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From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Wednesday, November 10, 202112:36:01 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 26 Skyline Dr Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Stan Lush 303-919-4959 Field not completed. CONTRACTOR INFORMATION Contractor Business Al Choice Heating application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Kyle Grossart Permit Email not displaying correctly? View it in your browser. Name Contractor's License 019648 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-940-7248 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email jim.achoice@gmail.com Address Retype Contractor jim.achoice@gmail.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 80,000 What is the efficiency 80% (°%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or crawlspace boiler located (for example, basement, crawlspace, etc)? Project Value (contract 4,200.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this ' o nq,- INS E 1 ON RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be p ertormed unless this card is posted on the project site. �,_..:...�.,.onf;nn rP�„est line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Date Inspector Comments !oundation Inspections Initials 'ier ;oncrete Encased Ground (CEG =oundafon / P.E. Letter I Iroyal Of The Above Inspections Do Not Pour Concrete Prior To App Inspector Comments Underground/Slab Inspections Date Initials Electrical Sewer Service Plumbing Do Not Cover Under round or Belowlln-Sear bWork Prior To A r Ccal OflTshe Above ns Insp Rough Inspections Date Initials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw I Nail Inspector Final Inspections Date Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Comments ons 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. 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 Buildini oriserteocomp eted f n does not om thconse F ie D stute tt icct'and elecctrihorzation ofocal Iowavoltage *For low voltage permits —Please be sure that rough inspections by the Building Division. "For Inspection Time Window — Please email InSptimeregmas Time window isbased on the inspector's route. the inspection with the property address in the subject line of the occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued p Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201700838 PERMIT NO: 201700838 JOB ADDRESS: 26 Skyline DR ISSUED: 05/24/2017 JOB DESCRIPTION: Tear off the shingles only not the f1atXPIRES: EPDM roof an05/24/2018 Owens Corning 30 year dimensional shingles Class 4 durationrstormstace & water shield at the eaves and valley; new 2x4 drip edge metal, vents and pipe flashing - 40 squares roof *** CONTACTS * * * OWNER (303)202-3669 LUSH STAN SUB (303)582-4252 Julio Blanco/Eduardo Vasquez q 160145 Highline Roofing & Gutters Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned UA Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: / 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,000.00 Total Valuation FEES Use Tax 0.00 Permit Fee 450.00 ** TOTAL ** 442.05 892.05 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an a inspection, conducted when 25-75 percent of the roof coveringis installed pproved midroof approval. Installation of roof sheathing , prior to final prior to installation of (nes^' or overlay) requires an approved inspection ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per required. Eave and rake metal is required. A ladder extending 13gfeetle.lce abovedthetroofheaeld ve is and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€"s installation instructions, whichever is more stringent. In order to elastomeric or similar type roof coverings, a letter ofpinspectionland sa prow of manufacturer's technical representative stating that "the application (project address) has been applied in accordance with the installation instruction the (roof material brand name) roof covering,, is required to be on Site of the roof at inspection. on for at the time of final CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �' t Job Address:2- Permit Number: '7 L 0 S 3 g �FPAl I° pp N ID ) vat ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date Inspector: 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: IY! �� eQ F Job Address: _ ��y �� n� t N*A- Permit Number: 6 C1 C v;:12Jy -ggb ❑ No oe available for inspection: Time AM/PM 0 No 4 Re -Inspection required: ( Yes No *When corrections have been made, call for re-inspection_at"303-234-5933 Date:- 7 Inspector: DO NOT REMOVE THIS NOTICE �N i CITY OF WHEAT RIDGE V, Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r" 10 Job Address: %z (�5 k7L )Mt -PK Permit Number: Z O ) -?00 23' 3$ ❑ No one available for inspection: Time I,'/U /PM Re -Inspection required: Yes CV *When corrections have been made, call for re -inspection at 303-234-5933 Date: -S/ 7,51 0 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201700838 PERMIT NO: 201700838 ISSUED: 05/24/2017 JOB ADDRESS: 26 Skyline DR EXPIRES: 05/24/2018 JOB DESCRIPTION: Tear off the shingles only not the flat EPDM roof and gutters; install Owens Corning 30 year dimensional shingles Class 4 duration storm; ice & water shield at the eaves and valley; new 2x4 drip edge metal, roof vents and pipe flashing - 40 squares *** CONTACTS *** OWNER (303)202-3669 LUSH STAN SUB (303)582-4252 Julio Blanco/Eduardo Vasquez 160145 Highline Roofing & Gutters Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,000.00 FEES Total Valuation 0.00 Use Tax 450.00 Permit Fee 442.05 * * TOTAL * * 892.05 ----_--_ — *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€TMs installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201700838 PERMIT NO: 201700838 ISSUED: 05/24/2017 JOB ADDRESS: 26 Skyline DR EXPIRES: 05/24/2018 JOB DESCRIPTION: Tear off the shingles only not the flat EPDM roof and gutters; install Owens Corning 30 year dimensional shingles Class 4 duration storm; ice & water shield at the eaves and valley; new 2x4 drip edge metal, roof vents and pipe flashing - 40 squares 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 thisperm it. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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. Isuance 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 grariting.,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 anninance or region th' jurisdiction. Approval of work is subject to field inspection. 1_5 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of WheatlRi,dge MMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: 51C / „ 1� vjy Plan/Permit # o� i TW23S 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: C� � Property Owner (please print): to n /C Phone: 36 Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: t -1V ir� le -66V-11011 r u7�/L //CC Contractors City License #: Phone: Phone: ;�,Id Y �S� (el. Contractor E-mail Address: j f jh NLi x16 "0 F Q '� "/v I- - C0 k-1 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL A RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ff 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) (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.) -�— �' -ifs 0 F 7-1fc Sr��ti�/L O.c�i y .v6 r 7-11 FZ -r f P�� S,4 Al /k)sr+,Lz 3/1-(K 60�.Xv/s c0I—X)/X)4 'S 4-6 1()�ui?