HomeMy WebLinkAbout3160 Vance Street�(-WcE �- INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
fff-
.
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
uo imor tour t-nnr-rP_TP_ wrinr i n vnnrnuni r it 1 ho A111,%n..n Incmmm-fie%nc
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
uo ivor. %,over unoerorouno or rseiownn_,_,%ian vvnric wrinr 1 n annrnuni "t -rhn Ahnvn
Rough Inspections
Date
Inspector
Initials
-r-
Comments
Wall Sheathing
Mid -Roof
?
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
W1 lvrr VW CUU PCI IuW — V IGC10C. UU ,U,C Nidi I UUY 11 111 J[)UL; LIU f 1Zia FU aam(Jletea Trom the rlre ulstrlct an electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE A
�'(30Building Inspection Division
3)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 3/&0 V A n c—
L, n O
Permit Number: 2 U 1170 U L 6
❑ No one available for inspection: Timex 9�5jpM
Re -Inspection required: Yes 67
When corrections have been made, calf for re -inspection at 303-234-5933
Date:_ % % % / % *,) Inspector:_ 6 A I?
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703197
PERMIT NO: 201703197 ISSUED: 07/03/2017
JOB ADDRESS: 3160 Vance ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 29 sq.
*** CONTACTS ***
OWNER (561)702-9915 ROSE CAROLYN MORI
SUB (303)806-6700 Nathan Ellis
170257 Pinnacle Seamless Gutters & Ex
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,718.63
FEES
Total Valuation 0.00
Use Tax 204.09
Permit Fee 204.30
** TOTAL ** 408.39
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703197
PERMIT NO: 201703197 ISSUED: 07/03/2017
JOB ADDRESS: 3160 Vance ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning'Duration asphalt shingles with
ROOF DECKING — 29 sq.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
,. O/
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The per holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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.
Dan Schultz ;)0176 6 —3 /7(
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 21, 2017 8:26 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny (o
Residential Roofing Permit Application
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
3160 Vance St
Eddie Rose
561.702.9915
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
1
documents at the time you are issued your permit. Permits are currently being
processed within 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.
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
3160 Vance St
Eddie Rose
561.702.9915
Property Owner Email
Edlrose5@aol.com
Address
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
Pinnacle Seamless Gutters and Exteriors Llc,
Contractor's License
170257
Number (for the City of
Wheat Ridge)
Contractor Phone
7206212509
Number
Contractor Email Address
Nate@pinnaclehomeexteriors.com
Retype Contractor Email
Nate@pinnaclehomeexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes
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
29
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 29
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
House 4/12
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 Nate Ellis
Email not displaying correctly? View it in your browser.
3
1244 S Wadsworth Blvd, Lakewood CO 80232 - PH: 303-806-6700 FAX: 303-806-6701
info@pinnaclehomeexteriors.com
Roofing Repair Contract
Pinnacle Home Exteriors agrees to perform the following work as outlined in this contract.
Name
Street
City
Install following material as selected by Homeowner and authorized by insurance company.
Pinnacle Home Exteriors will provide selected material and the labor to install it in a good and workmanlike
manner according to the standard practices in the industry.
66 _Zi p?�
. f.
Insurance Company ��/'S / I Phone
Policy #
Materials
Brand Color.
❑ Strip off layers of existing composition roofing
❑ Strip off wood shingles y
❑ Re -deck roof with"�2.Inch oriented strand board (20 YR Warranty) or in n 4(de � i II �l P6! 7GSc aOd S*,ei1eW4,/i!
❑ Install 7 x�i Inch enamel finished drip edge/ Color J,rV !
❑ Apply a r� `� Ib. felt base
❑ Nail shingles using (6) 11/4 inch galvanized nails per shingle
❑ Sidewall flashing where needed
❑ Chimney flashing: re -flash, caulk and paint 3
❑ W>C Air Hawks L% Aluminum Wind Turbines 1
❑ Ridge Vent Ft. Soffit Vents Power Turbines
❑ Clean up and haul debris
❑ Projected start date
IN
J
insurance Deductible
*Upgrades to Materials & Labor
*Adjustments to Material and Labor
H/Itokla
u_S-�unz'le,
Total Price (In addition to insurance Proceeds) $
Total Cost Including Insurance Settlement $
Proper installation of the roof system may require replacement of existing flashing. During such replacement, siding
adjacent to this flashing which has deteriorated may crack, break or tear. Pinnacle Home Exteriors will make every
reasonable effort to avoid damage, but will not be held responsible for any consequential damage to siding.
