POtli~Ie.\'Yhl'fl, . ~,l\rdlpal ,-'~fPf!lU ft. '.
i,",;"!\.i\ H;iit.:N IT P .t' l~ Hr, cV L.. I.,
(OWNER)(COO~~!lilN!i~;:;:'
a.A.d
Phone 423-5370
Phone
Construction Valu
Permit F
Plan Review F
UseT
$150.00
$22.00
$0.00
$3.00
$25.00
Description:
Use:
RJ;~~9A)~~~~,~-bM)pM~~~LW~Uding ga piping for water heaters & drye ,plumbing for
disii\v~efs >'.... .J -. >: , .
,~,"~ '_""'_~,.m.'~" <~~,.".~_..,."-".,____,.~~,..".,",._.",~......"...,.,,.
".", BUILDING DEPARTME USE ONLY
, , ;.~ i' ~_lr;: i:';: ('.' "
SIC:
q. Ft.:
;',
E!:;Mfl'-lT r--(~:-;;~-'-~-'---'-"--"--
. I\Pprov'ar:'
" .",.-_.,.,,-.,
Occupancy :
0"" . :;(;:'i :..- ~i;:; pc: :;\
~;~ ll;i'_:~:;; or rei)~_",d';',:ns .:;:' ;;-;e
\ii,,_~ .,::) rf:(;aSi':'l'i,I('(\H,
> ir,';.F~ ,;r,,~ ,,~ C i,-', -"" 11'/ :ii'! ,~,:(1<..l"!i'),"::')
,:',<; J
",' '.::;'ltr',:"
: 1;;(":
WilliS:
, :Rciof~' '
, "Stories :
Residential nits:
; -,,'
~"-.,,, ".~." ,,- "~.'.',..,,
Electrical License No :
Compaq~,:"
Plumbing License No :
Company,!" .. II
;,;;",',;
Mechanical Li
,Company. :
nse No :
Expiration Date: Expiration .D.a.te: Expiration Date:
Appro\lar:--.'.-----.-------- -----A!m~W,;-::; u ~-.;:,~!;7~ l'~ll;':,: .....,..~...-.AllProvat:---
(I) Thls.permII_lslillNr.1n 0ci:0riIanc:e with the provisions satlcrth In )'Cpur appl
Regulatlona and IluikIIna CCXIe 01 Wheal Rldll", CoIoIado or any othar ~bIe
(2) This peI1lIItllhall ,"",lie W (A) Ihe iofOI1< authorized is not oommenced _,n sixty (
abandonedtorajl!rioclolleO .
(3) W this parn1Il8i<P1...... a _ may be acquired for a foe 01 one-haW Ihe amo
l;l "~1~~~;5~;;;;:
..-ntiWltll__oIlhe~. .,
(6) '\11e Issuance oIa parn1Il or the approval 0( drawings andspeclllcatlOt\" shaHIlqI
,.ol'Ihe~~'<K8IlYttI1IlJrordlnanoe,Iaw,nileorlegulstJOri.' ,
(]OJ..;,'i~Lvt 0;/ k"cLf
-a,iefBuildlng Inspector . '. ." ,
'l'HISPERMrrVALID-oNLYWHEN-SIGNEB'BYTH
" CALL: ~~ll~~ ~HR"'~~ p
and II lubiect to tha lawS' ollhe State 01 and to Ihe Zoning
nces of the CIty.
I 110m Issue data or (B) Ihe building a II suspended or
"!l~(='W=a~=~~ lpen~:Uor~~
I' a dralilage problem:
Inapectlona and ___ ap on Inspecllon card beIora
strued to be a parmIt lor. nor an approval . any violation 0I1he provlllons
'NDMAYOR
~..:.--
,'/,;:;,'
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: /:L/3t7/'l7
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor license No. :
Company:
{(obed 't-
O/(,9()--94
i../,Qdjf k,rl<oit'fllrO
_LVdC~(,Nd"/Vc"
5' ( Phone:
'-(.2 3 - 5 J ?t)
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
/50 ~
.;).;l 1l9--
I hereby certify that the setback distances proposed by this pennit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements 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 responsibili for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whea . ge ordinan S, or w,ork under this permit.
(OWNER)(CONTRACTOR) SIGNED U ~ ?' DATE/';ho/91
,
Total:
pescription :
II. 1,0<-. Far
Afic.wdr y f!ocJ;n fl!lJm6/~q
0-5)" ();-. t'r.Y VO' IN
BUILDING DEPARTMENT USE ONLY
t/f/c!"d/"/<7
I
'f~ >
..r>
Zi5filng:.Comm~em5:1
Approval:
Zoning:
Bmla!ng..C!lr:nmen~
Approval:
SIC:
Sq. Ft.:
flDtiIiClW.i5fksi\'#ommeJl~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
If! JP.Iaif!:'B!ID!!I'j"!I-
Expiration Date:
Approval:
. leI~8.!lI!!~-
Expiration Date:
Approval:
.
,j:~.,~" .~~~,
14)
5)
(6)
This permit was issued In accordance with the provisions set forth In yopur application and Is subject to the laws of the Stale of CoIor.ildo and to the Zoning
Regulations and Buildin~ Code of \Nheal RidQe, Colorado or any other applicable ordinances of the City.
This permit shall expire If (Al the wort< authonzed is not commenced within sixty (60) days from issue date or (B) the building aut/'lOriZed is suspended or
abandoned for a period of 120 days.
If this permit expires. a new permit may be acquired for a fee of one-halt the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension 0( abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No woOl; ot any manner shall be done that will change the natural now ot water eausinlij a drainage problem.
Contractor shall notify the Building Inspector twenty.four (24) hours in advance for aU Inspections and shall receive written approval on inspection card before
proceediing with successive phases of the,'Ob,
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of. any violation of the provisions
of ilding codes or any other ordinance, law, rule or regulation,
(1)
(21
(3)
hief 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
"I !.IlI~lI\l,,~~.l~~l1l!~';
.4 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Nu ber:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE ate:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
6434
Property OWner: Robert. + Lmda.. ;(,rl'-3a.a.rcJ
Property Address: 4692 Independence St
Contractor License No.: ..,. "'1uq.,
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone 423-5370
Phone
I hereby certify that the setback distances proposed by this pennn application are accurate.
and do not violate applicable ordinances. rules or regUlations of the City of Wheat Ridge or
covenants, easements or restrictions of reC(trd; that aU measurements shown, and allegations
made are accurate; that I have read and a~ree to abide by all conditions printed on this
application, and that I assume full responslbll" for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat rdlnanee 0 rk under this panni!.
(OWNER)(CONTRACTOR) SIGNED ' DATE I" ~#$
Construction Valu
Permit F
Plan Review F
Use Ta
$200.00
$25.00
$0.00
$4.00
$29.00
Use:
Description:
Wiring for laundry room, kitchen remodel, whole house tan in unit 4694
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential nits:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical Li nse No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) Thls permit was Iaaued in accordance with the provisions set forth in yopur appllcaUon and Is subject to the laws of the State of and to the Zoning
Regulations and Bulldlng Code of VVheat Ridge, Colorado or any other aDOllcabte Ofdinances of the City.
(2) This permit shall expire If (Al the work authorized is not commenced within sixty (60) days from issue date or (8) the building autho . ed is suspended or
abandoned for a period of 120 days.
(3) If this permit expires. a .f!ewpermfl: may be acquired for a fee of one-half the amount normally required, provided no changes have nor wtll be made In the
original plans aOO S~ and any suspenSion or abandonment has not exceeded one (1) year. 1f changes are made or If spension or abandonment
exceeds one (1) year, fun fees shall be paid for a new pennil. .
