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Home My WebLink About4240 Upham StreetZ �6 4 M, =Srt-. INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior 10 Approval Ur i ne Aoove inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Lath / Wall Tie nn Nnt rnvpr llndprnirnund or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections _ Date Inspector Initials Comments Wall Sheathing Mid -Roof P Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are compieteo from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ► City of Wheat Ridge Residential Roofing PERMIT - 201703786 PERMIT NO: 201703786 ISSUED: 07/12/2017 JOB ADDRESS: 4240 Upham ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 50 sq *** CONTACTS *** OWNER (303)421-4289 MARTINELLI TRUST SUB (303)670-3048 Terry Harper 018383 Harper Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00 FEES Total Valuation 0.00 PA*1"D Use Tax 294.00 Permit Fee 267.70 ** TOTAL ** 561.70 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703786 PERMIT NO: 201703786 ISSUED: 07/12/2017 JOB ADDRESS: 4240 Upham ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 50 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all apEa able municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property anm authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am llyauthorized toinclude all entities named within this document as partes to the work to be perormed and that allwork to be pemed 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of 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 applic o_ de 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. Dane Lovetti /0 J �y From: no-reply@ci.wheatridge.co.us_ Sent: Thursday, June 29, 2017 9:15 PM _M�L To: Permits CommDev ---� Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application c� This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4240 Upham St Martinelli 303-421-4289 Field not completed. `l✓/c L/_Oti Vtv" 56� , 70 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Harper Services Contractor's License 018383 Number (for the City of Wheat Ridge) Contractor Phone 303-870-1832 Number Contractor Email Address harperservice@qwestoffice.net Retype Contractor Email harperservice@gwestoffice.net Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberlines Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 50 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 50 roofing material for this project Provide additional detail Tear off old shingles -5/12 pitch -new flashings -ice shield -metal here on the description of edge -new jacks and vents -felt base 2 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) 14,000.00 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 Terry Harper Email not displaying correctly? View it in your browser. 3 �. •*,w*.:".np w�'i`"a'zv.` 'ryzsY�a��: 4. �;Tip?°_„y.�'�..tv�`'-wwk:"'-z��. •;-�F.�. . 2819 Olympia Circle Evergreen, Colorado 80439 Name Submitted To City a State Telephone Numbers -Home _ Work HARPER Services, Inc. Proposal ',\\ Street_ City State 3� Proposal - `7Z Date Phone 303-670-3048 Work To Be Performed At Zip All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($/�/�o with payments to be made UPON COMPLETION. Note: This proposal may be withdrawn by Harper Services, Inc. anytime before starting job. Subject to the following Conditions: This Proposal, when accepted and signed by you and approved by a duly authorized official of this firm, shall constitute the contract between us, it being understood that it covers all agreements between us. No modification of this proposal or contract shall be binding unless said modification shall be in writing and signed by the parties hereto. ACCEPTANCE: This proposal is rendered for prompt acceptance. After it has been accepted and signed by you and approved by a duly authorized official of this firm, it shall constitute exclu- sively a contract for the entire work embraced herein. Collection Costs. The expense of any action taken by Harper Services, Inc. for collection on this contract, whether such is by lawsuit or otherwise, shall be liability of and paid by the customer including reasonable a orney fees. Harper Services, I c. Authorisedig� ► City of Wheat Ridge Residential Roofing PERMIT - 201703786 PERMIT NO: 201703786 ISSUED: 07/12/2017 JOB ADDRESS: 4240 Upham ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 50 sq *** CONTACTS *** OWNER (303)421-4289 MARTINELLI TRUST SUB (303)670-3048 Terry Harper 018383 Harper Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00 FEES Total Valuation 0.00 PA*1"D Use Tax 294.00 Permit Fee 267.70 ** TOTAL ** 561.70 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703786 PERMIT NO: 201703786 ISSUED: 07/12/2017 JOB ADDRESS: 4240 Upham ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 50 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all apEa able municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property anm authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am llyauthorized toinclude all entities named within this document as partes to the work to be perormed and that allwork to be pemed 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of 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 applic o_ de 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. Dane Lovetti /0 J �y From: no-reply@ci.wheatridge.co.us_ Sent: Thursday, June 29, 2017 9:15 PM _M�L To: Permits CommDev ---� Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application c� This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4240 Upham St Martinelli 303-421-4289 Field not completed. `l✓/c L/_Oti Vtv" 56� , 70 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Harper Services Contractor's License 018383 Number (for the City of Wheat Ridge) Contractor Phone 303-870-1832 Number Contractor Email Address harperservice@qwestoffice.net Retype Contractor Email harperservice@gwestoffice.net Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberlines Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 50 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 50 roofing material for this project Provide additional detail Tear off old shingles -5/12 pitch -new flashings -ice shield -metal here on the description of edge -new jacks and vents -felt base 2 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) 14,000.00 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 Terry Harper Email not displaying correctly? View it in your browser. 