Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
4730 Pierce Street
Feb 19 19 09;07p ac � C � C, ( \ p.2 Piling Depth & Pressure Tracking Sheet Date Refer to Zip Code Data to determine ## of steel segments for Heaviest & Lightest Test Holes ��-772� ZCD Address: y�.�Q j12(r Job#: Z(JI�g�� Supervisor: C/`�TI/%/ Length of Starter Cable in Feet: Notes: H/L Lightest (L) hole from CAD BHD ; Depth of Hole to Grade TD Total Depth to ground level PIPT Post Install Pressure Test FR=riction Rina Base 15 15 Minus BHD 3 3 Minus CS 11 g = Calc Steel Sgmts 1 4 # of Friction 55 MeHim Steel Ring Wash PSI at # of PSI at Total Cable AngleTors Pre -Lift Past Lift HIL P# BHD; Sgrnts (FR) (W) Trans PIPT C I. Refusal Depth Length Iro Ram Msrmt Msrmt FEE Mani ■�e�I BENNI ta������ HIM� 2 q `� X �moir�Qm�Q■E�■ I C� J' fi1 3 1 1000C, 0�� MeHim ng ANNE FEE ME NINE FEE Mani ■�e�I BENNI ta������ HIM� �moir�Qm�Q■E�■ MMr��oIWON 0�� , Elm®s■�n�E ����r■���� '■����� Mm HIM HIM HIM ON ON M FEE MIMM HIM IM HIM� ®�MINEFEE� rME �������� ON IN r����IN���r����r� February 20, 2019 Olshan Foundation Solutions 1655 W. Girard Ave. Englewood, CO 80110 Olshan Job#: 2014953 Subject: Review of Foundation Repairs at 4730 Pierce Street, Wheat Ridge, Colorado 80033 As requested by Olshan Foundation Solutions, we have reviewed the repair proposal and installation from Olshan Foundation Solutions regarding the repairs made to the above referenced residence. Olshan Foundation Solutions presented the repaired portion of the foundation using 12 exterior segmental pre -cast concrete and steel pipe Cable Lock TM piles beneath the above referenced location for our review. The pile location and spacing as represented were found to be in general compliance with industry standards, and generally in accordance with Olshan Foundation Solutions' proposal based on the field data provided to us by Olshan Foundation Solutions. In our opinion, the piling depths in conjunction with the pile driving force as reported by Olshan Foundation Solutions are generally appropriate for this type of structure and for the area where the work is being performed. The repair work performed to the subject location has been acceptably completed, based on the information provided by Olshan Foundation Solutions, in accordance with good industry practice for foundation repair work using pre -cast segmental piles. The repairs performed on the subject location should be expected to minimize the foundation settlement observed prior to the foundation repair work. In instances where partial repairs are performed, meaning the entire foundation has not been underpinned, potential differential movement may occur. It should be noted that partial repairs modify the design of the foundation and while partial repairs are generally accepted industry practice the possibility of future movement should be recognized. Non -supported areas are not covered for downward foundation movements by the contractor's warranty. The future performance of the foundation system on the subject location should function as generally intended, provided proper soil moisture is maintained and there is not a loss in the load bearing capacity of the soil beneath the foundation. Soils should be graded such that there is positive drainage away from the foundation or a drainage system can be installed to prevent water from ponding around the foundation. A foundation maintenance program is recommended which can be found at www.foundationperformance.org. We appreciate being of service. If you have any questions or require additional information please contact the undersigned. Regards, ado%J t 1 t I 1 i Moos oe�� P�0 LICZ 0O� �� C. RpC� • � i V . ® • r_ s • e Ronald C. Roche, P.E. _ $9 if/ SSS ss;ON PX_'��i V 27564 Southern Crossing Drive, Splendora, TX 77372 Ph: 713-775-4715 i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:` c 1 ' r-) I �- r� - 1. Job Address: _771-7-S Q i r' f c C_ Permit Number: P ,:L ❑ No one available for inspection: Time�\ �' AM/PM Re -Inspection required: CYe No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge . !