HomeMy WebLinkAbout11158 W. 33rd AvenueFrom: no-reolv(alci.wheatridae.co. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, October 6, 20218:40: 18 AM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Residential
ism 111.1 TAx.901c3:717G\T/0►Lg0
Property Owner Name SHERYL MOSBARGER
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
303-999-6270
CONTRACTOR INFORMATION
Contractor Business ABSOLUTE ELECTRICAL HEATING AND AIR
Name
Contractor's License
140291
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-381-1767
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
YAZMIN@ABSOLUTEFIX.COM
Address
Retype Contractor
YAZMIN@ABSOLUTEFIX.COM
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200 AMPS
Location of work
HOUSE
(garage, house, etc)
Provide additional
N/A
details, if needed.
Project Value (contract
2671
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for YAZMIN GALVAN
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100279
PERMIT NO: 202100279 ISSUED: 02/12/2021
JOB ADDRESS: 11158 W 33rd Ave EXPIRES: 02/12/2022
JOB DESCRIPTION: Replacing 9 windows throughout home, U -value is .30
*** CONTACTS ***
OWNER (303)514-6524 SUGAI W I LFRED M
SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 22,018.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 462.38
** TOTAL ** 512.38
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100279
202100279
11158 W 33rd Ave
ISSUED: 02/12/2021
EXPIRES: 02/12/2022
Replacing 9 windows throughout home, U -value is .30
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�permrt. I further attest that I am leg ally 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 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 requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
02/12/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Friday, February 12, 2021 12:12:34 PM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 11158 W 33rd Ave
Property Owner Name Wil Sugai
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"
303-514-6524
Field not completed.
CONTRACTOR INFORMATION
Contractor Business Seiler Construction
Name
Contractor's License 180220
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Ki8xMt1�1�ti
mbeaudoin@renewalcolorado.com
Retype Contractor mbeaudoin@renewalcolorado.com
Email Address
DESCRIPTION OF WORK
What is being replaced Windows
Number of window 9
and/or doors being
replaced
Location of 2 family, 1 kitchen, 2 bathroom, 1 master, 2 bedroom, 1 spare
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of .30 or better
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of suaai soecs.odf
window/door cut sheets
showing sizes and u -
value
Project Value (contract 22018
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Mackenzie Beaudoin
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100279
PERMIT NO: 202100279 ISSUED: 02/12/2021
JOB ADDRESS: 11158 W 33rd Ave EXPIRES: 02/12/2022
JOB DESCRIPTION: Replacing 9 windows throughout home, U -value is .30
*** CONTACTS ***
OWNER (303)514-6524 SUGAI W I LFRED M
SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 22,018.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 462.38
** TOTAL ** 512.38
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100279
202100279
11158 W 33rd Ave
ISSUED: 02/12/2021
EXPIRES: 02/12/2022
Replacing 9 windows throughout home, U -value is .30
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�permrt. I further attest that I am leg ally 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 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 requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
02/12/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Friday, February 12, 2021 12:12:34 PM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 11158 W 33rd Ave
Property Owner Name Wil Sugai
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"
303-514-6524
Field not completed.
CONTRACTOR INFORMATION
Contractor Business Seiler Construction
Name
Contractor's License 180220
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Ki8xMt1�1�ti
mbeaudoin@renewalcolorado.com
Retype Contractor mbeaudoin@renewalcolorado.com
Email Address
DESCRIPTION OF WORK
What is being replaced Windows
Number of window 9
and/or doors being
replaced
Location of 2 family, 1 kitchen, 2 bathroom, 1 master, 2 bedroom, 1 spare
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of .30 or better
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of suaai soecs.odf
window/door cut sheets
showing sizes and u -
value
Project Value (contract 22018
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Mackenzie Beaudoin
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the incnP(,tinn
Occupancy/Type
1W1/
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials Comments
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Underground/Slab Inspections Date Inspector
Initials Comments
Electrical
Sewer Service
Plumbing
Rough Inspections
-
Date
----------
Inspector
Initials
--. .— — gyp, .WV"I vI 11119 P%JUVC. n11151Pt'.{.a,lvns
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*Fnr Inw vnl4nno n—ifc - Di...., h
q,C 1.u111i.JIGICU ilull, mu rare uisuict ana electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201705797
'ERMIT NO: 201705797 ISSUED: 08/09/2017
JOB ADDRESS: 11158 W 33rd AVE EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 32
sq
*** CONTACTS ***
OWNER (303)514-6524 MOSBARGER SHERYL
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,334.00
FEES
Total Valuation 0.00
Use Tax 343.01
Permit Fee 315.25
** TOTAL ** 658.26
*** 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.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
INSPECTION
- -NOTICE
_-'-�Z r
Job Address:
Permit Number: ?f1l 5 S
❑ No one available for inspection: Time ! f AM/P-M
Re -Inspection required: Yes NO
When corrections
have been made, call for re -in
spection at 3/03-234-5933
Date: ,l /':� Inspector .�`%�✓f'
DO NOT REMOVE THIS NOTICE
p City of Wheat Ridge
Residential Roofing PERMIT - 201705797
PERMIT N0: 201705797 ISSUED: 08/09/2017
JOB ADDRESS: 11158 W 33rd AVE EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 32
sq
*** CONTACTS ***
OWNER (303)514-6524 MOSBARGER SHERYL
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,334.00
FEES
Total Valuation 0.00 Ex
Use Tax 343.01
Permit Fee 315.25
** TOTAL ** 658.26
*** 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 - 201705797
PERMIT NO: 201705797 ISSUED: 08/09/2017
JOB ADDRESS: 11158 W 33rd AVE EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 32
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 an legally authorized to include all entities named within this document as parties to the work to be
perfor}ned 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 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 grmftg of a permit sh not a strued to be a permit for, or an approval of, anviolation of any provision of any
applicable code 6r a rdinance e t s 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.