3 �. •*,w*.:".np w�'i`"a'zv.` 'ryzsY�a��: 4. �;Tip?°_„y.�'�..tv�`'-wwk:"'-z��. •;-�F.�. . 2819 Olympia Circle Evergreen, Colorado 80439 Name Submitted To City a State Telephone Numbers -Home _ Work HARPER Services, Inc. Proposal ',\\ Street_ City State 3� Proposal - `7Z Date Phone 303-670-3048 Work To Be Performed At Zip All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($/�/�o with payments to be made UPON COMPLETION. Note: This proposal may be withdrawn by Harper Services, Inc. anytime before starting job. Subject to the following Conditions: This Proposal, when accepted and signed by you and approved by a duly authorized official of this firm, shall constitute the contract between us, it being understood that it covers all agreements between us. No modification of this proposal or contract shall be binding unless said modification shall be in writing and signed by the parties hereto. ACCEPTANCE: This proposal is rendered for prompt acceptance. After it has been accepted and signed by you and approved by a duly authorized official of this firm, it shall constitute exclu- sively a contract for the entire work embraced herein. Collection Costs. The expense of any action taken by Harper Services, Inc. for collection on this contract, whether such is by lawsuit or otherwise, shall be liability of and paid by the customer including reasonable a orney fees. Harper Services, I c. Authorisedig� 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 fi 0/_ Job Address "/,-Z 1/6 y l�VAM S'T Permit Number., ? 0170 37�� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Ye6N90 ` When corrections have been made, call for re-inppe,C�qat 303-234-5933 . I %I`'M} I'i i Date: t_ V' / Inspector: Zs I* � 4 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: ❑ No one available for inspection: Time,:., AM/ - Re -Inspection required: Yes IVo 1 When corrections have been made, call for re -inspection at 303-234-5933 � r # Date' , ' Inspector:sca4 DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City ofDate: ]('�Wh6atp.,,Ae r a µ DEVc t xanlPe its a Building & Inspecdon Services Division 7500 W.29th Ave., Wheat Ridge, CO 80033 Plan Review Office, 303-235-2355 * Fax: 303-237-8929 Inspection Line: 303-234-5333 Building er it Application Mailing Address: (if different than property address) Address: Ci!y, State,`Zi chit t/Engin r E�r lall- P Contractor.- /4 Contractors City License :l 03 phone., ContractorE-mail dress: Sub Contractors: Electrical: Plumbing: Mechanical: WR City License # W.R. City License # WR City License Other City Licensed Sub. {ether City Licensed nuts: City License ## City License # Complete all information on BOTH skies of this form •.... tl!1 • fIM 411 !1 b y lt. _ w • allivurrt v, ru t rr f to us , etc. 3v ye & SqULF Btu's Gallons Amps Squares Other PERMR NUMlEN 97-5370 \ a o '3 m i T D -1 = m T p O f Z m p I ~ n c x m m C m m o m m rr O m ° Q v m °1 3 i o a I o O ~ ! ~ m ca m m ~ D c 3 a m m a 0 c t i y o D a n ~ m ~ 0 » a ~ O I , O ~ m d ~ • 91 , F n o. d ~ 0 rr O ~ 0 C (D 7 d cn a Z ~ cn N r v L) O > °m O ~ m O D ~ o ~ o ~ D O N Z (/l w m n ~ :E:E0-/ a 9 o = = m ~ 3 » ~ m m . 0 ~ (D ~9w3 m aa- - o m ro c ~ m m ~ m ~ w n ~ 3 n ~ ~ j m m m a n ~ y ~ ~ ~mm` ~ - 0 ~ N m 5 1~ J. m o '3 m F ~1 ~ ~ ~ a ^ ow 2 n ~ l l c a m ~ a~ - 2 o y ~ 0 C) L9 ~ m m v n n°'om O° = T >D ~ m v ~ = 0 n ro < 1 ~ a,Zo c ~ ~ O = mv c ~°0 ° m n a m N m m m nv ~ < Q p 0 ~ O 0 "9 ° V 3F ~ a~ ° z =m m ~ n m ~ w woQ ~ ° 30 J \ N ~D a sv -s m F m ~v tD O-m ~ `G 6 O O m r ~ lSJ 00 0 0 O :E Z Z ~ m D ~ 1 I O a Location: 4240 UPHAM ST. Wheat Ridge, CO QUIT CLAIM DEED KNOW ALL MEN BY THESE PRESENTS, that ANGELO A. MARTINELLI AND LYNNE R. MARTINELLI, whose address is 4240 UPHAM ST., Wheat Ridge, County of Jefferson, State of Colorado, 80033, for the consideration of TEN AND %o DOLLARS ($10.00) and other good and valuable considerations, in hand paid, acceptance, sufficiency, and receipt of which is hereby acknowledged, do hereby remise, release, sell, convey and QUIT CLAIM unto the City of Wheat Ridge, a municipal corporation in the State of Colorado, whose address is 7500 West 29th Avenue, Wheat Ridge, CounTy of Jefferson, State of Colorado, 80215-6713, its successors and assigns, forever, all the right, title, interest, claim and demand which the grantors have in and to the following real property, in the City of Wheat Ridge, Counry of Jefferson, State of Colorado, to wit: A tract of land lying in the Southeast'/a of Section 23, Township 3 South, Range 69 West of the 6th Principal Meridian, City of Wheat Ridge, County of Jefferson, State of Colorado, described as follows: See EXHIBIT "A" attached hereunto and incorporated herein by this reference. Said tract to be used as: ROAD RIGHT OF WAY Also known by street and number as: 4240 UPHAM ST., Wheat Ridge, Colorado, 80033 With all its appurtenances, and do quit-claim any interest to the same subject to easements, rights of way and restrictions of record, if any. Signed this,2s day of M24--, 1998. ANGEL6 MARTINELLI, Grantor I. E R. MARTINELLI, Grantor STATE OF COLORADO ) ) SS. COUNTY OF JEFFERSON ) The foregoing instrument was acknowledged before me thisaa day of sm k ~ 1998, by ANGELO A. MARTINELLI AND LYNNE R. MARTINELLI. My commission expires: `1-lU 199$ Witness my hand and official seal. Nota b 'c Location: 4240 UPHAM ST. Wheat Ridge, CO ' :HIBIT "A" A tract of land located in the Northeast 1/4 of the Southeast Y< of the Northwest'/< of the Southeast of Section 23, Township 3 South, Range 69 West of the 6th Principal Meridian, City of Wheat Ridge, County of Jefferson, State of Colorado, more