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3290 Pierce Street
From: noml yliciil a J: To: Ocroncy term Sell Online Fmm Sunni PEPMIT APNCATDON sever or Wale One Repair Dal Thoracic, Much 31, 20228:32:13 An CAUTION:ThIs email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious aaivitiez to the IT Division. PERMIT APPLICATION Sewer or Water Line Repair This application is exclusively for SEWER OR WATERLINE REPAIR -IN YARD 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. Right of Way pearl must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3290 PIERCE ST Property Owner Name AARON WHITE Property Owner Phone 3039032209 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed Address Attach City of Wheat PAYMENT SHEET 20220302 Mf Ridge Electronic Payment Form - "`DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business TRENCH RIGHT Name Contractor's License 130022 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-287-9009 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email OFFICE@TRENCHRIGHT.COM Address Retype Contractor OFFICE@TRENCHRIGHT.COM Email Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line water line repair? Length of repair 10, Location of repair BACKYARD (backyard, frontyard, etc) Provide additional INSTALL CLEANOUTS details including installation of clean - outs. Project Value (contract 6800 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yea 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 WILLIAM LOHMAN Permit Email not displaying mnecava View it in v ijr browser. 3290 p1'e'ra, sf- INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Z04�019 73 Occ pancv/Ty3;e I Inspections will not be performed unless this card is posted on the project site. LCall the insjection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Mid -Roof Concrete Encased Ground (CEG) Lath all Tie Foundation / P.E. Letter Do Not Pour Concrete Prior To Aooroval Of The Above Insnectinns Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To ADoroval Of The Above Insnectinns Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath all Tie Rough Plumbing/Ga Line 2. t�._�.7�; 2-2 --i7 alt ugh Mechanical Rough Framing V U 1 Insulation y / Drywall Screw/ Nail a 4 I7 1)1 i 7inalInspections _ 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final MP hanical 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. Ft -or low voltage permits - Nlease be sure that rough inspections are completed trom the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window Requests - Please email insotimereQuest(d)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather (_'3 I CITY OF WHEAT RIDGE -.A Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Q F 1IMFI I Job Address: 1 F cE sT- Permit Number: 16 C'� 1 '3'-) 3 '#No one available for ins ction: Time A /PM Re -Inspection require,: Yes,. o When corrections have been made, call for re -inspection at 303-234-5933 Date: _ I ) I I-) Inspector: L2L /�' DO NOT REMOVE THIS N T/CE i CITY OF WHEAT RIDGE .:. Building Inspection Division j (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Is V E7— Job Address: 3 70 P; e, 12 c. E. Permit Number: C / (, h G, t 'F- f.- _ � �j ♦,� iii++` % � ❑ No onen available for inspection: Time s AM ^. 7-' 'e ' Re-Inspeion required: Yes No w� When corrections have been made, call for re -inspection -234;-. 9' - Date: ' % Inspector. DO NOT REMOVE TM - NOTICE CITY OF WHEATAIDGE. Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: P fy\ Job Address:. � h P; C f ( 6 S1 Permit Number: a o/ C o I '. '7-1 El No one available for inspection: Time UM/PM Re -Inspection required (:Yes ) No When corrections ha've-been made, call for re-inspection-at,303-234-5933,, Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201700614 PERMIT NO: 201700614 ISSUED: 05/03/2017 JOB ADDRESS: 3290 Pierce ST EXPIRES: 05/03/2018 JOB DESCRIPTION: Sewer line spot repair on property up to 10 ft long *** CONTACTS *** OWNER (720)989-6149 HAMM VANESSA SUB (303)215-1348 Brian Wilkie 060162 Apex Plumbing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,400.00 FEES Total Valuation 0.00 Use Tax 43.20 Permit Fee 93.35 * * TOTAL * * 136.55 r' .._ _-_._ a_. *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Plumbing PERMIT - 201700614 201700614 3290 Pierce ST ISSUED: 05/03/2017 EXPIRES: 05/03/2018 Sewer line spot repair on property up to 10 ft long T, by m�si'nature doherebyattestthat thework to beperformed shapplicaleulding codesand all apliable municipalcodes,policbythe lgal owner of the properly and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include alI 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services DIvision in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code orariy prdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Qhief Building Official Date REQUESTS 14U6 BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection fik9jaquots ice rti,h,, �Unl . Se email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:OOam, the morning of the inspection. lease put the address of the inspection in the subject line. City of �Wheat�ge COMMMUNtTy 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: 5)3/q Add to Permit # U�� Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I Property Address: Property Owner (please print): 0Cxrie_55Ct_ Phone: l.La-) q89' 61 ` q Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Contact Person: Xe-, Awv el -v t_�C' c Phone: &3) 4 qd - 6 TS ! Contractor: A�&% Contractors City License #: Phone: 15 - 1'5 Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: v� A -b 1p` 11s� 6 Sq. Ft.lLF r " Btu's Amps Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) e�' $ t lop 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: �� '� SIGNATURE: kackk— :1v—� 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 Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �n r / 1 / rn I` r Job Address: D C) Q P Permit Number:1( : D J '� 7.R -N5-1 All +t Am b Al 4u UP S72 1/25 -7" 1e 6 0 4 2. 1 i+ r' 1 f1 41 I?' n 6 M tJ -It D S -1(o 'It4 sAow-prr N-e-e®S 4Q c gym, AI(a ❑ No one available for inspection: Time 9 / S AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: f 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: C7; t ' Job Address: -sago c. e c. e s -r Permit Number: b1 6 Cj 7.3 .Q I �1; j i P// dSelk( Krf 500 Sr0 t Al?` /r'IS$•N , 1SAbv A-SA).9 ht -//) 4ti -�N57 A/I JJ _�Aai 411 All U N 17Vr-C Ch�w S� Vj)< • � L� � I Y f � 0 L) T K I� / ►� -; c= c1 air A e A ) (, -I c i 1 N S ; xi k �1'iSS' tires i J �. i� ►.i f -I G ,S G �- c !1 !-� i .5 !i w P, 1 C. n . jfi`"R'rRS -( �i i RocnA IQfiv • �J�I Afi til moi, ), 4r k,# 6 L-1 S4 c< yCa {'i1P4 A A 1 5d6GN1 -?1Z U'r( \1 f N ' �" 1� fl oS �u c' �v N tv ti r -t Y a 4() �► (; u S ' ❑ 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: 5 Inspector: DO NOT REMOVE IS NOTICE 1 f CITY OF WHEAT RIDGE, Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 3 Inspection Type: I Job Address: a 9 G e R[ -S Permit Number: 0 0 / c. V / '7 - ter(' ll► m Pt i-?- d ►y C" ❑ No one available for inspection: Time , O A ` /PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection 303-234-5933 Date: q-/3 -/7 Inspector: 4*"' DO NOT REMOVE HIS NOTICE - r i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-829 ax INSPECTION NOTICE Inspection Type: F ' Job Address: 3 a T10 ► e R C e• �? Permit Number: a 0/ C tS 'Y'7 3 Sc�(ulcr JZcGm UAi'R5 6yf�sf (j ❑ No one available for inspection: TimeAM/PM Re -Inspection required j Yep/ No *When corrections have been made, call for re -ins ection at D3=2345933 Date: ! f Z "I_ Inspector: DO NOT REMOVE T _ IS NOTICE s CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: F / Job Address: a go tom; x'k t c S T Permit Number: 0/ c 0/ y 7 3 Nom) k1SPn1 �6iV c '7( b C% Glc GN S; / I rjt- L -ffP0 70 h� nL S to f r -/ /81 A/ 5 ❑ 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: q- I I' 17 Inspector:.. 94--1 DO NOT REMOVE THIS NOTICE x;41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i % b hl Z Zrti/l Job Address: A t2 ; » g t e 5 1' Permit Number: Qt) / 6 / % 7 3 ❑ No one available for inspection: Time e? AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection -at 303-234-5933 Date: Inspector: r DO NOT REMOVE THIS NOTICE x;41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i % b hl Z Zrti/l Job Address: A t2 ; » g t e 5 1' Permit Number: Qt) / 6 / % 7 3 ❑ No one available for inspection: Time e? AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection -at 303-234-5933 Date: Inspector: r DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax ^� \\ INS\ \ - F�CTI�N NOTICE Inspection Type: F it Job Address: -3 a q0 19 i r n [ S� Permit Number:! U / 11 C 15X 7 Z N+ N w '1 if ; o N \\ b r-, cs N \N P S '/ A ri N. L h f 0 OTC, e NJk 9 _S 1 _ � f r i i� i • 'r l:, V I e ElNo one available for inspection: Time /0! /'-� A /PM Re -Inspection required: Yes No *VM corme#ions have been made, call for re -inspection at 303-234-5933 Date: `'� �✓ Inspector: �- DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:�C Job Address: Permit Number: �201 (gn19±3 ❑ No one available for inspection: Time; 3 .7 AM/pM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: l �dinspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOTICE 1i2 / 3Z9a ?>taec- 57- 201 � O/ b73 r� t°e all ❑ No one available for inspection: Time `? 