HomeMy WebLinkAbout3260 Teller Streeti 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: Z .1 Ly L e r
Permit Number: c"\c, L ,, Uti
Ll No one available for inspection: Time 9 AM/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-
Date:—,-
03-234-
Date:4 Inspector:
DO NOT REMOVE THIS NOTICE
i -CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: i 'y4 a �'
Job Address: 2 'I --
Permit Number: l
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, ci0or re -in,
Dat lnspec
AM/PM
at 303-234-5933
A i CITY OF WHEAT RIDGE
1�9�Building Inspection Division
(303) 234-5933 Inspection line
1(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
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:
Inspector:
DO NOT REMOVE THIS NOTICE
o 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: r:A�"\C � L ;
rt) d t. 1A
❑ No one available for inspection: Timeo Z U' AM/PM
Re -Inspection required: Yes &i
"When -- actions have been made, call for re -inspection at 303-234-5933
Date: Inspector:
®O NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
i
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
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❑ No one available for inspection: Time,,' _' ' AM/PM
Re -Inspection required: Yes Nq
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When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
I
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �` Q;N'_o H I
Job Address:'
Permit Number: {
❑ No one available for inspection: TiT (ANfY M
Re -Inspection required: Yes'Ncl,
When corrections have been made, caltl r re -inspection at 303-234-5933
Date I Inspector•
DO NOT REIIi QVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:id-
Permit Number: C) i (� "� c,
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❑ No one available for inspection: Time Y'1_1 \11" AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: '\–), � "—Inspector: ,Vo ,
DO NOT REMOVE THIS NOTICE
o 41 CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: VN( S t
Job Address: Lo o E
Permit Number: U1 �e U �, U
❑ No one available for inspection: Time � UU AM/PM
Re -Inspection required: YesiV
When corrections have been made, call for re -inspection at 303-234-
Date:- T 1 o. Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 30 lieyt!
Job Address: 7�6I) Te lie. 5�
Permit Number: a. Dl q d/U S®
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❑ 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: -?— /y `/7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE V'v^ ` 5
Inspection Type: P_- <_ , ia \ 5'lr,e(-� y� k ,� V A�_�
Job Address: _� o ��O C r r�
Permit Number: C_; l C p k C_ ` 0
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❑ 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:\. -,, ) , - \(k Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:'
Job Address: 0
Permit Number:
❑ No one available for inspection Ti e '' AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: s' �' 1 `� Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r
Job Address: 0
Permit Number:
U'!'y' A/ E 1
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dory J
❑ 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: ;1�� ' C Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Accessory Structure PERMIT - 201901050
PERMIT NO: 201901050 ISSUED: 05/23/2019
JOB ADDRESS: 3260 Teller St EXPIRES: 05/22/2020
JOB DESCRIPTION: Homeowner shed with wood panels, 2X4, 2X6 framing, electric baseboard heat
for studio space.
Square footage:192
*** CONTACTS ***
OWNER (303)810-3417 KEELAN CHIRS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00
FEES
Total Valuation 0.00
Plan Review Fee 112.19
Use Tax 157.50
Permit Fee 172.60
** TOTAL ** 442.29
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
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.
NOT APPROVED AS AN INDEPENDENT DWELLING UNIT.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Homeowner Accessory Structure PERMIT - 201901050
201901050
3260 Teller St
Homeowner shed with wood panels, 2X4,
for studio space.
Square footage:192
ISSUED: 05/23/2019
EXPIRES: 05/22/2020
2X6 framing, electric baseboard heat
I, by my signature, do hereby attest that the work toe 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
thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed anc� that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature o(__OkVNER 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, po Flans
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 1: 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 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,PCsuance or g inorofa permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
ab ' code y dinance 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.