Dan Schultz 7o � 70 � 7 1 7
From: no-reply@ci.wheatridge.co.us
Sent: Saturday, August S, 2017 1:02 PMS
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
C
Cd
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
11158 W. 33rd Ave N_
Sheryl Mosbarger
303-514-6524
Field not completed.
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
mosbarger contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
J & K Roofing
Name
Contractor's License
019983
Number (for the City of
L
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
No /
roof?
/
Description of Roofing
Owens Corning Duration Storm
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
32
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
32 /
(pitched + flat) of all
z
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
House - 5/12 Pitch J&K Job #6809
16334
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
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3
CONTRACT
� J&K Roofin g tPS
BBB. 13000 W. 43rd Drive Golden, CO 80403 9a4-�u. f ,
Phone: 303-425-7531 Fax: 303-425-1562'
www.jkroofing.com
Representative Contact 70lp- 16 4-9z3go Date -7� � i� —20J7
Name:5kuAy__oLA s� Wil J� Phone 3,23-yy- U52V Jemail��,as�•{cn4-
Address u 111:5T- � 3 r �v-'-' City f J! -- Vt �5,2- Zip�
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 CONDITIONS. PLEASE READ CAREFULLY:
Recover roof with _��•.�--r�"�
Color of shingles_1�Q
�7J Manufacturers Warranty _._�o, KA
Tear off
Install Underlayment tri 1
Double all Eaves
Re -Flash Chimney and/or
New Valleys - S ---
Replace Ridge
Ventilation_ h
XGalvanized Fasten.ers_per. �, ;�d$!�
XReplace aU Plumbing Jacks
Paint roof stacks to match
Install R Metal Edging DAC
Patio or Flat roof
/r Year Warranty on labor
J & K Roofing to furnish all material and labor
Permit: Included NOT Included
Clean-up debris and haul off all trash from roof
Roll yard with magnetic roller
ZGutters cleaned of roofing debris
Decking Repairs $_ per�-
Hidden Layers (tear off) $ Per layer
iCarr.erj _- fPolioy Number)
(Clam- 41 f/+dustorl
(Mcrtgage Co. (Mortgage Loan Numberj
Extra work
The property owner is- is not_ using proceeds from
property and casualty insurance policy.
$ 777 g ��
o�
Deductible if applicable $_ado
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date
TOTAL ESTIMATE $�Cx LS; ��D%
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J&K Representative Date -7 -R -1-L7
Homeowner_ Dater
Homeowner
Date_
Expiration Date---AJ—A--—
You
ate._-_ —A —
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
CITY OF WHEAT RIDGE
_:�9�Building Inspection Division j
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -
Job Address: ij� �j y ' ! f ' ` -' ✓
Permit Number:./� ' ti
❑ No one available for inspection: Time
Re -Inspection required: Yes 6-P
When corrections have been made, call for re-inspection�t 303-234-5933
Date: %',!�_/'?(-,�Jnspector:C !C
j
DO NOT REMOVE THIS NOTICE
I II �9� A-vv 4W12
INSPECTION RECORD Oc
d a
INSPECTION REQUEST LINE (303) 234-5933 — ----- FIR
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation inspections nspec,,, 1-44-1-
Footing/Stemwall P.E. Letter
- Use lax
- PAYMENT K
ME 4619
+ 149
Occupancy Is d +1± » <± ¥ Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Iplllll� i � q �
Mailing �ddress (it different then properryacktross)
Add ress,
ETT
C".3.:3c2
��* R
Use of s ace (description);
DescrIp of work:
y
1 I
YFv #Yi..
• ' A N� ^
fie.:. ...4
11+ �
DD - . � .