36, A /IPM Re -Inspection required: es � o *When corrections have been made, call for re -inspection at 303-234-5933 Date: 2 Inspector: _Mvu DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ?j Job Address: 32-16 / l/� - e_&-7 Sr Permit Number: 2o14 ©t f3 73 .n �s F -P nPP� Tt� hftV{� ❑ No one available for inspection: Time � 0/�'M Re -Inspection required: Yes No v When corrections have been made, call for re -inspection at 303-234-5933 Date:.Z - i%-1 : Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -S Job Address: 7S_ C c Permit Number: G € `7 ou E `y� { r_ { 0, 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 I Date; - -3 inspector: f DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Residential Remodel PERMIT - 201601873 PERMIT NO: 201601873 ISSUED: 12/06/2016 JOB ADDRESS: 3290 Pierce ST EXPIRES: 12/06/2017 JOB DESCRIPTION: Drywall replacement, paint entire house, install kitchen cabinets, kitchen tile; plumbing, trim only, sink faucets, bathroom remodel. *** CONDITIONS *** All roughs to be done at Framing Inspection. **REVISION** Add bathroom and egress window; Added Valuation: $6,500.00 *** CONTACTS *** OWNER (720)335-9682 KULLMAN MICHELLE GC (720)690-6802 Thomas Roca 150236 Tri -States General Contractors SUB (303)949-5520 Charles R. Abad 022224 Chaz Electric Inc. SUB (303)667-2650 Juan Ramirez 160274 All City Plumbing & Sewer Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,410.00 FEES Total Valuation 0.00 Plan Review Fee Use Tax 420.13 457.38 99 Permit Fee 453.55 Investigative Fees 346.95"_CJc���na ** TOTAL ** 1,678.01 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. City of Wheat Ridge Residential Remodel PERMIT - 201601873 PERMIT NO: 201601873 ISSUED: 12/06/2016 JOB ADDRESS: 3290 Pierce ST EXPIRES: 12/06/2017 JOB DESCRIPTION: Drywall replacement, paint entire house, install kitchen cabinets, kitchen tile; plumbing, trim only, sink faucets, bathroom remodel. **REVISION** Add bathroom and egress window; Added Valuation: $6,500.00 I, by my signature, do hereby attest that thq work to performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all ap{ilica le 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 ermit. I further attest thaUllam legallyaauthorized to include all entities named within this document as parties to the work to be performed and t� all wor xo be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature o'f OWNE-RF6r -CONTRACTOR (Circle one) Date I , This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2.This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief in, Official and. may be subject to a fee equal to one-half of the original permit fee. 3. If this permt 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6 The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or )ny ordmanc or regu ation of this jurisdiction. Approval )of work its subject to field inspection. Signature of Chief Building Official Date I REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.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 -00AWheatidge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # Il3��/60 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _� 1. q 0 � ) 61Y C -% f Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) Address: , State, Zi Submitting Company Contact Person: Contractor: Contractors City License #: Contractor E-mail Address: Pho Phone: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: 0,,J 61,1,4J7�-WZE 0411110d) IAOOik 4 &1406 Sq. Ft.ILF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 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)T OR) or (AUTHORIZED PRINT NAME: �Y_S vS % Mae 1A SIGNA DEP 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 USE ER) (CONTRACTORR) / DATE: ez O 7 `- vl;7 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ I o a _ I „z/ G L -'0 r W008 ONIA11 `# W 8038 14 r Mil i ,a dh — b/ L 0 O AVMllVH CA) 19 J7/1 z 0 IP U) 7 �> IIIEF HM W 'I wOOE1 Aim n N 3111>1 70r „\ �� �, W s 0 1 Z# W00HU38 � 6 b/L L .a S �L WOOaHl 8 z L 0L zl p ,.Z/L Z -'6L L N30 City of �tRj" -- � C(')h1."MNITY DEV :L.O['ME `WtJ eat Ridge Building Division Approved Pians ------------------ rr w A NO :r r 6 shy aN r lot be 1, pe reit for, or an I iV to r;ny r f the Prov cions f the building L t ord na-cos Perrnits pre uming to give' — cel the prov:slons of the 8 dd ng codes �sr,e City shall not be aiid.' LG-t5s _ s,-� -sy(riz- specifications and cornputat ons shall not t>r. a fit rrnit for, or an approval of, any violation to any of the provisions of the building code or of any City ordinances. Permits presuming to give authority to violate or cancel the provisions of the Building codes or other ordinances of the City shall not be valid. 1/411 = 1 1-0" GO CA Valid!ty of perrw Thr, asunnce of a hermit or approval of plans, e specifications on,J ccnlxiiat;ons shall not be a permit for, or an approval of, any vioiut on to any of the provisions of the building code or of any City ordinances. Permits presuming to give �n0 authority to v olate or cancel the provisions of the Building codes or other ordinances of the ON shall not be valid. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E9 f Job Address: 3 2 9 0 Pt recd c,7 - Permit rPermit Number: 2o1 Ole -73 ❑ No one available for inspection: Time AM/DM Re -Inspection required: Yes N�7 When corrections have been made, call for re -inspection at 303-234-5933 )2`20- f& fiV Date: Inspector: l�2/r� DO NOT REMOVE THIS NOTICE r City of Wheat Ridge Residential Remodel PERMIT - 201601873 PERMIT NO: 201601873 ISSUED: 12/06/2016 JOB ADDRESS: 3290 Pierce ST EXPIRES: 12/06/2017 JOB DESCRIPTION: Drywall replacement, paint entire house, install kitchen cabinets, kitchen tile; plumbing, trim only, sink faucets, bathroom remodel. *** CONTACTS *** OWNER (720)335-9682 GC (720)690-6802 SUB (303)949-5520 KULLMAN MICHELLE Thomas Roca Charles R. Abad 150236 Tri -States General Contractors 022224 Chaz Electric Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,910.00 FEES Total Valuation 0.00 Plan Review Fee 420.13 Use Tax 340.38 Permit Fee 346.95 /n�^-� Investigative Fees 346.95 DIV lD r �! ** TOTAL ** 1,454.41 * * * COMMENTS *** CONDITIONS *** All roughs to be done at Framing Inspection. 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 ni al codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am au o ' ed to obtain this permit and perform the work described and approved in conjunction with this permit. I further at t al I am le iorized to include all entities named within this document as parties to the ork to be performa yed and that *Io be pe is disclosed in this document and/or its' accompanying approved plans and specifications. G Signature of OWN TRACTOR (Circle one) Date I. This permit issu ased on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to obe ne-half of the original permit fee. 3. If requirements, nts, feermit es and procea new dures for pproval of any new permituired to be . Res ssuancuance of a e oreew extension of expired permit shall be e mit ct tothe the sard ole 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 andspecific 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 grantin o a permit s 1 not b construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any i or r ul is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date ( t 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 insptimerequest(�ei.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 /Wheatidge MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 jto FOR OFFICE USE ONLY Date: Plan/Permit # � N 3 Plan Review Fee: It Building Permit Application PAID Z!;*** Please complete all highlighted areas on both sides of this form. Incomplete applications m D, a sed. *** Property Address: Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) Address 5(.} 1'vC City State Zip: S�� riE 4" (" 60 V Z NIA— Arch itect/E ng i neer %A— Architect/Engineer E-mail: Phone: Contractor: i Contractors City License #: Phone: Contractor E-mail Address: 14P) C_ — Sub Contractors: Electrical: AZ o -/!1/-04/d- Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form V-0-vd)Eo- 1140 Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (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.) Yl lar �� l� �r'I�'� � , u' A-faoa- Ti(( 13J+1 l f� #0 C. Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED SENTATI ) of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE: DATE: DEPARTMENT USE ONLY ZONING COMMMENTS OCCUPANCY CLASSIFICATION: Reviewer. BUILDING DEPARTMENT COMMENTS. (' t �r l v; 1 l I' r t, t r- 2 Le..t'ncr �a r �,) C I( F,e ri o Vim.