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Home My WebLink About4250 Xenon StreetINSPECTION RECORD Inspection online form:ttp://www.ci.wheatridge.co.us/inspection' Cancellations must be submitted via tonline form before 8a.m. the day of the ins>n Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ADDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 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 Initials Comments 201 Electrical / Cable/ Conduit 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 Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation_:.. 306 Mid -Roof f / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:' ADDRESS: JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof; 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 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* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. 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: QDF— Job Address: 4Z50T Permit Number: 201 -7 o ❑ No one available for inspection: Time A Re -Inspection required: Yes No When corrections have been made, call f e-inspe4f)�-- cttion at 303-234-5933 Date: `? (� l Inspector: OA44, DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �/ /kw_(� Job Address: 41,960 Xe AO,4j S Permit Number: 017 Ftll s :r ❑ No one available for inspection: Time . rAMlPM Re -Inspection required: Yes {`No When corrections have been made, call for re )ov -inspection )k io�n at 3,0f3-234-5933 Date: [3-17 Inspector: t , (1 i" DO NOT REMOVE THIS NOTICE City of Wheat Ridge J • Residential Roofing PERMIT - 201708418 PERMIT NO: 201708418 ISSUED: 10/18/2017 JOB ADDRESS: 4250 Xenon ST EXPIRES: 10/18/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 43 sq Pitch = 6/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)956-2618 STORMS NICOLE L SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,543.00 FEES Total Valuation 0.00 Use Tax 263.40 Permit Fee 251.85 ** TOTAL ** 515.25 *** 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. It City of Wheat Ridge Residential Roofing PERMIT - 201708418 PERMIT NO: 201708418 ISSUED: 10/18/2017 JOB ADDRESS: 4250 Xenon ST EXPIRES: 10/18/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 43 sq Pitch = 6/12 (3rd party inspector required) 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 erne I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per}and that all wor�o be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of O er`lCONTRACTOR (Circle one) Date r 1. This perm issued based on the information provided in the permit application and accompanying plans and specifications and is sub a compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. ThifkTermit 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 granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any apphcable;code qr any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. a Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Z 0 1 74- l( U From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 18, 2017 9:03 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes T"3 f�4 X16117 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION h Property Address 4250 Xenon St Property Owner Name Nicole Storms Property Owner Phone 303-956-2618 Number (enter WITH dashes, eg 303-123-4567) 9 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 Storms 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 303-425-7531 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 13000 W. 43rd Dr., Golden Co 80403 (Primary address of your business) Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 43 12543 No Pitched roof (2:12 pitch or greater) 10 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof. Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 6/12 43 GAF Timberline HD Asphalt House, garage and Guest House 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 11 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. 