(45) No work 01 any manner shall be done that will change the natural flow 01 water causing a ckalnage problem.
() Contractor shat! notify the Building InSJ)8Ctor twenty-four (24) hours in advance for all Inspections and shall receive written approva on inspectton card before
_ling with succesalve ph.... of the Job.
(6) The issuance of a petmit or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval I any violation of the provisions
of the building code. or any other Ordinance, law, rule or regulation.
f74'rJ &.%1,AoI- 4(0
, 'Chief Building Inspector '
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDI
CALL: 234-5933 24 HOURS PRIOR TO INSP
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: /9-13 If / '17
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215.
Property Owner:
Property Address:
Contractor License No. :
Company:
/?Ob<'ri ... )...1',.;&,</ kl~kr!'7/f#r'-
'I (, 9 J- I,IV j t! j? t! /l/ d t! ;r/ C e S r Phone:
'-I t, Ii 't
Lf~3-53?c)
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
;)..00 ""
.:lS ...:l
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 responsibili for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whea J e ordinanc 5, r W~rk under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE /,9htJ/f?
Total:
Description:
WI/../IIJC;
Fo r /...ltuJVdt'f ,.e.""" - k', hh-eN
BUILDING DEPARTMENT USE ONLY
Kf'1<od..( -
4/;'i~ No" 5<: PIh'"
iN U,Q<I
SIC:
Sq. Ft.:
ZOhl!!lr&9mmentS:j
Approval:
Zoning:
BmlalftID.Cotnmen~
Approval:
fl,alil~~(..9111l!'!eJl~
Approval :
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
E E@J.!..s..LR!!f!l!r.etI
Expiration Date:
Approval:
. leIlIl!1RllJflJlflRl_
Expiration Date:
Approval:
. ~..Rf.lIU1l:.1tl-
(1)
(2)
(3)
This pennlt 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 Buildin9. Code of Wheat Ridge, Colorado or any other applicable ordinances of the City,
This pennit shall expire If (A) the work authonzed is not commenced withm sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
It this permit expires. a new permit may be acquired for a fee of one-halt the amount normally required. provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment
exceeds one (1) year, full fees shall be paid tor a new permit
No woric: of any manner shall be done that will change the natural now of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing wittl successive phases of the;'ob.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit tor, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation,
(4)
(5)
(6)
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
7500 WEST 29TH AVENUE
PO. BOX 638
WHEAT RIDGE. CO 80034.0638
The City of
~.:,)~,.~
.'i./. ,;~~~.,,\\~~};
"-:;~';~<j;~~'I~?~
- . !.",':
",
"
./ .
. ... t
(303) 234.5900
~heat
GRidge
c.ty Admin. Fax # 234-5924
Poilce Dept. Fax # 235.2949
DATE: . - August 27, 1997
TO: Accounting Department
FROM: Director of P1anning & Deve10pment
SUBJECT: ESCROW REFUND
Reimbursement requested for escrow funds being held for:
Completion of a driveway
driveway
Th~~~~~~~~~~has been completed to the City's satisfaction.
RELEASE TO: Robert Kirkegaard
LOCATION: 4692 Independence Street
Wheat Ridge, CO 80033
~OlRrr: $375.00
V~<1AAr
Interim Director of P1anning & Deve10pment
<-'
('" !:.. .1/'"...
Wheat R~dge Bgdg Dept
7500 W 29th Ave
Wheat R~dge, Co 80215
12/22/97
Yo Whom It ~ay Conce~n,
~n 12/19/97 I hugm~tted an appg~cat~on to~ a pe~m~t to ~egocate the
gaund~y ~oomh and ~emodeg the k~tchenh at 4692-94 Independence St.
Wh~ge ~ev~ew~ng a copy ot the planh that I hugm~tted I ~eal~zed that
I hpec~t~ed 2x10 tgoo~ jO~ht. W~th a hpan ot ongy 6', I am ahk~ng to
change the h~ze ot the tgoo~ jO~ht to 2x6.
Yhank Ijou
~p
~
Roge~t J K~~kegaa~d
4692 Independence St
Wheat R~dge, Co 80033
()/
!7}'7 t{1
'i:;ljF~~1o/,7A",q;""l'\"""":'~':1I'\"f~,tw,~,_"",_,;_,_'Y"(t,..;,_,'l]""W't"~",q'''1'f':Ur;'ry,:''J'--"''~ry-iil;''{::,,:'1>'"-:""'~!"HI"''C'~'";
DEPARTMENT OF PLANNING AND DEVELOP NT Building Permit Nu ber: 6398
BUILDING INSPECTION DIVISION - 235-285
CITY OF WHEAT RIDGE ate: 12/19/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property OWner:
Property Address: 4692 Independence St
Contractor License No. :
Company:
Phone 423-5370
Phone
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND A
ccurate.
idgeor
allegations
this
ge Building
pennft.
EEMENT
Description :
Convert 6' of garag s to laundry rooms- remo I kitchens and replace existing luminum wire with
copper where possible.
BUILDING DEPARTME T USE ONLY
DATE
To I:
$750.00
$30.25
$0.00
$15.00
$45.25
Construction Val e:
Permit Fe:
Plan Review Fe:
UseT x:
I hereby certify that the setback dlstances proposed by this pennft application a
and do not violate applicable ordinances, rules or regulations of the City of Whee
covenants, ea..ments or restrictions of record; that all measurements shown, a
made are accurate; that I have read and agree to abide by all conditions printad
application, and that I assume full responslbi for COlI!Phance with the Whoat
COde (U.B.C.) and all other applicable Wh . g ord) n , fQc work under t
(OWNER)(CONTRACTOR) SIGNED
SIC:
q. Ft.:
Approval:
Occupancy :
Walls:
Roof:
Stories :
Residential nits:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical Li nse No :
Company:
Expiration Date:
Approval:
.
Expiration Date:
Approval:
.
Expiration Date :
Approval:
.
and to the Zoning
is suspended or
or wltl be made in the
nsion or abandonment
(1) This pennltwaa issued In accordance with the prQVislons set forth In yopur appUca and Is sub:ledto the laws of the State of
Regulations and Building COde of Wheat Ridge, Colorado or any other applicable lnances of the City.
(2) This permit shall oocplro W (A) the work authoriZed Is not commenced within sixty (6 ays from Issue date or (B) the building
a_lor a period of 120 daXS.
(3) If this permIlexplras, a now perrml may be acquired lor a foe of one-half the IIy requlred, provlded no changes have
original plans and specificatiOns and any suspension or abandonment hu not one (1) year. If changes are made or if
exceeds one (1) year, fUI1lees shaH be peld for e now pennIt.
(45l No work of any manner shan be done that wiU change the natural flow' of water cau I a drainage problem.
( lnspedions end shall nlCOlve writtan
(6) strued to be a permit lor, nor an approval
on Inspection card before
, arry violation of the provisions
Chief Biding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE IEF BUILDING INSPECTOR ND MAYOR
CALL: 234-5933 24 HOURS P I R 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
iHfA
I.
i- j;,:J,l jj,rk~i?r,4/j
..l /'....J t/"t"/r,;d ~'A'C'( _:) T'
Phone:
'1.13 ~ J '/c
Property Owner:
Property Address:
Contractor License No. :
Company:
.i~,;h t'Tt
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value //7 -,- <'
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this pennit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements 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 Wheat1}ldge ordinances, for work under this permIt.