{ Reviewer �'oK f AL. PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District [] Received ❑ Not Required Building Division Valuation: $ ( ) 19 I , D� VUS A'11 1�41 ASBESTOS INSPECTION REPORT For the Subject Property 3290 Pierce St. Wheatridge, CO 80033 Year Built: 1950 f29C N :teport Date: 11/14/16 Inspection : " /-V 'f .y, r_,i.4,41116 Prepp-1 Pdty- C'' -- -lo " i -tided ' ding inspector, 17831 A = "' nitoring Special ' ' ' +spector and :Assessor Versatile Environmental LLC Pnge 1 S"r. "432 t"4 SM35 4Oio Limited Scope of Report The acheCtoz inspection perforimed for client wis degigrted to idc'nftty ,;ugpect ashestos containing buiiding materials in the affected areas of the above -referenced subject property 1, the} existed at the, time of the inspection. The inspection was limited to those. areas that were visuaily and physically acce,�sihle. The inspection was not a risk assessment, physical inspection of systems, structure, or components of the suhject property. as A relates to their servicea AHM. The inspection %gas perfornned in accordance with the Standards of Practice of the Coloradu Repilatinn K Part 13 in effect at the time of this Inspection. This inspection is not intended to he technicaliy exhaustive. The Inspector has prepared this written asbestos hlsl-ction Report for the sole use and henefit of the client. The ashestos inspection report shall identify. report, and make recommendations for future evaluation. Client agrees to read the entire ashesto, inspection report when received and Shall promptly call the inspector %N ith questions or concerns regarding the report. The use of this report and information contained herein by others.. in whole or in part, is not authorized without the "AWn mutual convent of the client ant! Versatile Environmental. Purpose and Scope The purpose of this inspection %g an to conduct a visual ashe,to, inspection and to collect Uecessary sample, in order to determine the presence or ahsence of ashemos within the suhject property in the affected areas only. The scope of this report included a Asuai inspection of all affected room; and'ur areas ihrou,12hout the .uhject property 11,r vi,ihle suspect ACNI (ashestos containinb materials). this doe, fill( include any materials that were covered or hidden by "Al,, structure,_ Carpeting. %% nod lloorin`",,. rtlulliple allpaper. mMuring. etc. IIn" ever. the inspector made eery reasonable of f ort to access and identify A suspect ;ACi\I. Ruck as www s scow "ere randotmly wllccted from hnillogenuu" arca: of .aspect AC(\1 hti the ahove manned Inspector_ an EPA Stat", of Co Inradrl Certified Ashestos inspector. lion (wenous areas are defined as any area v, Ah the ,ante material, texture, and color. 1f any of these variahle• 0004 hem cen materials or it for any reason the inspector Leel• the uraeriada might he different in any respect (such an materials hAng installed at different times even though they appear similar). separate sets of s:nnples must he taken frons each horning :nuu, area. Representative hulk samples "ere taken fconi similar materials but this does not Guarantee that materialn nl similar appearance are of the ,,line composition. Even similar materials are suhject In urrevcn nli,\in`7 and distrihution :and random sampling can finis, :ACEI. Versatile Fmironnnoital used rea,onahli° diligence and its hrofes:ional judgment r(,nsistent \v ith indusu-v_ standard, in Order to identify all suspect :AC11. Performance of this ashc,tlls irn,pectfon is untended to reduce. hilt not eliminate. uncertainty regartling the presence of ACNI in connection %\ ill the Ane referenced property. Nn guarantee is expre„ed or iintplied that all ,\CTI rya, identified in the inspection. l he°rcfore, \'ers:uidc Environmental cofrnw t he held accOuntahle for restrictions placed oil Ll, by the client. crinllthlms ,O50.S. 11u11wu Cr. -1123-i- ON h) l rrkocrrr /-) ik” iml, 1111 LL(' X01e) or information that remained unknown. or areas that .vere inaccessible at the time oi' the inspection. Bulk Samples were analyzed by Polarized Light Microscopy (PLM) in general compliance with guidelines established by the US EPA (40 CFR Part 763, Subpa-rt F, Appendix A). Asbestos concentrations were visually estimated and,%or point counted and reported in percent for each layer of the sample. The assessment was executed in accordance with the authorized scope of work. If the scope of' work is changed, the inspector must he informed and an addendum made to this report. This report is solely a record of activities. observations. analytical results, and recommendations performed to date. Regulatory Review EPA and the Colorado Department of Public Health and Environment (CDPHE) regulate a!1 buildin`a materials that contain greater than I %) asbestos as detennined through PLM Analysis. OSHA regulates all huilding materials that contain smaller amounts of asbestos (even trace concentration as determined by PLM analysis). EPA and CDPHE Reaulation No. 8, Part B. requires that suspect ACM in buildings built prior to 1988 he assumed to he asbestos or an inspection be conducted prior to demolition or remodeling activities that could disturb ACM. However, with the North American Free Trade Agreement in el'fect and trade with countries such as Canada. Mexico. and China. it can never he determined that a material is not asbestos containing (even if it was produced after 1988) unless it is tested by a certified state inspector. The EPA and CDPHE require all friable and non -friable ACMs in the affected area(s) he removed prior to renovation activities that may disturb the ACM. and all friable ACM must be removed prior to demolition. Removal or management of regulated ACM is only required if' they may he damaged or disturbed during remodeling, demolition. or burning. in some circumstances. "point count" analysis is required for bulk samples previously analyzed by PLM. Point counting is a more detailed means of analysis that standard PLM. Federal and State agencies define ACM as materials containinggreater than I% asbestos. The NESHAP reLmlation requires that if standard PLM analysis determines that a sample contains less than 10% ashestos, the material must he considered asbestos containing or he point counted. Even if the sample is less than I% by standard PLM, the material either has to he assumed to be ACM or point counted. If the point counting analysis is different than the PL.M analysis, the point counting results take precedence over the PLM. If standard PLM analysis determines that a material has no asbestos or that the material contains greater than 109•i, asbestos, point counting is not necessary. Versatile Environmental LLC Page 3 3550 S. Harlan St. #132 Denver. CO S0235 720-234-5010 hill -i-01 versaeim,.wm Versatile Environme mal LLC 3016 Background Services were requested by client Dan Sorensen. The City of Wheatridge requested the contents of the dumpster to be tested for asbestos containing buildin`a materials. More specifically. there was concern about the the and grout of the Ceramic Tile within the dumpster. Per the inspector the suspect asbestos containing building materials to be disturbed in the scope of work include: - Ceramic Tile (CT) All other material in the dumpster was wood, carpet and metal mesh. The affected areas include: - Exterior- Dumpster The affected areas as defined by the scope of work are limited to those listed above. If the scope of work is to change at any point. the inspector must he called hack to the property to do additional testing. Sampling The Inspector determined that it was necessary to collect 2 bulk samples from the various homogenous areas (see the Asbestos Sampling below for exact areas). All samples were submitted to an accredited third party independent laboratory. The laboratory results are attached to and incorporated into this report. asbestos Sampling in Affected Areas 1. CTt? 1-1 Contents of Dumpster-White Ceramic Tile 2. CTo2-1 Contents o1' Dumpster-Brown Ceramic Tile ksbestos Testing Results _ yrs';T TWmpie Lalyer Number Location and Descri�tdon y.. ,,, „ White G.1 of :1,11 CTO 1 - i L while Ceramic Tile — While Granular CTO2- 1 Contents of Uuntp,tcr-Lir . n -plaster -- C eramic Tile Rro�n Ceraim, Tile, Asbestos Appro.x.friable' Content i �Quanti!y I ---- li° o ::Could become Friable during Renovation/Demolition''` Conclusion Asbestos containing building materials � ere No found in t_he samples analyzed by the laboratory. 1F affected building materials are to he remove they o Noneed to he removed by a General Abatement Contractor GAC. Versatile Environmental assumes no liability for any loss, injury. claim or damaLles arisiII2 directly or indirectly from any use or reliance on this report or the opinions expressed herein. Versatile Environmental makes no risk assessment, \warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken and locations t�rcutile lanir��mucutal LLC Page 4 Dower. C0 802 ; S hilh 0 1-crcaenr.cwIt U Versatile Lm•irmunciital LLC N>1 h A r I n. r I M 0 wy y H a y e m OF ' . � . ..................................................... . ^ .' . ^ , ` ^ � Huff" � Address l3r'50 S. Flar!an St 4132 � A Ad"'ress Denver. GO 80235 I. ' � ' EE , , rforrnud� ^ ',,'/LLC /\,:'« ^ /1,/v\,''>/. '/'� m�/� 9 ^ ° � � | ' | - -LAB Uqc " . ..................................................... ` ^ I. , , ^ ',,'/LLC /\,:'« ^ /1,/v\,''>/. '/'� m�/� 9 ^ ° � Appendix B Photo Log (ACM) Cf) n �; N _` r CD 3 IAA uo,$lnla oulpUna e64ia tiea4M to 1,1 3 io f4ladoad r� a fOR OFFICE USE ONLY T $ COMMUNITY 2 Building rt i n Services Division 7503 W, Ave., Wheat Ridge, CO 80033 * O e, 303-235-2855 Fax: 303-237 Inspection Line, 303-234-5933 , Eal.Building Permit Application� :. + laivalpkmappicallons r.iN 3290 Pierce St. Wheat Ridge CO 80033 Property Address* gga. gay ''p rhodesjgyahoo,com PropertyOwner.w_...................�...»......v...».,„.„�..mow....,..;.....„.,......,,,.. ..,..M..„..._..,w,,.,.,...«..-P.,.„»�.,...,.�_ ,....�....,W..,..:.... ...«_...,.....„„�..«..,,...�..�,..»....„„............_...„�.„„...