12 CONTRACT F0 J&K Roofing t964 2017 BBB, 13000 W. 43rd Drive • Golden, CO 80403 .� Phone: 303-425-7531 • Fax: 303-425-1562 www.jkroofing.com Representative c'r;,,,,�,,� jM c,� r.�.✓ Contact Ci" I o —3"1 , — SP SR Date 20 Name I✓r^'LS Phone City Address Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS TERMS. AND CONDITIONS PLEASE READ CAREFULLY: .0 Recover roof with XColor of shingles X15^ - Manufacturer's Warranty — �Tear off _ A ( Install Underlayment ouble all Eaves -t-C! Re -Flash Chimney and/or Skylights- ew Valleys =« l aJ Replace Ridge Pentilation lvanized Fasteners Replace 411 Plumbing Jacks (Paint roof stacks to match r Install off Met I EdNin Patio or Flat roof Year Warranty on labor �j J & K Roofing to furnish all material and labor Permit: Included NOT Included Clean-up debris and haul off all trash from roof Roll yard with magnetic roller Gutters cleaned of roofing debris Hecking Repairs $ per idden Layers {tear off} $ per layer (Carro (Policy Number) (Claim #) (Adjustor) Extra work email Zip Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance Policy #CSU0061742 da A The property owner is_ is not_ using proceeds from property and casualty insurance Policy- AU olicy. d U Fw4, 9 S lel j;5 wILI— - Deductible if applicable S Per Colorado State Law CRS § 6-22-105 whic (states; 11009/o 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 TOTAL ESTIMATE $ Altz-v-W ALL PROPOSALS ARE SUBJECT TO MAMA MENT APPROVAL J & K Representative�`J� Date Homeowner? ��Date Homeowner (Mortgage Co.) (Mortgage Loan Number) Expiration Date 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. ♦ 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: zo .r Job Address: 1/�9`. Permit Number: 6(x(2 ?7 -7 ( :a /_.� / L VE7 � e ❑ No one available for inspection: Time PM Re- Inspection required: Yes No When corrections have been made, calf for re- inspection at 303 -234 -5933 Date /`z /�D inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT( RIDGE Building Inspection Division (303) 234-5933 lnspeo~ion line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: [.,I,'(9 , r^ Job Address: UP 50 50 ` { lfrm ~W. Permit Number: Oct D g ,J 3 ldt7r/,Y,f,- 04, ❑ No one available for inspections:: Time ,W() AM~ Re-Inspection required: Yes 6 1 *When corrections have been made, call for re-inspection at 03 2345933 Date: j Inspector: 1< 1-12 DO NOT REMOVE THIS NOTICE A City of Wheat Ridge r4000r, Faxed Roof Permit PERMIT - 092873 PERMIT NO: 092873 ISSUED: 09/30/2009 JOB. ADDRESS: 4250 XENON ST -:EXPIRES: 03/29/2010 DESCRIPTION: T/o: Install 40 sqs of GAF/Elk30 yr.' CONTACTS owner 303/95G-2618 Nikki Storms go 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing Incorporate **-PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:: UA BLOCK/LOT#: 0/. FEE SUMMARY ESTIMATED PROJECTVALUATION: 8,400.00 FEES Permit Fee 217.50 T Q E. (r. Total Valuation 00 Use Tax 151.20 **:TOTAL ..368.70 Conditions; 6 nail installation mid roof inspection required. Board sheathing spaced more thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior walls. Subject to field inspection.. 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 conditionsprinted 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. Signature ofcontractor/owner -date 1. This permit was issued in accordance with the, provisions set forth. in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any, other applicable ordinances of the city. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonments has not exceeded one (1) year. If changes. have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for anew permit( 4. No work of any manner shall be done. that will change the natural flow of water causing adrainage problem. o. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card. before proceeding with successive phases of the job.