Building & inspection Services Division
7500 W 20 Ave., Wheat RiC190, CO 80033
Office. 303-236-2B65 * Fax 303-237-8929
inspection Une: 303-234-5933 Building Permit Application
rm oapwmam: D wom0d vi Cwmwft U dSSPPMwd 0 nQ r svhw MQUbW t eado vaiusikm: $-
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♦ A 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: PdIvG F..aL - e,..)7R. y7A
Job Address: /asg to, 33.,Op 4,£
Permit Number: 017V2118
❑ No one available for inspection: Time / . I/< AM/EMS
Re-Inspection required: Yes No
'When corrections have been made, call for re-Inspection at 303-234-5933
Date: /.AInspector: " e~_
r
DO NOT REMOVE THIS NOTICE
F
2
►1
PERMIT NO: 094248' 'ISSUED:= 11/30/2009
and backof permit need to be posted on job site. If one or the other
ent, INSPECTION WILL NOTJ. BE PERFORMED.
INSPECTION RECORD OCCUDanCV/TVPe
~°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
CONCRETE SLAB FLOOR
Electrical
Plumbing
ROUGHS
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
~
JI6rvCV YKIUK Il,
Insulation
Drywall Screw
FINALS
Electrical
Mechanical
Roof
-RECEIPT-1,100 1,100003338 AMOUNT
DPSP Replace 58 gallon ho 57.55
894248
Permit Fee 40.88
Use Tax 17.55
PAYMENT RECEIVED - AMOUNT -
MC 4619 57.55
-Auth Code:
CITY OF WHEAT RIDGE
1/30/09 8:26 AN edba
Blue Sky Plumbing 8
838381
PCERTIFICATE Final TOTAL 57.55
artment Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Landscaping D AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
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
4'
City of
S'Z4Age
]r~29~Wh6~at I Data;
c,
Permit
CommuNITY DWELOPMENT
Building Division
t ovu vv. z - Ave., VV[ieat Ridge, CC) 80033
Office: 303-235~2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Owner (pfeasepdno: W~kl e
I 10, d~, /C_~ e, A I M An blAEW Phone: 3o-3-14b) - J)-Jq~l
Mailing Address: (if different than propedy a~drepl W'
Address: I
WUse of, sipace (descri tion): 0, + -e-r -;nstruction Value
MR61W Fc S !a 14 0.0
5 0 3 O~ 40 00 cil
Plan Review (due at time of submittag:
Sq. FUL. Ft added: Squares B I u's I ciallons Amps-
OWNIER(CONTRACTOR SIGNATUne OF UNDERSTAND NG AND AGREEMENT
I hereby certify that the setback distance* proposed by thIll permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenar ts, easements at restrictions of record, that all measurements shown, and
allegations made are oorurate; that I have read and agree to abide by all coaditions pr' Is icallon and that I assume hill
responsibility for compliance with the Wheat Ridge Buildin I Code (1.9,C) all oth bla Whea Ridge Ordinances, for work
uncier this permit. Plans subject to field Inspection,
CIRLCE ONE;:__LOWNER~ (00 or PERSONAL REP CONTRATOR)
PRINT NAME; ~aOAWAI C7A1-1 SIGINATURE: Date:
Credit Card Payment: Use credit card #sted on
Printname: Signatur
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
]~;Ir(303) 235-2855 Office • (303) 237-8929 Fax. -
INSPECTION NOTICE
Inspection Type:
Job Address: Pl/i~.ry P4
,s9~, a /P
Permit Number:
c
❑ No one available for inspection: Time J r,P~ AM M
Re-Inspection required: Yes
"When corrections have been made, call for re-inspection at 303-234-5933
Date: 1 _P0 Inspector: El ,llS~m t
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line L
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Job Address: 1(€ q (cJ. 3 3' f~~
Permit Number: f'Ll~ tp
is
f
❑ No one available for inspecti • Time -2,'~ AM/PM)
Re-Inspection required: Yes &0
' When corrections have been made, call f r r-inspection at 303-R34-5933
Date: l r."M-ra Inspector:
DO NOT REMOVE THIS NOTICE
~ A City of Wheat Ridge
Residential Roofing PERMIT - 092128
PERMIT NO.: 092128 ISSUED: 09/09/2009
JOB ADDRESS: 11158. W 33RD -AVE EXPIRES: 03/08/2010
DESCRIPTION: T/o:. Install 28 (sqs.. 30 yr.. GAF-.Elk
CONTACTS`***
owner 303/462-0944 Sheryl Mosbarger..'
gC 303/450-..5247 James Mosel 08-0268.. Trinity:. Roofing
**PARCEL INFO
ZONE CODE: UA USE:.- UA
SUBDIVISION: 0668 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,956.00
FEES
Permit Fee 144.70 J_tLc
Total Valuation .00..ye lLg2ce i
Use Tax 89.21 y zy
S z,K
wti
**TOTAL 233.91-
Conditions : -
6"nail installation mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shieldrequired from eave edge to 2' inside exterior walls.
Subject to field inspection.
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 Ihave read and agree to abide by all conditions printed on this
application and. that I assume full responsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other
applicable Wheat//ge Ordman for work under this permit Plans subject to field inspection.
Signature of contr ctor/owae date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning. Regulations and Building. Codes. of Wheat Ridge, Colorado. or any other applicable
ordinances of the City.