� Residential Foundation Repair PERMIT - 201900145 PERMIT NO: 201900145 ISSUED: 01/24/2019 JOB ADDRESS: 4730 Pierce St EXPIRES: 01/24/2020 JOB DESCRIPTION: Foundation repair using total of 8 pilings. *** CONTACTS *** OWNER (303)422-6520 FRANKS DARLENE C SUB (303)467-1933 Kelly Farris 080160 Olshan Foundation Solutions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00 FEES Total Valuation 0.00 Plan Review Fee 153.40 Use Tax 252.00 Permit Fee 236.00 ** TOTAL ** 641.40 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is 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 properly and am authorized to obtain this permit and perform the work described and approved in conjunction with this_Pennit. 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, 11 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. natLw6 of CpWNER or CONTRACTOR' (Circle one) Date 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. 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. If this pen -nit 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. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any jprdmance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chic1Building Official Date 2EQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat R die COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner Email: Tenant Name (Commercial Projects Only) .x/1.4 Property Owner Mailing Address: (if different than property address) Address: 115HtnE Fly /iBdl/F City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Phone: 34-5- elZZ Contractor Name: D&1�241 t'Oa11QiIMD4 OGCIT/o.G'S City of Wheat Ridge License #: O 841`64 Phone: Contractor E-mail Address: ?azra.c6l t04/shin-�J;uy1G� d'i'/, �' /✓L For Plan Review Questions & Comments (please print): CONTACT NAME (please print): ��� V O,¢/2 le t S Phone:_ ,34.3- 416 7-i' 13 3 CONTACT EMAIL(p/ease print): 14e-1fVVA0 Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: 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 highlig ❑COMMERCIAL fields. RESIDENTIAL Provide description of work: For ALL projects, 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. Sq. FULF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTORL ORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: DEPARTMENT USE ONLY �� ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE Reviewer: BUILDING 4DEPAEN4TCMM Reviewer 41,11 PUBLIC WORKS COMMENTS: /Jn Reviewer: Building Division Valuation: January 23, 2019 Olshan Foundation Solutions 1655 W. Girard Ave. Englewood, CO 80110 Subject: Review for Permit Letter Re: 4730 Pierce Street, Wheat Ridge, Colorado 80033 We have reviewed the sketch and the foundation repair system proposed for the subject location. In our opinion, the proposed foundation repair should minimize the foundation settlement at the subject location provided proper installation techniques are used which includes the manufacturer's recommendations, specifications for pre -cast concrete segmental pilings FPA - SC -08 latest edition which can be found at www.foundationperfonnance.org, industry standards, and proper foundation maintenance is performed. A foundation maintenance program can be obtained at the Foundation Performance Association website. The areas that are represented by cross -hatching on the attached sketch are the areas, in our opinion that will be affected by the proposed foundation repair system, provided the foundation system is of acceptable strength. If the actual strength of the foundation system is found to be inadequate to support the spacing of the piles as shown on the attached sketch then additional piles may be required to support the foundation. We appreciate being of service. If you have any questions or require additional information please contact the undersigned. Regards, Ronald C. Roche, P.E. WCity of heat � e UNITY I )M MI'MUN Ig APPROVED view d for Code Compliance 112(v /Wo Plat xaminer Date Vs>Nky of tKrmit: The issuance of a permit or approrvt of pions speuftoatlont and computations shoN not be a permit f or or an appovat of, any vwiobon In any of the poWslom of the bujWng code or of arty City o4nonses. Permft pesw" to glut authority to Woiate or concet the provision[ of the &Ad6v COM or other ordMonott of dw tits shoN rot be vadat 27564 Southern Crossing Drive, Splendora, TX 77372 Phone Number: 713-775-4715 4730 Pierce Street, Wheat Ridge, Colorado 80033 * Depth of Piling will Vary 27564 Southern Crossing Drive, Splendora, TX 77372 Ph: 713-775-4715 FOUNDATION CONSULTANT: HOMEOWNER'S NAME/ADDRESS: WRepair DARLENE FRANKS BERRY sinceO1933 PHONE: 303-467-1933 4730 PIERCE STREET