particulazly described as follows: COMMENCING AT THE NORTHEAST CORNER OF SAID NORTHEAST OF THE SOUTHEAST Y<OF THE NORTHWEST'/<OF THE SOUTHEAST'/, OF SECTION 23; THENCE SOUTHERLY ALONG THE EAST LINE OF SAID NORTHEAST'/< OF THE SOUTHEAST'/4 OF THE NORTHWEST OF THE SOUTHEAST'/< OF SECTION 23 A DISTANCE OF 99 FEET TO THE NORTHEAST CORNER OF THAT PARCEL OF LAND DESCRIBED AT RECEPTION NUMBER F0400451 OF THE RECORDS OF THE JEFFERSON COUNTY CLERK AND RECORDER'S OFFICE; THENCE WESTERLY ALONG THE NORTHERLY LINE OF SAID PARCEL ON AN ANGLE TO THE LEFT OF 90005' ] 0" A DISTANCE OF 303.69 FEET TO A POINT 15 FEET EASTERLY OF THE EASTERLY LINE OF THAT RIGHT-OF-WAY DESCRIBED IN BOOK 270 AT PAGE 543 OF THE RECORDS OF THE JEFFERSON COUNTY CLERK AND RECORbER'S OFFICE, SAID POINT BEING THE TRUE POINT OF BEGINNING; THENCE CONTINUING WESTERLY ALONG SAID NORTHERLY LINE ON AN ANGLE TO THE RIGHT OF 180°00'00" A DISTANCE OF 15 FEET TO A POINT ON SAID EASTERLY RIGHT-OF-WAY, SAID POINT ALSO BEING 1.31 FEET EASTERLY OF THE NORTHWEST CORNER OF SAID PARCEL DESCRIBED AT RECEPTION NO. F0400451; THENCE SOUTHERLY ALONG SAID EASTERLY RIGHT-OF-WAY ON AN ANGLE TO THE RIGHT OF 900 06'07" A DISTANCE OF 82.5 FEET TO A POINT ON THE SOUTHERLY LINE OF SAID PARCEL, SAID POINT ALSO BEING 1.29 FEET EASTERLY OF THE SOUTHWEST CORNER OF SAID PARCEL; THENCE EASTERLY ALONG SAID SOUTHERLY LINE ON AN ANGLE TO THE RIGHT OF 89°53'S3" A DISTANCE OF 15 FEET TO A POINT 303.71 FEET WESTERLY OF THE SOUTHEAST CORNER OF SAID PARCEL; THENCE NORTHERLY AND PARALLEL WITH SAID EASTERLY RIGHT-OF-WAY ON AN ANGLE TO THE RIGHT OF 90°06'07" A DISTANCE OF 82.5 FEET TO THE TRUE POINT OF BEGINNING. Said tract containing 1238 square feet or 0.028 acre more or less. Also known by street and number as: 4240 UPHAM ST., Wheat Ridge, Colorado, 80033 The drafrer of this description is JAN R. PYLE, prepazed for and on behalf of D. R. A. SIIRVF.YING, INC. 2484 KIPLING ST. LAKEWOOD, CO. 80215 and is not to be construed as representing a monumented land survey. vrV i `i SEAL JA3 RICHARD , COLO. REGV~~~~~~'r~ ' dr,'a 12111 . z -9 • SIJR~~ ' P $ 12111 Page 2 of 2 Location: 4240 UPHAM ST. Wheat Ridge, CO QUIT CLAIM DEED KNOW ALL MEN BY THESE PRESENTS, that ANGELO A. MARTINELLI AND LYNNE R. MARTINELLI, whose address is 4240 UPHAM ST., Wheat Ridge, County of Jefferson, State of Colorado, 80033, for the consideration of TEN AND %o DOLLARS ($10.00) and other good and valuable considerations, in hand paid, acceptance, sufficiency, and receipt of which is hereby acknowledged, do hereby remise, release, sell, convey and QUIT CLAIM unto the City of Wheat Ridge, a municipal corporation in the State of Colorado, whose address is 7500 West 29th Avenue, Wheat Ridge, County of Jefferson, State of Colorado, 80215-6713, its successors and assigns, forever, a11 the right, title, interest, claim and demand which the grantors have in and to the following real property, in the City of Wheat Ridge, County of Jefferson, State of Colorado, to wit: A tract of land lying in the Southeast'/a of Section 23, Township 3 South, Range 69 West of the 6th Principal Meridian, City of Wheat Ridge, County of Jefferson, State of Colorado, described as follows: See EXHIBIT "A" attached hereunto and incorporated herein by this reference. Said tract to be used as: ROAD RIGHT OF WAY Also known by street and number as: 4240 UPHAM ST., Wheat Ridge, Colorado, 80033. With all its appurtenances, and do quit-claim any interest to the same subject to easements, rights of way and restrictions of record, if any. Signed this Q day of ~}2c~p , 1998. ~ .,.o o'~A~ ~ ~ Q ' . ANGEL A. MARTINELLI, Grantor L E R. MARTINELLI, Grantor STATE OF COLORADO ) ) SS. COUNTY OF JEFFERSON ) The foregoing instrument was acknowledged before me thisaa day ofWOA 1 1998, by ANGELO A. MARTINELLI AND LYNNE R. MARTINELLI. My commission expires: `1'26Q 199$ Witness my hand and official seal. SEAL Not b 'c Location: 4240 UPHAM ST. Wheat Ridge, CO EXHIBIT "A" A tract of land located in the Northeast '/e of the Southeast of the Northwest of the Southeast of Section 23, Township 3 South, Range 69 West of the 6th Principal Meridian, City of Wheat Ridge, County of Jefferson, State of Colorado, more particulazly described as follows: COMMENCING AT THE NORTHEAST CORNER OF SAID NORTHEAST '/4 OF THE SOUTHEAST'/a OF THENORTHWEST'/a OF THE SOUTHEAST'/a OF SECTION 23; THENCE SOUTHERLY ALONG THE EAST LINE OF SAID NORTHEAST'/< OF THE SOUTHEAST'/o OF THE NORTHWEST'/a OF THE SOUTHEAST'/a OF SECTION 23 A DISTANCE OF 99 FEET TO THE NORTHEAST CORNER OF THAT PARCEL OF LAND DESCRIBED AT RECEPTION NUMBER F0400451 OF THE RECORDS OF THE JEFFERSON COUNTY CLERK AND RECORDER'S OFFICE; THENCE WESTERLY ALONG THE NORTHERLY LINE OF SAID PARCEL ON AN ANGLE TO THE LEFT OF 90005'10" A DISTANCE OF 303.69 FEET TO A POINT 15 FEET EASTERLY OF THE EASTERLY LINE OF THAT RIGHT-OF-WAY DESCRIBED IN BOOK 270 AT PAGE 543 OF THE RECORDS OF THE JEFFERSON COUNTY CLERK AND RECORDER'S OFFICE, SAID POINT BEING THE TRUE POINT OF BEGINNING; THENCE CONTINUING WESTERLY ALONG SAID NORTHERLY LINE ON AN ANGLE TO THE RIGHT OF 180°00'00" A DISTANCE OF 15 FEET TO A POINT ON SAID EASTERLY RIGHT-OF-WAY, SAID POINT ALSO BEING 131 FEET EASTERLY OF THE NORTHWEST CORNER OF SAID PARCEL DESCRIBED AT RECEPTION NO. F0400451; THENCE SOUTHERLY ALONG SAID EASTERLY RIGHT-OF-WAY ON AN ANGLE TO THE RIGHT OF 90°06'07" A DISTANCE OF 82.5 FEET TO A POINT ON THE SOUTHERLY LINE OF SAID PARCEL, SAID POINT ALSO BEING 1.29 FEET EASTERLY OF THE SOUTHWEST CORNER OF SAID PARCEL; THENCE EASTERLY ALONG SAID SOUTHERLY LINE ON AN ANGLE TO THE RIGHT OF 89°53'S3" A DISTANCE OF 15 FEET TO A POINT 303.71 FEET WESTERLY OF THE SOUTHEAST CORNER OF SAID PARCEL; THENCE NORTHERLY AND PARALLEL WITH SAID EASTERLY RIGHT-OF-WAY ON AN ANGLE TO THE RIGHT OF 90°06'07" A DISTANCE OF 82.5 FEET TO THE TRUE POINT OF BEGINNING. Said tract containing 1238 square feet or 0.028 acre more or less. Also known by street and number as: 4240 UPHAM ST., Wheat Ridge, Colorado, 80033. The drafter of this description is JAN R. PYLE, prepared for and on behalf of D. R. A. SURVEYING, INC. 2484 KIPLING ST. LAKEWOOD, CO. 80215 and is not to be construed as representing a monumented land survey. SEAL JA3Q RICHARD M 7giAq coLO. xEG. r.