2. This -permit shall: expire 180 days from the issue date. Requests for. an extension must be received prior to expiration'.
'date. An extension 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 abandonment exceeds one.(1)'year, full fees shall
be paid for °a new permit.
4.. No work of any manner shall be done that will change. the natural flow of water causing a drainage problem.:
5. Contractor shall notify. the Building. Inspector twenty-four _.(24). hours in advance for all inspections and shall : receive
`written approval on inspection card before.: proceeding with successive phases of the job.
6. The issuance of a permit or the 'approval of ` drawings and specifications shall not be construed to be a, permit for, nor
an approval of, ny lation of the provisions of the building.. codes or any other. ordinance, law, rule or regulation.
All plan rC. e object to field inspections.
Signature of ief uilding Official- date
INSPECTION. REQUEST LINE: `(303)234-5933 BUILDING OFFICE: (303).235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE_: FOLLOWING BUSINESS DAY.
y FW"EA'R City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 , Fax: 303-237-8929
00 - o Inspection Line: 303-234-5933
<ORA~
Building Permit Application
Property Address:; I f f S-? i~ 3~ r2G~ qV ,
Property Owner (please
Date:
Plan
Permit
Phone:-3 -
Mailing Address: (if different than property address)
Address: .,..u
City, State, Zip: ioZ--~ 7~>
vJ
Contractor: _-)-Yzi
Contractor License
Phone: 3 `l`Q4-
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description :
Description of work- p'
IG F y L44
Sq. Ft./L.Ft added: Squares BTU's
Construction Value: $ LAG.]
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C/RLCE ONE:: (OWNER) ( NTRAC or PERSONAL REPRESENT E°of (O NER) (CONTRATOR)
PRINT NAME: SIGNATU - Date:
w7EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9263
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 8/2/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 11158 W 33RD AVE
Contractor License No. :
Phone: 462-0944
Company : Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiTy that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Construction Value : $17,500.00
Permit Fee :
$293.25
Use Tax :
$437.50
Total:
$730.75
(OWNER)(CONTRACTOR) SIGNED DATE USB :
Description : Addition of 12' 8" X 19' room and deck on east and west side of addition
Eiectrical License No : 19262 Plumbing License No :17835 Mechanical License No :
Company :Garrison Street Electric Company :Blue Sky Plumbing Company :
Expiration Date : 2/28/97 Expiration Date : 3/13/2000
Approval : Approval : Expiration Date :
Approval :
(i) This pertnit was issued in accordance with ihe provisions set forth in yopur application antl is subjectto the laws of ihe State of Coloretlo and to the Zoning
Regula[ions and euilding Code of Wheat Ridge. Colorado or any other applicable ordinances of ihe City.
(2) This permit shall expire if (A) ihe work authorized is not commenced wiihin sixly (60) days from issue date or (B) the builtling authorized is suspended or
abandoned for a period of 120 days.
(3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, provided no changes have been or will Ge made in the
original plans and specifications and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, PoII fees shall 6e paid for a new permit ~
(4) Noworkofanymannershallbetlonethatwillchangethenaturelflowofwatercausingadrainageproblem.
(5) Contrector.shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of thejob.
(6) The issuance of a permit or the approval of drawings and specifications shall not be consW etl to be a permit for, nor an approval of, any violation of [he provisions
`oftFje~buildin deso~anyotherordinance,law,ruleorregulalion. ~
~~4g~ i~"„"°J`_ .
Au9-'2-99 09:19A DEVREVFAX 303 235 2857 P.01
DEPARTMENT OF PLANNING AND DEVELOPME iT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
C1TY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APF'LICATIo N
Property Owner: `U.crq,,o k $'46,s-(
Property Address : W.33`1~f` 1~v6v~0 Phone: 3q3-~Ir2 -07 V-q
Contractor License No. :
Company : Phone : "Z-
5C Z`f -
OWNER/CON7RACTOR SIGNA7URE Of UNDERSTANDING AND AGREI iMENT
i heroby certily that the selbaek tliatanees propaad by this permft applicatbn an aa
antl Ao not violate applicable oMinances, mba or rogulalions of the City of Wheat Rk
covenants, easements or rcstrictians of recoM; that all measuremeMS shown, and all
made aro aceunte; thot I have read anC agree to abitle by alt eonditions pnnted on th
appiiption, and that I assume NII responsibility for compliance with the WMat Ridge
Code (U.B.C.) and all ather applicable~e at RdG¢Q rtlmanees, torwork wider this a
(OWNER)(CONTRACTOR) SIGNED 1 Llfi---1 /'1 DATE_[/
Constructlon Valum : /7y"
,
Permit Fee :
Use Tax :
Total :
Use:
pac,/,c-
Description: rfaaiTo.•,
a.~7 6q5~ sr S~00 6 ~ AP ot 77o04
BUILDING DEPARTMENT JSE ONLY
SIC
Approval:
Zoning :
Approvat:
Approval :
Occupancy : Walls :
Elecuical License No : 19-2 (n 2--
Company: 009424SO,v XrE&tr6
Expiration Date :
Approvai :
Roof tories :
Plumbing License No : M 935'
~r2G Company : Pz-kO3~
PGriru~an ~~T6
Expiration Date :3`i$ f cJ
Approval :
5q. Ft. :
Residential Units :
Mechanical License No
Company:
Expiratfon Date :
Approval :
(i) Ttiia permit was isauetl In aaatlsna wlm Ns pmMsbne oet ktth in yopur oppllatbn er 1 h wbleet to the Isws MNe Stats ot Cdoratlo and w the Zoninp
Requlationa and Builtlinq Coda W WMat RIOpa, Cdasao or pny otner applude ordina~ cet ottM Gry.