City Of
W heat age
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)ci.wheatridge co us
FOR OFFICE USE ONLY
Date:
%-y
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address: 32r.b -Te 2r S]
Property Owner
Property Owner
Tenant (Commercial Projects Only) /
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enaineer•
Arch itecVEng i neer E-mail:
Contractor:
City of Wheat Ridge License #:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
Phone:
Phone:
V-�
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Phone: 3 - Rf0 -
Sub Contractors (Must provide Wheat Ridge License No.):
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 #
❑ COMMERCIAL 10
RESIDENTIAL
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.
\ Cl 2 Sq . 41 Sl&e J Sku(�Vto
C u rf`e_4 J ?CXk —
Commercial Projects Only: Occupancy Type: 'T� Construction Type: 04
Sq. Ft./LF �-�- �%� BTUs
Amps kk" Squares
LI&4CN' c_
Gallons 4Q
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ —1,5od
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (RUTH I DR RESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
Printed Name: C �& ( C. 1�d1 e.+ ti a
DEPARTMENT USE ONLY
ZONING COMMMENTS: CO&`-,Ji1eS Wr F..Z
Reviewer:
_:2c�__ Stz'3 I v?
BUILDING DEPARTMENT MMEN S:
Reviewer:
SlZ31rq
PUBLIC WORKS COMMENTS:
Reviewer
OCCUPANCY CLASSIFICATION: v
CONSTRUCTION TYPE: 06
9 - (0-1�
Building Division Valuation: -350D
City of
00A00,Wheat i e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Ownerl
Project Property
Project Type: E �t2 b + w
Nota&e8 signature of Applicant
State of Colorado }
County of } ss
T fogging instrument was acknowledged by me this
e_
0
JODI L SAROS
NOTARY PUBLIC
STATE OF COLORADO
NOTARY iD 20144016992
W COMMi& M EXPRES MAY 06, 2022
Notary P#1 Ic
�AVL
V day of , 20/`/ by
My Commission Expires DJ/ 411/20;
DEED OF TRUST
MIN: 100668971600450970
DEFINITIONS
MERS Phone: 888-679-6377
Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11,
13, 18, 20 and 21. Certain rules regarding the usage of words used in this document are also provided in Section 16.
(A) "Security Instrument" means this document, which is dated NOVEMBER 10, 2015 , together
with all Riders to this document.
(B) "Borrower" is Chris Keelan and Emily A Mesenbrink husband and
wife
Borrower is the trustor under this Security Instrument.
(C) "Lender" is HOMEWARD RESIDENTIAL INC
Lender is a DELAWARE CORPORATION organized
and existing under the laws of DELAWARE
Lender's address is 1525 SOUTH BELTLINE ROAD, COPPELL, TEXAS 75019
(D) "Trustee" is the Public Trustee of Jefferson
County, Colorado.
(E) "MERS" is Mortgage Electronic Registration Systems, Inc. MERS is a separate corporation that is acting
solely as a nominee for Lender and Lender's successors and assigns. MERS is the beneficiary under this Security
Instrument. MERS is organized and existing under the laws of Delaware, and has an address and telephone number
of P.O. Box 2026, Flint, MI 48501-2026, tel. (888) 679-MERS.
(F) "Note" means the promissory note signed by Borrower and dated NOVEMBER 10, 2015
The Note states that Borrower owes Lender ONE HUNDRED TWENTY-NINE THOUSAND NINE
HUNDRED AND 00/100 Dollars (IJ.S. $ 129 , 900 . 00 ) plus interest.
Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not later than
DECEMBER 1, 2045
(G) "Property" means the property that is described below under the heading "Transfer of Rights in the Property."
(H) "Loan" means the debt evidenced by the Note, plus interest, any prepayment charges and late charges due under
the Note, and all sums due under this Security Instrument, plus interest.
