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Home My WebLink About4455 Reed StreetCITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: "711-V_11 Job Address: Permit Number: l� 5 ❑ No one available for inspection: Time=' 1' AM/PM Re -Inspection required: Yes:' INo When corrections have been made, call for re -inspection at 303-234-5933 t Date:_4`). I Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Build ft'Inspection Derision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time!�l,"-.'f AMOM Re -Inspection require � Yes o When corrections have be nifiade, call for re -inspection at 303-234-5933 Date: ( I Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201900656 PERMIT NO: 201900656 ISSUED: 04/11/2019 JOB ADDRESS: 4455 Reed St EXPIRES: 04/10/2020 JOB DESCRIPTION: Install 3/4 PRV & 3/4 ball valve on water main in crawlspace; supervent air eliminator on boiler; replace indirect water heater in place of gas *** CONTACTS *** OWNER (303)242-7452 HANSEN SARA E & TODD SUB (303)274-2340 WAYNE & ALICE HINKLE 021125 S&S PLUMBING SERVICES, 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: 5,710.00 FEES Total Valuation 0.00 Use Tax 119.91 Permit Fee 140.90 ** TOTAL ** 260.81 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I fu her attesrthat I am legally authorized to include all entities named within this document as parties to the work to be performed aha aaI work tQ "e performed is disclosed in this document and/or its' companying approved plans and specifications. Signafure of,' OWNER o�CONTRACTOR: (Circle one) Date I . This permit was issued basetuni 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 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. 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 ordman a 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 j ,,dgc Comm UNiTy DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: q � `J �JK t;e-A S I Property Owner (please print): T -Q d d K -') yl s to �q Phone: 303 - Z y Z - 7 q 5 _ Property Owner Email:+nA(LLQ n�;P,n @—Gm -a J , C GY►1 Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License M Phone: Phone: -�07� Zqy - Z3`10 Contractor E-mail Address: Amin For Plan Review Questions & Commends (please print): CONTACT NAME (please print): S Gcu � 1 '� i n �_l -e- Phone: 363 - CALI (0 — 819 ! (P CONTACT EMAIL(p/ease print): SCC 4 0 ss- Q'S d--nvt-r; C' C) M Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL ❑] RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. 3�;� IZt/ 3/� �) I j va 1 h wa y rlli l n ►/J Crn'PJ/ P(-"- t, Sq. FULF tII11'�IIn"�� -47y-f Gn 611e -,r BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 5 `-T 10 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) (CONT CTOR) or (AUTHO IZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): �1 �vu ��1 DATE: Printed Name: -Ji YI 1 1� �'✓1 I ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: o CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: q63 rFg IqO 5— Flngl&7 rOR Job Address: y�% 5 4eP 5 %` Permit Number: ❑ No one available for inspection: Time 1l AM/PM Re -Inspection required: Yes t`�I�o When corrections have been made, call for re -inspection at 303-234-5933 Date: MZy ;� Inspector: DO NOT REMOVE THIS NOTICE M 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: LI y � z j Permit Number: c)0 1 '� `Z ❑ No one available for inspection: Time j ° :Q 13wpm Re -Inspection required: Yes <�b When corrections have been made, call for re -inspection at 303-234-5933 Date: S/19)1 �, Inspector:? DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office a (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: b0l&-)00� Job Address: 1-11-15S AA S} - Permit Number: 2t -V 70 F 76 C") J No one available for inspection: Time Re -inspection required: Yes No When corrections have been made, caH for re -inspection at 303-234-593 Date: Inspector:. DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _A Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: Lj No one available for inspection: Time Re -Inspection required: Yes When corrections have been made, call for re -inspection, at 303-234-5933 Inspector: I'A-1 DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE/,4 Inspection Type: -3og/�IeC-� - y Job Address:C � ��ed, 74- Permit Number: -76- / %O F -26 ❑ No one available for inspection: Time E� SAM/PM Re -Inspection required: Yes �No�� When corrections have been made, call for re -inspection at 303-234-5933 Date: �� % Inspector: �0'j✓!