(2) Th4 ptrtnlt !hsll expire It (&Mj.wOrk sulnorw0 Is na eommenpd whnin Wry (EO) GY from btw dW a(B) the Cuil0lnp auNUizW is wyionC W or
(J) M this pwmit axpiies, t new pertnit mty Ds IiPquirs0 br a he a! ena-haM tlis MpuM non Ily fequked proVitled rio dunpea haw Deen or wHl be rtude In tlro
oripirial plane antl apedRntions and atry wapenYon a aGMOnmsnt Aaa ratuc~atlW 2rr (1) yev. H CwnOumro made a H suepension u abaMmm~nt
esceeC~ ons (1) Ywr.1Wt fees shall bs pW0 for a new pamrit
(4) No work of any manner aASll be done Inat xill Mange the naNroi Ilow d wMer nuairg a irainape poblem.
(5) Contrsclor ehall rwtiy ihe BuiCinp Inepecla Iwenry-four (2e) Mun m aCvann (or all ina acUons antl shall recaivs wriCan aPGmal on inapeUion card befaa
pn0eetllinp wiM suaessive Oha9es W tlhe qb.
(e) The iawanee of a peyiit,ortne approval o(drnrinp~ and epseilkadona Nall rot De mne :uetl lo Ce a permit Por. nor an approval W, arry viofatlon M the piwiaiona
of fM Dulltlirg eodAta UM Otheradln+nn, law. n+N a rpulation.
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I'm` 1nu I.. 1~ V•yLOAI!` # 940638
DEED OF TRUST
THIS DEED OF TR17ST ("Security Inserument") is made on July 6 1999 , anwng the grantor,
WTI.FRED M. SUGAI AND SHERYL A. MOSBARGER
("Barrower"),
the Public Trusree of JEFhERSON COUNTY Covnty ("1Yvstee"),
and the heneficiary, COLOIQIAL SAVfNGS, F.A.
which is oeganized and exis[ing under [he Iaws of THE UNI'TED STATES OF AMERICA , and whose
address is 2626 WEST FREEWAY
FORT WORTH, 1'X 76102 ("Lender").
Borrower owes Lender the principal sum of One Aundred Sixteen Thousand and no/100-----------------°-----°--_
Dollazs (U.S. $ 116,000.00
This debt is evidenced by Borrower's note dated the same date as this Security Instrument ("Note"), which provides for monthly
payments, with the full debt, if not paid eulier, due and payabfe on August 1 2014 This Secur"sty Instrument secures to Lender: (a) the repayment of the debt evidenced by the Note, with interest, and all renewals,
extensions and modifications of the Note; (b) the payment of all other sums, with interast, advanced under pazagraph 7 to protect
the security of this Security Instrument; and (c) the performance of Borrower's covenants and agreements under this Security
Instrument and the Note. For this purpose, Hortower, in consideration of the debt and the trust herein created, irrevocably grants
and conveys to Trustee, in trust, with power of sale, the fallowing described propeny located in
JEFFERSON COUN'PY County, Colorado:
LOT 28, RESUBDPVISIOIQ OF TR ACT 20 BROOKSIAE,
COU1V1'Y OF JEFFERSON, STATE OF COLOAADO.
which has the address of
11158 W 33RD AVE [Steeet],
WHEATRTDGE [Ciryl.
Colorado 80033 ("Praperty Address")
[Zip Code]
TOGETHER WITH ali the improvements now or hereafter erected on the property, and all easements, appurtenances,
and Fixtures now or hereafter a part -of the propeRy. AA replacements and addi[ions shall also be covered by this Security
[nstrnment. At2 af the foregoing is refened to in this Securiry Instrument as the "Proyerry."
BORRQWER COVENANTS that Borrower islawfullyseised of the estate hereby conveyed and has the right to grant and
convey ihe Property and that the Property is unencumbered, except for encumbrances of record. Borrower warrants and wlll
defend generally the title to the Property against al! ctaims and demands, subject to any encumhrances of record.
THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniform covenants with limited
variations by jurisdietion to constitute a uniform security instrumenc covering real property.