~~s~~~~atr~ro. 12111 : 12111 x ~ h ~ 'o.. ~F CO~-.o•. Page 2 of 2 "l i-, r k(C i N( Ni k' o~. Date• z - Z 3 - qY F A Certificate of Occupancy or Completioi ' ADDRESS: 4,~) q0 Urv%- ~ Purpose of Structure: AAd i-~,rvn --r) hn(i5 2 GLnA n-~arna e Building Department Approval: Remarks: Zoning Approva Remarks: vE7 ~G~E'izu ~ Public Works Approval: ~ ri 2 I ~ Remazks ~~bl,c. vJo~kS d~l~to ~,1'Pr°~al ~v~' ( k ~ ~ rn.r~15 ~p I ZS I 1~ I L'U,4~A, GCe tMt~ { PJr1C l~jLL~ l Yl ~ G ) (,t*vtn(-? zinc~~~t1,fD ~ a0 ~'f L~at NI DEeU % bm 6 1 s.e-~ (~5h'f' , Building Permit Number: 5370 ~ 3~ Job Address : 4240 UPHAM ST ~ Description of PermR : ADDITION TO HOUSE AND GARAGE . Inspection List m~.,. a•--...-~a ~rw 1 ua[e IAPWOVaiI Remarks 1 .w. Building Permit Number : 5370 Job Address : 4240 UPHAM ST ~ Description of Partnit : ADDITION TO HOUSE AND GARAGe Inspection List , Nv"$PECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 INSPECTION RECORD JOBADDRESS -'f 4 L) L ( P I BUILDING PERMfT N0: Cl --7 C ' I 1 OWNER ~ ~U~-~ E ~ ) CANTRACTOR t' r` i.~f= n; H c G' 7 NPE OCCUPANCY DATE ISSUED L-, :1 SETBACKS FROM PROPERTY LINES: NORTH ~ ivk"LC ~ ric;,,:. SOUTH EAST WEST INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTION DATE INSPECTOR Foundations, Footings '.4&2-_ c-. f/ 6: Caissons Reinfarcing or Monolithic &4e Weatherproofing POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Fioor: Electrical (Ground Work) Plumbing (Ground Work) Heating (Ground Work) DO NOT POUR FLOOR UNTIL ABOVE HAS/,BEEN SIGNED Rough Electrical ' ~ - Rough Plumbing C I/ 7 e- i.~ ~ AirTest Gas Piping ~z~ ~ Rough Heating & Ventilatian ~ y (above must be signed prior to /raming inspection) Framing tl .y Insulation , , I ,r~ Drywall nailing Roofing Refrigeration Electrical underground Final Electrical Plumbin jq Heatin 8 Ventila'on - Frame R.O.W. & Drainage Fire Department Parking & Landscaping OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PR07ECT THIS CARD FROM THE WEATHER : Property Ownet : Property Address : 4240 UPHAM ST Phone : 477-2653 ContraCtor License No. : 19553 Company : Residentlal Creatlons Phone : 2373195 \ Use: OWNER/CdFJ'fRACTOR SfGNATURE OF UNDERSTAIdDWG AND AGREEMENT I hereby: cartlry that tlie setbeck driatancCSproposed by this permit appNCation are accurete, and do rat violate appIfcabb ordinancas,.rubs or regulstions of the City of WAeat Ridge or covenants; easemen ES orro8trkt7onsof rxwrd; thet all measurements ahawn, aml albgationa made am axurato; that have road andag rceW abide au conditiona printed on thisapplicatfon, and that I assume hdl rospohsibil~y for comp~6ance with the WMat Ridge Building. Code (U.B.C.) .and all oilierappikabl8 Wheat.Ri6ge ordmances, for work uMer this peimH. (OWNER)(CONTRACTOR) SiGNED DATE Description : ADDITION' TO HOUSE AND Ga GE BUILDING DE ARTMENT USE ONLY SIC : Sq. Ft. : 1306 Approval : SM 612018 ROOM ADD N MAY ONLY BE USED FOR EXISTING SINGLE Zoning : R-2 FAMILY RESIDENCE. NO ADDITIONAL UNITS ARE PERMITTED . _ _ _ Approval : - ~ SEE PUBLIC WORKS REVIEW SHEET 8 LETTER DATED 6125197 Approvat tGK /3 Occupanqy't Wal s: Roof : Stories : Residential Units : ElecVical 41cense No : Plumbing License No : Mechanical License No : Company!`: Company : Company : Expirati Date : Expiradon Date : ExpiraUon Date : Approva : Approval: Approval: (7) . Tld ~ petmll waefn aaortlence wIM iM ProNabns eet foM In yopur applkalbn and la aubleet to the lawa of tlie State of CdoraAO and to tlre ZoMng R piWna BWMW CodsM Whmt RiOne,~COloraOO a am/ oNar aDP~b~e udinences of the Cny. a h a.~ a(' 1~Me wak aWqrr: fs noi commencaG wNhin afxry (so) days from luue dela «(6) tM Wdairg aWw~ixed Ia auspended w 30 (8) HtlJs axpkes~ a tlwv anroerce awuiroa ror a ree a one-nerc me amoum mrtnaiN "irea.qowtletl no dbnoea~navs beai «vrin be maee i, n~e utlplnN P~ns pntl d enY waponeWn a aDanOOnmeM hac nd exeeeded one (t) Year. /1 tlurpee ere metls or NsusPenalon a absndonm~t axaede one Yea', wttua We Ee P~1 kr s nawpemat . . . (4) NOxakderrymmner slWlEedrnaMatwNltlrorpetlienalurallbwofwatercawing eAroinaYeprobkm. (6) . coonwebr aha.a noa~ p~ha n8o9 6truoecto~r hnveMy.tour (za) noura In aavairca ror an InapecHms and snan rxeive wrX~n appwal on ~nspea6on cam oerore (8) .~e71f i ~ a pOrtnkor ~e.apKOVeI d riewinpa entl spldfkatlOnn sheN not bB Gons6ved lo Ce e pamdt for, tqr anappoval of, any videtlon of tlte proviabna Chief Building lnspector THlS PERAAIT VALID ONLY WHEN SIGNED BY THE CHlEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Building Permit Number : 5370 ; Job Address : 4240 UPHAM ST ~ Description of Permit : ADDITION TO HOUSE AND GARAGE Inspection List Number T e Date A roval Remarks 12691 PARTIAL FOOTING 8/14/97 ok/b 12833 FOUNDATION PARTIAL 8/22/97 OK/BG 13130 FOOTING FOR GARAGE 9/11l97 OK/BG 13265 PARTIAL FOUND FOR GARAGE 9/18197 DIS/JE 13299 FOUNDATION AFTER 12:00 9/19197 OK/BG 13633 1 1 GAS LINE UNDERGROUND TEST 10/9/97 ok/b 14175 RE AND SERVICE 11/5/97 DIS/JE 14231 FE 1117/97 14233 RP I 11/7/97 OK/BG 14277 RE 11/12/97 OK/JE INSPECTION ON 11-13-97 ~ "~,~t ~KK qR: . Building Permit Number : 5370 Job Address : 4240 UPHAM ST ~ Description of Permit : ADDITION TO HOUSE AND GARAGE Inspection List Number T Date A roval Remarks 14666 DW 638-4468 12/8/97 DIS/BG GARAGE PATTERN & DUROROCK WRONG 14676 DW 12/9/97 OK/BG 15548 F-Piumb 2/6/98 OKIJE 15549 Gas line 2/6198 15550 F-HVAC 2/6198 OK/JE 15551 F-Elec 216/98 DIS/JE 15552 F-Build 2/6/98 DISIJE 15553 F-roof & utter 2l6/98 15644 F-Elec 2/11/98 OK/JE I i~ I ~ I 10.