„,� tt . different than property address) Same As Above gg,,ma�y# Address A,rtt } S4te none None Contractor.. ------ Contractor Address: Sub t a Electrical:: l Mechanical: WR City License W.R. City License # W.R, City License Other City Licensed Sub: Other City sept Sub: City License City License Complete all information this form STOP WORK ORDER You are hereby ordered to stop work located at: By order of the City of Wheat Ridge Building Department for the following reasons: This notice may be removed ONLY by the City of Wheat Ridge Building Department! Date: I % ? / Building Inspector: -L�i Wn) SWVI CAU INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234 -5933 Occupancy/Type 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 Date Inspector Initials Comments Monolithic Slab Reinforcement Caissons _ Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground /Slab Inspections Date Inspector Initials Comments Electrical (Underground) -- Sewer Service (Underground) .. Water Service (Underground) Plumbing (Below/ In -slab) Heating (Below / In -slab) Do Not Cover Underground or Below /In -Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing - Roof Sheathing Lath /Wall Tie Rough Electric p4 KC. Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above Rough Inspections Rough Framing Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entitles 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. Fire Inspection / Fire Protection Dist. "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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather Uq F N INSPECTION RECORD t�1�C�R- , INSPECTION REQUEST LINE: (303) 234 -5933 777 /Tvoe I nspections 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 Date Inspector Initials Comments Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground /Slab Inspections Date Inspector Initials Comments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below / In -slab) Heating (Below/ In -slab) Do Not Cover Underground or Below /In -Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments -Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric ' 0eAM1T 1111Y3 Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above Rough Inspections Rough Framing Insulation Drywall Screw /Nail Final Inspections Date Inspector nitials Comments Final Electrical Final Plumbing Final Mechanical d Roof Final Building / Frame 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. Fire Inspection / Fire Protection Dist. * *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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �; A , 4; v, CITY OF WHEAT RIDGE � Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 7 8929 Fax a INSPECTION .NOTICE Inspection Type 6T Job Address q Permit Number !/0 , 76q t ❑ No one available for inspection: Time // AMIPM Re- Inspection required: Yes No When corrections have been made, call for re- inspection at 303-234-5933 Date: Inspector: r DO NOT REMOVE THIS NOTICE `f r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE f � � Inspection Type #F ,,� £ • r Job Address 7 2 e Permit Number I k � V' �~ t rt:(1 T5 »(v O fir' fi';F`G % a, a No one available for inspection: Time I )' AM /Ef y Re- Inspection required: Yes No *When corrections have been made, call to re- in e I "t - 0303-234-5933 " Date: Inspector: sz�� DO NOT REMOVE THIS NOTICE i ❑ No one available for inspection: Time I M Re- Inspection required: Yes / - -fNo_ J' *When corrections have been made, call for at 303- 234 -5933 Date: hllk"lll Inspector DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division .(303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type >� Job Address Permit Number kk i ❑ No one available for inspection: Time I M Re- Inspection required: Yes / - -fNo_ J' *When corrections have been made, call for at 303- 234 -5933 Date: hllk"lll Inspector DO NOT REMOVE THIS NOTICE c Nn nn= nvnilnhlc fnr inenonfinn•.; Tima j/(; AM /0M l r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type F Job Address 32 r 'P P16AC9 57` Permit Number 1111S3 1 - f OL 6- C_ A F P a' - c Nn nn= nvnilnhlc fnr inenonfinn•.; Tima j/(; AM /0M l City of Wheat Ridge Residential Electric PERMIT - 111153 PERMIT NO: 111153 ISSUED: 09/27/2011 JOB ADDRESS: 3290 PIERCE ST EXPIRES: 09/26/2012 DESCRIPTION: Change electrical service 125 amp Remove FPE panel * ** CONTACTS * ** gc 303/455 -5160 David J. Barbero 01 -8654 Good Electric Service Co. owner 303/455 -4309 Michelle Kullmar ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0781 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,000.00 FEES Permit Fee 77.50 Total Valuation .00 Use Tax 36.00 ** TOTAL ** 113.50 Conditions: Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this 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 grantin of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision o a cable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspe ,f Signature of Chi Building Off ical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �l lle3t 1Cgc Date: M COMUNITYDEVELOPMENT Plan # Building & Inspection Services Division Permit # 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address 3 02�� e T Property Owner (please print): (�� �, llcae cep Phone: S S 4 3p Mailing Address: (if different than property address) Address: Sr City, State, Zip: — ContractoY: Contractors City License #: (�� — 0 (o �j� Phone: 03 yS� �lY r7 �uli:Con rait2�7s' 12c /t tr Plumhina- MechanicaP City License # City License # City License # D�scrlb�klon:ofworJc C �FJ K�6 S�✓G r l�v�coa� C f�G 00 Contract Value: $ Z BOO Review Fee (due at time ofsubmittaq: Squares BTU's Gallons 11 Z5Amps Sq Ft. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 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) � PRINTNAME: DIV-O,6D „ /9 ea ][GNATUR� DATE: 1 / 9 .�'•' !l> 3 '. f y ) %' C/ "+ NpR lc -5� .� Pr'C, �� /l'P i� \ ,^ ZOnln9 \. . / \� y?'. ,? \yr l ef �i'N �F`S �\��, / a� t a rll ��v a3, s'"; � ° �'3'�� � � rs / r / ,/ .�'aa"v" ✓' /i s m 'va'� > �. �.. , �rr'�j^w'^ -C� c s.'sar 7<s� v., i FIRE pEPARTMENT - app w( aanme�'s "� disapproved- ❑, review re�uned�:) Bldg Valuation: $ 16 44' r CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 Office " (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address r ✓�C�c �'° Permit Number 1 d Sad <7 €aa 0"Yd a C✓'R:.4wJ A ?U�r,`� L gi2 ia.�w - v Y S*+.1.,� y, rz, ez� cr 5 t r EZ r s , to one available for inspectioi Incnortinn reniiire[�' Yes Time ft: 'Ts I)F La City of Wheat Ridge I Residential Remodel PERMIT - 110969 PERMIT NO: 110969 ISSUED: 08/16/2011 JOB ADDRESS: 3290 PIERCE ST EXPIRES: 08/15/2012 DESCRIPTION: Residential Remodel, new furnace and duct,new plumbing, * ** CONTACTS * ** gc 303/249 -9442 Scott Jensen 11 -0127 Sierra Design Build LTD sub 303/455 -5160 David J. Barbero 01 -8654 Good Electric Service Co. sub 303/455 -4307 Greg Barbero 01 -7178 Good Plumbing Service Co., Inc ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0781 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 29,427.00 FEES j � f^C Permit Fee - 499.55 iiU�Y! ✓� Plan Review Fee 302.28_. r Plan Review Addtiona 22.43 Total Valuation .00 Use Tax 529.69 IMv ** TOTAL ** 1,353.95 Conditions: KC: Approved per plans and red -line notes on plans. Doesn't include any kitchen or bathroom changes in fixtures or cabinetry. Must comply with 2006. IRC, 2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named withiy this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /dam i a pp roved plans and specifications„ Signature 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field i c Signature f Building Offical Date INSPE ION 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. `7 �� City of y y � l�a'��1C�+C C;CI,NAM) � ITY DLVELOPML-NT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Date: X /�/�/�� Plan # (l 6ZZ ) Permit # 1( qW Property Address;: 35zgo - i tEeC-T-- 5T 434E4� - 9m pm-- C .B. Property Owner (please print) `Cyitt t r kLkLL -LA m {, Phone: Mailing Address: (if different than property address) Address: =A City, State, Zip: Contractor: a \€;s?X SF \ Ga ti ( 54 a ty d;.T - D Contractors City License #: Phone: 3 ✓ zt. Sub Contractors: Electrical: /-loop Plumbing: +`, kM',17W. Ott k Mechanical: 34CI14, 1 A \Cf- c��]zvtC� s"+r Jtc� kAV-4 A'V-\� CooLtw, City License # 9(o54 City License # City License # Description of work: l?�c4r F AA-LC )tAimo -. - 1 - r=-c:vv v R.L. 'gip \t�S 147;_�w VJ 1g-VjoW Contract Valuer l /' CO AN-D 4c t > , i�iEtti] �'U,1 - �tAf- �I.A.M tt $ f 4 27 Review Fee Fheee (due at time of submittal): Squares BTU's Gallons _ Amps L Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposedby 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: SIGNATURE: DATE: DEPARTMENT USE ONLY ZONINGCOMMENTS:.. - Zoning: _ Reviewer BUILDING DEPARTMENT COMMENTS /$�I�Jj��&7 t {J'f��.✓/tYg �" ��� / � •�� � Reviewer �js iTC 6)sj- ®,q~Adt9_ G°J3sYN�E� s AJ : s` =dXrrs o' v 2 �' /r.� /ter PUBLIC W0 KS OCCUPANCY: Reviewer: - FIRE DEPARTMENT:: 13 approved w/ comments ❑idisapproved ❑. no review required Bldg Valuation: $ Aug 09 11 01:18p Good Plumbing Service 3034587058 p.3 City of W1 6a !j 9 e- C OMMUNny D��.o � SUB-CONTRACTOR AUTHORIZATION FORM Project Address: General Contractor Permit #: i 1 d1 2-' I Electrical Contractor I Company Name. s !mac_ Phone #: &/"w .,51& State License #:._i to master #: 4o g ✓ $ignatum of Authorized Agent Date Plumbing Contractor Company Nat State License Wheat Ridee Phone #. 3 4 • —la -? Master llllllll^ 41..4 lc -a �1 • - � Mechanical Contractor CotnpaAy Name: _.kuk Mu' N. t & 4 CA Phone: / Wheat Ridge License #: Ot°t776 Si Mute of Authorized Agent Date •T appliatiaa rumt be signed by meh grub- contractor confirming the same. yl'1 From:Safeco Insurance Company PROPOSAL Name Street City_ Telephone Number 78 We hereby propose t0urnish all the materials and 1 city L State all the labor for the All materials are guaranteed to be as specified, and the above work to be performed in accordance with.the a gs an d specifications for above work and completed in a substantial workmanlike manner for the sum of: dr SPoan/�,xc.