COLORAIX}Single Family-FNMAlPHLMC UNINORM iNSTRUM8N7' . F9fm 3006 9191
Poge 1 of d AmeMW 519t
3COW (iM1J[99) p]N2/99 / IL`36:56
Remm To:
COLONLAL SAVPNGS, F.A.
2626A WES'P b'ItEFWAY
FUR'T i'VORTH> 'H'X 76102
GTsNERAL NOTPsS.
A) pESIGN CRITERIA:
1) LIVE LOADS USED
A) EARTHQUAKE ZONE ZONE 1
B) WIND 90 MPFI (EXPOSUI2E C)
C) ROOF (SNOW) 30 PSF
D) FLOOR 40 PSF
2) CODE USED IN DESIGN: UI32FORM BUILDING CODE `JOLUME 2,
1994 EDITION
3) FOUNDATION BEARING PRESSURE:
HELICAL PIERS. EMBEDMENT AND TORQUE TO BE DETERMINED BY
PIER INSTALLER. PIERS TO SUPPORT UNFACTORED DL+LL SHOW23
OI3 DRAWING.
B) C2NCRE`I'E:
1) ALL CONCRETE SHALL BE MADE WITH SAND AND GRAVEL AGGREGATE
AND SHALL ATTAIN A 28 DA'Y UNCONFINED COMPRESSIVE STRENGTEi
OF 3000 P.S.Z. (MINIMUM).
2) COISCRETE DESIGN IS IN ACCORDANCE WITFI ACI BUSLDING CODE
ACI-318-83. CONCRETE SHALL MEET ALL REQUIREMENTS OF ACI
301 ° SPECIFICATIQNS FOR STF2UCTURAL CONCRETE FOR
BUILDINGS.
3) REINFORCEMENT SHF,LL BE ASTtQ A615, GRADE 60, DETAILED AND
SLTPPORTED YN ACCORDAI3CE LOITH LATEST ACI DETAILING MANUAL,
ROLLED-IN IDENTIFICATION MARKTNGS ON REINFORCEMENT TO BE
TO BE CLEARLY VISIBLE.
4) HORIZONTAL WALL REINFORCEMENT SHALL BE CONTYNUOUS
AROUND CORNERS AND AT INTERSECTIONS. MSNIMUM LAP FOR
SPLICES 24" OR 36 DIAMETER. PROVIDE SUFFICIENT
TIE BARS TO SUPPORT ALL REINFORCEMENT.
5) CLEARANCES FOR REINFORCEMENT:
A) SLABS ON EAi2TH; FOOTINGS 3"
B) WALLS, COLUMNS, BEAMS; O.F.: 1 1/2"
C) WALLS, I.F.: 1"
C) WOOD
1) DESIGN AND FABRICATiON SHALL CQNFORM TO NATIOATAL DESIGN
SPECIFICATIOPIS FOR STRESS-6RADE LUMBER AND ITS FASTEN-
INGS, LATEST EDITION, AdSD A.I.T.C. DESIGN SPECIFICATIONS.
2) DIMENSION LUMBER: DIMEI3SION I=UMBER SHALL BE HEM FIR,
GRADE 2 OR BETTER. GLUED-LAMINATED BEAMS SHALL BE GRADE
24F. MICROLAM BEAMS SHALL BE AS MANUFACTURED BY TRUS-
JOIST CORPORATION OR APBROVED EQUAL FTITH A MINIMUM
UNFACTORED BENDING STT2ENGTH OF 2600 PSI.
3) WOOD DECK: FLOOR DECK SHALL BE 3/4" T&G U.B.C.
DESYGNATION 48/24. ROOF DECK SHALL 1/2" U.B.C.
DESIGNATION 32/16.
4) NAILING OF WOOD STRUCTURE: UBC 4.'ABLE 25Q EXCEPT AS
INDICATED ON THE DRAWINGS.
5) CONNECTIOPTS SHALL BE AS SUPPLIED BY SIMPSQN STRONG TIE
OR APPROVED EQIIAL. ALL ROOF RAFTERS, BEAMS AND TRIISSES
SHALL BE ANCHORED TO WALLS WITH FIURRICANE TIES.
6) FLOOEt JOIST3 SHALL BE TRUS-JQIST OR OTHEIt ACCEPTED
MANUFACTURER. TJI DESTGNATION REFERS TO TRUS-JOIST
C9RPDRATION, LPI REFERS TO LQJISIANA-PACIFIC.
7) ROOF TRUSSES SHALL BE DESIGNED, AND CALCULAT?ONS AND SHOP
DI2AWINGS STAMPED BY A COLORADO REGISTERED ENGINEER.
SU$MIT 4 COPIES OF SAOP DRAWINGS FRSOR TO FABRICATZON.
ALL TRUSSES SHALL BE FULL TRUSSES. GIRDER TRU55ES SHALL
KAVE A VERTIGAL 2 X S WEB WHERE OTEHR GIRDERS OR HIP
2RUSSES FRAME INTO THEM.