During the application of the roof system, vibration from the roof may he transmitted throughout the building.
Pinnacle Home Exteriors is not responsible for rotted siding, paint and sheetrock damage due to vibration. The
Homeowner further assumes responsibility for all objects hung from exterior and interior walls or from ceiling and
soffits.
Pinnacle Home Exteriors is not responsible for damage caused by improper original construction including framing,
siding or masonry, damaged electrical, plumbing, or cables within 3 inches of the roof line.
Name (printe L " �' .� Name (printed)
Signature -, Date ! /-7gignature
Authorized Pinnacle Horne Exteriors Representative
i CITY OF WHEAT RIDGE - -�
i�;17Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE//
Inspection Type: ✓ �nP
Job Address: 31 6 G U& n e S r
Permit Number: L O('2 0 1/ � ?
❑ No one available for inspection: Time
Re -Inspection required: Yes No i I f, `3
When corrections,have been made, call for re -inspection at 303-234-5933
Date:= �� Inspector:
DO NOT REMOVE THIS NOTICE
i 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: —F4v
Job Address: r 6 (s t)C_f? f C ` -+
Permit Number: b(?y 1,-(,)
❑ No one available for inspection: Time Af /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
FOR OFFICE USE ONLY
Building Permit Application
Property Owner Email:
Mailing Address: (if different than property address)
Address.
Complete all information on BOTH sides of this form
Gallons
Amps Squares Other
Buildin (Con"Ve or the cost of &materials and labor included in the AqIjEe
Division Valuation
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR - -
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation -
Drywall Screw
r
UU INU I rUUK rLVUK UN I IL HbUVt ITAJ DttN JIGNGU
TO BE SIGNED
'RIOR TO PROCEEDING
FINALS
Electrical
Plumbing
-Mechanical
Roof
[g iSZJ
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking Landscaping
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
**NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERnFICATEOFOCCUPANCY ISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION.
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234-5933 Inspection line
_(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
0
Inspection Type: 11('m !
Job Address: H160, (103C15r
Permit Number: l i (0
I
i
i
❑ No one available for insp tion: Time AM/PM
Re-Inspection required: Ye No
"When corrections have been made, cal r re-ins^ pection at 303-234-5933
Date: Inspector: PPPf!/l`!!
J
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
~00000/ Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /.IVAZ Vic
Job Address: ,3l~0 1/~iy~f S7
Permit Number:
l0117
~c%a2 /rUSd'~Ec' TiZ~ n./
~r6'/ d3rr'1t1 >.wJ ttJ:.dfitJ S~i~F y'l id/~S~4e• 7`
G:
I
r,.
I
❑ No one available for inspection: Time ml z95 AM/PM
c.
Re-Inspection required: es No
'When corrections have been made, call for re-inspection at 303-234-5933
Date: 1-1 . -y Inspectors
DO NOT REMOVE THIS NOTICE
1* i CITY OF WHEAT RIDGE
Building Inspection Division
I (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
/w/o W/
Inspection Type: "44E ST-
Job Address: ~24 /n
Permit Number:
x,
❑ 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: 40 -7 i
Inspector:
DO NOT REMOVE THIS NOTICE
i ♦ d"41T of Wh
PERMIT NO: ,.09261
JOB ADDRESS:3160
z DESCRIPTION:.-T/o:
' 1.V1V 1tl~.rJ
owner 303/238-S
gc 303/434-2
:.ISSUED:: 09/22/2009
ANCE ST EXPIRES: 03/21/2010
nstall 22 sqs of 25 yrs 3-tab O.C.
t
94 Gregory Hooper Bridget Hooper
72 Francisco Guerrero 09-0275 P & K EPR Inc.
USE: UA
5: BLOCK/ LOT# : 0/
:
FEE SUMMARY
ESTIMATED
PROJECT VALUATION: 6,000.00`
FEES
Permit Fee :
162.90
Total Valuation
,Op
n vY~C
l~s~~~
'r
Use Tax
.108.00
y
ra..