`. The'. issuance of a permit or the approval of drawings andl specifications shall not be construed to be a permit for, nor an approval of any viol tion of the provisions of the building codes or any 'other ordinance, Iaw,.>. rule or regulation. All plan review is to field inspections. Signature of Chie Hui ng :Official date INSPECTION QUEST LINE: (303)234-5933 BUILDING OFFICE:. (303)235-2855 REQUESTS MUST BE MADE BY 3PMf ANY BUSINESS DAY FOR 'INSPECTION THE FOLLOWING BUSINESS DAY. City of `p Wheat i ;1 nar®: COMMUNITICDfmopMENT Permit #11 Building Division 7500 W. 29th Ave., Wheat Ridge, CO 800,33 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Addiness: Property Owner (plea Mailing Address: (if different than property address) Address: City. State. Tto: I A IV) Pl, -k 401JIV,. ( If ) W Y )=yam Confirm r Contractor Plan Review (due arkne ofsubmrMaf}: 3 OWNERICONTRACTOR 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, roles or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measunimmrits shown, and allegations made are accurate; that I have read and agree to abide by all conditlons printed on arts application and that I assume full responsibility for complanee with the Wheat Ri a Building Cade (1.9.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plana Subject to field InspZ on. CJRLCf ONE:r (.~V~! R (C or PERSONAL. REPRESENTATIVE of (OWNER) (CONTRdITOR) C~ EM NAME: (1~I11~/ul SIGNATURE: Date: Credit Card t:(~U listed on file. e: Print name: 2Mer Signature I; City of Wheat Ridge ►J Residential Roofing PERMIT - 092140 F; ' PERMIT NO: 092140 <ISSUED: .09/09/2009 JOB, ADDRESS: 4250. XENON. ST EXPIRES: C03/08/2010 DESCRIPTION.: T/o: Install 30 sqs: of OC - 25yr 3-tab CONTACTS owner Nikki Storms gc 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing.. Incorporate 4 PARCEL INFO ZONE CODE: UA USE: UA . SUBDIVISION: UA BLOCK/LOT#: 0/ **-FEE SUMMARY ESTIMATED PROJECT VALUATION: -5'310.00 s' FEES Permit Fee 162.90 Total Valuation .00 f EEE y Use Tax r, 95.58 **:.TOTAL 258.48 f Conditions: 6 nail installation mid-roof inspection required. Board sheathing spaced more. thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2'-.. inside.. exterior walls... Subject to field inspection. 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 lsubject to field inspection. - ~1 -D Siyf.ature of contractor/own date gr<,, 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the. laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City..... 2. This permit: shall expire 180 days from the issue date. Requests for an extension must be received. prior to expiration date. An extension may be granted at the. discretion of the. Building Official. g,~ 3. If this permit expires, .=a new permit may be 'acquired for a fee of one-half the amount normally required, provided no - changes have been or. will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year,. full fees shall be.. paid for a. new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage: problem. y_ 5. Contractor shall notify the Building inspector twenty-four (24) hours is advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. Fe, 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of ,fan iolation of the provisions of the building codes or any other ordinance, law,. rule or regulation. A11 plan re~`x luE i~ Ysubject to field inspections. 4li~P,,~ f Signature of Chief Building official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 ,.REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. x5' 22' F City of " Wheat idge Date: COMMUNITY DEVELOPMENT Permit Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: ig,~50 YAK Yl o~nt j - a. Property Owner (please print): Ml l ki `~T1,; r m ~ Phone: Mailing Add ess: (if different than propertyc~ress) ^ Address: L~ I Plr1(l~ {h{ City, State, Zip: Contractor: I irliE esl- - t C 11 t,n of Contractor License N QCV~ 19 Phone: Use of space (description): Description of works TC a e~Ola C • n~~~ ~ Plan