�'" DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 31 � P e -I.- Job I -Job Address: CF_-5� .3- Permit Number: c)% -40d_ )% -40d 3 3 /P j? -r — )N--�.Tsz, ❑ No one available for inspection: Time �i 'ems I(PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: I no I % Inspect l c.Lu DO NOT REMOVE THIS NOTICE 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: 1? -- F - Job Address: Permit Number: 070) C� ❑ No one available for inspection: Time 11,1 10 �kolPM Re -Inspection required: Yes 6 When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspecto --r- DO TDO NOT REMOVE THIS NOTICE jh Inspection (continued) I Rough Mechanical Residential Rough Mechanical Commercial Boiler 1 Furnace Hot water tank i Drywall screw and Nail I Moisture board 1 shower walls 2 Rough Grading 3 Miscellaneous nal Inspections )2 Gas Meter Release 03 Final Electrical Residential 04 Final Electrical Commercial 105 Final Mechanical Residential W6 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection ---T Inspector Date Initials Inspector Date I Initials Comments Comments Inspections from these entities shall be requested one week in advance- For please For landscaping and parking inspections call 303-235-2846 lease call For ROW and drainage inspections p 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 418 Building Final Inspection roved by Planning, Public Works, p ire ctionndoes Building Note: All items must be completed isnssued. Approval of the Final Building before a Certificate of Occup constitute authorization of occupancy. h inspections are completed by the Fire District and For Low Voltage permits please be sure that roug p Electrical low voltage by the Building Division. ADDRESS: JOB CODE• INSPECTION RECORD Inspection online form: hftp://Www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. p: www.ci.wheatridge.co.us/inspection e Project site Request Inspections on before MIperformed unless this card is the day of the inspection MIDNIGHT (11:59 PM) to receive an�nspeted c on the following busine Foundation Inspections ss Date Inspector 102 Caissons / Piers Initials Comments 103 Footing / P. E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector 201 Electrical / Cable/ Conduit Initials Comments 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To A pproval Of The Above Inspections Rough Inspection Date Inspector 301 Rough Framing Initials 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 14 Rough Plumbing Commercial 15 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Comments 15— I* � I 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: �/ o t- t � / Job Address: Il t/ e e cJ G,4 Permit Number: -? c 1 -7 a g -7 �, c C-10,Ile r) ❑ No one available for inspection: Time V Re -Inspection required: Yes CO When corrections have been made, call for re -inspection at 303-234-5933 Date: 1-'' b3 /`-2 Inspector: _7_1�) DO NOT REMOVE THIS NOTICE F}l , c, ?` -1� k .�, 301ION SIHI 3AOW3tf ION 00 �- ?, ,�k :aoloodsul' 0)1]LQT:alva SS69-tTe-£0£ le uoi;oa= ileo `apew uaeq eAey suoi;oaaaoo uayM„ e saA :pgainbaa uoiloodsul-aa WS/W`d q -ZZ I quail :uoijoadsui aoj ajgajienl? quo ON r �i�f�I ► �� 1'1;1 MOTION=_ N=_ 1N Ci L.1<3�. :aaquanN MwJ9d r- :ssaappd qof �QQ :ads .L uoil3odsul 33110N N01133dSNI X2=/ 6068-LOz (80£) • a��o s5gz-szz (soil aull uoljoadsul SS6S-b£Z (£0£) uoisinia uoiloadsul 6uiplin8 , 3Jam lV3HM -AO Alla � y 1 City of Wheat Ridge HO Interior Remodel PERMIT - 201708760 PERMIT NO: 201708760 ISSUED: 12/08/2017 JOB ADDRESS: 4455 Reed ST EXPIRES: 12/08/2018 JOB DESCRIPTION: Homeowner interior remodel of bathroom including framing, plumbing, electrical,and new shower. 45sgft and new 20amp circuit installed. Asbestos Abatement Analysis report done no abestos found. *** CONTACTS *** OWNER (720)496-5701 HANSEN SARA E SUB (303)233-7007 Torrey Cosgrove 017885 Lakewood Plumbing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,600.00 FEES Total Valuation 0.00 Plan Review Fee 143.10 Use Tax 222.60 Permit Fee 220.15 ** TOTAL ** 585.85 *** 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. Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. City of Wheat Ridge �J HO Interior Remodel PERMIT - 201708760 PERMIT NO: 201708760 ISSUED: 12/08/2017 JOB ADDRESS: 4455 Reed ST EXPIRES: 12/08/2018 JOB DESCRIPTION: Homeowner interior remodel of bathroom including framing, plumbing, electrical,and new shower. 45sgft and new 20amp circuit installed. Asbestos Abatement Analysis report done no abestos found. I, by in 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 perfor ed and that all work be performed is disclosed in this document and/or its' accompanying approved plans and specifications. SigA' e of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying )tans 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 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field 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 Wheat age COMMUNITY DEVELOI'MENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: /I( I � ( I Plan/Permit #�l l 7 N U` c Plan Review Building Permit Application 101 *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** 4455 Reed St, Wheat Ridge, CO 80033 Property Address: 720-496-5701 or Property Owner (please print): Sara and Todd Hansen Phone: 303-242-7452 Property Owner Email: sara.hansen918@grrlail.com Mailing Address: (if different than property address) Address: same Citv, State Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Phone: Pho Sub Contractors: �� I' ,00Cf FLPZ y LSC Electrical: Plumbing: IK� Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ® RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEAA/APPL!ANCE REPA!R or REPLACEMENT E OTHER (Describe)_ Bathroom remodel, including framing, plumbing, electrical, new shower (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) `See separate permit application for plumbing work`. "See attached for complete detailed description of work to be performed.* Sq. Ft./LF _ 45.3 Amps 20 Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $10,600 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): ZONING COMMMENTS: Reviewer: S cwHa4uew 10/30/17 DATE: BUILDING DEPARTMENT COMMENTS: Reviewer: 0- DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ I City 01 W h6 atPjdge COMMUNITY DEVELOPMENT Official Certification of Property Owner for Non -Trade Specific Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently own the project property. I attest I am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, have the contractors doing the work listed on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. I am the owner and live in the project property. Property Owner(s): CL Project Property: q q15 Se ,S-+, w kpU+ � d oIe- Project Type: _ , ,i4 y� r` i ' ` moo f Notarized signature of Applicant State of Colorado County of SnM'so,-\ } ss The foregoin instrument was acknowledged by me this 3) day of&�6� , 2017 by ,T TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 ?"ION EXPIRES APRIL 22, 2020 G - My Commission Expires o7a /20,J Notary Public WARRANTY DEED THIS DEED, Made this 23rd day of September, 2015, between State Doc Fee $32.85 DELLA J. SKEEN of JEFFERSON County, State of Colorado, grantor, and SARA E. HANSEN and TODD G. HANSEN as Joint Tenants whose legal address is: 4455 Reed Street, Wheat Ridge, CO 80333, grantee: WITNESSETH, That the grantor for and in consideration of the sum of $328,475.00 (Three Hundred Twenty -Eight Thousand Four Hundred Seventy -Five DOLLARS_, the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm, unto the grantee, his heirs and assigns forever, all the real property together with improvements, if any, situate, lying and being in JEFFERSON County and State of Colorado described as follows: LOT 4, BLOCK 1, O.D. BROWN SUBDIVISION, PER PLAT RECORDED IN BOOK I 1 OF PLATS, PAGE 4, IN THE OFFICE OF THE COUNTY CLERK AND RECORDED OF SAID COUNTY, COUNTY OF JEFFERSON, STATE OF COLORADO as known by street and number as: 4455 REED STREET, WHEAT RIDGE, CO 80033 TOGETHER with all and singular the hereditaments and appurtenances thereto belonging, or in anywise appertaining, and the reversion and reversions, remainders, rents, issues and profits thereof, and all the estate; right title, interest, claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantee, his heirs and assigns forever. And the grantor, for himself, his heirs, and personal representatives, does covenant, grant, bargain, and agree to and with the