D) GENERAL
1) GRADING AROUND BUILDZIdG SHALL INSURE POSITIVE DRAIIdAGE
AWAY FROM BUTLDII3G.
2) USE STRUCTiJRAL DRAWINGS IN CONJUNCTSON WITA ARCHITECTURAL
AND MECFZAFdICAL DRAWINGS FOR LOCATIOPI AND SIZE OF WALLS,
PARfiITIONS, OPENINGS, AAiD OTHER FEATT3RES.
3) ALL HOLES REQUIRED FOR PLUMSIIdG OR HEATING SHALL BE MADE
IN ACCORDANCE WITFT U.B.C. RECOMMENDATIONS OR TRUSS
MANUFACTURER'S RECOMMENDATIONS, WHICFiEVER IS MOI2E
STRINGENT. L'OCATE FLOOR JOISTS, BEAMS, ANi7 TRUSSES SO AS
TO AVOID CUTTING FOR MECHANICAL OR PLUMBING.
APPLICATION FOR CONTRACTORS LICENSE AND ELECTRICAL REGISTRATION
City of Wheat Ridge
7500 W 29th Avenue
Wheat Ridge, CO 80215
(Do not write in this space)
License #
Expires•
The undersigned affirms that he/she is familiar with the ordinances and regulations of the City of
Wheat Ridge relative to building & construction within the City and shall at all times perform in
compliance with same as a contractor under the class of license hereby applied for:
Lic
Class/Descri tion Fee Lic
Class/Description Fee
( )
Class I $125.00 ( )
Class VI $75.00
Building Contractor
Plumbing Contractor
Unlimited construction, repair, remodel, etc.
STATE LIC#
( )
Class II $75.00 ( )
Class VIII $75.00
O
Type A.. Lath, plaster, drywall
Heating and ventilation contractor
Type B.. Roof covering, waterproofing
O
Type C.. Masonry O
Class IX $75.00
O
Type D.. Sandblasting, cleaning
Gas Service Contractor
O
Type E.. Excavation, concrete, caissons, foundations
Gas and.liquid fuel piping, gas ranges,
O
Type F.. Moving of structures
Dryers, regrigerators, incinerators, con-
Type G.. Painting and decorating
version burners, venting, water heaters,
Type H.. Swimming pools
low voltage wiring
( )
Type L. Structural metals
O
Type J.. Elevator Installation & service O
Class XI $75.00
O
Type K. Carpentry
Sign Contractor
( )
Class III $75.00 ( )
Class XII $75.00
Building Contractor, fences, siding, limited
Fire Protection Contractor
light construction of ancillary structures,
Auto sprinkler, cazbon dioxide systems,
remodel, carports etc.
stand pipe systems
~
Class IV $75.00 ( )
Class XIII $75.00
Homeowner - Construction or alteration
Lawn Sprinkler Contractor / Landscape
of home in which they reside in.
( )
Class XIV $75.00
O
Class V $75.00
Electrical Signal Contractor
Demolition Systems operating at less than 48 volts
. . . o . o . . . . e . o . e . o . o . . o . . o . o . o . o .o . e . . . . o . . . e . e . o . . . . e . o . o . o . . o . o . o . . . . . . . e .
BUSINESS NAME OWNERS NAME M«Fr2zro 9_k6-ft/
G z'~
aDDREss /!/SS M, 73"-k 4vz eiTY zrn 33 PHONEG(~-Shcez~
,
REFERENCES (3 other MunicipaUCounty Licenses): Lic #
#
#
APPROVED BY
Chief Building Official
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9177
- BUILDING INSPECTION LINE - 303-234-5933
` CITY OF WHEAT RIDGE Date : 7/15/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 11158 W 33RD AVE
Contractor License No. :
Phone : 662-8062
Company : Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applirable ordinances, rules or regulationsof the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measuremenGS shown, and allegations
made are accurate; that I have read and agree to abide by all wnditions printed on this
application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE -
Construction Value :
$0.00
Permit Fee :
$50.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$50.00
Use
Description : Demo old addition, iYs rotting out and molding due to roof system being partially torn off
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions set forU in yopur applica5on and is subject to [he laws of the State of Coloredo and to ihe Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry.
(2) This pertnit shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building au[horized is suspended or
abantloned for a penod of 720 days.
(3) If ths permi[ expires, a new permit may be acquired for a fee of one-half ihe amount normally required, provided no changes have been or will be matle in ihe
ong inal plans and specifcations and any suspension or abantlonment has nof exceeded one (1) year. If changes are matle or if suspension orabantlonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) NoworkofanymannershallbedonethatwillchangethenaturalFlowofwatercausingadrainagepro6lem.
(5) Contractor shall notify the Builtling Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspec[ion card before
proceediingwithsuccessive phasesofthejob.