*T76A/ ?�1.�nt, l�€ j�' Gv T-K- ";)y K- ";) 7 O�i� ��%dim l��T79L Sq. Ft./LF Amps Btu's Gallons Squares%, G7 Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 666 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: &�_W�d �� li'Z SIGNATURE: G G/s j�i�D (/�°�j !/G2- DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ® Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: - Footings/Caissons Stemwall/(CEG)Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) UO NOT YOUR Sheathing Lath / Wall tie Mid-Roof©g/~ Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Asov Framing Insulation Drywall Screw INSPECTIONS TO BE SIGNED PRIOR FINALS Electrical Plumbing Mechanical Roof pQ Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OFOCCUPANCY . 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 ♦ i CITY OF WHEAT RIDGE Bung Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: orrc Job Address: 51r; Jrw w P, Permit Number: d(/jJO r it ❑ No one available for inspection:~Time AM Re-Inspection required: Yes Klo / When corrections have been made, call for -in pecttion at 30 -2345933 Date: Inspector:.tr ,.1 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: A ,4)k w Job Address: d.. i, 2 Permit Number: c~ ❑ No one available for inspection: Time g%AM/PM Re-Inspection required: Yes No "When corrections have been made, call for re-inspection at 303-234-5933 Date e~ze v Inspector: DO NOT REMOVE THIS NOTICE F " City of Wheat Ridge Mil r 4000r Residential Roofing PERMIT - 092460 "- PERMIT NO: 092460 !ISSUED: 09/16/2009 ;= ' JOB ADDRESS: 26 SKYLINE DR : - EXPIRES: 0.3/15/2010 DESCRIPTION: -T /o: Install 45.6 sqs ;.Lifetimeasphalt:& modified. * ** CONTACTS * ** owner 303/202-3669 Stanley Lush go 303/462-3745 MARY PHILLIPS 08 -0034 O'CONNOR ROOFING * *PARCEL INFO ** ZONE (CODE: UA USE: UA - SUBDIVISION: 0675 'BLOCK /LOT #: 0/ 1 FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 29,200.0.0 FEES Permit Fee ' .574.35 Total Valuation .00 Use 'Tax 525.60 ** TOTAL * *' 1,099.95 Conditions: nail installation & mid roof inspection required: Board'sheathing spaced more than :a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield( required from:eave edge to 2'i inside exterior wall$.:: ""Subject to field inspection. i I hereby certify that the setback distances proposed by this permit application are accurate, and do, not violate applicable e ordinances, rules or regulations of the City of lWheat Ridge or covenants, easements or restrictions of record, that all i -, 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 and all other': y applicable Wheat Ridge ordinances, for work under this permit. Plans': subject to field inspection. Signature of contractor /owner ' date 1 This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City.:, Wheat Ridge >Steve Wakeham 01-9921 Pipeline Industries, Inc.. 3 ' Jacey Matthews USE: UA ~ BLOCK/LOT#: 0I ~ ESTIMATED PROJECT VALUATION: ~ 5,500.00 FEES 162.90 .00 ~ ~ . . . - 99.00 . ~ 261.90 tion only, no street work permitted violate applicaCle 0ck dietances propoeed by thie pexmit applitation are accurate, and do not t~at all nB of the City of wheat Ridge or covenants, eaeemente or reatrictione of record; t . . tione made are accurate; that I have read and agree to abide by all conditionaprinted on thie£ull responeibility for compliance with the [Vheat Rid9e Huilding Code (I.B.G and 371.other ices,for work undez this permit. Plane euh]ect to field inepection. . . . date ' " . ICCOSdance with the provieione set forth in your application and ie sutijeCG.tothe lawe of the ie 2oning Regulatione and Building Codea ofWheaG Ridge, Colorado or any other appl3CaDle ~0 daye from the issue daCe. Requeste for an extension muet be received prior toexp3ration .'gaanted at the diecretion of the euilding Official. -?ew permit may ➢e acquired for afee of one-half the amount no¢mally required, p tovided no has Ce made in the original plane and epecifieatione end any suapenaion eBZabfull~fees shall t ~cttan9ea have been or if euepenelon or abandonment exceede one (1) y 1 bedone that will chan9e the natural flow of waeer cauaing a drainage problem. e.BUilding Inepector Cwenty-four (24) houra in advance for all inapectione and ehall receYve tion card before proceeding with eucceeeive phasee of the,job. . i the approval of drawinge and epecificatione ehall not be conatrued to tie a.permicfor, nar iop belde provieiona of the building codee or any other oTdinance, law; rule ot'Yegulation. ',.fh. inepectione. i (303)234-5933 BUILDING OFFICE: (303)235-2855 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY• a~ . ~ ~k . ~ . . ~ . City of Wheat Ridge RAO Residential Plumbing PERMIT - 080190 ~ PERMIT NO: 080190 ISSUED: 03/03/2008 JOB ADDRESS: 26 SKYLINE DR -EXPIRES: 08/30/2008 DESCRIPTSON: emergency sewer line repair tostreet CONTACTS . . gc . 303/696-9599 Steve Wakeham 01-9921 Pipeline Industrie8,- owner 303/422-1858 Jacey Matthews . . PARCEL:INFO ZONE CODE E UA. . IISE : UA StIBDIVISZON: 0675 BLOCK/LOT#: 0/ **FEE SUMMARY.** . ESTIMATED PROJfiCT VALUATION: 5,500.00'' FEES Permit Fee. 162.90 Total VdluaCion , . ' .00 Use Tax~. . 99.00 _ POTAL~+* . 261.90 Commenta• . . . Subject to field inspection permit fas work on 2ot only, no street work permitted . I hereby certify tha[ the setback.dietances propoeed by [hie pemit application are accurate, and do not violape W~123epb'Lg„w oYdinancea,rulee or re9ulations oP.the City of wheat Ridge or covenanta, easements or reetrictiona of record; qyyyf;yl,. . meaeuremente',.shown, and allegatione~made are accurate; that I have read and agree to abide by all conditione pYidCSpi.{dg pG#Y . appliCation and that Iaeeume full reeponaibility foz compliance with the Wheat Ridge Huilding Code (I.B.C) and applacabYe Wheab Ridge Ordmancea, for work under this permit. Plane eubject to field inepection. Signature of contractoz/ovmer date . 1. Thie pemit wae ieeued.inaccoraance with the provisione set forth in your application and ie eabjeCt Co the Gt C* State af Colorado and to the Zoning Regulatione and Huilding Codes of F^neat Ridge, Colorado or any other appY ~ ordinancee of the City.~~~,;... . 2. Thie pezmit ehall expire 180 days from the iseue date. Requeeta for an exteneion muet be received prior to expi;geyqp~date. An exteneion may be granted at Che diacretion of the Building official. 3. If Chia pemit expirea, a new permit may be acquired fox a fee of one-half the amount normally required,.proV.z changee have been or will be made in the originalplana and epecificatione and any euspension or abandonment d" exceeded one (1) yeax. If changee have been or i£ auepension or abandonment exceeda one (1) be paid fora new permit. year, full feee akLqj~.~~~ . 4. No work..oY any manner ehall be done [hat will change the natural flow of water caueing a drainage problem. 