~TIEAlT ![1/L S[1/4 NY1J~ SEl/~ ~ _ ~ E ~I 1 P,~a + ` UTt LY TY rFu.E 20.. I ~ ~SNEO X t0.3~) , S►ED ---1 a 2CAR ~ LJLJ - - I L,~GAL DE$~RiPTIDN' ~ q , ASPFIALF IMt! YE N I sII - - - - THE PART OF THE NORTHEAST 1/4 OF THE SOUTHEAST 1/4 DF THE NORTHWEST 1 $ $E~ I~$(~jpTj[~J 3 OF THE SOUTHEAST 1/4 OF SECIIOPI 23, TOWNSHIP 3 SOUTH, RANGE 69 PEST G ~ ~ ~ AS DESCRI EED a THE 6TH P. M, DESCRIBED AS FDLLOYSr NEAD uTtuTr X ~ BEGINNING AT A POINT 99 Ff'ET ;"~1TH OF'TNE NGnTHEAST CORN R SAID i - ~ ~ cz ~ E itr~s I I ~ ~ ~ ~ ~I~RTiiEASi 1/4 OF THE SOUTHEAST 1/4 OF THE NORTHWEST 1/4 OF THE SOt1THE H ~ ~ ~ o - i/4 THENCE SOUTH 82.5 FEET, Tf~NCE 4lEST 320 FEET THENCE NORTH 82.5 F! 1 , y ~ ~ ~ ¢ THENCE EAST 320 FEET TD POINT DF BEGINNING, n.y - ~ COUNTY OF JEFFERSON, b t sTaFrv STATE OF COLORADO; aa~asnxxxt - I at~a I b X V) E" - - - , ~ ~ TH£ LEGAL DESCRIPTI~1 WAS PROVIDED BY FIRST AMERICAN HERITAGE TITLE. § THERE ARE NO EASEMENTS ON THIS PROPERTY A R T F A - - - - - ~ / ~ CCD DING D IRST MERICAN z,~. ~ - - - - HERITAGE TITLE COMMITMENT NO, HC18550897-2. THIS PROPERTY IS NOT LDCAT E r - ' X VITHIN A DESIGNATED FLOOD HAZARD AREA CZDNE X1 ACCORDING TO FEMA FLOC MAP NO. 085079, 2/4/88. FLOOD INFORMATION IS SUBJECT TD CHANGE. 320' ~ un. ►t.u~c ~ ~w x $URVEYOR'~~,EgIIFICATE~ i HEREBY CERTIFr THAT THIS IMPROVEMENT LOCATION CERTIFICATE uAS x PREPARED FOR PRO MORTGAGE SERVICES, THAT IT IS NOT A LAND SURVEY PLAT IMPROVEMENT SURVEY PLAT, AND THAT IT IS NOT TD BE RELIED UPON FDR ESTABLISHMENT OF FENCE, BtiILDING, DR OTHER FUTURE IMPROVEMENT LINES. FURTHER CERTIFY THAT THE IMPRQVEMENTS DN THE HEREIN DESCRIBED PARCEL ON TH[S DATE, 4/3/97, EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY ►lITHIN BOUNDARIES OF THE PARCEL, EXCEPT AS SHOVN, THAT THERE ARE NO ENCROACHMENTS UPON THE DESCRIED PREMISES, EXCEPT AS INDICATED, AND THAT THERE IS NO APPARENT EVIDENCE DR SIGN OF ANY EASEMENT CROSSING G BURDENING ANY PART OF SAID PARCEL, EXCEPT AS NOTED. _ FOR AND ON BEHALF OF D, R. A. SURVEYING, INC, 2484 KIPLIN~.B AKEVIDDD, CD. 80215 g~c A _I r. ~t ~1STEq f • . • t `x 21 . E ' T 'ti oc'G . 9 suR . ,~I ~ Q ,,O Q~' I~~4 I" l,L I//f IUIIIUI// 'L r •1 . R •G v ~:D /lu c ~U 6 as 9~ l D . R . A . Sl~2VEYING , INC . LAKEWOOD COL 1. - ~ ~J ~ -y OWNER= MART{NELLI ADDRESS' 4 2 40 UPNAM STREET SCALE 1 30' DRAWN 8Y t ' t DATE 414/ 7 9 r i ~t,t; According to Colarado law you MUST commence any legal action based upon any n this LLC, within three years after you first discover such defect. In no event moy any .108 aced upon any defect in this LL.C, be commeneed more thou ten years from the said ~ 18 ~ ~ the certification shown hereon. R~ a R v° x ~op ~ ~ ( p N ~ Ixl 0 3~ti~ h d' J ~ ~ U p 0 ~1~~ ~~1 1 Q+4 ~ 6~~ ~ 4 O tr1'hl ' _ ~i I ~ ~ .oae a 8 ~ ~ sNty ~ , , a~n1~Sn~a ~ ~ g ~ ~•j D ~ x c:s n~ ~ a H. ( ~ i i ~ o y I I S3N ~ I \ ~ ~ w ~ D I?17S~ S11 nun av~+, ~ ~ ~ ~ ~ f \ { ~ N~ I2!"JS3Q 33S L ._..o to to 71V~~ ~u W ~ 2 a~ ~IMQ ' 1'7YFIdSY R i x L~~ Q~~j~ z 4 I a _ _ _ _ -'T ~a ~ ~d ~ Al II~~ ~ h ~ ~ ~ ~ 8 0 I ~ Exisr..x~ G2,~o£. " ' ' /~fu~ G4AOE ~ ROGUE P.~TAiiJiNG 26, ( ,5t) _ a P CAR N ro f qAW DRI YE I~ I (Q 51 I 320` z ~ UTILITY ! D; LJL._l 7 i u u \ 'HEAD UTILITY I LINES E STORY DWCK STOC= #4240 916, D. h-UK i CAP o ! X) X x~ ~o P. O. B, NoR HEAST CORNER NEI/4 SEI/4 NWI/4 SEI/4 e y h ~ x i LGAi DEKEIPTION1 i X Q THE PART OF THE NORTHEAST 1/4 OF THE SOUTHEAST 1/4 OF THE NORT! SEE LEGAL DESCRIPTION ~ w OF THE SOUTHEAST 1/4 OF SECTION 23, TOWNSHIP 3 SOUTH, RANGE 69 AS DESCRIBED X THE 6TH P.M. DESCRIBED AS FOLLOWS, BEGINNING AT A POINT 99 FEET SOUTH OF THE NORTHEAST CORNER SAI` NORTHEAST 1/4 OF THE SOUTHEAST 1/4 OF THE NORTHWEST 1/4 OF THE 1/4 THENCE SOUTH 82.5 FEET, THENCE WEST 320 FEET, THENCE NORTH THENCE EAST 320 FEET TO POINT OF BEGINNING, . xiQW J COUNTY OF JEFFERSON, ~,s J STATE OF COLORADO. W 1 CAR w- X THE LEGAL DESCRIPTION WAS PROVIDED BY FIRST AMERICAN HERITAGE T THERE ARE NO EASEMENTS ON THIS PROPERTY ACCORDING TO FIRST AMEt HERITAGE TITLE COMMITMENT NO, HC18550B97-2, THIS PROPERTY IS NO - - - J WITHIN A DESIGNATED FLOOD HAZARD AREA (ZONE X) ACCORDING TO FE' - MAP NO. 085079, 2/4/88, FLOOD INFORMATION IS SUBJECT TO CHANGE. m URVFYOR`S GERTIFICATEI I HEREBY CERTIFY THAT THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED FOR PRO MORTGAGE SERVICES, THAT IT IS NOT A LAND SURV IMPROVEMENT SURVEY PLAT, AND THAT IT IS NOT TO BE RELIED UPON ESTABLISHMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE HEREIN DESCRIBED ON THIS DATE, 4/3/97, EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY BOUNDARIES OF THE PARCEL, EXCEPT AS SHOWN, THAT THERE ARE NO ENCROACHMENTS UPON THE DESCRIBED PREMISES, EXCEPT AS INDICATED THAT THERE IS NO APPARENT EVIDENCE OR SIGN OF ANY EASEMENT CRI BURDENING ANY PART OF SAID PARCEL, EXCEPT AS NOTED. FOR AND ON BEHALF OF D,R,A, SURVEYING, INC, 2484 KIPLING LAKEWOOD, CO. 80215 °```C~VAaRD A' v DEPAFkTMENT OF PLANNING AND DEVELOPMENT Building Permit Number ; 5085 BWLDING INSPECTION DIVISION - 235-2855 CITY OF WHEAt RIDGE Date ; 5/15/97 7500 WEST 29TH AVENUE WHEAT RFDGE, GO 80215 Property Owner : Property Address : 4240 UPHAM ST Phone : 421-4289 Cantractar License No. : Company : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT bhereby Certdy that the seYbackdistances proposed by this pertnit application are accurete, and do not violate applicable ord'man~s, ruies or regulations of the City of Wheat Ridge or covenants,. easaments or resttidions of reeqrd; that all measurements shown, and allegations made are acr,urate; tlrat t bave reatl and agroe to abideby ell conditions printed ort this (OWNER)(CONTRACTOR) Description : 6' PRIVACY FENCE Phone : Constnrction Value : $600.00 Permft Fee : $24.75 Plan Review Fee : $0.00 Use Tax : $12.00 Total $36.75 BUILDING DEPARTMENT USE ONLY Occupancy : Walis SIC : Sq: Ft. : 6' FENCE MAY BE BUILT !N PLACE OF EXISTING FENCE - IT MAY NOT ENCROACH PROPERTY LtNE Roof : Stories : Residential Units : Electrical I:icense No : Company : Plumbing License No : Company : MeChanical ticense NO : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This pemtltwas issued in accwtlanCe with the provisions sM lorth in yopur appGca6on and is sub ro me r~s w ma sre~e a caoreao~ and ro u,e zw,i~ : RegulaUOns and Bwidmg Ctide M Wheat Ridge, Cobrado or arry Mher appllcaWe adinances ot e Ciry. (2) This permit sfiall expire rt(A) the work authorizetl is. not commenced within aizty (80) Cays hom issue Eate or (B) the OuiWirg auNOnzetl is suspended or abantlonetl for a perbtl W 720 daya. .