(6) . The issuanceof a permit or the approval of drdwings and specifcations shall not be construed to be a permitfor, nor an approval of, any violation of fhe provisions
of ihe 6uiltling codes or any other ordinance, law, rule or regulatioa . Chief Buiiding Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, Co 80215 pPPLICATIo N
Property Owner : ~'LFyt,va
PropertyAddress: 01tj$ W, 4470"cl *E Phone: 363 (efn2-~bleZ
CoMractor License No. : 4 &033
Company; Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are aecurete,
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 at Ridge or Mances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE -11 oS
Description :
Construction Value :
Permit Fee : S-,~7
Use Tax :
Total :
Use:
EgF (2~ oo~+., ~
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval :
Approval:
Occupancy :
Electrical License No :
Company:
Walls : Roof
Stories : Residential Units :
Mechanical License No :
Plumbing License No :
Company :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This pertnit was issuetl in accorclance with the provisions set forth in yopur application and is subject to the laws of the State of Coloratlo antl to the Zoning
Regulations and Builtling Code of Wheat Ridge, Coloratlo or any oNer applicable ordinances of the City.
(2) This permit shall expire if (A) the work authonzetl is not commenced within sialy (60) days from issue tlate or (8) the building auNOnzed is suspended or
abantloned for a periotl of 720 tlays.
(3), If this pertnit expires, a new permit may be acquired for a fee of one-half the amount normally require4 provitled no changes have been orwill be made in the
original plans and specifiwtions and any suspension orabantlonment has not exceedetl one (i) year. If changes are matle or if suspension or abantlonment exceeds one (1) year, full fees shall be paid for a new pertnit
(4) No work of any manner shall be tlone that will Uange the natural Flow of water causing a drainage problem. (5) ContraQOr shall notify the Building InspeMOr twenty-four (24) hours in atlvance tor all inspedions and shall receive written approval on inspection card beto2 proceetliing with successive phases of Nejob.
(6) The issuance of a pertnk or the approval ot tl2vnngs and specifications shall not be consWetl to be a pertnit for, nor an approval of, any violation of the provisions
ot the builaing wdes or any other orUinance, law, rule or regulatlon.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-1646
Date : 8/14/95
Property Owner : LUNDQUIST MICHELLE PERS REP
Properry Address : 11158 33RD AV
Contractor License No. :
Company :
Phone: 462-0944
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and ayree 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 heat Ridge dinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED 1/" DATE
Description : REROOF
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
u ~ imm um, tmm
(1) This permit was issued in accortlance with the provisions set forth in yopur applicalion antl is subject to the laws of ihe State of Coloretlo antl to ihe Zoning
Re9ulations and Buildiny Code of Wheat Ridye, Coloredo or any other applipble orUinances of the City.
(2) This pertni[ shall ezpire if (A) the work authonzed is not commenced within sizty (60) tlays from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this pertnit expires, a new permit may be acquiretl for a fee of one-half the amount nortnally required, provitletl no chan9es have been or will be made in ihe
original plans antl specifications antl any suspension or abandonment has not exceeded one (1) year. If chan9es are made or if suspension or abantlonment
- - - - -
(4) No work of any- manner shall be done tliat will change the naturel flow of water causing a dreinage problem.
(5) Contrector shall notiy the Builtling Inspectortwenty-four (24) hours in advance for all inspedions antl shall receive written approval on inspeclion card before
proceetliing with successive phases of fhe ~ob.
(6) The issuance of a permit or the approval o~drawings and specifications shall not be consWed to be a pertnit for, nor an approval of, any violation of ihe provisions
o bui'ding codes or any otherordinan , law, rule or regulation.
ief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
v~S J
Construction Value :
$230.00
Permit Fee :
$15.00
Plan Review Fee :
$0.00
Use Tax :
$5.75
Total:
$20.75
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address:
Contractor License No. :
Company :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE Description : Ac- _r,oor Ap p jrv~ r7 1`1~bc, sC-
ltic. 5u&'q-7
/(IS~ ~.33`%' l-h%e Phone:4<a2•_cq v-,~l
Building Permit Number :
Date :
Phone:
Construction Value : 2- 30 -
Permit Fee :
Use Tax :
Total :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval :
A gP[~ris ~tequfrei~:; ~
Expiration Date :
Approval:
Expiration Date :
Approval:
21
(1) This permit was issuetl in accortlance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to Ihe Zoning
Regula[ions and Building Code of Nlneat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is no[ commenced within sixty (60) days hom issue date or (e) the building authonzed is suspendetl or
abandoned for a penotl of 120 tlays (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, pmvided no changes have been or will be made in the
original plans and specifications antl any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abantlonment
exceeds one (i) year, full fees shall be paid for a new permit.
(4) No work of any manner shail be tlone that will change the natural ilow of water causing a drainage pro0lem.
(5) Contraclor shail notify Ihe Builtling Inspector twenty-four (24) hours in atlvance for all inspections and shall receive wntten approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifcations shall not be consVUetl to be a permit for, nor an approvai of, any violation of the provisions
of the building cotles or any other ortlinance, law, rule or regula[ion.
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