(1) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following Riders are
to be executed by Borrower [check box as applicable]:
r-1
Adjustable Rate Rider
Planned Unit Development Rider
n
Balloon Rider
Biweekly Payment Rider
F1
1-4 Family Rider
Second Home Rider
❑
Condominium Rider
E]
Other(s) [specify]
COLORADO—Single Family --Fannie Mae/Freddie Mac UNIFORM INSTRUMENT - MERS DocMaylc OPMM
Form 3006 01/01 Page 1 of 11 www.docmagic.com
(li "Communin _association Dues. Fees. and Assessments" rnzans a i dues, sessments and oih.r charges
tha; are imposed on Borro%,,-er or the Property by a condominium association, homeo.vners association or similar
organization.
(L) "Electronic Funds Transfer" means any transfer of funds, other than a transaction originated by check, draft,
or similar paper instrument, which is initiated through an electronic terminal, telephonic instrument, computer, or
magnetic tape so as to order, instruct, or authorize a financial institution to debit or credit an account. Such term
includes, but is not limited to, point-of-sale transfers, automated teller machine transactions, transfers initiated by
telephone, wire transfers, and automated clearinghouse transfers.
(M) "Escrow Items" means those items that are described in Section 3.
(N) "Miscellaneous Proceeds" means any compensation, settlement, award of damages, or proceeds paid by any
third party (other than insurance proceeds paid under the coverages described in Section 5) for: (i) damage to, or
destruction of, the Property; (ii) condemnation or other taking of all or any part of the Property; (iii) conveyance in
lieu of condemnation; or (iv) misrepresentations of, or omissions as to, the value and/or condition of the Property.
(0) "Mortgage Insurance" means insurance protecting Lender against the nonpayment of, or default on, the Loan.
(P) 'Periodic Payment" means the regularly scheduled amount due for (i) principal and interest under the Note,
plus (ii) any amounts under Section 3 of this Security Instrument.
(Q) "RESPA" means the Real Estate Settlement Procedures Act (12 U.S. C. §2601 et seq.) and its implementing
regulation, Regulation X (12 C.F.R. Part 1024), as they might be amended from time to time, or any additional or
successor legislation or regulation that governs the same subject matter. As used in this Security Instrument,
"RESPA" refers to all requirements and restrictions that are imposed in regard to a "federally related mortgage loan"
even if the Loan does not qualify as a "federally related mortgage loan" under RESPA.
(R) "Successor in Interest of Borrower" means any party that has taken title to the Property, whether or not that
party has assumed Borrower's obligations under the Note and/or this Security Instrument.
TRANSFER OF RIGHTS IN THE PROPERTY
The beneficiary of this Security Instrument is MERS (solely as nominee for Lender and Lender's successors and
assigns) and the successors and assigns of MFRS. This Security Instrument secures to Lender: (i) the repayment of
the Loan, and all renewals, extensions and modifications of the Note; and (ii) the performance of Borrower's
covenants and agreements under this Security Instrument and the Note. For this purpose, Borrower, in consideration
of the debt and the trust herein created, irrevocably grants and conveys to Trustee, in trust, with power of sale, the
following described property located in the
COUNTY of. Jefferson
[Type of Recording Jurisdiction] [Name of Recording Jurisdiction]
SEE EXHIBIT "A" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART
HEREOF.
which currently has the address of 3260 Teller Street
[Street]
Wheat Ridge , Colorado 80033 ("Property Address"):
[City] (Zip Code]
TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements,
appurtenances, and fixtures now or hereafter a part of the property. All replacements and additions shall also be
covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property. "
Borrower understands and agrees that MERS holds only legal title to the interests granted by Borrower in this Security
Instrument, but, if necessary to comply with law or custom, MERS (as nominee for Lender and Lender's successors
and assigns) has the right: to exercise any or all of those interests, including, but not limited to, the right to foreclose
and sell the Property; and to take any action required of Lender including, but not limited to, releasing and canceling
this Security Instrument.
BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right
to °rant and convey the Property and that the Property is unencumbered, except for encumbrances of record.
Borro�ker warrants and Nvill defend generally the title to the Property against all claims and demands, subject to any
encumbrances of record and liens for taxes for the current year not yet due and payable.