Foundation Co. DATE: JANUARY 2019 WHEAT RIDGE, CO 80033 OWNSPOUT ® 1 2 3 4 5 7 8 REVIEW OF PILE LAYOUT ONLY NOTES UNLESS OTHERWISE SPECIFIED 1� PILES SHOULD BE INSTALLED TO REFUSAL WHICH, IS DEFINED AS WHEN THE EXISTING V 4�� �0 FOUNDATION START TO HAVE UPLIFT FROM THE DRIVING FORCE EXERTED ON THE PILE Q EXTERIOR PILINGS SHOULD BE AT A SPACING NOT GREATER THAN 8 FEET CENTER TO CENTER ON ONE STORY HOMES AND NOT GREATER THAN 6 FEET ON TWO STORY HOMES. Q ELEVATION READINGS SHALL BE TAKEN BEFORE AND AFTER THE FOUNDATION LIFT. ® ® INDICATES AREA AFFECTED BY NEW PILINGS. ELEVATIONS HAVE BEEN ADJUSTED FOR VARIATIONS IN FLOOR COVERINGS. © ADJUST EXISTING PILINGS AS REQUIRED, IF ANY. STRUCTURE DESCRIPTION LEGEND SIDING: 0 EXTERIOR PIER FE POOL EQUIPMENT A/C UNIT STORIES: a INTERIOR PIER © GAS LINE — SLOPE FOUNDATION: CBUILDERS PIER --�- FENCE X PREVIOUS WORK WALL CRACKS �, 3 49k, INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 rrnnr-onat nn,z mi i,,t ha suhmitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 1 t:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector CommentsInitials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter 1 Do Not Pour Concrete Prior To Inspector Underground/Slab Inspections Date Initials I UT i ne ADove inspections Comments Electrical Sewer Service Plumbing 01—k IAhrlr Dries Tn AnnrnvnI Of The Above Insnections LJV NVL VVVV1 %J!1 W. Rough Inspections Date Inspector CommentsInitials Wall Sheathing Mid -Roof 1 D Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector CommentsInitials Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical17 �l ` 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. c.,, n:..+.i..4 -4 l—, vnitnna "For low voitage permits — riease oe sure uiai IUUYI I uQIPUu ul- uto w—F by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather f , City of Wheat Ridge .. r Residential Mechanic PERMIT - 201705162 PERMIT NO: 201705162 ISSUED: 08/01/2017 JOB ADDRESS: 4070 Field DR EXPIRES: 08/01/2018 JOB DESCRIPTION: replacing boiler with triangle tube 175 k btu wall mount unit *** CONTACTS *** OWNER (303)477-4944 JENNI KAREN E SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,100.00 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 296.10 ** TOTAL ** 336.10 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by 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��ppermrt. 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit 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 Servicr s Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. d d- 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:_ Job Address: Permit Number: 3 ❑ No one available for inspection: Time l� 5 �M/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 i Date: Inspector:r DO NOT REMOVE THIS NOTICE A 1 City of Wheat Ridge Residential Roofing PERMIT - 201705543 PERMIT NO: 201705543 ISSUED: 08/07/2017 JOB ADDRESS: 4730 Pierce ST EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista asphalt shingles with 22SQ (20 SQ PITCHED & 2 SQ FLAT) House and detached garage- low slope on house *** CONTACTS *** OWNER (303)422-6520 FRANKS DARLENE C SUB (303)935-6119 Jimmy M. Waldner 060001 JMW Roofing 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: 6,000.00 FEES Total Valuation 0.00 Use Tax 126.00 PAID Permit Fee 140.90 �---- * * TOTAL * * 266.90 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge u s: Residential Roofing PERMIT - 201705543 PERMIT NO: 201705543 ISSUED: 08/07/2017 JOB ADDRESS: 4730 Pierce ST EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista asphalt shingles with 22SQ (20 SQ PITCHED & 2 SQ FLAT) House and detached garage- low slope on house I, by my signature, do hereby attest that the work to be performed shall comply with all accompany in 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 I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 changeof 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, an violation of any provision of any applicable „code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, July 31, 2017 8:30 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4730 PIERCE STREET Property Owner Name DARLENE FRANKS -BER Property Owner Phone Number 303-422-6520 Property Owner Email jmwroofinginc@gmail.com Address a,,f , qC) Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attach