TOTAL
270.90
k Conditions
6 nail ins
ject to fieldi
roof inspection required. ` Board sheathing spaced more
rtrrequires plywood overlay on entire roof. Ice and
m eave edge to 2' inside exterior walls.
on.
180 day[
roposed by this permit application are accurate, and do not violate. applicable
of Wheat Ridge or covenants, easements or restrictions of record;; that all
accurate; that 'I have read and agree to abide by all conditions printed on this
lity for compliance with the Wheat Ridge Building Code "(I.B.C) and all other d.
ider this pe rt. Plana subject to field inspection.
1
date
the provisions set forth in your application and is subject to the `laws of the
.ions and Building Codes of Wheat Ridge, Colorado or any other applicable
issue date. Requests for an extension must be received prior to expiration
discretion of the Building Official.
• acquired for .`a fee of one-half the amount normally required; provided no
-iginal plans and specifications and any suspension or 'abandonment has not
an or if suspension or abandonment exceeds one (1) year,.'. full fees shall
o, b. contractor snail notity the Building Inspector, twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before tx proceeding with successive phases of the job.'. C
6. The `issuance of a permit or the approval of drawings andspecifications shall, not be construed to be a permit for, nor
r, an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is subje t to field inspections.
Signature of Chief Official date
K§ INSPECTION RE. ST LINE: (303)234-5933 BUILDING' OFFICE::. (303)235-2855
REQUESTS MUS BE
MADE BY 3PM--ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY.
Y;
N
yoFW HTq City of Wheat Ridge Building Division
m 7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
°OtoRno° Inspection Line: 303-234-5933
Property Address:
Property Owner (please print):
e~
Mailing Address: (if different than property address)
Address:
City, State,
Date:
Plan
Permit
Phone: 3) Z38-9
Contractor: P " K QQ I /vtc
Contractor License Phone: 1 t34 ILt-t
Sub Contractors:
Electrical City License
Company:
Building Permit Application
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval:
Approval: Approval:
Use of space (description): Construction value: $ Covoo, ct C~
Descri)pttion ofworTk: 2,f.. mOV e - 77 SC('-5 (as calculated per the Building Valuation Data sheet)
"""'t'''"` I 0. Y -3-1-AM 61L Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPR SENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: -75V--q1 664A :Q.1Zti fZU SIGNAT Date:
s
INSPECTION TICKET
JOB ADDRES6 ~l V~`t VY~C~ ~ • ~ ~G ~ i'R3
DATE: BLDG. PERMITB
PERMIT-~#~~~- /
BLDG. CONTR.-Vk C)
SUBCONTRACTOR
DATE INSP. REO.
TYPE OF INSP.
INSPECTION M,
REMARKS (0i
~
INSPECTION TICKET
Jos ~ / ~G ~ o--~ce- ~
ADDRESS -
DATE: BLDG. PEF{MITM
PERMITS
~
BLDG. CONTFi.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
.J\
W.R. FORM F19
C
7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXr. 255 P.O. Box 638 BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
PERMIT N0.B93#4825
7HiS PERMIT VALID ONLY WHEN SIGNED 8Y THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILDING PLANS AND TWO
-BUSI--NESS NAME----~'- t
Aa c- e5 i A
COPY OF DEED AND IMPROVEMENT
V)__6_~ ~~0 [~c 3
,E}
_ANS MUST ACCAMPANY THIS APPLICATION
1 3a'
~ovs~
CUC'C'n(~~' L~OCCL~
N+
SPECIFY NORTH
(CIRCLE FRONT) N E S Q
STREET NAME r e
SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES,STREETS,AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
LEGFL DESGRIYIIVrv
OWNERS NAME1]~Cl"W~S4n CONTRACTOR LIC. N0. pQ METES AND BOUNDS DESCRIPTION ATTACHED
~C~ V.L~C-~ 3~
ADDRESS~~~ ~,nnC PHONEa~"O~u..~ ADDRESS 'Q-
qTY~A1.Q^ A r'- ZIF CODE6p~~- LAT N0. BLOCK NO.