T.'_1 T S
SECLiLi-�' 1\ STRUME\T combines uniform covenants for national use and non-uniform covenants with
cons ia- e a uniform securi -,, instrument covering real property.
NOTE
MIN: 100668971600450970 Loan Number: 7160045097
NOVEMBER 10, 2015 COPPELL TEXAS
[Date] [City] [State]
3260 Teller Street, Wheat Ridge, Colorado 80033
[Property Address)
1. BORROWER'S PROMISE TO PAY
In return for a loan that I have received, I promise to pay U. S. $ 12 9 , 9 0 0 . 0 0 (this amount is
called "Principal"), plus interest, to the order of the Lender. The Lender is HOMEWARD RESIDENTIAL
INC, A DELAWARE CORPORATION
I will make all payments under this Note in the form of cash, check or money order.
I understand that the Lender may transfer this Note. The Lender or anyone who takes this Note by transfer and
who is entitled to receive payments under this Note is called the "Note Holder."
2. INTEREST
Interest will be charged on unpaid principal until the full amount of Principal has been paid. I will pay interest
at a yearly rate of 3.875 %.
The interest rate required by this Section 2 is the rate I will pay both before and after any default described in
Section 6(B) of this Note.
3. PAYMENTS
(A) Time and Place of Payments
I will pay principal and interest by making a payment every month.
I will make my monthly payment on the 1 St day of each month beginning on JANUARY 1
2016 . I will make these payments every month until I have paid all of the principal and interest and any other
charges described below that I may owe under this Note. Each monthly payment will be applied as of its scheduled
due date and will be applied to interest before Principal. If, on DECEMBER 1, 2 04 5 , I still owe
amounts under this Note, I will pay those amounts in full on that date, which is called the "Maturity Date."
I will make my monthly payments at PO BOX 6440, CAROL STREAM, ILLINOIS
60197-6440
or at a different place if required by the Note Holder.
(B) Amount of Monthly Payments
My monthly payment will be in the amount of U.S. $ 610 . 84
4. BORROWER'S RIGHT TO PREPAY
I have the right to make payments of Principal at any time before they are due. A payment of Principal only
is known as a "Prepayment." When I make a Prepayment, I will tell the Note Holder in writing that I am doing so.
I may not designate a payment as a Prepayment if I have not made all the monthly payments due under the Note.
I may make a full Prepayment or partial Prepayments without paying a Prepayment charge. The Note Holder
will use my Prepayments to reduce the amount of Principal that I owe under this Note. However, the'Note Holder
may apply my Prepayment to the accrued and unpaid interest on the Prepayment amount; before applying my
Prepayment to reduce the Principal amount of the Note. If I make a partial Prepayment, there will be no changes in
the due date or in the amount of my monthly payment unless the Note Holder agrees in «Titing to those changes.
5. LOAN CHARGES
If a law, which applies to this loan and which sets maximum loan charges, is finally interpreted so that the
interest or other loan charges collected or to be collected in connection with this loan exceed the permitted limits,
then: (a) any such loan charge shall be reduced by the amount necessary to reduce the charge to the permitted limit;
MULTISTATE FIXED RATE NOTE- -Single Family g/c
Fannie Mae/Freddie Mac UNIFORM INSTRUMENT DocMaDocMncmagicuma
Form 3200 1/01 Page 1 of 3
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1!•!IPFCTION RECORD OccUvatt'y%ne '
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Plumbing
nn Alnf rwar 1 Inrlarnrnund nr RPlnw/ln-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections _
Date Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof 14-(0-116
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 completed 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 - 201702375
PERMIT NO: 201702375 ISSUED: 06/22/2017
JOB ADDRESS: 3260 Teller ST EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential reroof: Install asphalt shingles on main house and attached
garage 4/12 pitch
*** CONTACTS ***
OWNER (303)810-3417 KEELAN CHRIS
SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, 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: 5,700.00
FEES
Total Valuation 0.00
Use Tax 119.70 d
Permit Fee 140.90
** TOTAL ** 260.60 y
*** 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 A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&elms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702375
PERMIT NO: 201702375 ISSUED: 06/22/2017
JOB ADDRESS: 3260 Teller ST EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential reroof: Install asphalt shingles on main house and attached
garage 4/12 pitch
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 pertbrmed t 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 Budding
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 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 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, 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 14'
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 12, 2017 10:34 AM
To: �� Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
3260 Teller St
Chris Keelan
303-810-3417
Field not completed.