(OWNERHCONTRAC.TORl SIGNED ~'i:."l~/ ~-=i{~'.-f; DATE ;;./"1/:17
Description: Cl"?r"~rf (;. ~"~- {J/!f/t()~-:. re, 1/1i..':"Ji!"Ct'
lIf""d K?'i17!/fc.:-e 5:( t<"i~ - i4/'/;J1/ltiv~ Vi-II'.'-Y;- "'-I t-h
Total:
(t:PIJr'r
","/7', ~
10 It! If ~/", ~
//,,'S'S.'i)-./Y~
n,
1.,'r-/J1<,"d~' I
BUILDING DEPARTMENT USE ONLY
Z0f\1!1lI'~c.;ommen~
Approval:
Zoning:
BlillCllng....ommentS:)
Approval:
p'alil~S"~\;omll!~Jl~
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
ElectricalUcense No :
Company:
Plumbing License No :
Company:
MechanicalUcense No :
Company:
Expiration Date:
Approval:
lEI 1IP.1ift!'~r.e9 ---<1
Expiration Date :
Approval:
. 1eI~llIlIlre
Expiration Date:
Approval:
.
.1.~ic:.I;.:_:,
l4)
5)
(61
This permit was Issued in accordance w;th the provisions set forth in yopur application and is subject to the laws of the State of CoIoI'ado and to the Zoning
Regulalions and Building Code of Wheat Ridge, Colorado or any other appUcable on:Jinances of the City.
This permit shill expire if (A) 1I'le worl< authocized is not commenced within sixty (60) daY' from issue dale or (B) the building authorized is suspended or
abandoned for a period of 120 dals.
If this permit expires, a new pennlt may be acquired for a fee of one-half the amount normally required. provided no changes have been or win be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if-suspension or abandonment
exceeds one (1) year, flJlI fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural now of water causing a drainage problem.
Contractor Shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing wilfl S~ive phases of the' b.
The issuance. Pf.'. it or the sp val drawings snd specifications shall not be construed to be a permit for, nor an approval 0', any violalion 0' the provisions
of the ~uildinst code or a~ orcf . w, rule or regulation.
//;1 'L GLA
fc___/
Chiy-1luilding Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
(1)
(2)
(3)
.
pft?;f!- \
o I::: :3
-['
.1<
, I'
" X o'
<,.{C ry
\')
'V\
\~ {
~ \i\i
~ ~
'i,I'oar"
bitt"
r--
~
d t\1<
. ~'fo
~e
\
/-'lVI,v(.,
Ro 0 IYl
J-j(,q:J-.
/f'ilx
~---
1-
'1 fa q 'J-- 9 '-I
k, + "h ~ rJ
I'
J:/vJ -ep eiUJ T:jVc.e
f(1-t-t.-h-evJ
if (,. q lj
- - -j I
I
I
...
~
o I
~_.-
~_ h~ @
_ :_ _ _ L-@- _ ~_
I '
/ )
/ /:
/ t ,
j ;'"/ - /~
';-~/'/Jli
.. i
I I
Scope (; F Lv t;rk
I. CONverT ,,' c F 6x ,5",/;5 6hl!(3P5 ;1'.;io J.IJUfJf).r.y r-O~lIl..>
:1.. R.el"ct9~e Ex,'s",i,'? ;;1"/JJbft~c - WIF"r 1:1.;). (,e: UiJf$
. '/ ~
-" /lJe.w l/iv/vJ'y'rttlJ1C,
3. Rem.ve 6""5il'~''i I-hl'.';'''( "OOmS
'f. pe'l1.J~1 G~'S-fl"'? l<:dc..h",C'.s - All F!)(.-fvr....$
To r-emt'ilt'\) IN I!:x.s.,'"v; LOC-l'IfJ"r.!- i),shu/,if6j"r
; I If .I 5711 1/ b.JA c- /t /";/c '-.~ -e ~j:" ~ IV II~ "/0'1 J../
~. /'J,d!J Ifddl-f;;/.I';/ St,.//,-?p:Jr't Fc~ ~X,lSill~;/4 /~/~~j'- :[e/s7
1-e'
~
1:..J::.
1)..
....
0.......
r . '\
\[)'"
b.(l /fd 10 ,( to
/I'J
:;/f.,lI(.J'i R~I!""
V)
\!
X
.~..
1
g"rh
~
't\<.!').,
~.
"-
~. ~t'.
v/lIds
.,. BI'!";:tNIY At('1'1 ~
D
,
I
i
,
!
1
L--. \
J I
.t~ilw~Hr1 '\
1
I
!
i
-I
i
,
i
[
I
i
I
I
i
I
;
1
5-1-
OININ~
Fe-dru;",
"--
~f)I'V1
Il/
~
L,V
IN?
;f"o'Y?
IS c>J
i' c,", "ry
J
J___~__
Do",.s + wit/Is TO be rfMCvt..d 11//'
New Doors@ -@_ @_@-@_@
IVer.v kl'tlJpJr y rCi(Jil/1 _ _ _ - -
Sc-e ./Je+fti Ls ON flit i7~J. ...-
",","
.,:
LiVI1v0/20011"1
V
'-L.'
-t
~
"C.
~
,-"
<-
"
...:'?
"0 '~
"-. "
-
"" "
2t
.
'-' ~ VI
Vl
V> ~ ~
~ ~ <l....
tv,,"" ~ r:{;-
--
~<:l ~'O ,0;:,
{'II N) ~
@~@
\c, ?I- '"
@@@
~
~
~
""-
~
\9'-
x
\.u
.,...
VI
'S'
~
.....
'l-
'i:
..
...
~
~
V)
<>
~-
-..,
,
'to
~
-
01 0; -4
@
( . ~ f.j'
\Jj \
I
@
'----------.
~
...
-j<
""
.3
y.
~
LC'\'-
'-
...
,.
\..
:;:,
'lJ-
<:0
<l:.
'r-
~
---,j>.C ')/~
' v /.
'5
...........-".....:-'l::--:,
~ j
@
~
'lO
<<>::
\-
'".
\\
!
i
i
I. >(
,\.I\~
I
i
'-
...
~
~
<
'3
@
, V II ~ ~'I <'")/ , /) J-1
v. < y' !! I
v
.
I
li
ct.
"-
-
'-
.....'^ "
~
~~t
;~
f
.....,,~
.....<\
~
...
....
.......
!
,
""
-.0--
<li::.
\:::L
c\.
<:>
\1..
l;::C)
Ii
~
J
't
-..J.
-'-
;-
">
.~
"
~
Q
~
.
~~I/':'SfX51
~f)f~ "'''~J" .:;.:/
'I .
-
..::..
"'" ~
-
x ";) 9-'
,
tOe .;:. IJ>
<l
t-1 <> 't
iJ...
;....
~
v
\t;.
"
"
- "
" , 1
i -.. ':.J
I' -- ....9 >;::
r- . Vj;
, '" >< ()
, - - \J>-
, <:> ,
. h () ~
, - :I-
i ... )( n. t--..
i " '" ~
'"
i ~ f'I\"
I \l.....
i -
,
,
;--
j
i
I
"
,\
..,~
"'
'.
;-
.,
'-
.f
~
~
"
~
. V:.-
)
.,
,
'i--
V)
-
)<
tf1 \..U
I.t.
I:)
\")
~
\Co-
~
"'"
>--
~
<::> "-
A .....
>< '"
'" .....
\
'" <
~
'*' ~
It
'"
<'.Q :x
. q-
- ' j
.:: r-~ ~
~ i <.
<:> ,
..0..
;'NIj.S';(3
r""'';/t' '''''l''''.~?-=I
Date: 12-15-1997
Beam ID: R.KIRKEGAARD/JOIST
Beam span = 6. Feet.
Uniform Load
The plf on the
Note: Based on
HEM-FIR #2
Size = 1 - 2X10
Used repetitive member bending allowable.
Increase in allowable for duration of load = 0 %
BENDING = 23.5% of the allowable Left
ALLOWED = 23000.3 inch/lbs 300.