(3) If ihis parmit ezphos, a Irewpe rtn~t.may be acquiretl for a tea of one-haN the amount normalry requireq proWdeE no changea have Eexi or will be mede in Me onginal plans and speeificatloes and any suspension w abandonment has not axceetletl one (1) year. 1( changes are. matle or if suspansion or abenCOnment exceede one (t) Year,lutl kes 9hell be paid for a new PertnlL . . . (4) No woAc ot arrymanner sfWNbe done ihat wiN Change the naWral Ilav oTweter ceusinp a drainape pmblem. (5) Contractor ahell notHy, tlfe 8utiding Inspectorlwenty-four (24) hours in advence for ell inapections and shall receNre written apqwat on inspection card before.. proceetlling wldl suaessive Ohases M ihe . (e) The isauer~ce of apertnk or the approval o tlrewinga and speGfications shall not be consWetl to be a pertnit for, nor an apprtwal of, any wdation of Me provisions pf the pyiltling ~ any ~ ordina iaw, rule w regulaUOn. NI Il iief Building Inspector THIS'PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUiLDING INSPECTOR ANC1 Mr4YOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 ~ Property Owner Property Address : \3 1~~kQ'v~"" ~Phone : `,-L'~ Contractor License No. : Cwi) Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances pmposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurete; that I have read and agree to abide by all conditions printed on this appliwtion, and that I assume full responsibility for compliance with the Wheat Iiidge Building Code (U.B.C.) and all other applicab Wheat Ridg¢. ordnces, pr ork under this permit. (OWNER)(CONTRACTOR) SIGNE ' DATE`i -\S Ll. I ✓X. DOSCfIptiOfl : J,Construction Value : EC~CS .03 Permit Fee : Plan Review Fee : Use Tax: Total : BUILDING DEPARTMENT USE ONLY : Zb'Fitfl'9i~6` .IfffS 4-.15 . -1 ~f- SIC : Sq. Ft. . APProval :';ys~ 61 ~te u c.- rI-ticl;or 6c- ~,we ~ti- P La c e r~ eY i 41-r.,.~ ~•e i.c ct - Zoning 6[tlflltl~TCb'ifiBi'~~ts~. r~,,~- vtrf- c Approval: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiretion Date : Expiration Date : Expirattn Date : Approval : Approval : Approval : n ffffl=13~ a i~1~tfS~U[~8tt~9 ■ (1) 1Tis pertnit was issued in aaordance with the provisions set lorth in yopur application anE Is subI'ecl lo the laws ol the State of Cobrado and to the 2oning Regulations antl Builtling Code of NTeet RiCge. Colorado or any other applicaEle ortlinances of the Ciry. (2) TTis permit shall eupira d(A) Me work auNOnzeE is not commenced within sizry (60) days from issue date or (B) Ihe EuilOing authonzed is su5pen0ed or abandonetl tor a penotl o1120 days. (3) If this pertnit expires, a new parmil may he acpuired lor a lee of one-half the amount normally repuired, provided no changes have been or wlll be made in ihe onqinal plans end speu(iratlons and any suspension or abandonment has nol exceetleE one (1) year. If changes are maAe or il suspension or aEanEOnment exceeCS one (1) year, NII fees shall Ee paid tor a new permit. (4) No work o( any manner shall be done that will change ihe natural Ilow ol waler causing a arainage pm0lem. (5) Contractor shall notify the Building In50ector twenry-four (24) hours in advance for all mspeclions and shall receive written aDProval on inspection car0 before prpceediing with successive phases of ihe'ob. (6) The issuance ol a permit or the approval o~Erawings an0 specifications shan not be wnstrued to Ee a permit for, nor an approval ol, any violation ol Ne provisions of the Euilding wtles Of any Other ordinance, law, Nle of fegulaticn. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION ~DEPAGRTMEMT OF PLANNING AND DEVELOPMENT Building Permit Number : 5370 BiJILDiNG iNSPECTidN'DIVISION - 235-2855 ClTY OF WHEAT RIDGE Date : 6/30/97 7800 WEST 29TH AVENUE WHEAT RiDGE, CO 80215 Property Owner : Property Address : 4240 UPHRM ST Phone : 477-2653 Contractor License No. : 19553 Company : Residential Creations Phone : 2373195 OWNEWCONTRACTQF't SfGNATURE OF UNDERSTANDING AND AGREEMENT Constrvction Value : $80,000.00 I hereby certity thai tha selbaCk dfstances proposed by this pormit application are accurete, - perrnft Fee; $642.50 and do not viWate.applicahle oMinances, mles a regulaUOna of the City of Wheat Ridge or covanants, easomentsar restridions ofrecord; thatall measuremerts shown, and aNegatbns Plan Review Fee : $0.00 made are accurate; Nat J have rsad and agrea Co ebida by all conditbna printed on th's appBCetion; and that 1 xsaume fuU respPnsibddyidTorga cbmpH~ance with the Wheat Ridge 8uilding . US@ T8X : $720.00 Cbde (U.B.C.) and ail other applicabb Whea( R ordinances, r work under this pertnit . : (owraEt)(coNrw+crOR)Si~//l/ . DaTE - Total: $1;362.50 Description : ADDITIaN TO HOUSE AND GARAGE $UILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : 7506 Approvai : SM 8120187 ROOM ADDITION MAY dNLY BB USED FOR EXISTING 51NGLE Zoning : R-2 FAMiLY RESIDENCE. NO ADDITIONAL UNIT3ARE'pERMI7TED Approval : SfE PUBLIC WORKS REVIEW SHEET & LETTER DATED 6125197 Approval'. GK 6t25197 Occupancy : Walls : Roof : Stories : Residenlial Units : Electrical License No :4~ r,3 Plumbing License No :/9,693 Mechanicaf License No : Company ://,Oc,r D~• y~ Company : w~{ Co any : = ~ , ~ V`~~^'~'~CJ 0 Expiration pate : Ex ration Da~e E~cpiration Date : ' ApProvaF : APProval : Approval : Q, b iica~blie ordinendces of theecC~he lawa of the State [A Colorado and lo the ZonBry (1) Rip tl~erW Wh a~l~R{~ PCOIO ~o a an~ o her ap i ~i ~C ~ M B q rq a ulatl cx~6 a u (2) fila pempt ahaN mcpiro B(q} the wwk aullwn dM~130 a i y p e zetl ia not eommencetl within ai~cty (eo) days hom leaue daffiw (B) the buNtlinp autlwiize0 is suepeiMed or edendW~etltoreP r o (3) ~ It tMS permlt expues, a new t may tie acquired for a fee of onaheM the arrount rwrmely require0, provitle0 no charpes haw Daen or wiN he matle in the . oriainal dens and soedl~a and. anv auaoe~sion or ebendonmeM hes rwt eicceeded one (1) year. H chenpea are madeoF'rf suspenabn a ebandonment (4) No wrnk d efryinehnM ehsli be.tlone (Fiat witl dwiqa tlie neNral flow of Weter Ceueir g a tlrainegB pro6bm. (5) C~ro~ntrac~lw shaN+bdry the Bupikhing Ins etorNrenty-four (24) hours. in aMarqe for all InepecUonsa~M shaN recelva written epprovat on iropeetion certl bekre . .