Yes
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Core Contractors
Contractor's License
110052
Number (for the City of
Wheat Ridge)
Contractor Phone
303-295-2220
Number
Contractor Email Address
docs@coredoes.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
docs@coredoes.com
Address
DESCRIPTION OF WORK
Is this application for a
Yes
new permit for a
residential roof?
Are you re-decking the
No
roof?
Description of Roofing
Owens Corning Duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
22
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?
z
TOTAL SQUARES of all
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
22
Remove and replace asphalt shingles on main house and
attached garage. 4/12 pitch.
$5,700.00
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 Tomas Wolfram
Email not displaying correctly? View it in your browser.
3
A4501 4501 Logan St,
g Denver, CO 80216
"Doing it right matters" 303.997.1559
CONTRACTORS
ROOFING SYSTEMS
Property Owner Effective Date
Chris Keelan 05/22/2017
Property Address
3260 Teller st
City/State Zip
Wheat Ridge Colorado 80033
Primary Phone number Secondary Phone Number
3038103417
Email Address
keelancj a,hotmail.com
Terms:
By signing this agreement, the Property Owner authorizes CORE CONTRACTORS, INC ("CORE") to perform the work and supply the materials as agreed upon by Property Owner's
insurance carrier. Homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the
specifications set out in this Agreement to accomplish the replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the
homeowner or CORE in any way, unless the damage is approved by homeowner's insurance carrier.
Roofing Scope:
The roofing system replacement includes all shingles, underlayment, valley Additional Roofing Scope Notes
linings and miscellaneous flashings, per local applicable municipal code. This
also includes full clean-up of the property. A 5 year Roof Workmanship
Warranty included on full roof replacement only. A one year workmanship
warranty included all non -roof
Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system, approximately
9500
Because the final scope has not been agreed upon with the insurer, this repair price might change. The amount of this contract is for 100% of the replacement
cost approved by the insurance company for work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on
CORE's part; we will not proceed with that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you
authorize CORE to reach agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the primary insurance industry pricing
database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recognize CORE CONTRACTORS, Inc. as a general
contractor and as such shall be entitled to overhead and profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions
or deductions to the scope of work will be handled on the Customer Verification Form. Property Owner agrees that if a scope of work and project cost is
agreed between CORE and the insurance carrier, that they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy.
Any further changes, in addition to the insurance work, must be requested in writing, by Property Owner.
If, you, the Property Owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part I of Article 4 of Title 10, C.R.S. to
pay for 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 FOR
ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY.
PAYMENTS ARE TO BE MADE: % (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS,
AND BALANCE UPON COMPLETION OF WORK. WORK TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED
CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING
CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF
THE ROOFING WORK ON THE RESIDENTIAL PROPERTY.
Property Owner's Initials
Right to Cancel
You, the homeowner, have the right to rescind this Agreement and obtain a full refund of any deposit within 72 hours after entering the Agreement. If you
plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you
receive written notice from the insurer that your claim has been denied in whole or in part.
Property Owner
Chris Keelan
Property Owner Signature
pb\_�
Date
05/22/2017
Insurance Company
Homestead
Fi)w!: pu) € y C''`t",a('iV'c&,,; 4i'tVGi'.fl� Ehil '2tS.Gl3iTi
CORE CONTRACTORS, INC ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that:
(a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN
AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS.
1. All contracts are subject to approval of our credit department and office without exception. The person executing this contract must obtain
the approval from the officer of the CORE CONTRACTORS, INC. for this contract to be effective under any conditions.