ACTUAL = 5400. inch/lbs
Bending OK
SHEAR
ALLOWED
ACTUAL
Shear OK
DEFLECTION
L/1S0 =.4 inches
L/240 =.3 inches
L/360 02 inches
ACTUAL Total Load Deflection
ACTUAL Live Load Deflection =
Deflection OK
beam is so. L.L and 200 DoLo
top edge having continious lateral support.
Used 1991 NDS (In-Grade) allowables
Support
lbs
Right Support
300. lbs
No increase
693.8 pounds
22209 pounds
.0227 inches
oOlSl inches
= L/3176
L/3969
Date: 12-15-1997
Beam ID: R.KIRKEGAARD
Beam span = 10.58 Feet.
Uniform Load
The plf on the beam is 120. L.L and 30. D.L.
Note: Based on top edge having continious lateral support.
HEM-FIR #2 Used 1991 NDS (In-Grade) allowables
Size = 2 - 2X10
Increase in allowable for duration of
BENDING = 63.% of the allowable
ALLOWED = 40000.5 inch/lbs
ACTUAL = 25185.7 inch/lbs
Bending OK
SHEAR
ALLOWED
ACTUAL =
Shear OK
DEFLECTION
L/180 .7053 inches
L/240 .529 inches
L/360 .3527 inches
ACTUAL Total Load Deflection = .1644 inches
ACTUAL Live Load Deflection .1315 inches
Deflection OK
load = 0 %
Left Support
793.5 lbs
No increase
1387.5 pounds
677.9 pounds
L/772
L/965
Right Support
793.5 lbs
..f..p
DEPARTMENT OF PLANNING AND DEVELOP NT Building Permit Nu ber: 5263
BUILDING INSPECTION DIVISION - 235-285
CITY OF WHEAT RIDGE ate: 6/11/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
I
Property Owner:
Property Address: 4694 INDEPENDENCE ST
Contractor License No. :
Company:
Phone 422-5479
Phone
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND A
I hereby certify thallhe setback dlatances proposild by this permn application a
and do not violate applicable orcIlnances, rules or regulations of Ihe Ci of Wha
covenants, easements or restrittlons of record; that all measure s wn, a allegations
made are aCCllrata: Ihat I have read and agree 10 abide by all co Itions p 'ntill! this
application, and thai I assume full responsibility for r th the W al R ge Building
Code (U.B.C.) and all other applicable I Ridge nees, rwo u der permn.
Construction Val a:
Permit F
Plan Review F
Use T x:
Description :
To I:
$50.00
$25.00
$0.00
$1.00
$26.00
(OWNER)(CONTRACTOR) SIGN
INSTALL
JACUZZI
BUILDING DEPARTME T USE ONLY
SIC:
q. Ft:
Approval :
Occupancy :
Walls:
Roof:
Stories:
Residential nits:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical Lj nsa No :
Company:
Expiration Date:
Approval :
.
Expiration Date :
Approval:
.
Expiration Date:
Approval:
.
(1) ThIs permit was Issued In aceorttance with the provisions set forth in yopur appllca and is subJect to the taws of the State of Cot
Regulations and BuUdiila COde of W1eat ~e, Colorado or any other appttCabte nances of the City.
(2) This permit shall expire D' (A) the work authonzed IS not commenced within sixty (60 ays from Issue date or (8) the building zed lssuspended or
abandoned lor. period 0"120 days.
(3) If this permit expb'es, a new permit may be acquired for a fee of one-half the amou Hy required, provided no changes have or wiD be made in the
original plans and speciftcatlons and any SUSl)ensiOn or abandonment has not one (1) year. If changes are made or if spenston or abandonment
ex~one (1) year, fuUfeM shall be paid for a new permit.
(45) No work of any manner ~Ibe-done that will change the natural flaw' of water cau ~ a drainage ptobJem.
() COntractor shall notify the Bulfd. lnQ Inspector twenty-four (24) hours in advBnce for I inspections and shall receive written approve on Inspection card before
_iingwith._ otmesolthejob.
(6) the issuance of a perrnitorthe approval ofdf8wings and specifications shall not be trued to be a permit for, nor an approVal 0 any violation of the provisions
of bU oodes or any- other nee, law, rule or regulation.
.' .?::, cu-
ef Building Inspector
HIS PERMIT VALID ONLY WHEN SIGNED BY THE IEF BUILDING INSPECTOR NO MAYOR
CALL: 234-5933 24 HOURS P R 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 \<rry( ~~C-CA ,cl. I l \ ;-'d~
Property Address: 'l.~C1 Lj \ )''(::k P'H\d'E' nCQ St
Contractor License No. :
Company:
Phone: l-jd~ -!3L/,Cj
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:@' 60.00
Permit Fee:
Plan Review Fee:
Use Tax:
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 wit Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ord"nances, f r wo under this permit.
Description: \ >'lS'i 6'-\\
DATE (0' \ \ ,CO
ZDA <oF!... C:\n::. un -r6( -;f'-l\CU1:U F50iLrfub
BUILDING DEPARTMENT USE ONLY
(OWNER)(CONTRACTOR) SIGN
Total:
ZO!llllmomm-ents')j
Approval:
Zoning:
Bulllllff!:ilComi'im'its;J
Approval:
P'OblR9.VVlihsn:.ommePJS]l
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
II
(' "'.; l:WL(B
Expiration Date:
Approval:
. IP.llIIJllIBJ:l8I!~
Expiration Date:
Approval:
Expiration Date:
Approval:
.
,I" I;' . :J.U (~. .d
(4)
(5)
(61
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 Buildin~ Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permIt shall expire If (A) the work aulhonzed is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days. _ .
If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or WIll be made In the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year, If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural now or water causin~ a drainage problem,
Contractor shall notify the Building Inspector twenty-four (24) hours In advance for all inspections and shall receive written approval on inspection card before
proceedilng WIth successive phases ot the/ob.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rute or regulation.
{11
{21
(3)
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
(OPTION D or E)
ESCROW AGREEMENT
~x
DRIVEWAY
TO: City of Wheat Ridge
P.O. Box 638
Wheat Ridge, Colorado 80034
h Three hundred seventy five and no/------------------------------------
T e sum of DOLLARS
(S 375.00
) to be held in escrow with
City of Wheat Ridge
(City of Wheat Ridge, Option D)
driveway (Bank, Option E)
until 1~~&!;ll.?H~n9 is completed at 4692 Independence Street
(Description)
Wheat Ridge, Colorado by
Robert Kirkeqaard
(Contractor/Developer/Owner)
The City of Wheat Ridge shall have the absolute riqht to withdraw the
drl veway
Escrow funds for the purpose of completing the ~~l~of
46q? Tndeoendence Street
should Rnhert Kirkegaard
(Contractor/Developer/Owner)
d.'("iUe...i..--<..J("-LY
fail to complete or provide said J.Rraea,tRg prior to the date of
q 11' /q7
. ,
The only requirement to withdraw the Escrow funds in behalf of the City
of the City, executed by the Director of said Department and witnessed by
the Mayor of the City of Wheat Ridge. Said letter shall state that the
cl'ct\Je.....uo.... y: set forth, have not been completed or provided by
londoeaping, as above
Robert Kirkegaard
(Contractor/Developer/Owner)
Seotember I. lqq7
and that the date of
has expired.
(over)
(OPTION D or E)
ESCROW AGREEMENT
LANDSCAPING AND PARKING LOT IMPROVEMENTS
-2-
ACCEPTED:
epartment - City of Wheat Ridge)
(Director of Planning
(Bank - Option E)
Address
Phone Number
~~~~
~ (C ractor/Developer/Owner)
Yt 9 :J-
Address
g./y& ,~~--(
#'
y;;;- '3 - j~3:>1)
Phone Number
Date
6;;7/~?