� ,, y-- Dollars ($ (i 4 With payments to besttade as follows: Respectfully submitted Note: This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are now authorized to do the work a spa 'fie Pa m e made as outlined above. Accepted ' Signature It, Date T I 4 aC l Signature All labor shall be guaranteed by contractor. All materials shall be guaranteed by manufacturer ONLY. Any other warranties or guarantees, expressed or implied, that are not included in this proposal, are invalid. WiLLmA'-fu 0411812011 09:17 Jack Micek HEATING & COOLING SPECIALIST 7434 W. 68th Ave. • Arvada, Colorado 80003 OFFICE 303 - 463 -854 e. FAX 303- 403 -868 GpG°3QG°�.0�� Date I #311 P.0091014 After Recording Return To: ASCENT HOME LOANS, INC. 9780 PYRAMID COURT #150 - E A ENGLEWOOD, COLORADO 30112 -- CoCrI 0RRECf Loan Number: 3641 T g L uf H� COPI OF [Space Above This Line For Recording fatal DEED OF TRUST F HA CASE NO. 052632207170 MIN:100419600000338301 THIS DEED OF TRUST ( "Security hrstrmuent ") is made on JULY 26, 2011 amongthe grantor, MICHELLE ICULLMAN SINGLE WOMAN ( "Borrower "), the Public Trustee of JEFFERSON County ( "Trustee "), and the beneficiary, Mortgage Electronic Registration Systems, Inc. ( "MERS"), which is acting solely as nominee for Lender (as hereinafter defined) and Lenders successors and assigns. MERS organized and existing under the laws of Delaware, and has an address and telephone number of P.O. Box 2026, Flint, Ml 48501 -2026, let. (888) 679 -MFRS. ASCENT HOME LOANS, INC., A COLORADO CORPORATION ( "Lender ") is organized and existing under the laws of COLORADO COLORADO 80112 andhasanaddressof 9780 PYRAMID COURT 4150,- ENGLEWODD, Borrower owes Lender the principal sum of ONE HUNDRED SEVENTY -T THOUSAND SEVEN HUNDRED SEVENTY - TWO AND 00/100 - Dollars (U.S. $ 172,772.00 ) This debt is evidenced by Borrower's note dated the same date as this Security Insnwnent ( "Note "), which provides for monthly payments, with the full debt, if not paid earlier, due mid payable on AUGUST 1, 2041 This Security 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 interest, advanced under paragraph? to protect the security of this Security Instrument;. slid (c) the performance of Borrower's covenants and agreementsunder this Security Instrument and the Note. For this,purpose, Borrower, in consideration ofdre debt and the trust herein created, irrevocably grants and conveys to Trustee, in trust, with power of sale, the following described property located ill JEFFERSON County, Colorado: SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A ..PART HEREOF AS EMMIT "A" A.P.N.: 39- 252 -15 -001 which has the address of 3290 PIERCE ST -- .[snceq WHEAT RIDGE , Colorado, '. 80033 ( "Property Address "); [City] -[Zip Cuiel TOGETHER WITH all the improvements now or hereater erected on the property, and all easements, appurtenances, and fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by this Security Instrument. All of the foregoing is referred to in.. this Security Instrument as the "Property." Borrower understands and agrees that MERS holds only legal title to the interests granted by Borrower in this Security Instrument; but, if necessary to comply with law or custom,.MERS., (as nominee for Lender and Lender's successors and assigns) has the right: to exercise any or all of these interests, including, but not limited to, the right to foreclose and sell the Property; and to take any action required of Leader including, but not limited to, releasing ar canceling this Security Instrument. ' BORROWER COVENANTS that Borrower is lawfully - seised of the estate hereby conveyed and has the right to grant and convey the Property and that the Property is unencumbered; except for encumbrances of record Borrower 11 [11111311111 Ill 111111 H Ill 1111311111111111111 ill warrants and will defend generally the title to ilia Property - against all claims and demands, subject to any encumbrances of record. THIS SECURITY INSTRUMENT combines uniform covenants (or national we and non- mtfonn covenants with limited variations by jurisdiction to Constitute a uniform security instrument Covering real property. UNIFORM COVENANTS. Borrower and Lender covenant and agree w follows: 1. Payment of Principal, interest and Late Charge. Borrower shall pay when due the principal of, and interest on, the debt evidenced by the Note mid late charges due under the Note. 2. Monthly Payment of Taxes, Insurance, and Other Charges. Borrower shall include in each monthly payment, together with tire principal and interest as set forth in Ilse Note and any late charges, a stun for (a) taxes and special assessments levied or to be levied against the Property, (b) leasehold payments or ground rents on the Property, and (e) premiums for insurance required under paragraph 4.:In any year in which the Lender must pay a mortgage insurance premium to the Secretary of Housing and Urban Development ( "Secretary "), or in any year in which such premium would have been required if Lender still held ltd Security Instrument, each monthly payment shall also include either (i) a sum for the annual mortgage insurance premium to be paid by Lender to the Secretary, or (ii) a monthly charge instead of a mortgage insurance premium if this. Security Instrument is Held by the Secretary, in a reasonable amount to be determined by the Secretary. Except for the monthly clung by tlme Secretary, these items are called "Escrow Items" and the sums paid to Lender are called Escrow Funds." Lender may, at any time, collect and hold amounts for, m Escrow Items in an aggregate amount no' not m exceed the maximum amount that tray be required for Borrower's escrow•accowit under the Real Estate Settlement Procedures Act of 1974, 12 U. S. C. § 2601 at seq and implementing re8ulations,.24 CFA Part 3500, as they may be amended from nine to time ( "RESPA "), except that the cushion or reserve permitted by AL"SPA for unanticipated disbursements or disbursements before the Borrower's payments are available, in the account may not be based on amounts due for the mortgage insurance premium. - If the amounts held by Lender for Escrow Items exceedtheamomits permitted to be held by RESPA, Lender shall account to Borrower for the excess funds as required by RESPA. Ifthe amounts of Rinds held by Lender at any time are not sufficient to pay the Escrow Items when due, Lender may notify the Borrower and require Borrower to make up the shortage as permitted by RESPA. The Escrow Funds are pledged as additional security for all sums secured by this Security Instrument. if Borrower tenders to Lender the full payment of all such sums, Borrower's account shall be credited with the balance remaining for all installment items (a), (b), and (c) and any mortgage insurance premium installment that Lender has not become obligated to pay to the Secretary, and Lender shall promptly refund any excess funds to Borrower. hmmediately prior to a foreclosure sale of the Property or its acquisition' by Lender, Borrower's account shall be credited with any balance remaining for all installments for 1aahst4 (i) And(c) 3. Application of Payments. All payments under paragraphs I and 2 shall be applied by Lender as follows: FIRST to the mortgage insurance premium to be paid by Lender to die Secretary of to the monthly charge by the Secretary instead of the monthly mortgage insurance prenuum; SECOND to any taxes, special assessments, leaseboldpaymentsbr groundrents, and fire, flood and other hazard insurance premiums, as required; THIRD, to interest due under the Nate; - FOURTH to amortization of the principal of the Note; and FIFTH to late charges due under the Note. 4. Fire, Flood and Other Hazard Insurance. Borrower shall insure all improvements on the Property, whether now in existence or subsequently erected, against any hazards, casualties, and contingencies, including fire. for which Lender requires insurance. This insurance shall be maintained in the amounts and for the periods that Lender requires. Borrower shall also insure all improvements' - on'the Property, whether now in existence or subsequently erected, against loss by floods to the extent requircdbythe Secretary. All insurance shat be carried with companies approved by Lender. The insurance policies and any rernmis'shall be held by Lender mid shall "elude loss payable clauses in favor of, and in a form acceptable In, Lender In the event of loss, Borrower shall give Lender immediate ooticeby wail. Len der may make proofof loss ifnot made promptly by Borrower. Each insurance companyconcernedis harebyautborized and directed to make payment for such loss directly to Leader, instead of to Borrower and. to Lender jointly. All or any part of the insurance proceeds may be applied by Lender, at its option, either (a)' 16 the reduction 'of the indebtedness under the Note and this Security Instrument, frost to any delinquent amounts applied in the order in paragraph 3, and then to prepayment of principal, or (b) to the restoration or repair of the damaged Property: Any application of the proceeds to the principal shall not extend or postpone the due date of the monthly payments which are referred to in paragraph 2, or change the amount ofsueh payments. Any excess insurance proceedsuver an amount required to pay all outstanding indebtedness under the Note and this Security Instrument shall be paid to the entity legally entitled thereto. In the event of foreclosure of dw Security btstrunent or other transfer of title to the Property that extinguishes the indebtedness, all right, title and interest of Borrower in and to insurance policies'in force shall pass to the par Chaser. 