2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE
THEREOF AT A RATE OF ONE AND ONE HALF (1 ''/a) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF
$20.00 PER MONTH, AND IF PLACED IN THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING
FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT.
3. CORE CONTRACTORS, INC. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is normally
contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written agreement is made
therefore prior to commencement of the work.
4. Should legal action be necessary because of any act that might arise during the course of this Agreement, CORE shall be entitled to all
costs incurred in connection with such action, including a reasonable Attorney's fee.
5. The parties hereto agree that all actions or proceedings arising in connection with this Agreement shall be tried and litigated exclusively in
the State and Federal courts located in the County of Denver, State of Colorado.
6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing or other materials) not covered by
insurance, discovered during construction and required by governing code or necessary for product warranties are NOT INCLUDED and
will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT.
7. CORE CONTRACTORS, INC. shall not be liable for failure or performance due to labor controversies, strikes, fires, weather, and
inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE CONTRACTORS, INC. whether of
a similar or dissimilar nature.
8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the Owner, the Owner shall be financially
responsible for all work performed based on the following milestones (percentages are additive).
a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of total bid.
b. Substantial agreement or scope confirmation with insurer — 5% of total bid.
c. Ordering and scheduling of work — 2% of total bid.
d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if the owner terminates this
agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus general contractor
overhead and profit.
9. In addition, the Owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the agreement,
including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to the extent they are not
already included in the line items for work that has been completed. All fees and expenses incurred prior to termination of this agreement
shall be paid by the Owner within 30 days of invoice date.
10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking fee
assessed to CORE by the supplier.
11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforceability of the remaining
provisions of this contract shall not be affected thereby.
12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE
AGREED TO BE IMMATERIAL, and not relied on by either party, and do not survive the execution of this contract.
13. The maximum liability for CORE CONTRACTORS, INC. shall be the original cost of labor and materials for the repair which customer
agrees shall be liquidated sum, under any event of default of CORE CONTRACTORS, INC. herein.
14. During the duration of the work the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as
CORE CONTRACTORS, INC. has taken appropriate action to protect the roof and siding during the repair of the roof and/or siding.
15. CORE CONTRACTORS, INC. is not responsible for existing construction problems of customer's home. If pointed out and notified to
CORE CONTRACTORS, INC. we will try to assist you in correcting the existing construction problems on a time and material basis.
16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED
THE ENTIRE CONTRACT BY THE PARTIES.
PO MED k' ,wz i�iw- 4i'14'tti. TC34<1i7.� ly Ct?lii is c'. - -
A 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: M10
Job Address: a AiY�f r
Permit Number: �;4y % 23 75
❑ No one available for inspection: Time AN4/PM=
Re -Inspection required: Yes ,No
When
e'
When corrections have been made, cal!for re -inspection at 303_2334-5933
Date: i5' 1 Inspector:y1 � T"
DO NOT REMOVE THIS NOTICE
V
Jf
INSPECTION RECORD
r:PTIMI MICni 1tC=1*,Yr I IKIC.
-_----------- �M;� - ------- ---
Inspections will not be performed unless this card is posted on the project site.
Call the inspection r22uest line before 11:59 pm. to receive an inMLction the followinj
_Z business dL.
Foundation Inspections
Monolithici �ab Reinforcement
ON
. .. ... ..... . .... .. ......
Not Pour -Concrete Prior To Appi
Inspector
Electrical (Underground)
Sewer Service (Underground)
Plumbing (Below / In -stab)
MW
Rough Inspections
Wall Sheathing
Roof Sheathing
Rouqh Electric
M
KI
APREO_f The AEa��re fns
Comments
Inspector
Final Inspections
Initials
Final Plumbing
1 i i MIUMMEMM TV
one week In advance. For landscaping and parking
ROW & Drainage Public Works Dept. inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861, For fire inspections
Fire Inspection / Fire Protection !Dist. contact the Fire Protection District for your project.
"Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certiflcate
of Occupancy is issued Approval of the Final Building inspection does not constitute authorization of occupancy.
IRMO," F-ITR"Iften..
2016-03-07 0 LakesideHeating 3034638837
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Offim.. 303-236-28WR
InspecOon
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City of Wheat Ridge
Residential Roofing PERMIT - 120433
PERMIT NO: 120433 ISSUED: 04/17/2012
JOB ADDRESS: 3260 TELLER ST EXPIRES: 04/17/2013
DESCRIPTION: Reroof 23 sqs with CertainteedLandmark shingles
* ** CONTACTS * **
owner 303/810 -3417 Chris Keelan
sub 303/295 -2220 Tomas Wofram
11 -0052 Core Contractors, Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0554 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,911.00
FEES
Permit Fee 140.90
Total Valuation .00
Use Tax 106.40
** TOTAL ** 247.30
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 documen n /or its' ac approved plans and specifications..
7 '�7 �l 2
Signature of ER r NT TOR Circle one) Date
1. This permit I issue based on the information provided in the permit application and accompanying plans and
specifications a subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fiel in ec
Signature f Ctof Building 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.
City of
W heat idge Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit # I
7500 W. 29 Ave., Wheat Ridge, CO 80033 IJ
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Request Line: 303 - 234 -5933
Building Permit Application
(Complete all highlighted areas)
Property Address: 'ZZ c> ! U OZ-- Gj7 u*', 5'0033
(p pr CR1ZJ5 K�- L '� c
Property Owner /ease riot : -- Phone: 7
Mailing Address: (if different than property address)
Address: 5 hKz
City, State, Zip:
Contractor: C O ee Goa TRACP QS
Contractors City License #: Phone: ")0 3 5Z- y- - 74tl
Sub Contractors:
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Des of work (Fully describe work to be performed - Attach additional sheet if necessary)
tom^ (266r-IV D , /`(CW GLF44 NJ N 1f 29 Contract Value of all work:
�p R�QGI{ �r1 1►JCs 23.5 $ � lG�
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE: ( // OWNER) (CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME e SIGNATURE: DATE:
DEPARTMEN USE O Y
ZONING COMMENTS.
Zoning:
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer
PUBLIC WORKS COMMENTS OCCUPANCY.
Reviewer
FIRE DEPARTMENT. ❑ approved w/ comments ❑ disapproved ❑ no review required I Bldg Valuation:
~ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11700
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 1/18/2001
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Properry Owner :
Property Address : 3260 TELLER ST.
Phone : 3038886746
Contractor License No. : 19011
Company : Dodge Roofing, Inc.
Phone : 3034236860
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $1,950.00
I hereby ceRify that the setback distances proposed by this permit application are accurate,
PBfflllt FB8 : $69.25
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
0
00
covenants, easements or restrictions of record; that all measurements shown, and allegations
.
Plan Review Fee : $
made are accurata; that 1 have read and a to ab'de by I conditions printed on this
B
ildi
Wh
Rid
'
25
Use Tax : $29
u
ng
eat
ge
yfor mp Rh the
application, and that 1 assume fulf respo
this
ertnit
f
k
d
i
d'
.
er
p
.
or wor
un
dge r
a
Code (U.B.C.) and all other applicable t R
SIGNE DATE 2 h ~
OWNER
CONTRACTOR
Total: $98.50
)
(
Use:
Description : 23 SQ. 3 TAB RE-ROOF
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval:
Ecpiration Date :
Approval:
(1) This pertnil was issuetl in accardance with the provisions sel toM in yopur application and is sub1'ed to ihe laws of the State of Coloredo and to the Zoning
Regulations and Bullding Code of Wheat Ridoe, Colo2do or any other applicable ordinances ofthe Ciry.
(2) This permtt shall expire if (A) fhe vrork authorized is not commenced within siMy (60) days from issue date or (B) the building euthorized is suspended or
aGandoned for a period of 120 tlays.