Copy of Contact Field not completed CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number jmw roofing inc 060001 3039356119 Contractor Email Address jmwroofinginc@gmail.com Retype Contractor Email jmwroofinginc@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No C� roof? Description of Roofing MALARKEY VISTA Material Select Type of Material: Asphalt t" If "Other" is selected Field not completed. above, describe here: How many squares of the 20 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2 on the flat roof? TOTAL SQUARES 22 (pitched + flat) of all i roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) HOUSE AND DETACHED GARAGE LOW SLOPE ON HOUSE WE SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant jimmy waldner Email not displaying correctly? View it in your browser. 3 ACCREDITED BUSINESS JMW "Quality Workmanship at an Affordable Price" Phone (303) 935-6119 Fax (303) 934-4752 Email jmwroofinginc@gmail.com 5715 W. Mississippi Ave. Lakewood, CO 80226 Property Owner (Customer) Name: DKL Date -7 ( Q 14'73Property Address: Street# � ���t✓� �� City 63IiVi-li' e-i��- State ire Zw Ck Date of Birth: Home Phonelal- 12.x' 6'� )0 Cell Ph: Business Phone: Business Name and Address: Property Owner's Insurance Company:l��Lia m`x�� r�`�`� Claim Date of Loss: `�1 l rA 17 Type of Loss: �AlA ( t - I authorize JMW Roofing In . (the Company) to work directly with my insurance complany on��m,.y,b.ehalf nd to furnish all material and labor as listed below. Company Representative WA N:)'k0nA5 _Phone#: �:g�"t�tg k �j Total Amount of Estimate $(tV kLU `> It l'i'�c„1` 'C (Agreed upon price with the Insurance Company based on damages known at time of estimate.) The owner's out of pocket expenses will not exceed insurance deductible in the amount of $ —0- (unless upgrades are added or otherwise provided in this Contract.) Progress payments of Contract price shall be made as follows V7M_AZc+!_ A11�, 6P-eZ A S 0 Ci: VIaiAL ►A;Lceakx,-, P►wi E4; Policy Specifications: Non-recoverable Depreciation (Initial) Recoverable Depreciation (Initial) Code Up -Grade Coverage (Initial) Approximate Dates of Service/Payment: Your project will begin on or about fx� t 51 I.7 (subject to the Company receiving approval from Owner's Insurance Company, and is expected to be completed within days from delivery of materials, subject to delays for weather, delays in obtaining materials or permits, or other events beyond the Company's reasonable control. Final payment is due to the Company upon substantial completion of work. All insurance supplement payments invoiced to Owner's Insurance Company to correct shortages in original estimate will be paid to the Company. We will furnish the following materials and labor as listed below: Tear off all layers of existing roof material:( 1 layers) ,1 r Fascia Color: New Shingle:OiLTkS C`094-0;, %I T Ka1,; Initial Protect all Landscaping, Pools, A/C Units Shingle Color: �'"L'14bt'feF:�t+k+ +�� b.!`f "' Initial 1',-415ti Paint Vents to Match Roofing Material Install Felt paper to Match Existing: 15 Ib 3AJb _�"j41�' �T� �- Haul Off Trash/Debris and Magnetic Sweep Install Pipe Jacks: 1 TA 3/14.1 Other( Install Furnace Vents: EA'3x5 5x7 7x9 l!.) Special Instructions:kEr10uZ 1 pv'^.CL Kw `F Gu�TG`�S�l1G`w�+S3'C,ui.s C�+ 11ko b# 1;10.WGZiP Rti L.4l: C.'4.;,;A-4f N:,i= ki, The following Special Provisions Apply Only to Roofing Work on Residential Property in Colorado as provided under C.R.S. 6-22-101 et seq.: -Notice with Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: Property Owner may rescind roofing contract pursuant to Section 6-22-104, Colorado Revised Statutes. -Notice with Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: If Property Owner plans to use the proceeds of a property and casualty insurance policy issued in pursuant to Part 1 of Article 4 of Title 10, Colorado Revised Statutes, to pay for the roofing work, pursuant to Section 6-22-105, C.R.S., the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment of roofing work on the covered residential property. -Notice with Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seg: THE COMPANY SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTILTHE COMPANY HAS DELIVERED ROOFING MATERIALS ATTHE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. -Notice with Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: Property Owner may rescind this Contract Pursuant to Section 6-22-104, Colorado Revised Statutes. -Notice: If Property Owner's Insurance Company does not approve scope of work and price within 60 days from the date of this Contract, either the Company or the Property Owner may cancel this contract upon issuance of written notice to the other party at which time any deposit paid by the Property Owner will be refunded in full and both parties relieved from any obligations under this Contract. Please read the reverse for additional Terms and Conditions which are part of this Contract. By signing this contract you are authorizing the Company to perform the work as specified and make payments as required herein. Property Owner/Customer: The Company: Imo.( JM Roofing Inc. 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: Job Address: Permit Number: if: ❑ No one available for inspection: Time ( c `> s A-M/PM Re -Inspection required: Yeso; When corrections have been made, call for re -inspection at 303-234- Date: 5933 ` Inspector: .� DO NOT REMOVE THIS NOTICE a s CITY OF WHEAT RIDGE Inspection Division (303) 234-5933 Inspection line _:�9�Building (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 1 Inspection Type: Job Address:C- Permit Number: ❑ 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:_?6 Inspector:" DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Residential Roofing PERMIT - 120406 PERMIT NO: 120406 ISSUED: 04/11/2012 JOB ADDRESS: 4730 PIERCE ST EXPIRES: 04/11/2013 DESCRIPTION: Tear off and reroof house 7 garage * ** CONTACTS * ** GC 720/628 -2814 Roberto Porras 09 -0160 Roberto Porras Services ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0369 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Permit Fee 156.75 Total Valuation .00 Use Tax 126.00 ** TOTAL ** 282.75 ti Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 (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 a li le code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspect Signature of Chief i)d1ldiG6 Offical 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. VEpYRNUMOER B92#4676 f P ~ m 0 0 ~ 3 ~ m m m D c o a 3 m r. Z ~ O _ n mm o v om ~ Q a m m 3 m o n 3 s ~ m ~ c 0~ m ~ ? 0 f ~ ~ w m c m ~ y a a ~ m m m F I ~ 0 c 0 0 ~ m m m F T O n 2 m O r 0 f Z ~ C 9 O W m r v D v r m O 1 N a o ~ o x O N 2 N A J w 0 ro F'N H O N cn rt n N m ~ m w n ~ a OC (D O m O O W W O OC 0 ` z Z -i m D m 1 O a n N ~ ? m v~ n w C~ a ~ W m N F tn ~ w r m r4 x N rt ~ O ~ O N 9 n m . y C7 m C N ~ o m ~ Ft m O ~ c7 ,0m„ ,mm„ 3 e nawz m ao c ci mm ~p~ ~ M n c m m ~ ~ m w e 0- °n m° m , ~ C N m ~ 0 ~ 3 m Om ~ C a m ° °O c o ~ o m n^ °mmo~ nno~ m ~mn azo ~ w n m w m p1~c nam m aa <Qo F m m a ~ a° o m ~o,°a O ~ _ m 'b F ~ m ~oa o3E a a n mf° ~ e omo w ~ ~ Fr 0 s `M1 ` J H N ~ ^1~1 ~ > a§0 y m O o=f o a ~ 01m ~ o ~ 9 O ~m m ~ ci ~ o z m ~ CA ~ m R 9 O' m K r ~ ~ N . INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 INSPECTION RECORD 4730 Pierce Street JOB ADDRESS BUILDING PERMIi N0. B92114676 DATE ISSUED 6/24/92 rrae OCCUPANCY OWNER Darlene Franks CONTRACTOR Adnl nh I SETBACKS FROM PROPERTY LINES: NORTH SOUiH EAST West INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB I NSPECTION DATE I NSPECTOR Foundations Footin s Caissons Reinforcin orMonolithic Weather roofin i PpUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Cuncrete Slab Floor: Electrical Ground Work Plumbin Ground Work Heatin Ground Work UU NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEC? Rou h Electrical Rou h Plumbin AirTest Gas Pi in Rou h Heatin & Ventilation (above must be si4ned prior tn iraminQjnsAeation) ~ - Framin Z , Insulation Dr wall nailin Roofin ' Refri eration Electrical under round ,,ir;al Electrical Fixtures Plumbin Fixtures Heatin & Ventilation Landsca e 8 Parkin R.O.W. 8 Draina e Fire De artment Job Com leted OCCUPANCY NOT PER~IITVED UN'fIL CERTIFICATE OF OCCUPANCY IS ISSUED INSPECTION TICKET , JOB ~7 ADDRESS 3O oPI t-r c e- (ia z DATE: BLDG. PERMIT# 42 LZl PERMIT# BLDG. CONTR. INSPECTION TICKET JOB ADDRESS !t~ j~- DATE: ~ BLDG. PERMIT# u676 PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ.'7 - --?