LOT WIDTH DEPTH AREA SUBDIVISION FILING
INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: CurbBGUtterx SlieetPovinax Water K Sewer2LStoimDrainaqefi-
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING~ YES_NO-
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_N0_x .
- '~P I REMARKS~
EXTERIOR MATERIALS:
ROOF
~
STORIES ° UNITS ~ ~
OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
PERMIT FEE
-
I hereby certiTy ihat ihe above setback distances shown on this peimit application are accurote, and do
USE TAX
30. U
opplicable ordinances, iules or regulotions of the Ci}y of Wheat Ridqe or covenoMs, eosemenis or restricfi
t I have read and agree to abid
t
th
` '
TOTAL FEE $
SC~p
j
a
e;
cord; thut all measurements shown, and allegafions mode are accura
d that I assume full resDOnsibility for compliance wit~ ihe Wheat
i
N PTED
on, an
conditions printed on ihis apPlicat
Building Code (UBC) and all Other applit ble Wheat Ridge ordinonces, fOr wo/k undet ihis permit. .
TE
~ ~
~
(OWNER)(CONTRACTOR) SIGNED DA
BUILDING DEPARTMENT USE NLY
SO.FT COST
BASEMENT-ROUGH - THE PROPERTY LOCAIED AT
IS PRESENTLY ZONED (D~ ~•~ylo~...~
B,QSEMENT-FINISHED
IS NOT) ALLOWED UNDER THE ZONING ORDINANCE.
!~-JS) (
THE PROPOSED USE (
_
-
6ROUND FLOOR
SECOND FLOOR - COMMENTS:
GARAGE
OTHER
BUILDING COST $
OTHER
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE N0. CITY N0. STATE N0. CITY N0. CITY N0.
PLANS REVIEWED (-OK)(-NOTOK) PLANS REVIEWED (-OK)(-NOT OK) PLANS REVIEWED-(-OK)(-NOTOK)
NO PLANS NEEDED NO PLANS NEEDED NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
PERMIT ISSUED TO PERMIT ISSUED TO PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO PER REQUEST AS PER PIANS NO PER REQUEST A$ PER PLANS N0.
AS APPROVED AND ON FILE IN MY OFFICE AS APPROVED QND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MYOFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR
DATE CLEARED BY DATE CLEARED BY DATE CLEARED BY
CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR
CMIEF BUILDING INSPECTOR
BY BY BY
DATE DATE
DATE
LAWS
CONDITIONSt ACCORDANCE
FORTH
WHEATTR DGE GIOLOPAUO OX IANY'OTHER PPPS AUBJECT BLE ORDINANCES OF THE CITYpTE OF COLOflRDO
THE (I) ANID TORTHE 20NING REGULFT ONS AND BU11LDING CODEPROVOFISIONS
(p) THIS PERMIT SMPLI ExGIRE IF (A) THE WORK AUTHORIZED IS NOT GOMMENCEU WITMIN SIXTY (60) DAVS FROM ISSUE DNTE OR (B) THE BUILDING AUTMORIZED IS
SUSPENDED OR ABANOONED FOR A PERIOD OF 120 ONYS.
IF CHANGES A E MADE ORVIF
BE MADE AND PNY SUSVENSION OR PBANDONMENT HAS NOT E%CEEDED ONE (I)YEAR.r L
(3) THIS PERMIT E OFIGIN/+L PNANS PERMIT
iND SVGAiFIGAT10N5 f
SUSPENSION Ofi ABPNDONMENT E%CEEDS ONE (I)YEAR, FULL FEES SHALL BE PAID FOfl A NEW PERMIT.