grantee, his heirs, and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except General taxes for the year 2014 and subsequent years and subject to easements, restrictions, reservations, covenants and rights of way of record, if any. The grantor shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantee, his heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the grantor has executed this deed on the date set forth above. DELLA J. SKEEN BY CARA ALTMAN AS ATTORNEY IN FACT STATE OF COLORADO County of Denver WITNESSETH Tv�en€,= Eight Tl a and Four Hundre e -Fs ,t DOLLAR aT� hereb-v acknowledged. has granted. bargained. sold and conieved-and b,, t14� s� eS convey and confirm. unto the grantee. his heirs and assigns forever. al the re -1 improvements, if any, situate, lying and being in JEFFERSON County and State o follows: LOT 4. BLOCK 1, O.D. BROWN SUBDIVISION, PER PLAT RECORDED IN BOOK I I OF PLATS_ PAGE 4, IN THE OFFICE OF THE COUNTY CLERK AND RECORDED OF SAID COUNTY. COUNTY OF JEFFERSON, STATE OF COLORADO as known by street and number as: 4455 REED STREET, WHEAT RIDGE, CO 80033 TOGETHER with all and singular the hereditaments and appurtenances thereto belonging, or in anywise appertaining, and the reversion and reversions, remainders, rents, issues and profits thereof, and all the estate, right title, interest, claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantee, his heirs and assigns forever. And the grantor. for himself. his heirs. and personal representatives. does covenant. grant. bargain, and agree to and with the grantee. his heirs. and assigns. that at the time of the ensealing and delivers- of these presents, he is well Seized of the p=.emiSe-_ e _ . _ . i,: perfect. absolute and indefeasible estate of inheritance, in law. in fee simple. and has ;ood right. foil pov er and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except General taxes for the year 2014 and subsequent years and subject to easements, restrictions, reservations, covenants and rights of way of record, if any. The grantor shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantee, his heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the grantor has executed this deed on the date set forth above. J�0' SKEEN BY CARA ALTMAN AS ATTORNEY IN FACT STATE OF COLORADO County of Denver The foregoing instrument was acknowledged before me on 09/23/15 by Cara Altman as attorney in fact for DELLA J. SKEEN. My Commission Expires: Wi ss my hand andffi ial gal. -Angie TD!{inan { �datrjt i�ubtic yqalutsssaortss Notary Public z ammissian ExGires&ti3/1$ { Limited Asbestos Identification Survey August 28, 2017 Location: Sara & Todd Hansen, 4455 Reed Street, Wheat Ridge, Colorado 80033 Due tothe potential ofthe possible expansion ofthe bathroom requiring approximately SOsquare feet of wall removal and the age, appearance and texture of wall materials, I did bulk sampling of the respective areas in question. The suspect materials were sampled on August 25, 2017. A total of four (4) bulk samples of suspect ACM were collected of the materials in question to provide adequate representation ofthe homogenous materials inquestion, All samples were analyzed by Polarized Light Microscopy (PLK8)at Reservoirs Environmental Inc., an American Industrial Hygiene Association (AIHA) accredited laboratory, Samples demonstrate that the identified material samples are aslisted within the table by Reservoirs Environmental Inc., following within this document. |nnnyopinion, the walls are homogenous, due tothe age, exposure, and appearance ofthe materials. Per the table within, the materials tested are as follows: I. 4455 -1 -VV bathroom wall tested negative (ND)for asbestos containing materials. 2. 445S -2-W, bathroom wall tested negative (ND) for asbestos containing materials, 3. 4455-3-W, living room side of wall tested negative (ND) for asbestos containing materials. 4� 4455-4-W, living room side of wall tested negative (ND) for asbestos containing materials. Abatement by a CDPHE Colorado certified abatement contractor will not be required for the removal of any drywall materials per CDPHE regulation 8, part B, 2009, if there are questions, please calln`eat7ZDZ72.S946. 