(3) If this permit racpires, a new pemut may be acquiretl for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans antl specifications and any suspension or abendonment has not exceetled one (7) year. If changes are matle or If suspension or abantlonment
exceetls one (1) year, fuA fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural Nax of water causing a tlrainage problem.
(5) ConUactor shall notify the Building Inspector twenry-four (24) hours in advance for all inspedions and shall receive written approval on inspection cartl before
proceetliing with successive phases otthe ob.
(6) The issuance of a pe the approv o~d2win9s and specifications shall not be consVUetl to be a permN for, nor an aOProval of, any violation of Me provisions
otMe builtling rta ~ nce, law, rule or regulaUon.
Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT R1DGE, CO 80215 - (303-235-2855)
APPLic.A-r'10N
Property Owner:
Praperty Address : ~
Ccntrector License No. : ~ ~ / ~ ~ ~
Company :
Building Permit Number :
0'NNE.4/CONTRACTOR SIGNATURE OF UNCERSTANDING AND
I her=cy certify cha[ the setback Cistances pmooseC by this pertnit application are accurate,
and Co not violate applicahle ortlinances, rules or regulations of the City of Wheat RiCge or
covenants, easements or restnCions of record; that all measuremencs shown, and allegations
made are accura[e: that I have read and agree ro aoiCe oy all conciaons pnnteo on ;his
application, and chat I assume full responsi for compli e ith the Wheat Ritlge Builtling
Cotle (U.B.C.) and all other applipble idqe a i n or wo under this pertnit.
(OWNER)(CONTRACTOR) SIGNED Cq~~~ ~ K)f
DescripUan : 1 2
d' l
~BHBII~~~
Approval :
Zaning :
Approval:
Approval :
Occupancy: Walis
3 -~a,h re ra ey(--
BUILOING
Use:
. ik
RECEIVED
. f o ;
J!?r,
Roof :
Date : /qt^ j8 ~ aino (
Phone : 303"~5$~
Phone: 30-5-`)) 3" 66-60
Construc;ion Value
Permit Fe= :
Use Tax :
Total :
Sq. Ft. :
Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company :
Company :
Expi2tion Date : Expi2tlon Date :
Expiration Date :
Approvai: Approval:
Approval :
(1) RThiS egulaCC a sn4IBUi1Gyg ~ p~O^6 SQt ro~ i^ YaPur aPWlotlon anC is wbjxY Oo the lawy p/ y~e Statp cf CoWraEO anC !o the Lanin
(2) Thit P~t sMall exPft M aa9s. CoWraEa a ury atlier aOPliable ardlnanw ot Ne Cih. 9
ahantloneC fpr a pencp of4 2p yyW °^ot tammenoeC ~myvn si~y (80) Caya 4pm iy~ dafe or (8) the builtlinq auNOnzeE is susoenQ~W or
(7) I! Sis PMnR esPires, a new pen* MSy pe aMtdred ror a(ee o( one.nalt Ne amaunt namWy repui~. PmrEeE no cnanges have heen ar vnll be N
a~9~~~ P~ans antl speCllGdppy
maEe in e
uceeas one y q yry 314lieriyQn ar aOanEOnment has nat exceeGe.y pne (1) yyp I/ chan9es; am noltle ar if awpensian or aoanCOnment
(1) Year. N0 hea NallOe P~ fara new Oertnit
No work af ury mannx yyp yO dony yhat wid cnange ma nabural Itow a(watx quainq a Erainaqe pvblem,
(5) COp~oceeEpn qwiM 3=33" ~~^N~ (2a) houn in atlvance (pr all ina0~ons yq y~yl e ~y~
(e) issuan . wntten aPPm~'+1 on insPKtian o'e pefcre
af p~e OuiWin W ° n~~~? ~7aall~tlans shall ~rot Oe mnsOVeC lp pe a permi! for. npr an aPPmval of, any viala6an a! Na praviaions
Chief Buddmg Inspedor-