5. Contractor ehall notify the euilding Inepector twenty-four (24) hours in advance for all inepectione and eha11 k wriCteII-appYOVa1 on inepec[ion card before proceeding with eucceeaive phaeee of the job. 6. The ieatYance of.a permit or the approval of drawinge and apecificatione shall not be conetzued to be a pemit Aft+ an approvalaf, any violatiorr ofthe provieione of the building codes or any other ordinance, law, xttle oY xet~11 {dx(.1All plan review iseiibject to field inepectione. ~t Signature o£ClfiePBUildih 1 date INSP&CTIONRSQU88T: 5(303)234-5933 BUILDING OFFICE: (303.)235-2855 REQUESTS MUSTBE E BY3PM.ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINE$$ A;~..~ . . . . . 9~ . e~ . . . . " . . . _ . - . . . . . . .y" . Ar' City of Wheat Ridge Residential Plumbing PERMIT - 080190 'PERbIIT N0: 080190 ISSUED: 03/03/2008 -JOB'ADDRESS: 26 SKYLINE DR EXPIRES: 08/30/2008 `bESCRIPTION: emergency sewer line repair tostseet ***CONTACTS "gc 303/696-9599 Steve Wakeham 01-9921 Pipeline Industries, Inc. - owner 303/422-1858 Jacey Matthews PARCEL INFO ZONE CODE: UA USE: UA "SU9DIVISION: 0675 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATIONp: 5,500.00 - FEES . Permit Fee 162.90 Total Valuation .00 Use Tax 99.00 : wx,TOTAL 261.90 ~~1p lL Comments : :~-Subject to field inspection permit for work on lot only, no street work permitted - I hereby certify that the setbaCk distances proposed by this permit application are accura[e, and do not violate applicable -otdinances, rulee or regulations of the Ci[y of wheat xidge or covenants, easemen[s or restrictions of record; that a11 mea9uremente shown, and allegations made are accurate; that i have read and agree to abide by all condi[ions printed on this applicatron and that I assume fu11 responsibility for compliance with the wheat Ridge Building Code ;I.e.C) and all other .....i~ie w1..wr xXdnar~5rdinances, for work under this perinit. Plans subject to field inspection. >s."t~4-fr.of contzactor/owner date ~.1.. Thie permit was issued in accordance with Che provisions set `.orth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations- and euilding codes of wheat xidge, Colorado or any ocher applicable ordinances of the City. Z..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 granted at the discretion of the Building official. . 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no . changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonivent exceeds one ill year, full fees sha11 be paid for a new permit. 4. NO work of any manner shall be done that will criange the natural flow of water causing a drainage problem. 5.. Contractor shall notify the Building Inspector twenty-four i24i hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job - ' 6. The iseuanee of a permit or the approval oE drawings and speciEications shall not be construed to be a permit Eor, nor an approval of, any violati n he provisions of the building codes or any ocher ordinance, law, rule or regulation. plar 'ew is sub' eld inspections. at o efBuild' Of cial date ~ INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 RF.11i1ESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR ZNSPECTION THE FOLLOWING BUSINESS DAY. oF WHEAr,p~ City of Wheat Ridge Building Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-235-2857 ` Inspection Line: 303-234-5933 c~(ORP~O Building Permit Application Property Address: 2 C, "7fJ;e / ' -~i Property Owner (please print): ) &J^e-WS P, Mailing Address: (if different than property address) Date: Plan Permit Address. f C~ City, State, Zip: h ' Contractor: I iranSe Sub Contractors: Mechanical Cit License Electrical City License Plumbing Ciry License Company. Y Company: Company Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: a~on Data sheeQ Use of space (description): WvG1OLI a~cacrulatldperfhe Bu$Id55,010 Description of work: t Plan Review (tlue at fime of submiftal): S .L I'YJpi',J'f/l~y SYCJIr l.✓!r ~"{~sir Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT cable ordinances, I hereby certify that ihe selback distances proposed by ihis permit application are acarate, and do not violate appli rules or regulalmns of the City of Wheat Ridge or covenants, easements or resfridions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this apptication and that I assume full responsibiliry for compliance with the Wheal Ridge Building Code (I.B.C) and all olher applicable Wheat Ridge Ordinances, for work untler this permit. Plans subject to field inspection. OR) CIRLCE ONE:: (OWNER) CONTRACTO or PERSONAL REPR ATIVE of (O 9= p,p ~,A~L~irL_ SIGNATURE Dale: PRINT NAME: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer. PUBUC WORKS COMMENTS'. Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: OCCUPANCY: FIRE DEPARTMENT:'. 0 appfoved wl Commenl5 ❑ disappfovetl ❑ n0 feview requifed Bldg Valuation: . ..'WHE4T . qm City of Wheat Ridge cOCOR160~ Residential Mechanic PERMIT - 060324 PERMIT NO: 060324 ISSUED: 05/04/2006 JOB ADDRESS: 26 SKYLINE DR EXPIRES: 11/04/2007 DESCRIPTION: Install 6500 CFM evap cooler CONTACTS owner 303/202-3669 Stan Lush 01-9648 A-1 Choice Heating & A/C gc 303/940-7248 Jim Grossart 01-6057 Modelco Electric, Inc. sub 303/227-0326 PARCEL INFO ZONE CODE: UA USE: R-3 SUBDIVISION: UA BLOCK/LOT#: 0/ ESTZMATED PROJECT VALUATION: 1,600.00 FEE SUMMARY FEES Permit Fee 82.16 Total Valuation .00 iza Use Tax 32.40 TOTAL 114.56 Comments : of W eat_Ridqe PRESCRIPTIVE ENERGY CODE Citt BOILEE S 1 FURNACES A MIN MUM OF 90°!o AFUE GA$ WATER HEATERS A MINIMUM OF.60 EPeERGY FACTOR ELECTRIC WATER HEATERS A MINIMUM OF.53 ENERGY FACTOR SETBACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC NfAI) R-21 WALLS • R-SS CEILINGS • R-19 CRAWISFACEB I hereby certify that the setback disCances p=oposed by this permit application are acwrate, and do noe violate applicable ordinancea, rulea oz regulations of the City of Wheat aidge or covenants, easements or restrictions of record; that all measuremente shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this ion d that I ume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applappliicatcablat Ri _ dinances, for work under this pennit. Plaas subject to field inspection. c = e/-n l,, Si9natur f cont actor/owner daee the 1. This permit was issued in accordance with the provieions set forth in your applicatColorado1oreayeotheor applicablef the State of Colorado and to the Zoning Regulations and Svilding Codee of Wheat Ridge, ordinances of the City. 2. Thie permit shall expire if (A) the work authorized ia not commenced within sixty (60) days from issue date or H t e building authorized is suspended or abandoned for a period of 180 days. Y ~ rovided no p 3. If thie pexmit expires, a new permit may be acquired for a fee of one-half the amount normallre ired, ot changes have been or will be made in the original plana and specifications and any suspension or abfullnfees shall exceeded one (1) year. If changes have been or if suspension or abandonment exceede one (1) year, be paid for a new permit. 4. No work of any manner shall be done tha[ will change the natural flow of water caueing a drainage problem. 