_'TYPE OF INSP. f"10-8 'SLR b /'Tht INSPECTION MADE ~ -2 REMARKS - - , INSPECTION TICKET Joe 'I ~1 3 v ~~-~-•-Q~ ADDRESS ~1 ,6 i~ DATE: F-5 BLDG. PERMIT# q676 PERMIT# BLDG. CONTR ~ `3 SUBCONTRACTOR ' ~ Vn DATE INSP. REQ. iYPE OF INSP. --T-tn INSPECTION MADE REMARKS ,2z ~ ~ W.R. FORM E19 SUBCONTRACTOR DATE INSP. RE0. ~ R. TYPE OF INSP. INSPECTION MADE ~ REMARKS INSPECTION TICKET JOB ADDRESS y734 OATE: BLDG. P RMITM PERM IT# BLOG. CONTR. SUBCONTRACTOR DATE INSP. REQ. 9 TYPE OF INSP INSPECTION MADE REMARKSLl)jC W.R. FORM G19 1 7500 WESr 29th AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 EXT. 255 P.O. sox 638 BUILDING INSPECTION DIVISION PERMIT N0. B92#4676 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALiD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HpURS PRIOR TO INSPECTION TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATpN BUSWESS NAME4DO/.P/7 (S CFJI~I PANIL.~qDDRESS `~~15 L L fC7f{ Sr CAPY OF pEED AND IMPROVEMENT $URVEY REOUIRED fi r w ~ 9 , Z ~ 14, ~ SPECIFY NORTH ~l~gt- a ~a w ~N , y;j S{0 ~ o STREET NAME ~2 ~kLRlERek. ST (CIRCLE FRONT) N E Si~ SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH; SHOW LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE. LEGAL DESCRIPTION LOT 4ri`C. N0. METES AND PHONE~.~~. ADDRESS_ ZIP CODE LOT N0.- ATTACHED BLACK INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTINGCurb9Gutter_SireefPovinq-V.-Watei Sewei SfwmDroinoI HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES_N0I ARE THERE ANV SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NOX- OCCUPANCY~~_1241JCE c~AIZAC L E%TERIOR MATERIALS~ WALLS i~'C• f2AM~fpOF_1zs__9 H<T STORIES~_ UNITS_L REMARKS. OWNER/CONTRA(:TOR S16NATURE OF UNDERSTANDING AND AGREEMENT PERMIT FEE "s~ I hereby certify that the above setback distances shown on fhis permit upplicotion are accurate, and do not violote USE TAX ~ aDPlicable ardinonces, rules or ieguloiions of ihe City of Wheat Ri]qe or covenan}s, easements ar resirictions ot re- cord; ihot oll measuremenis shown, ond alleqotions made ore occurate; fhot I hove read antl agree to abide by all TOTAL FEE a)Q - condifions prinfed on ihis a lication and ihat I assum f ll ibilif f li ith h h pp , e u respons or comp y ance w i e W eat Ridqe N T Building Code (U.B.C ) and all other a p icab e W ea F ge~ rdinances, for work undar ihis permif. O E TED (OWNER)(CONTRACTOR)SIGNED DATE1p'A BUILDING PAR ENT USE ONLY SQ.FT COST ~ BASEMENT-ROUGH _ THE PROPERTY LOCATED {A~T to :!)v Fk Cv~E5 . ~ 7 BASEMENT-FINISHED - IS PRESENTLY ZONED_'L~ ^ ~ V^^' i, - Z3 - GROUND FLOOR - THE PROPOSED USE ()[_IS) (_IS NOT) ALLOWED UNDER THE ZONING ORDINANCE. SECOND FLOOR ~ COMMENTS: GARAGE I ~ L S L OTHER L OTHER BUILDWG COST $ ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE N0. GTY N0. STATE N0. CITY N0. CITY N0. PLANS REVIEWED (_OK)(_NOTOK) PLANS REVIEWED (-OK)(_NOT OK) PLANS REVIEWED-(-OK)(_NOTOK) NO PLANS NEEDED NO PLANS NEEDED NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT- PLUMBING PERMIT MECHANICAL PERMIT PERMIT ISSUED TO PERMIT ISSUED TO PERMIT ISSUED TO PER REQUEST AS PER PLANS NO PER REOUEST AS PER PLANS N0. PER REQUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MYOFFICE AS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR DATE CLEARED BY DATE CLEARED BY DATE CLEARED BY CHIEF BUILDING INSPECTOR CMIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR BY BY gy DATE DATE DATE CONDITIONS: (1) THIS PERMIT Wp5 ISSUED W GCCORDANCE WITM THE PROVISIONS SET FOHTH IN VOUR APPIICATION AND IS SUBJECT TO THE LAWS OF THE STATE OF COLONpUO pND TO THE ZONING REGULATIONS AND BWLDING GODE OF WHEAT RIDGE, Gq.ORADO OR ANY OTHER APPLILABLE ORDINANCES OF THE QTY. (2) THIS PERMIT SHPLL EXPIRE IF (A) THE WOFK AUTHORIZED IS NOT COMMENCEO WITHIN SIXTY (60) DAVS FROM ISSUE DATE OR (B) THE BUILDING AUTHOFIZE015 SUSPENDED OR ABANDONEp FOR A GERIOD OF 120 DAYS. (3) IF TMIS PERMIT E%PIRES, P NEW PERMIT MAY BE pLOUIRED FOR 4 FEE OF ONE-HALF TXE AMOUNT NOFMALLY FEOIIIRED, PROVIDED NO CHANGES HPVE BEEN OR WILL BE MiDE IN THE ORIGiNAL VLqNS PND SPELiFiLATION5 AND ANY SUSPENSION OR ABANDONMENT HAS N0T E%CEEDED ONE(1) YEAX. IF CHANGES ARE MADE OR IF SUSPENSION OR ABANOONMENT E%CEEDS ONE (I)YEAR, FULL FEES SHALL BE PAID FOF A NEW VERMIT. (1) NO WORK OF ANV MANNER SHALL BE DONE THAT WILL OBSTRUCT THE NGTURP LOW OFADVWATEF CAUSIN DRAINA6E PROBLEM. (S) CONTRAG~R SH L NOTIPY THE BUILDING INSPECTOR TWENTY-FOUR (24) HO S IN AN A ALUSP~TIONS AND SMALL RECEIVE WPITTEN PPPRWAL ON INS TION ARD BEFOR OGEFDING WI 11 SUGGESSIVE PH45E5 OF TH JPPPROV v DfSAIIPROVED CHIEF BUILDING INSPECTOR FOR MAYOR 10 v LOTS,___BLoCh'~ N EN SG.E NI S SuB01,4 ISI RRLSON S..EFF.E,RSoN _ CouN7"Y GINEERING N C. H 0 J q3 3 d 0.9 01 0' l9 I F- N ~ W U G! w r~ r 9 5 Q. g' O W lo N1 Gpy 6? . 