Temporary Certificate of Occupancy for structures covered by this agreement
may be issued by the Mayor of the City of Wheat Ridge for a time period not
to exceed six (6) months upon acceptance of this agreement by the City.
~ ,- 07
DATE: d ~0---;
A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR:
L/6 9cX ~~Z SA-
Building Dept.Approval:
0V-=
Remac" 7 C D fJJ Or 1 UG- kJ P-;y'
Lur h cvr
.
FUR POSE OF STRUCTURE:
Zoning Approval:
~
r;'IV"\1
o!~Jf -r00~C.~~'Pf-8
Remarks
7'''''t'.".~. ",
INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE
INSPECTION RECORD
JOB AOORESS 4692 Independence Street
BUILOING PERMIT NO. 2458
OWNER Robert & Li nda M Ki rke9aard
CONTRACTOR owner
SETBACKS FROM PROPERTY LINES: NORTH
OATEISSUED
1/3/96
I TYPE I OCCUPANCY I
SOUTH
EAST
West
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
INSPECTION
DATE
INSPECTOR
Foundation',
Footin s ~ ,I
Caissons
Reinforcin or Monolithic ~k., w /1 () f . '/,
Weather roofin
.".
'J
t: "
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Concrete Slab Floor:
Electrical Ground Work
Plumbin Ground Work
Heatin Ground Work
Do NOT POUR FIJ)OR UNTIL ABOVE HAS BEEN SIGNED
(above must be signed prjDr to framing inspection)
Framing 0./". I r:;/:J../e;t
Insulation
I~?
Final
Job Com leted
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
7S00 WEST 29TH AVENUE
POBOX 638
WHEAT RIDGE. CO 800340638
The City of
(303) 234.5900
~heat
GRidge
City Admin Fax # 234-5924
Police Depl. Fax # 235-2949
DATE: August 13, 1997
TO: Accounting Department
FROM: Director of Planning & Development
SUBJECT: ESCROW REFUND
Reimbursement requested for escrow funds being held for:
completion of driveway
driveway
The ~DOdscapi~ has been completed to the City's satisfaction.
RELEASE TO:
Robert Kirkegaard
LOCATION:
4692 Independence Street
Wheat Ridge, CO 80033
AMOUNT :
$375.00
Director of Planning & Development
"
;:~ '; :1"" '.'
96-2458
:Ii ." r- ." 0 0 ii"
;. 0 m :II 0 ~ CD
:II G> 0 % r::
.. ~ % CD
0 .... ." .... m a.
3 :I: r- m ~ :II ~
:l: m 0 :II
." m ~ ~ ~~~ .... ;:;:
en ;u ::r
0 0 ~ 0 0 ::J"::J"CIl=: 0
r- ;!! 0 :II 0- (DCI:l3al !;
r-
~ :!l 0 '" !!.!!.Ci~ ."
:II -s :IJ::tICD~ CD
i5 m rt e: ji.!'l ::;; CD
% en
0% ;!' en a:::lCOCO
CD 0 G> 0 "" .!'CD::JDl 0
ao ." .0: I>>mg.(j)
- ::r C :::> , ::J C:... < tz:j
oCD :II '" ~. a.=_CD
CD " (3 -s :::> 3 9::::r:::!. :;:c
-" Q. Slo1::JCI:l~
CD CD en ~ D> ,<coDl<tl
a~ m 0'> gog~ 1-3
0 g:, <D ;><: oO<::r
0 N ~. ai-CD!!. -
0 -S
r:: <7 ~ ^ 0- " I'%j
" " CNCD::7
CD 3 :::> '" ~O"'CD -
" Q. <C ",,3
0 CD '" D> 0.---0' 0
'< a. -0 D> _::I-=.
" 010 ::J - ~ 0
." S' 0 a 5' '" -S ""'(alce: >
Q ::r C :::> Q. ::r ~
" [ 3 -::13::.
~ :;' :T '" Q. i a. ~rD m...
CD " III :T " rt '" cs.....g ;80 1-3
'< CI> D> :::>
Q ~ So r:: 0 0 cn::tl>>::J tz:j
a. 0 CD CDCD::JCO C:~"1I
3 c: ;:;: CI> ::T '" ~:::a.~
5' '< Q. '" og. :IE
:;' " Q. UJ Q)<DOC 0
~ 5' Q. :T rt ~Qi"::J~ "lll:z:
~ CD ~ iii' G) -S =;-,,~ 2.:T~ I'%j
" ::r D> '" CI> a. ~
Q CI> CI> <7 -S '" PO_OlD Q>-t
0 a !:. D> rt CD" " CD <
Q "CD a. a.~:D 0
:JJ9; <C a.~ 0- or::_
'"
a:::J ~ r:: ~ gCDC 0
",,,, CD a.-
!" :Ii ...., 0 Cl>CI>::r ~ ~
0 0 CDCI> 0
~ CDOr::
-s :II :::J::::!.(IJ
0 m a.[CI> c=
5- ;u en a. "
'" en CI> _
~ Ul < <70 "'C
g" ~. !..eD'C
Q. 0-0 >
"OCD
" '" ~ 3 ~ 8-
2. :::> 0'> Z
0 rt <D g: a. 0
~. N _0_ 0
CI> D> ji"m :T CD 0
CD ~ ~ CD
" :::> :Ii 0 CD to<:
a. CDO <7
CD C Q. 03=.
Ul '" )>-
" '" -0 -" - C
_-a.
CI> '" ::r"< ;- <C
:Ii :::> ":Ii" c
Q. 0;:;1>> Ul
'" ;:::;:::J"j rt
:::> ,<_a.
0 o:::ro ~
'" _CI>~ <.oJ
.
UJ
rt ~
-s <D
'" <D
'" ....,
rt
"'6'6'~'.
pePARTMt:NT OF PLANNING AND DEVELOP
t .' BUILDING INSPECTION DIVISION. 235.28
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Nu ber: 3935
ate: 9/27/96
'W~"" ?;.t"~('~1""~':':""'7,,;,;,,~'''''~'II:;;~,:,,~.,),,~r!~~~\-~~'" .",.J~";,r''C':'':'~~'"',?''1,.,'%;l:''!~'''\,~'''~~"~m:'l;\,?N~If'~:.;,,;,
Property Owner: OTT HERBERT I
Property Address: 4692 INDEPENDENCE ST
Contractor License No. :
Company:
Phone 423-5370
Phone
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND A
accurate,
Ridge or
ollegatlons
this
Building
pennft.
Construction Val e:
Permit F
Plan Review F
UseT
$800.00
$45.00
$0.00
$16.00
$61.00
(OWNER)(CONTRACTOR) SIGNED
To I:
Description :
UNDERGROUND
BUILDING DEPARTME T USE ONLY
SIC: Sq. Ft. :
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential nits:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical Li nse No :
Company:
Expiration Date:
Approval:
.
Expiration Date :
Approval:
.
Expiration Date:
Approval :
.
(1) ThIa"",,,*__in_wi\hthoproylslonssetlol1hlnyopur .