5. Contractor ehall notify the Building Inspector twenty-four (24) houre in advance for all inspectione and shall receive written approval on inspection card before proceeding with successive phases oi the job. 6. The iasuance of a permit or the appzoval of drawings and specifications ahall not be construed laW b=ule ormregulationY an appxoval ny v tion ohhg provisions of the building codes or any other ordinance, All pla`_ bject_~~,jfirld inspections. Signature of Chief Building Offical date INSPSCTION 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. oF WNEAT City of Wheat Ridge Building Permit Number: ~ m Community Development Department Date: ~OLORPD~ p pA}.R1 ! CR~~.4wE A.f l"D .I FF' l.I`~~'~.~~~.Ll'rY d!~-LLDINV l-.R.i.LIkF~~~~~PLICATION PropertyOwner: 5-wi,/ PropertyAddress: 'Dr< Phone: ,jD,S Conffactor License No.: 3~ C~/V ~~Z yQ Company:~-( ~70iGsZ, I'JP'~+^g Phone: U,~~ i 7 U OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN7 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 resVictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on lhis application and that I assume full responsibility for compliance with the W heat Ridge Building Code (I.B.C) and all other applicable W heai Ridge Ordinances, for work under fiAs peri;pjtf~lans subject to field inspection. Buildina Dept. Valuation Figure: $ Value:$ Permit Fee:$ Plan Review Fee:$ Se T3X: TOt31:$ (O W NER)(CONTRACTOR): Use of Space (description): Descri tion of work: M P V~' ~~~1 a syi57f,,0 6J-OD Sq.Ft.added Expiration Date: Expiration Date: Expiration Date: Approval Approval: Approval: (i) 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 oranyother applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If ihis 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) yaar. If changes hade bezr, or it sw-pension or abandonment excezds onz (1) year, full fezs shall be paid fcr a new pzrmit. (4) No work of any manner shall be done that will change the natural Flow of water causing a dreinage 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 specifcations 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. All plan review is subject to field inspections. Chief Building Official Electrical License No: 366(5 Plumbing License No: Mechanical License No: Company: /jZQp~G_ro Company: Company: = N ~ ~ omo a~ R ~ c«- \i~ I ~ m' V > Y ~ rN O L 111Y~I ~ 0 V ~A G ~ . m ti . , z o 6 Do m ~ i. ~ O m 0 N . I.i~', Frl OD> > OI:~I ~ ~~°c ¢ 00 «a -o ¢ O w o o 3 =v W Qao Woad m 0 y~ G O ~Cm O 60 ~ °m ; a = a W L E+ °~a U O ~^0 m 2L 3 W O U cv a E c m ~ r m N d ~ ~ r, a 0 U 0 > F 0 r $Ua ~ A 00 T ~ ~E -r j ~ O O W J m9ma U iac mui U ~ pp pi - .vo m mm ¢ ¢ LL U q W ~N O t L wLL r 633 3 ~ ~ ~ U ~ ~ u U vi ~ H u H r ~ a G~j ~ 4 1J tJ ~ U N cn Y ~n o U Q ~ W F Z Z O U M M O O W O ~ 00 'l7 ti a ~ ~ `=s ~ ~ {-1 ci ~ G r-1 Y N ~ N y O w - ¢ rL < c¢i ~ W G O Ca7 a ~ O ~ ~ a c W m U ~ O C O n ~ 0 « 3 m ~ o v Q ~ p a c ° ~ c tl o H U t' a m a m~ ~ ~ 0 C ~ O L O O i m f U N LL a E m m d a ~ U AO L ` W ~ p g mm m« Q ~ U L ~ U 0 Z U Z O J J 0 LL p < H ~ LL ¢ LL o ~ ~ ~ ~ 't7 Q 3 ~ U C N b ..i N N a r-1 ~ d ~ 8b L4 6fl uaownN Lsuaa DATE: ~ ? Y~ A CERTIFICATE OF OCCUPANCY HAS SEEN REQUESTED FOR: ~6 PURPOSE OF STRUCTURE: G'' al_r~'e.C'_ z<J~ Building Dept. Approval: Remarks: c""o~ Zoning Approval: ~ Remarks: DATE: TO: PUBLIC WORKS DEPARTMENT FROM: Building Department RE: 0- U The property at ~C C~K 4--- has been signed off by the Buildi g Department and is ready for a CO inspection. Once the inspection has been completed, please inform the building department as to the status. Thank you. O'X -`v `sc:~~T C C) , ~l- la- ~4 INSPECTIONS WIL►: NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDMIG SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT?RIDGE, COLORADO 7500 WEST 29th AVE~VUE (303) 234-6933 INSPECTION RECORD JOBADDRESS 26 SkYline Drive BUILDING PERMIT N0. B93#4748 DATE ISSUED_1L4/y3 OWNER "Scott $ Anne Perschbacher CONTRACIOR Scott $ Anne Perschbacher SETBACKS FROM PROPERTY LINES: NORTH SOUTH EAST West INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB I NSPECTION DATE I NSPECTOR Founoations Footin s ~ --33 3 Caissons Reinforcin othbmugWri-c J ' Weather roofin POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Siak Floor: Electrical Ground Work Plumbin Ground Work Heatin Ground Work DO NOT POUR FLOOR UNTILA~OVE HAS BEEN SIGNED Rou h Electrical ~i Rou h Plumbin ` AirTest Gas Pi in Rou h Heatin & Ventilation -h E 3 /above must be sioned nrior to lraminp inspectionV / Framin Insulation Dr wall nailin ~ ✓ ~ Roofin Refri eration Electrical under round Final Electrical Fixtures C Plumbin Fixtures Heatin & Ventilation q b' ~ Landsca e & Parkin R.O.W. & Draina e Fire De artment dob Com leted ~ sY i o~ / -rF ? 4CCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED TPROTECT THIS CARD FROM THE WEATHER q u~ INSPECTION TICKET JOB ADDRESS DATE: BLDG. PERMIT# PERMIT# BLDG. CONT~ SUBCONTRACTOR DATE INSP. REQ. J J' TYPE OF INSR " - INSPECTION MADE 7T93 REMARKS AU-*, ! G INSPECTION TICKET JOB i ADDRESS -5 DATE: 3 BLDG. ~ PERMIT# PERM IT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. 3 TYPE OF INSR INSPECTION M DE REMARKS ~ ~ W.R.FORM 619 INSPECTION tICKET JOB ADDRESS ~j1 j DATE: ~-~i BLDG. PERMIT# Y`7 V~S PERMITN/ BLDG. CONTR. SUBCONTRACTOR ~-r DATE INSP. REQ. ~-Lr TYPE OF INSP. a~ INSPECTION MADE ~ REMARKS INSPECTION TICKET JOB ADDRESS 2 DATE:~~ ~ BLDG. PERMIT# PERMIT# BLDG. SUBCONTRACTOR 4 -A-- DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS ' W.R. FORM 619 ✓ ~ - L INSPECTION TICKET JOB :5~~1~r~~ ADDRES _ ~~3 yI y DATE: CJ BLDG. PERMIT# _ PERMIT# BLDG. CONTR. SUBCONTRACTO ~ DATE INSP. REQ. TYPE OF INSP. INSPECTION REMARKS ~ - ~ INSPECTION TICKET dos ADDRESS ~ DATE: BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOF DATE INSP. REQ. ~ 2D ~ iYPE OF INSP. INSPECTION MADE REMAflKS ~ q INSPECTION TICKET JOB ADDRESS ~ G ,c`5 DATE: ~ ~ BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR t~_ 6d DATE INSP. REQ. TYPE OF INSR _L~~' ~ INSPECTION MADE71/ L REMARKS W.R. FORM &19 / W.R. FORM &19 ✓ /500 WEST 291h AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 ExT. 255 P.O. eoX 638 BDYI OF WHEAT RIDGE,ICOLON CIT THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL TWO SETS OF BUILDING PLANS AND TWO PLQT_eL=u--§_.MUST ACCOMPANY THIS APPLICATION BUSINESS NAME_ COPY OF DEED ANO IMPRO SURVEY ~ PRIOR SPECIFY NORTH FHONI YnVr[rtiT uiIc ~ L IA1 ~ D (CIRCLE FRONT) N E S W STREET NAME ,-~1 SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH; SHnw LEAST DISTANCE 70 PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. LEGAL UCDUn I Y i i V n OWNERS NAME~~M-TT ~ ~ ~ W ~1cF2S PISYYN~'"r- h1~N . METES AND BOUNDS DESCRIPTION ATTACHED ADDRESS~ PHONE~g ~ ADDRESSS7.ip y~`~-=~ ~ 1.. w L~_ Gs~ L9- ZIP CODES O2 15 LAT N0. C.ro _ i~ BL~O~CK NOP ~ J- GTY pICING ~ZJ LOT WIDTHL~~PTH I I~ AREA ~J I SUBDIVISIONPA" ~ DV i-P INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: Curb9Gutter_SfteetPovinq.