37y 12 N 4+ - . _ o N.E__sTo_R_Y n 3Z X~G N ~ r~ _ PN 7 . 4' - v 4L~FlY ~A ~ N LO Ir 0 J y?r I f . w I I m 0 m _s. i J o~ SCRLE,2.o, Thb certlfles fhal the abow Is an octurato plat of a svrvsy mado thls bth day of J8nu2Py 1975 of the property dsstrlbsd as Lot 5s Block 1s HENSGENIS SUBDIVISION, Countp of Jefferaon, State of Colorado. includinp the locatlon of improvements, known easemanls, rlphts•of-way and encroachmentt by or on the prembu. Thls survey should not bs u:ed for consfroctlon of Fsntn or o1hsr ImprovsmeMi. ~~~n1nnm", .."~,~c`,`WST`fTFV e SEAI • =~.r 10i09 . in~•+.~I sU R-0;~ --'--GAHL-60N=EFIGINEERING;'INC." ' , 723 Delaware Street ~ Denver, Colorado 80204 Phone 222-9741 222-9742 . OwNER: Franks-Majestic Savinge and Loan ' ADDRE55: 4730 Pierce St. TITLECO: U.S. Life Title ~ tJRVEY NO: 26833 CASE NO. 18-4050 •h - Recorded at o'clock M., Reception No. Aecorder. 11015953 DEED OF TRUST RECORDER'S STAMP THIS INDENTURE, Made this 10th day of January A.D1975 between barlene C. Franks an unmarried person wnoseaddressis 4730 Pierce St. Wheatridge Co 80033 County of J0ft2S90I1 , State of Cobrado, (hereinaker referred to jointy and severally as the "BOrrower"), and the Public Trustee of the Counry ot a7@ff@rBOII , in the State ot Cobrado, (hereinaRer reterred to as the "Trustee"). Witnesseth: TW~~YW~~' TH8USWAND SdII(3UfOO)lOOissory Note(s) bearing even date herewith for the principal sum of DOLLARS, payable to the order oi MAJESTIC SAVINGS AND LOAN ASSOCIATION, (hereinafter referred to as the "Assxiation"), at Denver, Colorado, or at such other place as it may designate, with interest thereon and payble in consecutiva monthly inslallments of principal and interest as set forih in said Promissory Note(s), commencing t1arch 01, 1975 , until said Promissory Note(s) is fully paid. Final payment shall be due and payable on January O1, 2005 AND WHEREAS, The Borrower is desirous oi securing to the Association the payment of the principal and interest, together with any and all subsequent advances made, expenditures authorized, cos;s and attorney's fees incurred, or any othei sums as provided for herein or in the Promissory Note(s) secured hereby. Any such advance or expenditure shall be so much additional indebtedness secured hereunder and shall be added to the then outstanding principal balance due and owing pursuant to the Promissory Note(s) secured hereby (all of which shall hereinaRer be referred to as "indebtedness"). NOW, THEREFORE, The Borrower, in consideration of the premises, and for the purpose afoiesaid, does hereby grant, bargain, sell and convey unto the Trustee, in irust, the lollowing described real property, situate in the County of Jefferson and State of Coloraao, to wit Lot 5, Block 1, HENSGSt3'S 5USDIVISION, The plat of which is recorde8 in Plat Book 6 at Paga 41, Jef£erson County, Colorado. TOGETHER with all building materials and equipment now or hereafter delivered to said premises and intended to be inwrporaled and installed therein, and all buildings, improvements, (ixWres or appurtenances now or hereafter erected thereon, including but not limited ro, any and all apparatus, equipment, fixtures or artictes, whether in single units or cenirally controlled, used to supply heat, gas, air condilioning, waler, light, power, refrigeration, ventilation, irrigating or other services, screens, screen doors, storm doors and windows, attached floor coverings, venetian blinds, in-a-door betls, awnings, built-in stoves, water heaters, dishwashers, garbage disposals, including repiacements thereof, and any other things now or hereatter siNated therein or ihereon, and also logether with any and all water, water rights, ditch righis, water stock anNor ditch stock, easements and mineral rights now owned or hereaRer acquired by the Borrower, his heirs, successors or assigns, appropriated or unappropriated, vested or not, used, belonging to, or in any way connected wilh the above described real property; all ot which are hereby declared to be part of said real property, whether physically attached ihereto or not. TO HAVE AND TO HOLD the above described