6David CDPHEBuilding Inspector #19358 ACF -21904 For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) *See separate permit application for plumbing work*. Removal: 6'6" by 7'8" partition wall (see asbestos test results); existing bath fixtures; existing plastic wall paneling in bathroom; parts of existing hardwood floor in living room. Framing: Construct new 2x4 partition walls (2 full height and 1 half wall), see plans Plumbing: Move sink, shower, and toilet plumbing supply and drain lines. Install new shower drain, control valve, and shower head (2 GPM). Install new toilet (1.6 GPF) and sink. **See separate permit application for full description of plumbing work.** Electrical: Install new dedicated GFCI 20 -amp circuit for this bathroom. Move bathroom light fixture, exhaust fan, outlet, and switch locations, install 2 new GFCI protected outlets, new light fixture. Move living room outlet (living room outlet will remain on same circuit it is currently on). Mechanical: Move exhaust fan location, install new 80 cfm exhaust fan, improve exhaust venting to outside. Shower construction: Build shower curb and install dry -pack mortar shower pan, 3'8" by 2'6", using Schluter Kerdi waterproofing membrane and drain assembly. Construct shower walls with fiber cement board with liquid waterproofing membrane (e.g. Redguard). Install tile on shower floor and walls. Install glass shower door and partitions. Drywall: Install new % inch drywall on bathroom walls and new living room partition walls. % inch mold - resistant drywall on bathroom ceiling. Overall improvements to meet current building codes (existing bath does not meet current codes, for example non —GFCI outlet, electrical circuit shared with kitchen outlets, existing shower leaks into crawl space and is unusable, sink has S -trap, fixture clearances too small, plumbing drain lines are various wrong sizes and mixed materials). Current bathroom is 26 SF, proposed bathroom is 42 SF. BULK SAMPLING SCOPE OFWORK: David Still is an EPA, AHERA, & CDPHE accredited Asbestos Building Inspector by experience, training, and testing, David Still's inspection/assessment incorporated non-clestructive sampling techniques and visual inspections in areas which were visual/accessible. Conditions and/or not inspected and/or commented on may very well differ from those which were inspected and/or commented on. David Still selected sample locations and frequency of sampling was based Vnobservations and requirements, functional spaces and/or the assumption that like materials by appearance, texture, age in the same areas are homogenous (HA). The limited bulk samples were collected inaccordance with EPA/AHERA&[DPHERegulation 0recommended procedures. BULK SAMPLE ANALYSIS: Bulk material samples may have been analyzed utilizing Polarized Light Microscopy (PLM) analysis and dispersion staining techniques according toUSEPA guidelines (EPA/6UOR-83/1lG).Thisguideline was developed for use onfriable building materials and is not recommended by EPA for non -friable building materials such as floor tiles. Additional analysis is recommended by EPA, such as Transmission Electron Microscopy (TEM) to confirm negative Polarized Light Microscopy (PLM) results on floor tiles. TEM analysis requires specific requests from the client due tocost differential. Bulk material samples may have been analyzed utilizing PLM Point Counting analysis according to the National Emissions Standard for Hazardous Air Pollutants (NESHAP). Any materials that contain over one percent (1%) of any type of asbestos is considered Asbestos Containing Materials (ACM)orAsbestos Containing Building Materials (ACBK4) and must be handled according to State, OSHA, and EPA regulations if disturbed. According to EPA (NESHAP) as published in the Federal Register, 40 CFR, Part 61, Subpart M, and CDPHE Regulation 8, if the asbestos content is less than ten percent (10%) as determined by a method other than point counting by Polarized Light Microscopy (PLM), verify the asbestos content by point counting using PLM. For purposes of this Environmental Asbestos Building Inspection/Assessment, friable Asbestos Containing Materials which are <1.0% (TR) by PLM and friable Asbestos Containing Building Materials which are 1.0% or less by PLM are considered positive, however, point counting byPLM iarequired should renovation ordemolition ofthese materials occur, Samples are retained for a period of 60 days by the analyzing laboratory unless prearranged by the August 28, 2017 David Still SHC Construction Services Inc, 11830 W. 32nd Avenue Wheat Ridge CO 80033 Dear Customer, Subcontract Number: Laboratory Report: Project # I P.O. # Project Description: Effert,.o Jnnuxy �. 