(6) '1'he~issua gxe~otae ~mM w the approvaltheMsw~irqs arnl spedMCations shall iwt be consWed tobe a pertnit tor, nor an approval of, airy vblation ot Me provisbns . ot Me buiWtng codea w any Mtiar oNinance, law, rule or repula0on. ief Building Inspector r Mayor THIS PERMIT VAL1D ONLY iNHEN SIGNED BY THE CH F BUILDING INSPECTOR AND MAYOR CALLt 234-5833 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 - CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 sHaa-~"~tiG~~~ PropertyOwner: /'0ioN~6£L0 Property Address :~f25`O U(~Lia M Phone :~f77-~6 S 3 Contractor License No. : Company : RgSi~C.,~-,a,/ G,•ea~`}-io~v5 Phone : 437-319S OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value 000 I hereby ceKify that the setback distances proposed by this permit application are acwrate, P2ffllif F@B : and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or easements or restrictions of record; that all measurements shown, and allegations covenants Plan Review Fee : , made are accurate; that 1 have read and agree to abide by all conditions printed on this il i Use Tax : ng d application, and that I assume full responstbility for compliance with the Wheat Ridge Bu Code (U.B.C.) and all other applicable Wheat Ridge ordinances, tor worl under Ihis permit. (OWNER)(CONTR4CTOR) SIGNEDV TI ~_-~~f(A/ ~'t ~ ^ATE '9°~q7 Total : Description Tp Ir0U5(-' Y-~p-J`qc ~ BUILDING OEPARTMENT USE ONLY Zo~~n,.ing~oammen3s• ~~zv~a~ SIC: Sq.Ft.: is:t~(# APProval: A5rr- Zoning : rZ?~ asO~:.F~ v,...f ta~.s.-fs aie n~C4 Buifdina'.Comments:l Approval : rOuit~wa~ ¢c~le-w Approval: 4 Occupancy Walls : Roof : Stories : Residential Units : Electricai License No : Plumbing License No : Mechanical License No : Company : Company: Company : Expiration Date : Approval : nz Wlant,Rec~fr~ Expiration Date : Approval: IM ~PISK~'SR~;i(UIF~'tl~ Expiration Date : Approval: IN iYlamR6mom (i) This pertnit was issued in accordance with the Orovisions set lorth in yoDur application antl is sublw lo the laws of the State o/ Colo2tlo antl to tne Zonmg Regulaiions and Buildmy Code of VJheat Ridge, Coloretlo or any oNer appliwEle ortlinances of the Ciry. (2) TTis Oermit shall expire d(A) lhe work authonzeC is not commencetl wiNm sixty (60) days from issue date or (8) the building auIDOnzed is suspenCed or aoanaoned for a penod o(120 days If iPis permit ezpires, a new pertnrt may ce acquired for a/ee of one-hai( the amount normally repuired, provitled no changes have been or will be matle in the (31 onginaf plans anC sper,ifiwtions antl any suspension or abandonmenl has nol ezceeded one (1) year. II changes are maCe or it suspension or aDantlonmenl exceeds one (t) year, !ull lees shail be Daid for a new permit (a) No work of any manner shall be tlone that will change the nalural ilow of water causing a tlrainage problem. (5) Coniractor shall notify the Building Inspector twenry-four (24) hours in atlvance Por all inspections and shall rer.erve written apOroval on inspection rard before proceedii wittl 5uCC255rve phases of thE ob. (fi) The is ce of a permrt or the a roval oldrawings and specilcations shall not be construed to be a permit for, nor an appmval o( any violation o/ the provisions of ih 0 tling des of aqy olhe ofdinance, law, rule or regulation. bt~ v~_~ - C ief Building Inspector r ayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION The City ol 7500 WEST 29TH AVENUE ~Whe at WHEAT RIDGE, CO 80215-6713 (303) 234-590fi City Admin. Fax 71 2345924 Police Dept. Fax # 235-2949 GRidge June 25, 1997 Mr. Angelo Martinelli 4240 Upham Street Wheat Ridge Colorado 80033 Re: 4240 Upham Street Building Permit - Public Works Department Requirements Dear Mr. Martinelli, The City of Wheat Ridge Public Works Department has reviewed the building permit application for the above referenced address, and has the following requirement that will need to be addressed: Right-of-way (15-wide) will need to be dedicated along the entire property length facing the Upham Street frontage in order to meet minimum right-of-way width requirements for this public street. A legal description for this dedication will be required, and must be prepared by a Colorado registered land surveyor. Upon completion, this document must be submitted to the Public Works Department (Mr. John McGuire, R.L.S. 235-2858) for review and approval. In order to facilitate your needs to begin construction, the building permit will be approved at this time. However, please be aware that the temporary certificate of occupancy, or certificate of occupancy will not be approved by the Public Works Department until the above item has been completed to the satisfaction of the City of wheat Ridge. If }?ou hav any questions regarding fre,e to co tact me at 235-2868. i Si~ rely, ~ ~ / Greg Knud on Development Review Engineer this requirement, please feel cc: Jack Hurst, Interim Planning & Development Director Dave Kotecki, Sr. Project Engineer Steve Nguyen, Traffic Engineer Meredith Reckert, Sr. Planner John Eckert, Chief Building Inspector File HF.CYCLED PAPEH 7500 WEST 29TH AVENUE • WHEAT RIDGE, COLORADO 80215 The Ciry of h~pF WH~Al PO GWheat ~ ~ ~m GRidge c~~ORA~O SINGLE FAMILY MINOR EXCAVATION AND FILL PERMIT NAME OFAPPLICANT:jZGS,ne.~-nw~i~tQ_oas .~b3Y> "GF~I"6a ~ ADDRESS OF EXCAVATION/FILL: QZQo Jvor..v, S't • APPLICANT ADDRESS: DATE OF APPLICATION: t. / ZS / q All permits shall be applied for through the Public Works Department. An approved permit is effective for a period of one (1) year from the date of issuance, and may be renewed. All fees shall be in accordance with those fees established by the Uniform Building Code (UBC), or by other applicable City adopted Resolution or Ordinances. Grading Plan Review Fees*: 0 to 100 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15. 