(1) NO WORK OF ANY MANNER SMALL BE DONE THFT WILL 09STRUCT TNE NATURAL F OF WATER GIUSIN6 RAIN E PROBLEM. PROAI
(S) CON CTOR SHPLL NOTIFY T NGINSPECTOR TWENT -FOUfl (24I HOUNS ADVANCE FOP AL SPEC 0 5 ANp SHALL IiECEIVE WNITTEN PVV
ON INS ECTION CP ~ BEFO PROCEEDIN WITN 511CCE551 PH4 s oF rxe ao . qppRpVED
?l> 3 ~
`
CHIEF BUILDI INSPECTOR FOR MAYOR
~
Recorded et _
Reception No.
o clock - M.,
200699031
REQUEST FOR REI.EASE OF DEED OF TRUST AND RELEASE
it
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FIRST FEDERAL SAVtNGS BANK OF COIARADO
Original Beneficiary
(Lender)
Julv 29 1988 Date o( Deed of Trust
Aueust 5 1988 Recording Date of
Deed of Trust
Jef f erson County of Recording
RECEPTION
11/02/92
RECORDED
COUNTY OF
STATE OF
NO. 92139798
Bt30 s•0'
IN
JEFFERSON
COLORADO
88076438 Reception and/or Film Nos. of Recorded Deed of Trust
RecePtion No. Pilm Nn
Book and Page of Deed of Trust
eow w ws~ w.
TO THE PUBLIC TRUSTEE OF
Je f f erson County (The Public Trustee to which the above Deed of Trust conveys the said property.)
Please exewte this release, as the indebtedness has been fully paid and/or the terms and conditions of the trust h$ve
been fully satisfied.
FIRST FEDERAL SAVINGS BANK OF COL-ORADO
Curfent OwMr AM Mddv of Ihe Evidentt o( DeM Szurtd bY DaA MTw1(LeMer)
State of Colorado, County of
Jefferson
The foregoing request for release was acknowledged before me on
September 24 1992 (aate)by
Elaine M Samuelson.
Senior Vice Piesident of
First Federal Savines Bank of Colorado
Januarv 28 1996 Date Commission Expires
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1
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Witness My Hand and So4al E,~
Oa,~/,1flr.~~~
- 7' 1~ ryTublie
Kathleen A Desparrois NU . ,
RELEASE OF DEED OF TRUST
KNOW ALL MEN, that the above referenced Grantor(s), by Deed of Trust, conveyed certain real property described
in said Deed of Trust, to [he Public Truscee o(lhe County referenced above, in the State of Colorado to be held in trust to
secure the payment of the indebtedness referred to therein.
NOW fHEREFORE, at the written request olthe legal halder of the said indebtedness, and in consideration of the
premises and the paymem of the stawtory sum, receipt of which is hereby acknowledged, I, as the Public Trustee in the
County first referenceJ above, do hereby remise, release and quitclaim unto the present owner or owners of said real
property, and unto thc heirs, successors and assigns of such owner or owners forever, all the right, title and incerest which
1 have under and by virtue of the aforesaid Deed of Trust in the real estate described therein, to have and to hold the
same, with all the privileges and appurlenances thereun[o belonging forever; and further 1 do hereby fully and absolutely
release, cancel and forever discharge said Deed of Trust.
Pubhc T ro
The loregoing instrument was acknuwledged befurc me on
N L~ V Q L i(Q2__ (date) by
'jLjN__ County, Cobrado.
Date Commission Expires
9f applicabk, inurt litlc ul'eQent m olficer aM mme of currtm mrner a.d IwWer.
Received by
bY D'eputy Pnblic Trustee
Seutember 24 1992 _ Date
HAROLD P BEN50N and CATHERINE H BENSON Grantor(Bortower)
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N6.904.Rev.8-90•(NEQUF.S'IF'OR) (RELEASE) UFDEkUOFTRU5T0 &aJfoMYuDlinM1ing.1703WazecSc..Dcnvm,C080202-p03)2934300-1690
WHEN RECORDED RETURN TO:
Originnl Note and Deed of Trust Remrned to: My ~OFnmjSSiBA EwNS U•23-94
1190 IuapeMe St. Gofuxi, CU 60419
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