5. Occupancy, Preservation, Maintenance and Protection of the Property; Borrower's Loan Application; Leaseholds. Borrower shall occupy, establish, and use the Propertyie, Borrower's principal residence within sixty days after the execution of this Security Instrument (or within sikiy days of *a later sale or transfer of the Property) and shall continue to occupy the Property as Borrower s principal residence for at least one year after the date of occupancy, unless Lender determines that requirement will cause undue hardship for Borrower, or unless extenuating circumstances exist which are beyond Borrower's - control. 'Borrower shall notify Lender of any extenuating circumstances. Borrower shall not emnmlt waste or destoy, datnhge or substantially change the Property or allow the Property to deteriorate, reasonable wear and tear excepted.' Lender may inspect the Property if the Property is vacant or abandoned or the loan is in default. Lender may take reasonable action to protect and preserve such vacant 4F s .. o Mritocc c . Page 2 of 6. www.docrtraglacom 1111I1IIIIIII Ill I II 11111111111111 IIIIIIII111111F ►II or abandoned Property. Burrower shall also be in default if Borrower,, during the loan application process, gave materially false or inaccurate information or statements to Lender (or failed to provide Lender with any material information) in connection with the loan evidenced by the Note, ,including, but not limited to, representations concerning Borrower's occupancy of the Property az a priactpz4 resldCnue'.' if this Security Instrument is on a leasehold, Borrower shall comply with the provisions of the limit ?I£Borrow¢n acquires fee title to the Property, the leasehold and fee title shall not be merged wilms Lender agrees to lhe_rnerger in writing. 6. Condemnation. The proceeds of any award or claim damages, direct or consequential, in cman room with any condemnation or other taking of any part of the P I erty;,or for conveyance in place of condemnation, are hereby assigned and shall be paid to Lender to the extent of dxe, full + amount of. the indebtedness th at remarxs unpaid under the Note and this Security Instrument. Lender shall apply such free — . to the reduction of the indebtedness under the Nine and this Security Instrument, first to any . de)inquent amounts applied in the order provided in paragraph 3, and then to prepayment of principal. Any application of fie proceeds to the principal shall not extend or postpone the due date of the monthly payments, which are referred to in paragraph 2 or change the amount of such payments. Any excess proceeds over an amount required to P cu ts r uling indebtedness under the Note and thus Security Instrument shall be paid to the entity legally entitled thereto. 7. Charges to Borrower and Protection of Lender's Rights In the Property. Borrower shall pay all governmental or municipal charges, fines and impositions that are pot Included in paragraph 2. Borrower shall pay these obligations on time directly to the entity which is owed the payment. If failure to pay would adversely affect Lender's interest in the Property, upon Lender's request. Borrower shall promptly furnish to Lender receipts evidencing these payments. - If Borrower fails to make these payments or the payments required by iaragraph 2, or fails to perform any other covenants and agreements contained in this Security Imumnent,'or there ce is alegal proeding Lost may Significantly affect Lender's rights in the Property (Stich as a proceeding in badkinptcy,.fen condemnation or to enforce laws or regulations), then Lender may do and pay whatever is necessary to protect the value of the Property and Lender's Tights in the Property, including payment of taxes, hazard insurance and other items mentioned in paragraph 2. Any amounts disbursed by Leader under this paragraph shall become an additional debt of Borrower and be secured by this Security Instrument. These amounts shall te einterest fronxihe date o }'disbursement at the Note rate, and at the option of Lender shall be immediately due and payable.. - Borrower shall promptly discharge any lien which has priority over this SO Instrument unless Borrower: (a) agrees in writing to the payment of the obligation secured by thelien in a manner acceptable to Lender; (b) contests in good faith the lien by, or defends against enforcement of d}e lien - in, legal proceedings which in the Lender's opinion operate to prevent the enforcement of the lien;. or (c)',secuces from the holder of the lieu an agreement satisfactory to Lender subordinating the lien to this Security : luspinnent If Lender determines that any part of file Property is subject to a lien Much may attain priority over. this Sveurhy Instrument, Lender may give Borrower a notice ideutifyhrg the lien. Borrower shat[ satisfy the lien °or Yzhe one or mote of the actions set forth above within 10 days of the giving of notice. — - S. Fees. Lender may collect fees and charges authonzed by the Slare ar'y. 9. Grounds for Acceleration of Debt. - - - (a) Default Lender may, except as limited by reguations issued hythe Secretary in the case of payment defaults, require immediate payment in full of all sun; Secured by this Security Instrument if. (i) Borrower defaults by failing to pay in fall: any. monthly payrnent required by this Security lnslnunenl prior to or on the doe date of the nexli monthly payment, or (ii) Borrower defaults by failing, for a period -of.thirty days, to perform any other obligations contained in this Security Instrument, (b) Sale Without Credit Approval. Lender slid], if penndtedby applicable law (including section 341(d) of the Garn -St. Germain Depository Institutions: Act of 1982,112- U.S.C. 1701j -3(d)) and with the prior approval of the Secretary, require immediate payment in 5il1'.Of all.sunxs.secumd by this Security hrst urnent if (i) All or part of the Property, or a benefnciabin(eteat a trust owning all or part of the Property, is sold or otherwise transferred (other than by devise or descent), and (ii) The ProPeM is not occupied by the purchaser' orgrardee as his or her principal residence, or the purchaser or grantee does so occupy the Propertyr but ids 'or her credit has not been approved in accordance with Ore requirements of the' Secretary.._, ' -= _, (c) No Waiver. If circumstances occur Totweuld,periniLLender to require Immediate payment in full, but Lender does not require such payments, Lender does not waive its rights with respect m subsequent everts. (d) Regulations of HUD Secretary. In many c regulations issued by the Secretary will limit Lender's rights, in the case of payment defaults, lo:requireiirmnedinte payment in full and foreclose if not paid. This Security Instrument does not authorize acceleratiionorforectosureifnot permitted by regulations of the Secretary. (e) Mortgage Not insured. Borrower agrees that if this.Security Instrument and the Note are not determined to be eligible for insurance under the National Housing Act. within 60 DAYS from the date hereof, Lender may; at its optiomrequireholuediate Payment intuit of all suns secured by this Security instrument. A written statement of any authorized agent of the Secretary dated subsequent to 60 DAYS from the date- hereof,.deciming to insure this Security In almlocnt and the Note, shall be deemedconclusive proof of suchit?olgnbrhty ?Notwithstanding the foregoing, this option may not be exercisedby Lender when the unavailability +bf r3svrdnee issolely due to Leader' a failure to remit a mortgage insurance premium to the Secretary. 10. Reinstatement. Borrower has a right to be reinstated if Lender has:required immediate payment in full because of Borrower's failure to pay an amount due under the Note.. or this Security Instrument. This right applies even after foreclosure proceedings are instituted. Toaremstat¢ the Security Instrument, Borrower shall tender in a 1 I FHA OLLM CODO 004130 D TRUST - MERS Pale 3 of 8 _ a docmagi IIIII I � I �I1II I� 1 I II'lll � I IIII III IIl�III I � I III�I I Iii a lump Sam all amounts required to bring Borrower's accountcorrent including, to the extent they are obligations of Borrower under this Security Instrument, foreclosure costs and, reasonable, and customary attorneys' fees and expenses properly associated with the foreclosure proceeding. Upon rc ement by Borrower, this Security instrument and the obligations that it secures shall remain in effect as if Lendar,llad hot requiredimvrrediate payment in full. However, Lender is not required to permit reinstatement if (i).Leuder has' accephedteinstatement after the commencement of foreclosure proceedings within two years immediately ,fife ,commencement of a current foreclosure proceeding, (ii) reinstatement will preclude foreclosure on differem:grounds in the future, or (iii) reinstatement will adversely affect the priority of the lien created by this Security Instrument, 11. Borrower Not Released; Forbearance by Lender Not a Waiver. 