Reau_ ancI_na ~ or _ RIdae, CoionIdo or any other__
(2) ThIi permilshOll e><pInl W GAl tho work a_Is not commenced wllhm sIxIy (
_fo<apeflOd~or1l!o
(3) ffthls """'* ""'*"', a _ may be acquired for alee or o_tho amoun
original plans and ',' ' and .ny auspel'lllon or abandonment has not ex
__(1) year. fuII__bepaldfo<a__
(4) No _or any manner shOll be_lhaI will change 1110 _ra1 now ofwal8r co
(5) COn1IaclOt shallnollly tho BUIldIng :=r lwenty-Iour (24) hours In advanca for
(6) wi\h:;;;~;;~ :~~tho ArOwinaUnd epecl1IcatIons shon not
or other .. rule or regulation.
on inapoclIon canlbelonl
, any _ or tho proyIsIons
uikling Inspector
HIS PERMIT VALID ONLY WHEN SIGNED BY THE
CALL: 234-5933 24 HOURS P
IEF BUILDING INSPECTOR ND MAYOR
TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: c;~7/a/
7500 WEST 29TH AVENUE /.;;, / T '"
WHEAT RIDGE, CO 80215
+ Property Owner Rohe,.i 'I- l-/pdl9 Mrlfe.9l9-Arcf
--iPropertyAddress: 1f~9~ .I11I<1t!,I:1eNtI",,III'~ Sf"' -}Phone: t(:J.3 -5570
Contractor License No. :
Company:
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
eoo~
"r- Description:
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 Wh idge ordina S, Jor work under this permit.
DATE 9/,z7/'H>
,
::r:NSf-/foJl .l!1.......:o< r/G/f- 1"01' oetl1c-A..-c1
U~CI I1mp ~ efc/I C_- '-C
.:r"'sf II 4$ I' '1-0 d..-rlf-'-;' f)
BUILDING DEPARTMENT USE ONLY
(OWNER)(CONTRACTOR) SIGNE
Total:
~"~p.'C- 4 rJJ4J'.'rj{ ,e
rtlr "r"re (.IS e
zg:rlriilllCC)n!@ln~
Approval:
Zoning:
!i!!iirdJrI~omml!!llS:]
Approval:
p(jbliC1W-oW~omrile.rlt!S}J
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
COnIpany :
Mechanical License No :
Company:
Expiration Date:
Approval:
1:1 1~1il!~~@ltgl~
Expiration Date:
Approval:
III 1P..!lfIf$l~!qU!~
Expiration Date:
Approval:
Jil 1e1~I'[l!lRiljI\ll~
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yapur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (Al the work authorized is not commenced within sixty (60) days from issue dale or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If thiS permit expires, a new permit may be acquired for a fee of one.half the amount normally required. provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the nalural flow of water causing a drainage problem.
Contractor shall nottfy the BUIlding Inspector twenty-four (24) hours In advance for all Inspections and shall receive written approval on inspection card before
proceediing with successive phases of thelob
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
(1)
(2)
(3)
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
"Ill!~I!IIlII.ll"...~.,.,",,!,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,",,,,w,,,.,....,,,".,,,...""~"..",,,.,.,...",.,.,,,~,..4,.,.. . ..",....",...,..,"."""'.,"',."".."~..~,.,....._"".""".._"'_''''',.,.,,.."
f)~PARTllIeNT .9fl.PLAN~ING AND DeVELOPMeNT Building Pennit Number: 2458
BUILDING IN$PaQ1'IONDlVI$ION - 235-2855
CI1'Y9flWHEATRlDGE Date: 1/3/96
't500WE$T 28TH AVENUE
WH~T RIDGE, CO 80215
property owner: OTT HERBERT I
Property Address: 4692 INDEPENDENCE ST
Contractor License No. :
Company:
Phone: 423-5370
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I ~ C8IIIfY lh8I tile setback <IIstanc8s P!OP/lI8dby IhIa pelTIIR oppI_ ... _Ie,
and do "ol vlcilate~1e Qfd/nlI~. .... orref/lilldlOna of tile City of Wheal RIcIg. or
CO\IIlnantl!. eallell'lllillaor 18I\11cl1Qlla of 1WCQtd; thlll altmelllUlll/llelllS _. and IIIIoIgatIona
made._ accurate; lh8Il hallll_ -....aeno.e .' 10 abide. .. condlIlofta Drinlad on IhIa
applicalioll. _Ill. I uaume fuIf re.epOIlslblllt: lor .. _ the Wheel R~ Bulldlng
=~~:;~=~::=:~.. ~;:;~?~
Description: DETACHED GARAGE
BUILOING DEPARTMENT USE ONLY
Construction Value:
Permit Fee :
Plan Review Fee :
UseTax:
Total:
$5.000.00
$72.00
$0.00
$75.00
$147.00
SM 01103198 SETBACKS NEEDED: 30' FRONT AfolD 5' SIDE; 5' REAR
YARD
Approval:
Occupancy :
WaUs:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
.
expiration Date :
Approval:
.
expiration Date :
Approval :
.
:~ E~a"~~'~~==:cr:::u:::~:=.::=-~
(3) l::"m:=.:~I'r"'~i'~~'i='':~l::::;::-~I\llI-:''"',..l;i'~ (=. rr=:.:=:=l:r.!;';.~:-==
__(1)yUr.fUIlo__lMopoid .__
141 No_ofonv__lMotl<lnllll1lllwlllcl1ll1QOl"'_tlc!wof_~.~~pIObIam.
5 ~-=~~.....~~%t,~.1oUr(24)houlSln_lora. 1nd_____onI--=*>nClinl-
(6). lI_ofaplll1l1llar. ~of~Ind.,..:l_._notlMo_\OlMoapormlllor.nor..__of.",_of"'__
~ofVJ72zn---""rula"'reo-on. f~Ul .
~iB~ildin; Inspector . FO~ ~
THIS PERMIT VAUD ONLY WHat SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL:. 234-1933 24 HOURS PRIOR TO INSPECTION
Wi:IlJ
"" i
-.J>. ~<l
-.c <l:l Jl:.. ~ iii ~
~I~I ...:!~ ~~
~ ~~ ~
.ii:, 1l
~ I I:'
~ N
~ I I I s I :gl I / . 1::.
if\ II 1\ ~
VI \JJi}~ ., ~ ~
~ tJ Ul - ." l:Q ~ v
1= 'J\ F ~ ~~.ll~ i ~ ~
t:t IQ .. ~~ '-
D 11 ~ 1lI 0' ;:! .~ '0. ~ 'lJ \.J
II III "Z .J _ _Q. ... '"
l"'OI=-l-J 'fl.-... "::t- .~....
~ U. lL _ ':.~., _ Q
:tj & ~ & ~ ~ ;. ~@) ('t IJ... ':j
':Z:1-
ffi8
X'I
14 I 8 ~ ~ I
1 ohX'JS
l I I .
' ,
VI
~
\..l . I
~ ~ ~
~ ~ ~ \. -
'0 ~~ CS~ ill ~~ _,
~ ~ ... -oI-~ :I ~ ~ ~ ')-
~ ~ &~ ~ ~g '".
~ 0 ~v ~ ~p. ~
~ ~o ~ ~a
1---( \] \~..1 ~~
~ :r~ ~
0-. t5 d\''''''
~ ~ ~
~ O~:'1: '_'>(
-Z I I . I,~
o I~o"'';>rl . ~
:2:
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: !?obert T v-!-,;;d/i /11 111~/{erf..1lfrJ
PropertyAddress: L/b9:J.. ]:/\Ide.pe,vJe,vc-t? Sf
Contractor License No. :
Company:
Phone: '173 --53 ') 0
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : ~ C' C' C'
/
Permit Fee:
Use Tax:
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 Whe idge ordinance~~ work under this permit.
(OWNER)(CONTRACTOR) SIGNED } " ATE ;':;/Ze/Y5
Total:
Description:
Oet/}<.hed
BUILDING DEPARTMENT USE ONLY
Approval : .~~
Zoning :j?-2-
(Setb,,~,> w'e,Q~.~~ ~o' r""',*,,,.<i2, c;t~&.e"I,":",1 S' ~{~o)
Approval:
. I . tl....~,\. !.\~.~,11W! .ul~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electncallicense No ;
Company .