101 to 1,00 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ .50 1,001 to 10,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30.00 10,001 to 20,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.00 SUB-TOTAL: r Grading Permit Fees*: 0 to 50 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . geo 51 to 100 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 to 1000 cubic yazds $22.50 for the first ] 00 cubic yazds, plus $10.50 for each additional 100 cubic yards or fraction thereof: C. Y. Amount Due: $ 1,001 to 10,000 cubic yazds $117.00 for the first 1,000 cubic yazds, plus $9.00 for each additional 1,000 cubic yards or fraction thereo£ C. Y. Amount Due: $ 10,001 to 20,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $238.50 TOTAL FEES DUE: $ 30. e-0 (303) 234-5900 • ADMINISTRATION FAX: 234-5924 • POLICE DEPARTMENT FAX: 235-2949 Building sites whose total excavation and fill exceeds 20,000 cubic yards must be processed under the provisions of Secfion 26-33 of the Wheat Ridge City Code. Upon conformance with Section 26-33 of the City Code, grading plan review fees and grading permit fees shall be established in conformance with Secfion 3310, Table A-33-A, and Table A-33-B respecfively of the Uniform Building Code. ~ * Uniform Building Code, Section 3310 I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT, AND UNDERSTAND THAT THE REQUESTED WORK CAN NOT BEGIN UNTIL THIS APPLICATION IS APPROVED BY THE CITY OF WHEAT RIDGE. I AGREE TO COIVIPLY W.ITH THE LAWS OF THE STATE OF COLORADO, WITH ZONING REGULATIONS AND WITH THE BUILDING CODE OF THE CITY OF WHEAT RIDGE. ANY VIOLATION WILL BE CAUSE FOR IMMEDIATE REVOCATION OF THIS PERMIT, AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGS BY THE CITY OF WHEAT RIDGE. THIS APPROVED PERMIT WILL BE KEPT IN MY POSSESSION, OR PERMANENTLY ON THE JOB SITE. APPLICANT: Applicant's Signature Owner's Signature (if different than above) 4 2 Approva Date 4- mexfillp.frm PUBLIC WORKS REVIEW FEE STRUCTURE FOR BUILDING PERMIT APPLICATIONS PLEASE PRINT CLEARLY AND FILL OUT FORM COMPLETELY Building Permit Number . Applicant ~ro~ocn-r ~o~ Grze+vc~e~+S Address City State Zip i-b-41L. 3%'lj Phone 63%- 446& Location of Construction (address) 424o •~o NrrH S.s_ Purpose of Construction -O.2e, t,c 4 4pD Tie.+ ! Building Permit Value $ foo 000 Commercial _ Residential 4 DEVELOPMENT REVIEW FEES (this section to be completed by City) Base Development Review Processing Fee: $50.00 minimum S Sn . Single Family Residential: .003 x(value of improvement) $25 minimum fee $ Z43,0d (includes review of construction drawings for improvements in public right-of-wayj Mufti-Family/Commercial: .0050 x(value of improvement) $50 minimum fee $ [includes review of construction drawings for improvements in public right-of-way, review of preliminarylfinal drainage study and erosion control plan(s) if required] Site Plan: $50.00 (Not applicable for single family residential) $ Right-of -Way/Easement: $40.00 + $S.OOlpage recording fee $ Development Agreement Residential =$50.00 Commercial =$100.00 S, , State Highway Access Permit: $75.00 application fee $ Traffic Impact Review & Report: $100.00 processing fee Fiood Plain Variance: Class I=$75.00 Class II =$150.00 $ 00 TOTAL REVIEW FEES: (due at time of building permit issuance) $}S' ~ The above fees inGude one follow up review to verify that initial deficiencies noted are corrected. Additional review and/or processing past the follow up review and/or processing will be charged against the building pertnit applipnt at the above fee schedule. Please note that additional fees will be assessed for those pertnits related to wnstruction of public improvements. If you have any questions, please feel free to contact the Development Review office at 235-2868. Date / 2 5 /9 7 Signature of Applicant Date DEPARTMENT OF PLANNING & DEVELOPM1::~'1 ` REQCTEBT FOT2 PQBLIC ivORKB REVIEw Case/Suilding 'rermit No. LCOa~'~:Ot7i -~Z~Q ~PH~AM ~ 8lease reV16W the attached materials submitted in application for approval of and indicate your decision on those items check be2ow;G n$ d please,add..any other comments which you may r,ave under number 18. 1:• ~ 8oundary::Closure:. ~ox _ Noc OK; refer co scipulations _-.~J ~'•6~`R Acres Square Feuc s~:: ` Dra-in, ~ge : a'. 6rairiaglB,plan (and report) needad • b. 'Dralnags; plan not needed K - • C., Drain~Kge provisiohs have been reviewed and are found to be: Not OK; refer to stipulations 4. / NPDES Permit Required y O 5• Leqal DeBCY'lption: t~ OK Not OK; refer to stipulations If riot okay, please explain: - 6• ~ Public Improvements: a. Strsat paving needed Y b. Curb & GutteY needed Y N c. Sidewalk needed Y d. Streec Lights needed Y e. Storm Sewer needed Y f. Escrow required _y ~ IP Escrow required, for what improvements? In what amount? 7• ~ Development Agreement required Y N If Ye6, for 8• All neceasary documents have been initiated b, Public works and are attached hereto:-~ M,~o2 bzo,a~v~~. pe2MI T/ (Z~v~ew FCtS 9. Zs a trafEie impact analysip and report requ:red? y 10. =s a State Highway Access Permit needed? Y O 11. ~ New roadway or alley R.O.W. dedication is recommended:J;b& Yeb If yes, what is recommended6 )5' oF R.o.%.V, 12. All existing dedicated roadways and alleys meet the standards of the city: No IP no, which do not and what is requested:~ i ..Jfl~',aw.n Sr. 'Cei.~.•.-.~~s ~ O~\/ f~ N@EO l5 OEO~e.CC[LU ~o ihMr ?.u S72:t. 13. !'All eXi and proposed dedications have been reviewed and found to be: OK Not OK; refer to nuinbers 11 & 12. 14. ~ Ayyr val: he Pu ic Works Department has revieNed this request and hsr y vss i s app val, subject to the above and/or attached sti tions. Si at e Date ' 15. _ The Public Works Department has reviewed this reques. and does not approve for the reasons scated: Siqnature Date 16. _ StipulatiOns attached: Yes No 5r-r- 17CrnS \ IA5c)Jt 17. DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT kEPLY: ° 18. 6 At\PLAN4DEV. Summary Commente-,-CrbAa,4. T v ~ m 0 o ~ c N ~ C) O 1 , C)A ` ' 0 ll ~ G ~ ~ ~ (D ~a do ~ O ~ O ; ` ~ l y O ao 7 ~ i ~ m < ~ o ~ a m 3 1° r. 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