20'.,5 !CACIC%tao,,R. w;ovl, CA N'.WUX CoL NA RES 383214-1 None Given Sara Hansen, 4455 Reed, Wheat Ridge Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (A]HA), Lab ID 101533 - Accreditation Certificate *480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 388214-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc, will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P 303-%-4-1966 F 303.4774275 5-.01 Logan Sreet, Sww 1,00 Came,. CC B0216 page 1 <Yf I 14W,5-RESI•ENV Y^Yw.roi=- co. -n LLJ otn000cocoo 0 C — o c 0 0 o Z -j 0 f0, L > M 0 0— 0.2 = '6 CLOC COO CDC 00 z o 0 z 0 0 < 0 0 CL m tn 0 0 cd UJ 'o B z z z 0 0 (=�us �,o ul Ui 0 ct! < 0 Lid LU = o m 0- m (n z 0) CL to0 Q M 0 CL 0 tU Qi rn -u lu tr, to c c, LO U.� 0)(D .6 0 f E 0- 0. a E LU � u 0 u 0 F otn000cocoo 0 C — o c 0 0 o Z f0, L 0 0— 0.2 = '6 CLOC COO CDC 00 z o 0 < 0 z z z z z z z z z z > 0 LU to0 Q M tr, to c c, LO U.� f- 0 y 0 y 73 3 r- E Q7 d> .2 67 CB cii 7j fSS 0 0 tU Vi 0 .2 cm W -0 m 7a w 10 0 cu CL :t - co o o < >- uj 0L < M L) < co < m < co 0 0 — N E cli uj Lll t31 ui u w z z t, 0 U7 9 2-- d N4 10 10 'r 1 '7 00 zi N4 10 'r 1 '7 00 zi j E 10 !LU iN LU ot N4 10 'r 1 '7 00 zi !LU iN LU ot N4 OV c2z`a Colorado Department of Public Health and Environment ASBESTOS CERTIFICATION* .Phis certifies that David L Still Certification No.: 19358 has inet the requirements of -25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the follovvim-, discipline: Building Inspector* �n Issued: March 20, 2017 Expires: April 20, 2018 1, ibis certijicate is wifid oid,r with the passevvion oj'a current Division -approved trednin,,, course ctwiJivation in the discipline specific above, w Eii 1dF.( �. • i � ° "',�ll�4s cis � �� a NN a Eii 1dF.( NN a •/ rj by Y vJ nim L 4s e i J r"w wv �p z i »��3 i..t. V r✓ U d �.f ."7 C,� Lam✓ x iJs t a ��PLAN CHECK LOG Address:44� �r , PC# Z,61 0?40 Description PI 1 �", x%60 d IR4 0 Ao A AoY14*t,1- ► ' City of Wheat Ridge Residential Roofing PERMIT - 201707831 PERMIT NO: 201707831 ISSUED: 09/28/2017 JOB ADDRESS: 4455 Reed ST EXPIRES: 09/28/2018 JOB DESCRIPTION: Residential Re -roof to install modified bitumen - 37 sq (flat only) Pitch = 1/12 *** CONTACTS *** OWNER (720)496-5701 HANSEN SARA E SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,396.00 FEES Total Valuation 0.00 Use Tax 281.32 Permit Fee 267.70 ** TOTAL ** 549.02 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge • Residential Roofing PERMIT - 201707831 PERMIT NO: 201707831 ISSUED: JOB ADDRESS: 4455 Reed ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install modified bitumen 1/12 09/28/2017 09/28/2018 37 sq (flat only) 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 performe that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �- C1 Signature of OWNED 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, 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 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 Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gr f a permit shall n t be cons ued to be a permit for, or an approval of, an violation of any provision of any applicable code or any i anc�e or . n P4is urisdiction. 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 Lovett From: no-reply@ci.wheatridge.co.us Sent: Tuesday, September 26, 2017 4:21 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 4455 Reed St Property Owner Name Sara Hansen Property Owner Phone 720-496-5701 Number (enter WITH dashes, eg 303-123-4567) 201 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Hansen contract.pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 37 the entire scope of work: Project Value (contract 13396 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No,,' Flat roof (less than 2:12 pitch) 202 both? (check all that apply) What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: Type of material for the FLAT roof. If "Other" is selected above, describe here: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 1/12 7 Modified Bitumen Other (specify below) Granulated rolled rubber roofing House and Garage SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 203 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 204 CONTRACT J&K Roofing 131313. 