~WaterSewe~i-S1amDrainaqs- HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW E%ISTING: YES-N0d- ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES-NO.W,' OCCUPANCY I-t87V1 c EXTERIOR MATERIALS~ STORIES ~ UNITS ~ REMARKS; __~j Q=~ ~~N SPERMIT FEE USE TAX TOTAL FEE BUILDING Utrarc i mcrv i wc vI.L-I SO.FT COST ~ BASEMENT-ROUGH - THE PROPERTY LOCATE AT ENTLY ZONE ,Z(~J' BASEMENT-FINISHED ~q IS PRES THE PROPOSED USE ( ( _IS NOT) A~LAWED UNDER THE ZONING ORDINANCE. GROUND FLOOR SECOND FLOOR COMMENTS: C GARAGE R OTHE BUILDING COST $ OTHER ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT r STATE N0. G TY N0. STATE N0. CITY N0. qTY N0. NOT OK) OK)( ( Q PI aNS REVIEWED (-OK)(-NOT OK) PLANS REVI EWED (-OK)(-NOT OK) - - PLANS REVIEWED- , NO PLANS NEEDED OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify thot the above setback distonces shown on ihis permit opPliwtion are occurate, and do not violote opplicable ardinances, rules or requlations of ihe City of Wheat Ridge oi covenanis, easemenis or resirictions of re- cord; ihat oll measuremenis shown, and allegations made are accurate; ihat I have read and agree to abide by all conditions printed on this applicotion, and ihat I ossume full responsibility for compliance with ihe Wheat RidQa Building Code (UBC) and all other appli le Wh~Ridge or inonces, for work er ihis permit. pATE/?9 PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS NO. AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEFBUIIDING~INSPECTOR NO PLANS NEEDED PLANS NEEDED PRIOR 70 ISSUANCE OF PLUMBING PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MY OFFICE DO N0T ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDIN6 MSPVT9R PERMIT NO. B93#4748 NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF MECHANICAL PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPVTOR CHIEF BY BY DITIONS (1) THIS PERMIT WAS ISSUED IN ACCORDGNGE WITH THE PROVISIONS SET FORTH IN YWR AiPLIGpTION AND IS SUBJECT TO TME lAWS OF THE STATE OF COLOflpUO AND TO TNE ZONING REGULATIONS ANp BUILDING GOOE OF WHEAT RIDGE, GOIOR/.DO OR ANY OTMER APGLIGABIE IXiDINANCE3 OF THE CITY. (2) TNIS PERMIT SMPLL EXPIRE IF (A) THE WORK PIITHORIZED IS NOT COMMENCED WIiHIN 51%TY (fi0) DAYS FROM ISSUE DATE OR (8) TME BUILDING AUTNORIZEU IS SUSPENDED OR ABpNDONED FOR A PERIOD OF 120 OAYS. (3) IF TXIS PERMIT EXPIflES, A NEW PERMIT MAY BE ACOUIRED FOF P FEE OF ONE-NALF TME PMOUNi NORMALLY NEOUIRED, YRWIDED NO CHANOES HAVE BEEN OR WIIL BE MADE IN TME ORIGINAL PLANS PNp SPEGiFIGATIONS AND ANY SUSPENSION Ofl ABPNDONMENT HAS NOT E%CEEDED ONE (U YEAF. IF CMANOES APE MpDE OR IF SUSGENSION OR ABANDONMENT EXCEE05 ONE (I)YEAR, FULL FEES SHALL BE PAID FOR A NEW VERMIT. I NO WORN OF ANY MANNER SMALL BE DONE THAT WIIL OBSTRUCT THE NATUMAL F OF WATER CAU G P URAINA6E PROBLEM. ; NTRACTOH SNALL NOTIFY ?HE. I~DING INSPECTOR TWENTY-FOUR (24) HO S IN GDVANCE FON L INSP CT ONS AN~ SHALL RECEIVE WRITTEN PPpMO~'A~ ~ INSPECTION LNFD BEFORE ROGEE G WIiH SUCCESSrvE PM45E5 OF TH JOB ppROVE • z, CHIEF BUILDING INSPECTO FOR MA R ADDRESS :260 SLYLIIV~ 0!<f- DEPARTMENT OF PLANNING fi DEVELOPMENT REQUEST FOR PUBLIC WORKS REVIEW 9 Date: 3 J/4 ZcI Case/euilding Permit No. Location: ::Zh SKYLU.1~ r).12 Please review the attached materials submitted in application for approval of a' ' ';N,~, , 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 C1 2. q Area: 3. p Drainage: a. Drainage b. Drainage c. Drainage be: Dsure:OOK I =1 Not Acres plan (and report) ne~ Plan not needed rJ provisions have been C] OK O Not OK; refer to Stipulations _ Square Feet aded d reviewed and are found to OK; refer to Stipulations 4. o Legai Description: O OK CI Not OK; refer to Stipulations if not okay, please explain: 5. °CPublic Improvements: a. Street Paving needed Yb. Curb & Gutter needed Y~ c. Sidewalk needed Y d. Street Lights needed Y G. Storm Sewer needed Y Q f. Escrow required Y~ If Escrow required, for what improvements7 in what amount? 6. Cj Development Agreement required Y N If Yes, fOr 7• Ci All necessary documents have been initiated by Public Works and are attached hereto: 8. i~ is a traffic impact analysis and report required? Y N 9• I-:J New roadway or alley R.O.W. dedication is recommended: If yes, what is recommended: 10.1=3 All existing dedicated roadways and alleys meet the standards of the City: If no, which do not and what is requested: ll.l~ All existing and proposed dedications have been reviewed and found to be: q OK O Not OK; refer to numbers 8& 9. 12•F-GkApproval: The Public Works Department has reviewed this request and hereby gives its approval, subject to the above and/or attached stipulations. Signa e -/Da-te 13. p The Public Works ent has reviewed this request and does not approve for the reasons stated: Signature - 14. p Stipulations attached: Yes No 15. O DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT REPLY: 16. Summary Comments: ~•,u~„ ..il,,:~ & n -L u tA pc/reqPWreview rev.01/89 i DRn suaveviNG wC. IMPROVEMENT LOCATION CERTIFICATE LOT 6, BLOCK 3 PARAMOUNT HEIGHTS, PART ONE ; . ` COUNTY OF JEFFERSON . STATE OF COLORADO . LOTS N \4 ~ i .~0. y Q ~ I ~ ~ COUe <'60' ♦ ~ /J/t/vQW.vy N ~Z i iH~u G~ -~'3t--- --j Cio ~ A3' ✓ 0 y j I J ~ ^ o o , / 0 vJ ~'Ir \ o - ~ r ~ L07-6 - I_ ~ y ~a A N~,~.eR ✓v 2 9 There are no easements on this property ~ vC SO according to the recorded plat. 'Fences and ' • flow lines were used to establish control. - Z P//F I HEREIIY CERTIFY THAT THIS IMPROVEMENT LOCATION CL• RTIF'ICATE WAS PREPARHD FOR PHILLIP POWERS THAT IT IS NOT A LAND SURVEY PLAT OR IMPROVEMENT SURVEY PLAt, AND THAT IT IS NOT TO BE RELIED UPON FOR ESTABLiSHMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT LINES. 1 FURTHER CERTiPY THAT THL IMPROVEMENTS ON THE ABOVE DESCRIHEDPARCELONTffiSDATE EXCEPTUTILITYCONNECTIONS,AREENTIRELYWITHIN THE BOUNDARIES OF THE PARCEL, EXCEPT AS SHOWN, THAT THERE ItRE NO ENCROACHMENTS UPON THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADIOINING PREMISES, EXCEPT AS INDICATED, AND THAT THERE IS NO APPARENT EVIDENCE OR SIGN OF ANY EASEMENT CROSSING OR BURDENING ANY PART OF SAID PARCEL, EXCEPT AS NOTED. This property is not located within a designated flood hazard area according to HUU Flood Map No. 065079, 2/4/88. DRA SURVEYING ING . WHEAT RIDGE, COLORADO r. ,..`..~.~,.....,.e,, ^/-"t . . UWNER: Phillip Powers ! ADDRESS: 26 Skyline Drive _ . ~ ...o"•C c NOTICE: According.to.Color~do,•fawyou MUST commence any legal aclion'based'upon•'an~?:defLct in this I.L.C. within Ihree years a(ter you (irst discovac'such delecL In no event may any action based''upon' ary defect in ibis I.L.C. be commenced more ihan ten years from the date ot the ronlfr.atinn shown hereon. ' YWR N0: DATE 5/3/89 SURVEY NG. 47409 $cale: 1 " 30' 0 ' 30' b=XffA=3=:t j ~ V LOT4 ~ G07- ;7 J M 1191199-9 ¢Y • I"'"` " State o( Colorado Deed of Trust 051`:6071o42-703 I L-- - 26bh Jay of MaY . 