property, improvemems, fixtures, apparatus and equipment, together with all and singular the rights, privileges, hereditaments and appurtenances in anywise appertaining or belonging thereto. IN TRUST NEVERTHELE55, That in the event of any defaWt hereunder by the Borrower, or his heirs, successors or assigns according to the lenor and eflecl of said Promissory Note(s) and this Deed of Trusi, or in case of default in the payment of any prior lien, time being of the essence, the legal holder of the indebtedness sewred hereby may file nolice with the Truslee, declaring such default and its eleclion and demand that said property be advertised tor sale and sold in accordance with the statutes of the State of Colorado in such cases made and provided; and thereupon, the Trustee shall sell and dispose of said premises (en masse or in separate parcels, as said 7rustee may think besry, and all the right, title and interest oi the Borrower, his heirs, successors or assigns therein, at Public Auction at the iront door oi the Court House in the Counry in Cobrado wherein the atoresaid real property is siWate or on said premises as may be specified in the Notice oi such sale, for the highest and besl price the same will bring in cash, after public notice having been previously given ot the time and place of such sate in accordance with the statutes oi the State of Colorado by advertisement, weekly, in some newspaper of general circulation at ihat time published in said County in Colorado, wherein the afore- said real property is situate; copies of said Notice shall be mailed in accordance with the stawtes oi the State of Colorado governing sales ot real estate by Trustee, and said Trustee shall make and give to the purchaser ot said property at such sale a Cehificate of Purchase, describing such property sold, the sum paid therefor and the time when the purchaser (or other person entitled thereto) shall be entilled to a Deed iherefor, unless the same shall be redeemed, as provitletl by law; and the Trustee shali, upon demand by the party holding the said Certificate of Purchase, the time for redemption haviny expired, make, execute and deliver to such party a Deed to the real property purchasetl in accordance with the staWtes ot the State ot Colorado; and the said Trustee shall, out ol the proceeds ot such sale, aRer first paying and retaining all fees, charges and costs of making such sale, pay to the legal holder of said Promissory Note(s) the principal and interest due on said Promissory Note(s), according to the fenor and effect Ihereof, and all 4or 4 [35 t 3.0 37_ EigSENCE jr" 4D r 1g 407 I 44 a9 OjJiz "Sro z.y 6~ * . 1372r ~1~ i n ate' 3° G~ l poPo5Eb 50 ~A1 a K! P P P, tJ'J E D Exr5r[t~< x ~ ~ Z ~Er ~ `mss F 141°- _JJ7 C~ k0 I ri7jgtj ~ S ~C S r U Q f-p 4, AuiN 9,:K-, suo!,-~~ . ~o N 0 1 W T .Q N 30'- o" ~6' DUC.r:Nt;~ b -PO O 5';` F'10tiJ~rrN~~ ~ovZ (v NX l~ " IR W I t~ i TWo zl"'6 7 t i3r9Z14p-ovNp J7o0 PER I M ETE`;?,z- 61 /9 0 ,30- 0 b e~ N FlzRA)ILs lA tt ~~~NKS !A~F`7l^ 5,n U -7~h El E v 1 r n 0 t Ltii 5731 No iZT1-( el-Eva-rtop JrAl 5)6l13LE ~~ArE E UI ~.5 Srf~f}TinJ~ /M P2C7i✓i9 rc 17 Cow E,S l y moo ZI) 'i iD ,v,7 'I zr/ ~ /1 I,,~1J0 ~ GUI: R PP)zox C7;? 2)IWD J,t✓eI PPROK Oea) p k EI/EL Se L Z- APPROVE CAST E G-L/ If7J 00 L,0657- E-i-EvA-rinju U LO"TS,--BLOChl_~ NENS -G.E.NI S Sv~~J'q ks14 RRL50N s.V5 IFE.RSoN couN -r~ G INEERING N C. i i ~ F Q J ~ . rh: r . , . , . . ~ . ~ 13S B3~ . . a, 0 t9 r~ 0 ot I O 1 ~ W U. ~ _p q s ~Dz IVX~ tiUFl~ + ~ I P ~r N I 37X r ~ 91 4+ , J I o N.E--STO-R_~ n,3z x/G q NI 6? ,R'4?30 . r 07 a / mi - ^ , .r.~ -1 _ ' J I 'w 1 3 24 y--- N , i9 ~:Zo cJCALE Zo~ lhia certlfles thal ths abow Is an acturale plal of a survey made thb _ 6th doy of Janvary LY ( 7 of the property dsscribsd ae Lot 5s Block 1p HENSGEN'S SUBDIVISION, Couttty of JeYfereoni State of Colorado. including the locatlon of Improvsmenta, known eaiomen1s, riphts-of-way and sncroachments by or on Ihe premlses. This survey should not bs uesd for contfructlon of Fsncss or olher improvsments. _ GARL-60N~EFRi1NE~RING"INC. : . ~ ~ I frrr" 723 Delawafe Street 1~ Qenver, Colorado 60204 ••+,¢K,•••••"Ci~p % Phone 222-9741 222-9742 SEaI Franks-N.ajestic Savinge and loan OW NEk: ~i~~ - . " : v . . c uati~~~' • •_,..•;p . ~ ADDRESS: 4730 Pierce St. tITLE CO: U.S. Life Title No: 26833 cnseNO. 18-4050 •,y 3