'Extension of fire time of payment or modification of amortization of the sums secured by this Security Instrument granted by Lender to any successor in interest of Borrower shall not operate to release the li the. original Borrower or Borrower's successors in interest. Lender shall not be required to commence proceedings against any. successor in interest or refuse to extend time for payment or otherwise modify amortization of the sums secuied Security Instrument by reason Of any demand made by tie original Borrower or Borrower's successors in iuteresl.. Any forbearance by Lender in exeresing any right or remedy shall not be a waiver of or preclude, theexe2cise of.any right or remedy. 12. Successors and Assigns Bound; Joint and Several ; Lishility, co Siguers. The covenants and agreements 11 of this Security htsnument shall bind and benefit the successp;S apd:.asnigns.of Lender and Borrower, subject to tine provisions ofparagraph 9(b). Borrower's covenants and agreements shall bejoint and several. Any Borrower who co-signs this Security Instrument but dues not execute the Npte; ,.(a), is posigning this Security Instrmnent only to mortgage, grant and convey that Borrower`s inecresn in the.prpperty.under of this Security instrument; (b) is 110L personally obligated to pay the sums secured by this Security Instrmnele; and (c) agrees that Leader and any other Borrower may agree to extend, modify, forbear or maka:any scc9mmodations with regard to the terms of this Security Instrument or the Note without that Borrower's consent., - 13. Notices. Any notice to Borrower provided for in. this Security Instrument shall be given by delivering it or by mailing it by first class mail unless applicable law requires . use of alother method. The notice shall be directed to the Property Address or any other address Borrower designates by notice. to Lender. Any notice to Lender shall be given by first class mail to Lender's address stated herein or any address Lender designates by notice to Borrower. Any notice provided for in this Security Instrument shall be deemed to have been given to Borrower or Lender when given as provided in this paragraph. , 14. Governing Law; Severahility. This Security . ,be,ggQerned by federal law and the law of the jurisdiction in which the Property is located. In the even[ that a pi'byision in clause of this Security lnsirumem or the Note conflicts with applicable law, Such conflict Shall :notsffct4Other provisions of this Security lashument or the Note which can be given effect without the conflicting provjs mate' :To this end the provisions of this Security htstrmuent and the Note are declared to be severable •' 15. Borrower's copy. Borrower shall be given one conformed copy ofthe Note and ofthis Security instrument. 16. Hazardous Substances. Borrower shall not cause orparmit the presence, use, disposal, storage, or release of any Hazardous Substances an or in the Property. Borrower shzli.not do, nor allow anyone else to do, anything affecting the Property that is in violation of any Environmental Law. The preceding two sentences shall not apply to the presence, use, or storage on the Property of small quantities of Hazardous Substances that are generally recognized to be appropriate to normal residential uses and to: maintenance of the Property. Borrower shall promptly give Lender written notice uEany,.inyestig mixl, claim, demand, lawsuit or other action by any governmental or regulatory agency or private party nypivingthe Property and any Hazardous Substance or Envaomnental Law of which Borrower bas actual krwwledgen ffBorrpwer learns, or is notified by any governmental or regulatory authority, that any removal or other remediation of any; Hazardous Substances affecting the Property is necessary, Borrower shall promptly take all necessary remedial'. actions in accordance with Environmental Law. As used in this paragraph 16, "Hazardous Substanx, those substances defined as toxic or hazardous substances by Environmental Law and the fallowing sub94ance9 gasoline; .kerosene, other flammable or toxic petroleum products, toxic pesticides and herbicides, volatilasolxept s,,,meterialarontaining asbestos or formaldehyde, and radioactive materials. As used in this paragraph 16, "En,runiumalal Law" means federal laws and laws of the jurisdiction where the Property is located that relate to health, safely or anuironinental protection. NON - UNIFORM COVENANTS. Borrower and Lender Further covenam and agree as follows 17. Assignment of Rents. Borrower unconditionally Assigns and transfers to Lender all the rents and revenues of the Property. Borrower authorizes Lender or Lender's agents to collect the rents and revenues and hereby directs each tenant of the Property to pay the rents to Lender or Lender' -s: agents. However, prior to Lender's notice to Borrower of Borrower's breachof any covenant or agreement iii: the Security Instrument, Borrower shall collect and receive all rents and revenues of the Property as trustee for fl e benefit ofLender and Borrower. This assignment of rents constitutes an absolute assignment and not an assignment for additional security only. If Lender gives notice of breach to Borrower: (a) all rents received by. Borrower shall be held by Borrower as trustee for benefit of Lender only, to be applied to the Sunni sdenred.by; the - S Instrument; (b) Lender shall be entitled to collect mid receive all of the rents of the Properly; and '- (c):each#enant of the Property shall pay all rents due and unpaid to Lender or Lender's agent on Lender's written demand to: tile teasel. Borrower has not executed any prior assignment of the reu{s dnd3ias not - aid will not perform any ace that would prevent Lender from exercising its rights under this paragr4ph`17 . Lender shall not be required to enter upon, take control of or maintain the Properly before or after giving notice of breach to Borrower. However, Lender or a judicially appointed receiver may do so at any time there is a breach. Any application of rents shall not cure or waive any defamtor invalffible ^any other right or remedy of Lender. This assignment of rents of the Property shall terminate when the debt secured by the Security Instrument is paid in full. fER$ Page aiiZ6 II I II l i t II II1 1 1 1 1 1 1 III I I I III�II�I I11113 NOW I III D.cm.ga H}iWNans www.docmagic.com 18. Foreclosure Procedure. If Lender requires immediate - payment in full under paragraph 9, Lender may invoke the power of sale and any other remedies permitted by applicable leer. Lender shall be entitled to collect all expenses incurred in pursuing the remedies provided In this paragraph 18, including, but not limited to, reasonable attorneys' fees and costs of title evidence. If Lender invokes the prover of sale, Lender shall groeheFrltnrNtEC #bil'rustee of the occurrence of an event of default and of Lender's election to cause the Property to liesolth Lender'shall mail a copy of the notice to Borrower as provided in paragraph 13. Trustee shall redard'a copy of fire notice in the county in which the Property is located. Trustee shall publish a notice of safe for the time 'and - in the manner provided by applicable law and shall mail copies of the notice of sale in the manner'prgscribed by applicable law to Borrower and to the other persons prescribed by applicable law. After the time required by applicable law, Trustee, without demand on Borrower, shall sell tire Property at public auction to the highest bidder for cash at the time and place and under the terms designated in the notice of sale in one or more parcels and in any order Trustee determines. Trustee may postpone sale of any parcel of the Pioperty.by public announcement at the time and place of any previously scheduled sate. Lender or its designee may purchase the Property at any sale. Trustee shall deliver to the purchaser Trustee's cerfifncate deseribing the Property and the time the purebasernill be entitled to Trustee's deed. The recitals Mlle, Trustee's deed shall be prima facie evidence of the truth of the statements made therein. Trustee shall apply_the proceeds -of the sale in the following order: (a) to all expenses of the sale, including, but not bnufd to . reugonabla Trustee's and attorneys' fees; (b) to all sums secured by this Security Instrument; and (c) any, excess tnr'persan.or persons legally entitled to it If the Lender's interest in this Security Instrument i beltl'by the Secretary and the Secretary requires immediate payment in full under paragraph 9, the Secretary may invoke lire nonjudicial power of sale to in the Single Family Mortgage Foreclosure Act of 1994'( "A$f ") (12 U:S.C. 3751 et sell .) by requesting a foreclosure commissioner designated under the Act to commence foreclosure and to sell the Property as provided in the Act Nothing in the preceding sentence shall deprive the - Secretary of any rights otherwise available to a Lender under this paragraph IS or applicable law. 19. Release. Upon payment of alt suns seemed by this Security Instrument, Lender shall request that Trustee release this Security Instrument and shall produce for Trustee, - duly cancelled, all notes evidencing debt secured by this Securitylu m struent. Trustee shall release this Security Instroment without further inquiry or liability. Borrower shall pay any recordation costs and the statutory Trustee's fees,. 