19 89 , bchvccn 'Ihis InJcnlnrc, mndc lhis Scott C. Perschlacher and Anne E. Perschbachec', huslxind and wife . whosc .iddress is 26 Skyline Drive, Lakewood, Colorado 80215 ' County of .18ff2csOn , Slate ol Colurado, hcreinufter referrcJ to as the granlor; and the Public Trustce of , Counly of Jeffer'9ot2 State o( Colorado, hcreinafter referred to as lhe [ruslec, Wilnesseth: 'fhal, Whereas, the Brantor has execuled his certain promissory nolc, bearing even dale herewilli, paYable l0 1hc orJcr of Knutson Mortgage Corp6ration 8400 Normandale [.ake Blvd Bloomington, Minnesota 55437 . hereinafter referred lo as the bene(iciary, whose address is in BloOmittgtOn, Minnesota , for ilie principal sum of EIGHTY-NINE THOUSAND FIVE HUNDRED TWENTY-SEVEN and NO/100 Dollarsl$ 89,527•00 /1I with in(crest at the rale of TEN and One Half per centum I 10.500 pcr anuum until paiJ, and payable as follows, namely: In mon[hiy inslallmems of EIGE3T HUNDRBD EIGHTEEN and 94/100 Dollars I$ 818.94 1• commcncing on the first day of July , 19 SQ and on the first day o( each month lhereafler until the principal sinJ inicresl are fully paid, except lhat the final paymcoi of principal and interesi, if nul sooner paid, shall be Jue and paYtible on ihe first day o( JUne 2019 , . Saidprincipul swn, together wiW inierest diercon, and other payments PioviJed io bc madc widcr the lerms of [his indenlure, are hereinaftcr referred lo as lhe indebtedness; , AnJ Whcrcns, the grantor is desirous not only of sceuring the prompl paymcnl of the inJcbtedness, bul also of e(feciually sccuring and inJemnifyin6 the bencficiary (or and/or on aceount of any assignment, enJorsemcnl, or guaranlce of the indebtcdness; Nuw, 'Iherefure, the grnnlor, in consideralion of the prcmises, and for the purposes afotesaid, Ims granled, bargeinCJ, tiold, and mnvcyed, ancl does hcreby grant, bargain, sell, and convey unlo the trustec, in trasl forever, all those certain prcmises und properly siiuate in the - , County of Jefferson , nnd Staie of CubraJo. known anJ described as (ollows, lo wit LOT 6, BLOCK 3, PARAMOUNT HEIGHTS PART t, COUNTY OF JEFFERSON, STATE OF COLORADO. The Borrower(s) have executed one or more riders whieh are recorded together with this Security Instrument, the covenants and agreements of each rider shall be incorporated into and ehall amend and supplement the covenants and agreements of this Security Instrument as if the rider(s) were a part of this Security Instrument. Assumption Rider EK This form is used in conneclion with morlgages insured under the one- lo lour-lamily programs ol Ihe Nalional Nousinq Act which require a OneTime Morlgage Insurance Premium Payme,nt (inciuding seclions 203(b) and (i)) in accordance with the reyulaiions lor those programs. Previous Editions Are Obsolete . , KMC Porm No, 851 (Rev. 3/81) . . . . ~ . - ~ , k_'.y.~ . . . , ~.ff: . 'i . . 1 r ~ . . . Page i of 4 HU0-92705M-1 (3-86 Edilion) 24CFR203.17(a) !u ff1 i ~ ~ -Ihis dccd of Irust also servcs as a financing staiGtncnt and covers all hcating, cooling, plumbing or eleclrical fixlures, floor and window cvverings, and frce-standing or builtin applianees localed iipon ihc rcal propcrly dcscribcd hcrein. '1'o Ilavc and 7u Ilold Ihe samc, togclhcr wilh all and singular thc privilcgcs and appuricnances dicreunio bclonging. In Trusl Nevertheless, "Iliat m case of defaull in ihe payment ul the im de6ieJness, or any pan thereof, as Lhe sume shall become Auc, or in thc paymcnl of any prior encumbr~nce, princip2l or intcresl, il any, or in case defaull shall be madc in, or in case o( violation or brcach of nny of ihe tenns, condiiioiis, eovenants or agrecmems hcrcin containcd, ihcn upon nolicc .inJ dcmanJ in wriling filcd witli thc trustcc as pruviJcd by law, it shall and may bc law(ul for Ihc truslec io forcclose Ihis dccd of lrust, end to scll and disposc of said premiscs en masse or in scparate parcels (ns (hc trustee mly Iliink bcsi) and all Ihc right, litle, and inleresl of thc granlor, Ihcrcin, al public auclion al thc fronl door o[ the Courthouse, in thc . County of J2ffer'80n , Sialc of Coloradu, or on taid prcnuscs, ur any parl tlicrcof, as may spccified in the notice of such sale, I'or the highest anJ besl priee the s,ime will bring in cash, four weeks' public notice having ba;n previously given of the iinic anJ place o( such salc, by advcrliscmcnt, weckly, in somc ncwspapcr Gf gcncral cireulalion lhcn publishcd in dic coumy afurcmaid or by such olher notice as inay then be required by law and to issue, execuic end Jcliver his eerlificate of purchase, 'I'rustce's Dced anJlor certificate of redemplion all as then ma)' be proviJcd by law: and thc truslcc shall, out of thc procccik or avails uf sudi salc, aflcr firsl paying and retaining all (ccs, chargcs, the cosis o( making said siilc and advcrtising said prcmiscs, and attorncyti Ices as hcrcin provided, pay lo Ihc bcncficiary hcreunder, or Uic Icgal holder o[ lhe indebledness, lhe amount ol' sach in- debtcdncss, and all moneys advanced by lhe beneficiary or Iegnl holder of ihe indebtedncss for insurance, rcpairs, and laxes anA asscssmcnts, witli inrerest Ihercon at the rate scl (orlh in lhc note secured hereby, renJering lhe ovcrplus, if any, unlo ihe grantor; which snlc or scdes and said decd or dceJs so maJc shall bc a pcrpctual bar, bolh in law and cquity, ngainst Ihe grantor and all ulhcr pcrsons claiming Ihc prcmiscs aforesaid, or any parl thcreof by, from, fhrough or undcr Ihe granlor. Thc Icgal holdcr o( ihc im debledness may purchax said properly or any part thereo(; and it sh.dl not be obligatory upon Ihe purchaser or purchasers al any sudI s.ile (o see to (he applicaiion o( Uie purchase moncy. If a rclcasc dccJ is rcyuired, thc granton cercby agrecs lo paY all [he expcnses ihereof. And the granlor covennnls and agrces io and wilh Ule Irustce, that at dic timc of thc cnscaling of and dclivcry ol thcsc prescnts he is wcll seized uf thc taid premities in fce simple, anJ has good right, full powcr and lawful audiority to granl, bargain, sell anJ convcy the same in manner and (orm a[oresaiJ; hereby fully and absolutcly waiving and relcasing all righls and claims he may have in or (o said premises as a homcslcaid excmplion, undcr nnd by vir-. tuc of any act of the Gcneral nsscmbly of the Slate of Cobrado now exis(ing or which may hereafter be passed in rclation Uicrcto; and that Ihe same arc free and clcar of all liens anJ encumbrances whalcvcr, and lhc abuvc bargaincd prcmiscs in lhc quict and pcaccablc posscssion o( lhe Uuslce, against all and every person or pcrsons lawfully daiming or lo claim Ihe whoic or any part thcreof, thc granlor shail and will Warrant anJ Porcvcr Defend. And thc grantor, in ordcr morc fully lo prolect the sceurily of this Decd of Trust, docs hereby covenant and agrce as follows: . 1. lhal hc will promplly pay thc principal of and intcresl on thc inJebtedness evideuced by the said noie, ai the times and in ihc inanner Iherein provided. Privilcgc is rescrvcd to pay Ihc dcbt in whole or in part on any insiallment due date. 2. 'That. logclher wilh and in addition lo thc monthly paymcnls of principal and interest payable under the tcrms o( the note / ..I., c ucured hcreby, he will pay to ihc bcncficinry, on ihc first day of each month unlil t6c said note is (ully paiJ, ihe following sums: (a) A sum equal to the ground rents, il' any, next due, plus Ihe premiums lhal will next becuine due and payable on policies of fire and oihcr hazard incurancc on the premises covered hereby, plus laxes and assessmcnts ncat Jue on thctic premises (all u cslimaled. by Ilm bcneliciary) less all sums alreaJy paiJ therclbr diviJed by Ihc numbcr of months lo clapse before onc inonth prior to the date when such ground rents, premiums, taxes, and assessments will bccumc Jelinquent, such sums «o be hclJ by the bcneficiary in trust to pay saiJ gwunJ rcnts, premiums, taxcs anJ special asscssmcnis: nnJ (bl All paymcnts mcnlioncJ in thc prcccding subseclion of tliis paragraph and all payments to be madc unJcr Ihe nute sccured hcrcby shall bc adJcd togcthcr and thc nggregatc amount lhcrco( shail bc paid by thc grantor cach in a singlc paymcnt lo bc applicd by the beneficiary lo the following items in Ihe order set furUr (il grounJ rents, laxes, spccial asscssmcnts, lire and oihcr liazard insurance prcmiums; (ii) intcrest on tlic nolc sccurcd hcreby; (iii) amortizalion of thc principal of saiJ note; and Iis1 latc chargcs. Any dcficicncy in Ihe amounl of any such aggrcgatc momhly pay- mcnt shall, unless inade gWd by thc gramor prior to ihe Jue date of ihc nexl such paymenl, conslitute an evenl of default under thic Dced of "Irust. The gr.mlee may collect a"late charge" aot to exceed four cenis 14¢I for cadi dollar 1$I1 of each payment more than fiftcen (15) days in arrcars to covcr Ihc exlra expenx im volveJ in handling dclinqucnt paymcnls. 