13000 W. 43rd Drive • Golden, CO 80403 I's*2 } Phone: 303-425-7531 • Fax: 303-425-1562 ' www.jkroofing.com Representative Contact O(��Z�` Date �7 2017 Name <-Agy- * IVDD Phone nZD "R(o -S90 l email Address %4 S 42�L SV', City �� 4-Ayc Zip Pinnacol Assurance Cincinnati Specialty Underwriters 303-361-4000 303-653-0023 Workers Compensation Insurance General Liability Insurance Policy #4079290 / Policy #CS00061742 LABOR AND MATERIAL SPECIFICATIONS, TERMS. �xtra work f "—r—rz a d- hn-s"Rc� �c AND CONDITIONS. PLEASE READ CAREFULLY- z. 2 -11'e -cover roof with 14 .. D'Golor of shingles L -Manufacturer's Warranty 1417-1 ear off ) 1 ,&drf- CIE 341'rP l.Z. jQ KI, stall Underlayment P-tT6u-ble all Eaves �jr�s"'f-j�,t'rz� Flash Chimney and/or Sky ights ArS --ice [�i�ew Valleys 6--Sn 1T- C "ZF- P-11-e place Ridge A L- SSL', (�ntilation 1 5?<(�I0, Z// (a�VaK alvanized Fasteners L l t Cls-VA-t4=0S ace A-,-- Plumbing Jacks 14-�aint roof stacks to match C4 I stall Z Z. Metal Edgingl-SiE,4 atio or Flat roof "5b j;;:V,�- Year Warranty on labor Lam& K Roofing to furnish all material and labor ermit: '—' Included NOT Included lean -up debris and haul off all trash from roof oll and with magnetic roller Gutters cleaned of roofing debris P- ecking Repairs $.Lim_ per �S ` ❑ Hidden Layers (tear off) $ per layer (Ca'mer (Policy Number) U"&00 LW v t 8777 p'V (Claim #) (Adjustor) (Mortgage Co.) (Mortgage Loan Number) lslr The property owner is not_ using proceeds from &htF3 property and casualty insurance policy. 06LL')C Ly'- $ I+( � Deductible if applicable $ t1U. (Z , Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date I%D 64, OLntS) TOTAL ESTIMATE $-7'y l z '�� +z"L S, at2� ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J & K Representative -� _ Date I Homeowner Date Homeowner6�� Date �O 7 Expiration Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION Wj5 ReU-5i-_ IN9P"'E'CuTION RECORD 2-M to Q er -s�c-, INSPECTION REQUEST LINE: (303) 234-5933 p v y' 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 Initials Comments 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 Sewer Service Plumbing Do Not Cover Underground or Below/In-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 j 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 completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window — Please email insptimerequest@ci.wheatridge.co.us by 8:00 A.M. the mornincl of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 3 41 CITY OF WHEAT RIDGE Building Inspection Division (303)-234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: / &'M Iq Job Address: c 1 `I S S f� y t p S'7 Permit Number: 330 / 7 6 ® S $ L A a r -A jv t ( . 4 ❑ No one available for ins ection: Time / U AN�JP Re -Inspection required: Yes-• No When corrections have been made, call for re-�pspection at 303-234-5933 f IfDate: % r Inspector:,. DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Electric PERMIT - 201700586 PERMIT NO: 201700586 ISSUED: 04/27/2017 JOB ADDRESS: 4455 Reed ST EXPIRES: 04/27/2018 JOB DESCRIPTION: Service upgrade - 200 amps *** CONTACTS *** OWNER (303)242-7452 HANSEN SARA E SUB (303)797-8900 Christopher J Hinton 021874 Hinton Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,500.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 109.20 ** TOTAL ** 172.20 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e 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 partes to the work to be pejti�rped and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatar'gof vOAER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief ju�ing Official ... �... 