Plumbing License No
Company:
Mechanical license No :
Company:
Expiration Date:
Approval;
..J prIns R!lllu!I'lld'::'.1
Expiration Date:
Approval:
JJ pra:h~,Rllqulred J
Expiration Date;
Approval:
ill . P.!MI.;mJAlllnrd ....4
(1)
(2)
(3)
This permit was ISSUed In accordance With the prOVisions set forth in yopur application and IS subject to the Jaws of the State of Colorado and to the Zoning
RegulatIons and BUilding Code of Wheal Ridge, Colorado or any other applicable ordinances of the City.
ThiS permit shall expire If (Al the work authonzed IS not commenced Within SIXty (60) days from Issue dale or (8) the bUlldmg authorized is suspended or
abandoneo for a period of 120 days.
If this permit expires. a new permit may be acquired for a fee of one-half the amount normalt.... reqUired, provIded no changes have been or will be made in the
anginal plans and Speclficatlons and any suspenSIon or abandonment has n01 exceeded one 11) year, If changes are made or If suspenSion or abandonment
exceeds one 11) year, full fees shall be paid for a new permit
Nowark of any manner Shall be done 1hat Will change the natural flow of water causing a dr nage problem
Contractor shall notify the BUilding Inspector twenty-four (24) hours In advance for all insp 'ons ana shall receive
proceed with successive phases of the JOb.
The is ce.r. a permit or the approval of draWings and specifications shall no1 be cq rueo 10 be a perml1 for n
of th b ding des or any other o;P~ce. law. rule or regulation. '
/'- At.A
of, any violation of the prOVisions
(4)
(5)
(6)
C ef Building Inspector F r Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPEC
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
II) Z\i~:i~~ii~r.z~;
"- en ....orf'~'.
m '~Il~ ! ~i"i
1U101nO -J illliMlP~
W'
..JICJlOOlO ::>
U, C711 -, 1 ~ U.-."it
~%,
tt.,
. .. pfwUjJI"
,
w -, ..
t!)(:IIl"IOIIOO "~~j" l~'
z.... I NlDo:\110
~-, e i~e OIl- c a.~
z.. I I"ll'lf'lf\l j;8Hpmn
8>' I
::; Ilip ~. d!
'"
0 - l" i .. ~ i h
~-, - i'j<'>'
CIDlOD'lO , !'l I,!!~.,i
w...., IDOIllO
~-, m
....14040 , lHi~r!J~nl
J"' , 'R
~ 1~:1[<5. ~>.6(..
J i.' t~-H-I
."
~~, o i~i!'br~lsl
uz.........,ltl.... I :0
w~' 0 t~~~~l;Jilj" ;
~o, m ;:::
"''' m ~i~ii~li;til
4 - - ~
H_ ~!,... ._ ,
'*:~!'~...l.~ ,
lL.. f;. c i.... ..
0 "!Il "...1>.,
"'''' 4 0
~ N ~ i'" <.H~.j~i E
-~ , '" 0
D' J 0 4 '" ~ I ; ~ i il ~ tin 3 ~-, c
C % '" ~V ~ i I@H;tr3' 0
._J 0
~o , , r~T hE! .
ow 0 0
om w <0 m 1'1 if :~ pi L
J '" ~
I!;.n . !i~o.l.rPl!> ,
m
L % '" Irl~! j!jll Ui ~
o~ <
_ 0 N 0
..... .... '"
513 t; ~ .~.J H ,," I >
ow tt .h~U h~b
'OUlCI.-l ~
L.1--11.- ~
. .w ~ ilH~d [~f{i~
'0......0 m
co '0 ro ~ z
. '" ~~..ha2"!H
~o . 4
U1fT'lIllO 4 <0 0. ~lihh.hj~
OJ , N , on
, .
ow m .. on -' I tIl'l!t~i'~l!'
-'L>
JU~ -' ..fid.~ r~l~re.
uc-' 4
~~ <r ~mhH~Hli
0 ~ w
w 0 >
0 '" 0
4
tt ~
0
;" 0
m 4
-- jj ~ 19
C:::~ . N ,
m
, , ~ , 4 g
'"
on on
N4
n 0
\fl(JI4CJl 0 U
'" ~ ~~
.alDOlD '"
. ~
> - 4 tt
N . ~~
'"
. .. ~ II
-"''''
>>> N ~
0 '"
",1'-,......... '" ~~ ~ ~E-i~ _
J::{O'1lTll'lPl , ,
ulOU1llHn
4444 '" '0
E
0
..,1.1. ~ 1 0
..,_N"'4
0 <.>
IIHUlDmm
,....,....,....,.... - W
N 1'1 1'11\1
....."'1'1..... 0 ~ "
'D4"""'4 0>
.1::1' " ":i 0 0>
U .1.1 ;:;
0._N,.,4 -.1 N
0 ,
1-1-1-1-1- ~
I 0 ..0
<0 H 0
, ......
4 '"
~~ 0. 0 ~ - , , 0
JJ J w 0 4 ,
"OO oo n 0 w N 0 m - " "
",w w " '!' - " , Z u C N
" , ""0> Z - 0 0
~~ ~ mow 0 u J _~z U 0 i3 0 ~N 4
ill ~NO W . . tt_O "J au ~
oo'" -- n ~ ~ DO Z _c C
, Z 11Jc.......c 0 '" ;, (1)0 0
w . 0 zwoo 'J' Ln 0 ~
tttt n w n N ~o::a.I OL ruN
"'oo'" '" N W ':1 " utt ~, _0 . L
"'0 , _cc , Ulr"'(rl-< 0. u Cl .
0 "'~~ > ::; 0 ~~~~~ ':1' nu N >
wwo W I ..
mm> '" . . . "u ~'" ~ ,
lIlCIIOfO'l n w 2......".J(':2 "'0> UC (I) 0
oo-- I-W4_ > m ~ willerI-<..... "_1. 0- .
Z I I :I: , Ztt m . w,..........o. c w :> "'
a~~ ~ w NN J 0 rou , 00 <-If) 0 ,.
.....000 0 , Z .'" 0 "''''W lJ'''''' 0 C" .
1-00::1 " W > tt~ r. UlO....I.cU zw CO 0 " J
.c...._I_ 00 tt"' 0 w_ , elm::>...!:::;! 00. 0- U m Ll_ ~
UNl\Ittl - ~N , ~. 0 Iu...!(,!}Q:: -'" .
~~ '" .z U .....<<(:::IQ. '" no , (I) ~
....... . CllllLC . ~ U '" >0", wo 0
U444 i\' ..- c '" n . "', 0' az ul-' -, "
4 0 tt "'00 :::;!I-l!l.......u o-
W ~oo _'00 w ~ ~ u....zw..... "'> c L
ll.",..r",..,,,, ~Ull1ll1 uON m 0_ "' I--::J.....Z.... - n ~ --
\1ll\lNN N Z4 uNN , i!'" ~ 0_' u u I ;:
" ~'" . , , w , tIlw...Jo.z: ",- 00
a:U'01lI1lI 0 , .....UO uJ "'"' _c >
Wl...l...UU .0 tt '0 "'~ XZIzr ~. ",,,u w 0 <r .
mooClCl WZ 0 z> OZ ~. tt ttro . ro S
lI:.I::.I::''''-'--< m~ Z a~ zw OOUJZ e 'DE::l 0 I
::Iuunn n ::; u _r 0:: 0 r..... 0 0 "'
J .-~ __J I nw 000l- "'w ",,,,'J::. ~ "
Q"'OlD wmro ~.mm . ., .> IDUIJl::l'" _0 _~u "
00 ClUJ m n " "~ wo uulO.... IO L. a..
1-1Il:JoJ " " -, flI:l:' ........ntllf1. H' ,- a:l
.
-..