3., That if Ihe total of ihc payincnis innde by lhc grantor under (a) paragraph 2 prcceding shall exceed lhe amuwil of paymenls aclually made by tlie beneficiary for tases or assessments or insur- ance premimns, as the casc'may bc, such cxccss, if lhc loan is cur renl, at Ihe oplion o( Ihe.granior shall be crediled by the benefici- ary on subseyucnl paymenls to bc madc by 1he granlor, or refunded io Ihc granlor. If, howcver, the monlhly payments maJe by [hc grantor undcr (a) of par.igraph 2 preceJing shall nol be su[fi- cicnt lo pay laxes and assessmenLs and insurance premiums :is the casc may bc, when thc samc shall bccomc Jue and payablc, dicn Ihe grantor shall pny lo lhe bcneficiary any amount necessary lo make up the deficicncy, on or befure [hc date when paymcnl of such taxes, assessments, or insuratice premimns shall bc Juc. II al any time the grantor shall tender lo lhe beneficiary, in accorJancc wilh lhe provisions of tlte nole secured hereby, full paymem uf lhe entire indcbtednest rcpresented thcreby, the beneficiury shall, in computing lhe amowu of such indcbledness, credil to the accounl of the grantor any balance remaining in lhe funds accumulated under Ihe provisions of (a) of paragraph 2 hcreof. If lhere shall be a dcfault under any of thc provisions of this Dced of Trust retiulling in a public sale by lhc tnislec or truslccs of lhe premises covered hercby, or if lhe bencficiary acyuires Ihe premises olhcr wise aller de(aull, (he beneficiary shall apply, al thc time o( lhe commcnccment of such proccedings, or at the time the premiscs is olherwise acquireJ, lhe balance Ihen reinaining in lhe funJs ac- eumulateJ unJer (a) of ptvagraph 2 preeeding. ,is a credit against llie amount of principal lhen remnining unpaid under said note. 4.'Ihat he will pay all taxcs, asscssmcnls, water rates, and othcr govcrnmcnlal or municipal chargcs, fincs, or impositions, (or which provisioii has iiol bccn madc Iicrcinbeforc, and in dcfault thereof die beneficiary may PaY the same; and that he will promptly dcliver Ihc official receipls lherefor tu (he beneficiary. 5. Thut hc will kccP thc improvcmcnts now cxislin6 or here:dter erected on ihe tiaid premises insured as may be reyuircJ from limc lo time by lhc bcncficiary againsl loss by firc and othcr hazards, casualtics, and contingcncics in such amounts and for such periods as may be required by the bcnc(iciary anJ will pay promptly, when due, any premiums on such insurance provisions F 4, Y i..^ Page 2 of 4 1 HUD-92105M-1 btedncss hac~matured, anJ that if I'oreclosure is ninJe by i d ~ i ment of which has nol bcen made ui;reinbefore.,nll insur- lor t r oved by the beneficiary t n° Y s a i c n he he trus(ee, ihe grantor igrees to psy tlie sum ol Dollars ount pp e anus slmll be carried with compan ies and renewals thereo( shall be held by llie bene- li a reasonable am t[orne 's fecs for services in connution wilh said foreclosure c anJ Ihe po ficiary and have attachcd thereto loss paYable clauses in favor of ven[ of loss the I as a roecedings, and said attorney's fce shall be allowed and addeJ by I? d if forecbsure be made n e anJ in form acceptable lo the beneficiary. ranlur will givc immediate nolice bY mail to lhe beneficiary, Who and r t lhe lruslee ro l6e cost of foreclosure; an lhroug~~ d~e ~°urts, a reasonnble at~omcy s[ee shall be wxec ~y and rocecJings g , o may make proo( of loss i[ not made prompUy by lhe gran neerneJ is hereby aulhorized and , Ihe court as n pari of the cost of such foreclosure p ltorncy's fecs shall be snd become a parl of 1 ic h each insurancc companYco ected lo make paymenl for such loss directty lo the beneficiary Ji i a any anJ all suc tc c r nsur inslead of lo the granlor and lhe beneficiary jointly, anJ the may be applied by lhe bcncfi- a« lhercof case of def~idt, whercby lhe right o( foreclusure en That in bicchicss or d i , ancc procecds, or nny P al its option eilhcr lo the reJuction o( lhe mdebtedncss i c n cws hereunder, ihe beneficiary or thc holJcr of Ihe e en(ideJ tu Uie possessiou, ary c hereby secured or ~o the restoralion or repair of the properlY Deed of 'I~rust or othur i d ccii~fic,~te of sale shall at oncc becom inenl ol lhe properry aforesaid, anJ to Uie ren~s, s i In event of forcclosure of d;unaged. es resulting in extinguishmcnl o~ i usc and enjoy - and profits thereo(, frum lhe accrumg of such right and Jur i f s Iransfer o( liUe ~o Ihe said prem he ot t leresl and in title btedness secured hereby, all right, i d ssues "'g 11 e pcndcncy of (oraclosure procecdinFa and the period o enjoYment• use siun e n lo ~he pass all (orce sh in hen grantor in and to any insurancc policies t , , redcmplion, if any lhere be; an4 such passes shull al oncc bc Jclivcrul Ao thc bcncficiary fil thc purchascr or granlce. es in as good order anJ i s rcnls, issucs anJ pro or Ihe holder of the indcbledness ur cerlilicale of s:ilc on rcyucst. ced i bY ' r s 6, l'hat he will kecp lhe saicl prem i coti(l d tcar cex~pccled. " ' t l a I suc ol ive ail le o( or cerlifii,a th~tclnef eiaary oreUrell olccr of the indeblcdness and of roperty iJ an r w ~ son re able lhe said premise.s. ot waste ondemned b f , p piirchase shall be entitled lo a Recciver (or sa afler ~ny such de(aull, im ls thereo( fi d e c , 'fhat if the premises, or any part Uierco 7. ower o( eminenl domain, or acquired for a publie use, , pro the renls, issues an cluding lhe Iime covered bY foreclosure proccedings and their ereto th tlcd en U all be d sh ❑nder any p the damages, proceeds, and the consideralion [or such aciplisition, bteJness upon lhis Dead o( J f i ~criod of redemplion, if a onut y th regacicrJ be, to tahne vency sul in or vency soi ht with [ ri e n to lhe exren[ o( the (ull amount o d the irote secured hcreby retnaining unpaid, are hcrcby g as a matter o ~he grantor or oi ihc then owner o[ said propcrly and withoul . h Recerver maY be ap- d Trust, an assigned by Ihe granlor ro lhe beneficiary and shull be paiJ forth- acwunl ot lhe inJebtcd- i suc reg.ircl to the value of the property, an court of compctcnl jurisdiction upon cx Pnrlc appli- l on wilh lhe beneficiary to be applicd bY Wlicthcr duc or not. ccurcJ hcrcby poudccl by any cation, and witluwt notice, noticc bein6 hereby exprecsty wnivcd, on uny such applica eiver h R , ncss s lor furlher agrecs lhat should this Deed of Trust , ec and tlie aPPoinlment of any suc i i or for (i r tig i ( ~ 8. The gran and thc nolc sccurcd hcrcby nol be cligibic for insurai~c~tjiiL~er tll ~ csc rc n l and Icga he ~s ~ussigns o( h s bchalf a~J onOh i~~own h or undcr liim, and ull i Naliunal Ilousing nc1 wilhin slxtY hcreof (~~'rillcn sl:dcmcnd nf nny o[ficcr o[ tl~c•Ucp:~rimcul of t d vuug nd all ersons cl~~iming bl', t tativcs, t P J slizill tic ii nie o itic s ' 1 r e c a geiit rban op l'od led sudb cqnenl1to Ihee v u :~n dcr or law ng to a cordi Kec~ ver by such beuapplicd dopmen Uc ing aod Urlr.