1 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 insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. _ City Of beatOg c COMMfilNJTY DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(aD-ci.wheatridge.co.us FOR OFFICE USE ONLY I Date: T P ) lan/Permit # lam % Plan Review Fee: Building Permit Applicati®n *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print):% Phone: Property Owner Email: Sa 1^ A, Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Enginser E-mail: Phone: 033 Contractor: � "� C- icc �: , Cn. Contractors City License 9: f L l &—I Lj Phone: Contractor Sub Contractors: Electrical: W.R. City License # bZ I$"1 Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF Btu's Amps'f'"`�5 Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) orAUTHORIZED REP�AESEN�iATIE of (OWNER) (CONTRACTOR) Electronic Signature (first and last name):(44 ) L -LF -k- DATE: Z 7 r ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION Building Division Valuation: $ it of WhIc-, -at Nkchyc-, 4 Commuml"Y DFvU1,,()T'MEN'T' lorMT-2mm" mm Address- Electrical: W.R. City License # City License # NIPPON Plan1pormit # I Ma2i"JiM -M� Plumbing: Phoolo. ROVER it n MMORMIM a Q �;, 2qlsR FOR OFFICE USE ONLY City of DSS � � Z J� ENT Wh6afl[:�:ZLgle COMMUNITY DEVELOPM, LjBuildings & Inspection Services Division � L � 7500 W. 2e Ave., Wheat Ridge, CO30033 Plan Review Office: 303-235-2855 * Fax: 303-237-8929 , Inspection Line: 303-234-5933 Building Permit Application Please complete all highlighted areas on both sides of this form, In plete a ll tions not l processed. Property Address a PrcLOX Owner ("please print). PFtt Property Owner,Email: Mailing Address (if different than property address) Address; Cite ,State, �i r0ffil�'nL Architect/EngineerE-mail- m c'�-Sy248 1-) Phone.-220 -.� Contractor.- L;2La /&)OFF" >2e_""3j- gGOP Contractors City License M. , Phone: Contractor E-mail ad+drgss. T Sulo Contractorw Electrical: Plumbing: Mechanical; W.R. City License # W.R: City License # W.R. City license #f Other City Licensed Sub. Other City Licensed Sub: P0i City License # City License t# Complete all information on BOTH sides of this farm # # # IPM # 1U • # Iw ! i 1Y # IMM. ;, �..Ni # iAM •# M � P rr # . "vim 51--� i � ice sq. tJLF Btu's Gallons Amps Squares Other Buil P Ap p licati o n ��i I '', I - # 0 j j - E w. WA City Lich UMM !: Y !x Complete Ali information on ROTH sides of this form � MO DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION 234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. ~ APP AT FOR MIISCELLANEOUS P T JOB ADDRESS OWNER ~ ezf pf ADDRESS CONTRACTOR PHONE ` ADDRESS CITY ZIP CODF~~~~~p~- CONTR T PRICE fIATC ~ ~l F PERMIT N0. M94#19423 CODE PH ONE ~ LIIiCIVJC I. TYPE Ground ❑ 2. MATERIAI Woll❑ i - - Proitclinp❑ - Other S a D Faee Total Squme Feef mit No El t P SIGNS 1 ILLUMINATION Yas❑ No❑ 4. SET BACK FROM PROPERTY LINE N ?YDe _ S_ E - W ❑ . . n w Zom._. Apprwed,ZOne IntpOetor roved i (SOacify whicn it front) ❑ ❑ ❑ sapD D I, iYPE Solido Mon Thon 80% OpanO Lost Thon BO % Open FENCES MATERIAL 3 SET BACK FROM PROPER7Y LINE N _ 5_ E _ W ❑ HoiQht Zons_ Approwd,Zom InsDeeta roved Di (SVecity which iifront) ❑ ❑ ❑ aavv I. OTHER 2 3. DRAW SKETCH OR SHOW BELOW,THE FENCE, SIGN, OR OTHERSTRUGIUMt, urvmn uw~..~..ca ~~..m..~. (SETBACKS OR PROJECTIONS INCLUDED) i ~ SPECIFY NORTN STREET N4ME SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPEfiTY LINES; ON IRREGULAR IATS, SHUM LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. ~vomE ivn nnvc FanM 7HF f1ATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. _ , _ _ _ ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAI. PERMIT STATE LICENSE N0. STATE UCENSE N0. FLOOR BSM IST 2N0 iRD 4TH N0. FLELCirtIe0MGw011ROparN ElxSdm ALUM INUMWIREVNDERSIZE81LlEGAL FORCED AIR - BTU ~ WATER CIASET HOT WATER - BTU TEMPORARY METER WASH BOWL NEW SERVICE AMGS BATH TUB STEAM - BTU AIR CONDITIONING-BTU CHANGE SERVICE-AMPS SHOWER LIGHTING SINN OTHER REfRIGERAT10N SVSTEM HEATING GARBAGE DISP POWER SUB-QFCUITS WATER HEATER Retri erant Group DISPOSER,ETC) UTILITY(RANGE AUTO. WASHER Poundi CMr e , AUTOMATIC SPRINKIER SYSTEM FIXTURES DISH WASHER EIEVATOR WIRING MOTOFtS 6 CONTROLS FLOOR DRAIN SIGNS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER RES T MOTORS VER I HP TOTAI. FIX U • i - ~ / - - - - li MIT FEE ca I hsreby acknowledae tha1 this aOG f I h ~ 3~ a tion i[ Correct ond understond i USE TAX tonnot starf this Drojtlci until this oDPli- ith FEE A ~ ~ cotion in oOGroved. I snoll comply w TOT L fh, lows of the Stafe of Colorado ond to the Zoninp Repulations and Buildinp . PROV D Code of tne City ot Wneat Ridpe. Any violaiion ot the abov te me wiu courp D GHIEF BUILDI G INSPECTOR,City of heot Ridqe imme evoca oi fnis p i ~ 6~ d 7 Y ~ ` 0 Date Issue • elieanb 91ana~u,• : t NOT VAIIDJlHlESS REC CALL 2345933 24 HOURS IN ADVANCE FOR INSPECTIONS ~