20. Waiver of Homestead. Borrower waives all right of Homestead exemption in the Properly. 21. Riders to this Security Instrument if one or morn riders aree%eiuted by Borrower and recorded together with this Security Instrument, the covenants of each such rider shall be incorporated into aid shall amend and supplement the covenants and agreements of this Security instrument as if Ute rider(s) were a part of this Security Inshument. .... (Check applicable box(es)]. ❑ Condominium Rider ❑ Graduated Payment Rider; ❑ Growing Equity Rider ❑ Planned Unit Development Rider ❑ Adjustable; Rate. Rider_ ® Rehabilitation Loan Rider ❑ Non -Owner Occupancy Rider ❑ Other [Specify] 10 DEED OF TRU ER$ / DWMD91C eVRAOM 04130110 Page :5 of .6 w,w,docMagic.com IIIIII I I II111111111Ill I I Nil llit 11111141111111111 Ill BY SIGNING BELOW, Borrower accepts and agrees to th terms contained in pages 1 through 6 of this Security Instrument and in any rider(s) executed by Borrower and recorded with it. -. i eal) Seal .Borrower MICHELLE ICU MAN ( - Bor (Seat) , owu (Seal) (Seal) - Borrower - Borrower (Seal) (Seal) _ - Borrower - Borrower Wimess: [Space Below This Line For Acknowledgment — State of Colorado County of JEFEAR9ON� i The foregoing instrument was acknowledged before me this rrcTCT T K ULLM7UN by / i A o Il wle Stgna ee Po ersn' T Acknowledgment - - - :° J @� Title Serial Number, if any (Seal) ' Myeormnissioh expires: — I FHA COLORADO DEED OFTRUST - MFRS rmch7agic P+� CODOTZ.FHA 04/30110 Page 6 of 6 www.docmagic.com II I II l l I llill II I I II IIII I I Ilil 111 II I11111111h1111III MIN: 100419600000338301 Loan Number: 3641 REHAMUTATION'L.OANrRIDER ' . FIlA'Casc No. 0526322071702 THIS REHABILITATION LOAN RIDER is made this26 Ch day ofSULY 2011 , and is incorporated into and shall be deemed to amend and supplement the Mortgage, Deed of Trust or Security Deed ( "Security Instrument") of the scone date given by the undersigned (" Borrower') to secure Borrower's Note ("Note ")to ASCENT HOME LOANS, INC., A COLORADO CORPORATION ( "Lender ") of the same date and covering the property described in.the Security Instrument and located at: 3290 PIERCE ST, WHEAT RIDGE, COLORADO 80033 lPropeay Addnvnl. ADDITIONAL COVENANTS. In addition to thecovenzmts and agreements made in the Security Instrument, Borrower and Lender fnnher covenant and agree as follows: A, Loan proceeds are to be advanced for the promises in accordance with the Rehabilitation Loan Agreement dated JULY 26, 2011 - , between Borrower and Lender. This agreement is incorporated by referenceand made apartofthis Security instrument. Noadvancesshail be made unless approved by the Secretary of Housing and Urban Development or a Direct Endorsement Underwriter. B. If the rehabilitation is not properly completed, performed with reasonable diligence, or is discontinued at any time except for strikes or lockouts, the tender is vested with full authority to lake the necessary steps to protect the rehabilitation improvements and property from harm, continue existing contracts or enter into necessary coatracts�to complete the rehabilitation. All sums expended for such protection, exclusive of the advances of the; principal indebtedness, shall be added to the principal indebtedness, and secured by the Security.Insnument and be due and payable on demand with interest as set out in the Note. - C. IfBorrower fails to perforrnany obligation under the loan, including the commencement, progress and completion provisions of the Rehabilitation Loan Agreement, and such failure continues for a period of 30 days, the loan shall, at the option of Lender, be in defii D. The Property covered by this Security instrument shall include all of Borrowers interest in funds held by Lender in escrow under the Rehabilitation' Loan Agreemm"een� YfXi I LOAN RIDER - McM6gle 0tdvmhb5 08 Page 1 or, 2, www.dounagic.com IIIIIIIIIIIII III III III IIIIIIIIIIIIII�II� BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenant contained in this Rehabilitation Loan Rider. i �/ (Seal) MICHELLE KULLMAN Borrower _ Borrower (Seal) - (Seal) Borrower Borrower dal) _ .. (Seal) Borrower -Borrower [ADD ANY NECESSARY ACKNOWLEDGMENT PROVISIONS] REHABILITATION LOAN RIDER poMfeg/c A.'tmaca� PoRFHA 07102109 Page oft www.docmagic.mm 1111111111111111111111111111111111 � 11111 LEGAL DESCRIPTION LOT 10, BLOCK 4, PIERCE STREET SUBDIVISION, COUNTY OF JEFFERSON, STATE OF COLORADO. ® II OccupancYlTVpe "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. NSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB N INSPECTIONS - DATE INSPECTOR INITIALS COMMENTS: issons ie 7 EG) C oncrete und or Monolithic f / French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underaroundl ROUGHS Sheathing Lath / Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical AHUVt INSPtU I TUNS I U HE, SI GNtI) PKIUK I U PKUUttU INU Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage ST TIN NE WEEK PRIOR TO FINAL INSPECTIONS Parking & Landscaping . ART ALL ROU G O "NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY is ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER CITY OF WHEAT RIDGE / Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ` (303) 235-2857 Fax INSPECTION S~ NOTICE Inspection Type: K _ Job Address/Permit Number: 324f) P'-PntP S, 6P(13oq F._ n ❑ No one available for inspection: Time /d';?19 AM M` Re-Inspection required: Yes When corrections have been made, call to re-inspection at 303-234-5933 ~ Date: af- nn Y Inspector: , DO NOT REMOVE THIS NOTICE t `Il4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 154"a AV Job Address/Permit Number: 3.2P0 /o/,~4/7/ S7": oQ/368 .411 .;2) zGv v72ri2 rI4~<11 S7f'lj F~i~1ff/ r° rr of o F L25ewe~ e 3) A>~iL sS5FfI Y~' .T " Kira s T x06~ ❑ No one available for inspection: Time ~'20AM/PM Re-Inspection required: 6' No When corrections have been made, call~forrrre-inspection at 303-234-5933 Date: 11.2/09 Inspector: ~w•c DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division 1// (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ,Q1,f ' R4pF Job Address/Permit Number: X?9~ ?162r-5 ST t_-P913o9' ❑ No one available for inspection: Timer,' ~o AM/PM Re-Inspection required: L:YLeD No When corrections have been made, call for re-inspection at 303-234-5933 Date: 12J Inspector: DO NOT REMOVE THIS NOTICE .►~4' CITY OF WHEAT RIDGE / Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ,Q"F Job Address/Permit Number: 325'y 5'7-1 „>`W12 7v 4513,; i i. ' ❑ No one available for inspection: Time AM/PM Re-Inspection required: 4''10 When corrections have been made, call for re-inspection at 303-234-5933 Date: 114118 Inspector: DO NOT REMOVE THIS NOTICE ►~i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 11Z117:_6fJP Job Address/Permit Number: 3270 ST-, OF/,;K~e' 'A z<Eo ❑ No one available for inspection: Time 3%~S AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: t/ Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge r4000r- Residential Roofing PERMIT - 081308 PERMIT NO: 081308 ISSUED: 11/07/2008 JOB ADDRESS: 3290 PIERCE ST EXPIRES: 05/06/2009 DESCRIPTION: Reroof house and garage w/ 30 yr dimensional2l sqs CONTACTS owner 303/274-5100 Tom Wolfs gc 303/378-9229 Monte Hillyard 07-0120 Insurance Roofers PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0481 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,200.00 FEES Permit Fee 289.40 Total Valuation .00 Use Tax 151.20 TOTAL 440.60 Conditions: 6 nail installation & mid-roof inspection required. Board sheeting spaced more then a 1/4 of an inch apart requires plywood overlay on entire roof Fees doubled for work without permit. 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 s wn, and all ations made are accurate; that I have read and agree to abide by all conditions printed on this application d that I a me full responsibility for compliance' with the wheat Ridge Building Code (I.S.C) and all other :ppl i cable eat Ridnces, for work under this permi, Plans subject to field inspection. igna re/of contractor/owner date 1. his 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. A, 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, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subj t field inspections. Signature of Chief Bui in fficial data INSPECTION REQ ST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. OFWHEgTR, City of Wheat Ridge Building Division Date: HOT 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan o o Inspection Line: 303-234-5933 Permit pCORPp ~ ~,3~~ 01- 01--O Building Permit Application Property Address: ~ Q :Fl U2C_r--- ~5-T- T Propertybwner (please print): A ) /,I r-_5 Phon~30 ) 3-/St/7T Mailing Address: (if different than property address) Address: City, State, Zip: O Contractor: C nnEC7eS Contractor License C) MO Phone: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Construction Value: $ y 7 ('1~ Use of space (description): 62,2C?f Description of work: y2®Q.~ LI C~Vst Plan (as Review calculated( Per per at the time Builofding Valuasubmittal: lbn Data sheet) l $ ~AcZA~xr _ / mac- 796 i irv5r/.' 1®,.,~ ~t~ta, s Sq. Ft./L.Ft added: Squares -4-- BTU's Gallons - Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with tIfe""Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. _ CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTAT E of (OWNER) (CONTRATOR) PRINT NAME: fYJ(YQj 446(6? SIGNATURE: Date: ZONINGCOMMENTS Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required OCCUPANCY: Bldg Valuation: $