--
5460 WARD ROAD. SUITE 160
ARVADA, COLORADO 80002.
(303) 420.4788
10/22/94 80.00
DATE: FEE
INDEPENDANT
MORTGAGE CO.
4692-94 INDEPENDENCE
ADDRESS
KIRKEGAARD
BORROWERS NAME
94-6132
JOB#
MORTGAGE PROF.
ST.
LAND SURVEYING
I"PROVE~'E~;'; :L~'1YLON CERTIFICATE
bEE ATTACHED
LEGAL DESCRIPTION
(PER CLIENT!
I
"
L
~
s coli Il
= 20
3
0'
d.
..-
25
13'11
:::>
:::>
f)
-' ,. ,
.0
0
-
..,
f- 308 NW'
U) p.lrt
I 4
6l 22-3S-!""JW
"-
w N <l-
e., 6' ,
Z ...,
W <I- -.~ --I
0 1C:l?~ +l
. . I
z ). .....:... COrle:
w - - - - -.-- 4 I _C """
"- . "
w E ----
0 "
Cl 0 'll
Z d rl v .. 00
M I.. X 00
- N :Jl
- " .... .. 1'-.
: I...
- ~ " . )/.
: 0 1-'--.
"-
'<t .... ..... .....,
I 6l - - - -- r~ '" ::> ,. .
.:f. coo:rl
I l:?"3_ ...
I I " , I
N - - . .
I... N ,--_....:..-a
~ 6l 6'
'" 6' .0 <9 ,- - - - - - - -,
I'- <l- I
<l- N I
~ , ~ ,I
I ~'A ,
:.c:::l_ c~ I
I x . I- ,
.308 2......0 01'" 1
3S I 73 -"V
, \
N I -'
.- r - -- - - - -
- -,
...,
,
o
o
I 3'3
SW cor
5 W 14 N E '4 N WI4
;:2-35-c'''JW
It is my interpretation that the above described
property "'$ I-J 0 -f- located wi1J1in a 100
year flood hazan:j bourdaJy based 011 Federnl
Emergency Management f>gercy Rood Insurance
Ra\aMapsDated_i:.-=-':/_~ .
Ii o.es 07'1 0 >,c... ?:OIVE, c::...
----......-..
On tile basis of my knowledge, Information and belief, I her~py.,certify_thatJhl provement location c~rtlfjcate was prepared for
INDEPENDANT MORTGAGE-PROr: . .... ,that ~ Is not a Land SUlVey Plat
or Improvement Survey Plat, and that It is./Jofto be relied upon f the establishment of fence, building, or"other future
Improvement lines. I further certify 1h t'the Improvements on e above described parcel on this date, exc~pt utility
connections, are entirely within the bo ndaries of the parcel, ex pt as shown, that there are no encroachments upon the
described premises by Improvements n any adjoining premises, xeept as indicated, and JMat there is no apparent ovid nee or
sign of any easement crossing or bur ening any part of said pare I, except os ~~teltl~l '"/,/11/1///
~'\ \'lBfG/~:II",
"NOTICE: According 10 Colorado law must commence any legal a 'on ba~. 'i?j ertY,delqb!<!!lIbffi survey wftflln Ihrea years fter you
first discover such defect. In no event, may y action based upon llny defec . ~,~, q Mfl7?Jt1~Ir~ 11]9rD than ton yoars from tf e dare of
the certification shown hereon." . '1;';''' ......._
.~(". ...-"\..v~
::::: ........ ......... -
-"G '(\, ~
~ :ec 27268 ';z; cc"
=""t). .<:::l:::
==:P' ''::'-
~o.. . :i I~ '"2.~-.,.y
..... ~ A . _
Robert E. Port, L~~:;~21 or F,J'S~e_~ M. Hayden, L.S. 27268
~/. IO~,....'.~(\ 0"
;t';'/h"Alle:~\).,\,\."
"'IIIf/IIII:llll\\\\I"
'-'
-'
-----.-.-....:...- ......--.--.-..--
TNAT FAaT O~ TH~ SOUTHWEST ON~-QUARTER or THE NORTHEAST ONE-QUART~R
NORTHWEST ONE-QUARTER OF SECTION 22, TO~SHIF 3 SOUTH, ~GE 6' ~5T O~
~.M.. D~SCRIB~D AS YO~LOW8,
OF
THE
THE
6TH
DEGINNING AT A POINT 500 FE~T NORTH AND 25 FEET EAST OF THE SOUTHWEST CORNER OF
SAID SOUTHWEST ONE-QUARTER OF NORTHEAST ONK-QUARTER OF THS NORTHWEST ONE-QUARTER;
THENCE NOaTH a, DEGREES 50 1/2 MINUTES EAST 139 FEET, THENCE SOUTH 0 D~GREES 00
3/4 MINUTES WEST 100 F~~T; THENC~ SOUTH 8' DEGREES 50 1/~ MlNUT~5 13' FEET. MORE
OR LESS ~o A POXNT 2S FEET EAST OF TUE WEST L%NE OY SAID SOUT"W~ST ONE-QUARTER OF
NORTHEAST ONE-QUARTER OF NORTH~5T ONE-QUAaTER; THENCE NORTH ~ PA~~LEL TO SAID
NEST LINE 100 FEET. MOR~ OR LESS. .TO A POINT OF BEGINNING.
co~y OF JEFFERSON.
STATE OF COLORADO
,.
;..\\\\\\\111111111J/JI111
,$-"'\.\\\\ REGIS ;'/ij/
~~f:(;..~.M.....I'-9.%
$~..~~\ .1t4;.:~
::!C,.,)..~ 0.. ~
::: :0 (f'\~ ~
= .0:: 27268 :2.. a:.:::.
~~: :f2~
~o... .~~~
~~.. ..~f!
,:::,"n"'. ..~~
"/:u~ "'. .."'e...'-l ~
"0 '/0'....... ~ ~ ~
"&.1/1. II ALL r\'\\ \\\~"
'I1'IIIII/IIIBIIl\\\\\\\
~
iJ\ 1\ '1\ II
g ~ ~ ~
rl -F-
r '{l-~
Dl1~tll!}
III ~ IU -Z
~Ou:\LJ
~ a & d, 3
QJ[-
(38
\11
\---
'" k.
" \/1
'II
~ ~
'v
"2-
a ~
I~
""
....
L
(J
,'~
ill ~
-
~ . VI ~
-
<1 .c. ';.)..
~'~ ~
~
~
~LD
\~
-
.2 ~
~\f\
.~ "j-
~~
.~ ~
~
~ \--..
, -
~
J....
'tJ
~
i
,1.- 7 &
tl
g~
.....r-:e
6~
~3
pO
"'7.~
6
~
II 1\ II.
~~
7-
~ _ J
0-
-~
'(11)
~
~
i?
I ~' 't:
f ',,'.. ~
::-;-t~ ,: :":,;~ ~- ,-~
. .. .. .....:....L "-
" . ....r..""'. ~
... ." . -
.~ A -- ,'..: ..
~,~J U", ~.~ ~
': ~" _...;:: I::::.
lD ~' -<(...0 ...... '"
:.1 :' '0' // r - \'" ~ ..,
.J :! _? <i, '-l '-
'(l " ><~ .~....
",_~ V1,+-
'i ~, 'cl~ ~ ........
:.:>... ". "'-
.\ '"
::l " " I\-
~ ' \........
~~ "-
\.i)
~
~
.~
"
'i-.
'"
<>
1\.
"
--- - ':t-
..( -::r-
\t tI ~
~\ @) ~ '
,
....
~
o
<f
\2:J
<.
'ZS
. ~J
"
. ~
~~
~~
~~
';u~
:II?
i~
-::l-
h
--
., -
(