~ lar)! uf Ilo Jays Gom lhc dalc of Ihis Dced of a dircctions of thc courl. Sixty "frusl, dcclining lo insure snid nnle mnd this Ducd of Trust, bcing ) or should thc commit- ilit il li 'lhis Jced of Uusl also servcs as a financing statement and II. li~~~~bing or clcclrical (ixtures, flour anJ li Y ~ g deemud conclnsiee proot of such iuc f the Department of Housing and Urban DevelopmeN ceuse ng, P c~~vers all hcatiiig, coo ` ii loW covering.s , and Gee-standing or buill-in appliunees localed men~ o be. in full force and effect for any reason whatsoever, the to declure all i ii ~an Uic rcal property described herein. _ I on, bcnefieiary or the holder of the nole may, al ils opt mediately due and p~iyable. No1 withstand- i b . Nolice of tlie exercise of any option granied herem, or in the uired io be grven, e m y sums secured Iiere ing Ihe foregoing• lhis option maY not be executed bY the cc undcr ihc National q iiote secureJ herebY. to the beneficiary is not r licrcby waiving .u~y such no~icc. r t l3cncficiary whcn lhc incligibility lor insuran - I lousin6 Acl is Jue to lhe Beneficiary's failure to remil Ihe mort nt of Housing anJ Urban u lhe gran '~he covenants hercin conlained shall bind, and t~ia haicl'ils and ad- xccutors i 6~Bc insurancc premium 10 1hc Dcparunc nt , rs. e ad ,gcs shull inure lo, thc respcciivc he sors and assigns of thc partics Iicrcio. Whcnevcr . _ DcvcloV~nc That in ihe evenl uf default in ihe payment of Ihe indebted- 9 i ( ministrators, succcs iiycd, the singular number shall incluJe ihe plural. the plural ihe plicable lo all ll be a h . t le ness or uny part thereo(, or o( a bretieh or violalion o( any o the wliole p a singular, and lhe use of any genJer s covcnants or agreements herein, then, and in thal event, dcbtedness and ihe interesl thercon lo the (ime o( salc, i d ~e~. has hcrcun~o scl his hand and rantor f d f n ic o( may al oncc, nt thc option of thc bcncficiary or the Icgal holdcr u and thc said ble d re g , In Hrilness Wherco . I~ thc day and ycnr first hcrcinbcfurc ~vriucn. , paya thc indcblcdncss, bc dcdared Juc an nd wiUi the same effecl as if premises to be sold in the manner a ISc:dl $igncd, sealcJ and dclivcred in d,c prescnce of gcott C. Persehbaeher IScall Anne E. Perschbacher ~5call ' . . - IScall . HUD-92105M-I Page J of 4 . ..z,.,. . . . " . . . . 'i'1 T1 ' . : ~ . . . ~ ' . . M` . . . . . . . . . . , . . . . . t . . . . ' ~ i.: i . . 14~ 1 . , . . ' . . . . . 'i. . . . . Slalc uf Colorado ' 1 I s.ti: ~trulip a Jefferson ~ - lhe foreBoing instrument w,is acknowledged before me this 26thd;lY uf May 19 gg .bv Scott C. Perschbacher arxl Mne E. Perschbacher, husband and wife Witncss my hand and ulficiul scaL . My cununission ekpires . [Seal] WoWy Sl:dc of Culurado 1 . ~ ss: ComitY of Jefferson ~ ti clock M., I hereby cerUfy Ihal this insUUment was filed for record in my office al 19 , anJ is duly recordcd in book Pa6e (cir'k 1tts,8 Send Tax Statements to : Knutson Mortgage Corporation 8400 Normandale Lake Blvd. Bloomington, Minnesota 55437 13y This instrument was drafted by : Knutson Mortgage Corporation 141 Union Boulevard, Suite 200 Lakewood, Colorado 80228 IIC RETURN T0: KP1J?SGN MORTGAGE CORPORATION H ( UNION DLVD. SUITE 200 LNI(EVJOOD, CO 80225 92105M-1 D Page A of 4 - HU ~..r; . . . , ~ ~ . ,u.. . ~ ~ "h.. a r ' r r : r i. - ' . , . . J . . . ~ . ~ , . ~ ' ~ . 'r~` ~ . . . .'J ~ . . . . . ~ . t.:' ' . . . . . ~ x d o N W ~ o ~ N ~ ~ c r. w r~ PLANNING & DEVELOPMENT BUILDING PERMIT REVIEW CHECK LIST Address: -2~ Zoning: AV ~ Existing use: 111~ 4=WaW Permit is £or: Deed: ✓ Survey: Plot Plan: i STANDARDS Setbacks/Height: Front: ~ Side: Side: ~ Rear: Structure Height: Coverages: Building Coverage: Lot Coverage: Area and Width Lot Area: Lot Width: Landscaping Requirements: Landscaping Percentage: Number of Street Trees: Number of Trees/Shrubs: Parking Requirements: Required Parking Ratio: Number of Spaces: Number of Handicap: Signs: Free Standing: wali: Other: Required ~ r"PZ --1' Proposed Z - t2i- l 5 Area Lighting shown: DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION 237-6944 Ex7. 255 P.o. eox 63e CITY OF WHEAT RIDGE, COLO. PERMIT NO M91#17471 THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RELEIPTED BELOW. rys~ wNi ivlv JOB ADDRESS rV1( MIJGI CONTRACTOR ADDRlESS~,~~~ S~~irr2 \D-Z CITY ZIpCODE PHONE 23C1-(n~~~ LICENSENO. OWNER . ADDRESS PHONE c` ZIP CODE CONTRACT PRICE $ 4'00e7 ~ DATE 1. TVPE GrounO❑ ~ Wall❑ Proietlinp❑ 2. MATERIAL SIGN$ 3 ILLUMINATION YeS❑ No❑ 7yps 4. SET BACK FROM PROPERTY LINE N__ S_ (Spetity whith if fronl ) ❑ ❑ 1. TYPE SolidO Mon Thon BO% ODSn[ FENCES MATERIAL Otnsr S a D Foce Tofal Squero Foaf Elw}_ Parmif No. W ^ Zone_ Approvod.ZOne lncpoctor Len Thon 80% 3. SET BACK FROM PROPERTY LINE _ (Specify whieh it fron}) OTHER 12. N_ S_ E_ W Zons_ AOOrwW,Zons Inspeetor _ ❑ ❑ ❑ ❑ dfinernv.d DRAW SKETCH OR SHOW BELOW,TME FENCE,SIGN,OR OTHERSTRUCTURE,GIVIh& (SETBACKS OR PROJECTIpNS INCLUpED) INSPECTION TICKET 1 JOB ADDRESS /Z& d&I/I il1 q/ DATE: BLDG. PERMITA /7U-7 ! PERMITM BLDG. CONTR. d ll`llit' SUBCONTRACTOR /I`/ 7 STREET N4ME SNOW DISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES,STREETS,AND I DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DIST4NCE. APPLICATION FOR PLUMBING; ELECTRICAL; THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONL PERMIT WILL EXPIRE 780 DAYS FROM THE DATE OF ISSUANCE If N ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STA7E LICENSE N0. DATE INSP. REQ. 4'S,T'T 'P' TYPE OF INSP. _ 1 G~~o-P- INSPECTION MADE ~Z HEMARKS Z3>4Cdr ALU MINUM WIRE UNDER SIZE 8 ILIEGAL FLOOR BSM I5T 2ND FORM 619 W.R NO. WA7ER ClASET . v TEMPORARY METER WASH BOWL NEW SERVICE - AMPS BATH TUB CHANGE SERVICE-AMPS SHOWER LIGHTING SINK 0117EH HEATING GARBAGE DISP REFRIGERATpN SYSTEM POWER SUB-CIFCUITS WATER HEATER Refri sronf GrouO UTILITY(RANGE,DISPOSER,ETC) AUTO WASHER . PbunOs Chor • FIXTURES DISH WASMER AUTOMATIC SPRINKLER SYSTEM WIRING MOTOF25 9 CONTROLS FLOOR DRAIN ELEVATOR SIGN$ URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES i hsreby acknowledqe ihof this opplica- tion u oorrect and undersfand fnat I connot ftort this prolbct until ihia oppli- wtion it opproved. I shall comply with fhe lowf of fhe Siote ot Colorado and fo the Zoninp Repulahone ond Buildinq Code ofihe Cify of Wheoi RidQe. Any vi0lufion of fhe above terme will couse immediote revocation of tnis permil ~~OFeanU 9iynaiun PERMIT FEE ,w 63c NOT VAUD UNLESS RECEIMf , USE TAX Cly TOTAL FEE APP~D p CHIEF BUILDIN ' SPECTOR,City of Wheat Ridqe CALL 237-8910 EXT. 255 24 HOURS IN ADVANCE Date Issued ~ 7 ~ FOR INSPECTIONS