Review (due at time of submittaq: $ Sq. Ft./L.Ft added: G 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 REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date ReVlewer Pl1eLIC WARK§~0141MENTS: BOIL"D1NG'AER°AR'[AAENiCOINMENTS - Reviewer ❑ noneviewre4uired 'Bldg Valuation: Credit Card Payment: Use credit card listed on file. Print name: Signature: _ Date: T 0 9 ; q N v z ~ ~ m 0 m ~ ~ n ~ d ~ m a ~ m ~ C ~ :3 0 A C 0 ~ m ~ M J O ~ 3 ~p fA Q 3 ~ m ~ W R m - ~a 3 ~ O CL 0 o d~ O S R (D m° (D~ .n. O 7 Ip < O Of ~ 0 ' N .1 \ ; S ` ~ rc < O (D r O p N 3 C a~ n m m ~ w a S 0- ~ ~ ♦ ♦ O ~ p N F' n ~N \ Y ~ to -Ca ~ A S e y c ~ y G1 2 , 3 Z , , a ~ O ry. ~ ~ 0 N y' I ~ A ~ ,Y N N ~ o a 4 Oo ~v =w m ;n aN ~CD N M vi v m C ~ v ~ Y/ m a ~ 3 ~ ~ ~ W ~ cc nQ. ~ ~ Z O J ~M W W ~ G U.)~ Na M = N ~ eo+~ IL p V V ~ L 0 r_ O V i L 0 V C R d R O J a 0 n 'O > C O (a 0) d N N ~ •d r y N ( L A~ d U ~o U r C y O N A y O > d rn ~ c 0.0 C - R d 9Yd y 9 E r r ~ N ~ w C1 Z ~ C -=d tl! C O Y A 0 .C O O V rnd O y W c d « ° d ~ od U~ O E C d d wa o > cc t T d C do r ~ d~ i ` ~ O C1 > d L 3 .d+ ~ N F- W 0 W ~ Z G $3 ¢ 3 ¢ O " 't pp P'LANNING AND DEVELQPMENT Buiiding Permit Number : 6011 MSPEC71K}N DNtSION - 235-2$56 Gt'TY OF WHEAT RIDGE' pate : 10l9/97 7500 WEST 19TH AVENIJE WFIIEAc7 itf[lGE, CO 80215 Property Owner : propetty Address : 4250 XENON ST Contiacibr Lcertse No. : Compahy : pyyN4R/GQKf,'RAIGTi?R PIGNATURE'OF UNDERSTRNDING AND AGREEMENT r*&forirw: nnmesed tiv this oatmk aoDliC9tla1 efB aCCUt8t9, . :co+nm~is, eiq~ifrl6~~oi reetrk~ rOWWRrrcoN'TRactoFel sTGi BUILDING DEPART Roof Plumbing License No : Company : Expiration Date : Approval : 0 edfor don a new f Mechanical l:icenae No : Company : ExpirafJort Date : Approval : 0 - ssat rormu,ropw aWzMlon maIs e~~amme~wsame~aacawwoeno maa4aw~a . bbm«ms~r oftw w~mi~n e6~ay ~o`laaeys~rran~hwa~"date a(9) nie wfldiew K00ibld 18 aNpa!Xad.« a fee M rnN18111heemount nomnaM/ rs9Wmd. PmvkW ^4 40" htve beal awip 68 meCa M ft . PMnEOrwnanthqtiUtlxceadatlaie(1)Ymr. tldwrpesOtemaMp'NSUepeneWnorObentlar~ment n~ireWN 1bw d water fswin0 a dwMeOe Prodan!. . '(24) Mowa M aOVarKe for di intpacUaie aM ehdl recaive rrtNqn aypmvel oninaDectlon Cutl befon . epBdflCH~b116 81191{ IIW EB WMhuBd W b9 8 P~K IIM B119PP~W a, anY VbIBHp1 01$i0 p~ flu a For Mayor 31(3NED BY TWE CHIEF BUILDINCs INSPECTtiR AND IYFAYOR 933 24 HOUR3 PRIOR TO INSPECT'ION USE ONL' Phone`. 422-4738 Phone : :instivction Value i $4,4011:00 Permit Fee : $88.00 Plan ReviewPee : $0.00 use Tax : $80.00 Total: $188.00 SIC : Sq. Ft. : 720 Stories : ResideMial Units : DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date : I~PropertyOwner: (Sl_Ra4-D A, .S7-0RN1-5 ~PropertyAddress: Contractor License No. : Company : a4' X 30' Ga.z,aGc OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by ihis pertnit aDPlication are acwrate, and do nof violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restnctions ot rewrd; lhat all measurements shown, and allegations made are accurate; lhal I have read and agree to abide by all wnditions prinled on this appiication, and that I assume (ull responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicahle Wheat Ridge ordinances, for work under this permit. (OWNEF)(CONTRACTOR) SIGN ~c Description J'' Zori~aTtff»~~RS-'.I tot 1*;F 14-~- Approval : 4di-a-- Zoning : A Bulfd nf 'C_oe_~A Approval : Approval : __'Phone : 4e22 - 1717 3 Y Phone: Construction Value : Permit Fee : Plan Review Fee : Use Tax : ~00 rh~ Total : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : J2o t Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : g gfigW~Rs 'ESRSqmcsn~ 0 e~a~RSqm~a~ (1) TTia pertnit was Issued fn accortlance vritO l0a qvNSioas sel lorth in yoWr applinUOn antl Is suq ect to the laws of Ne SUte ot Cob2do anE la the Zonin9 Re9ulat.ons and Buiidmg CoEe ol Wheat Ridge, ColonOo or any otner aDOlk~ble oNinarrces of the Ciry. lOing auUrorized is suspenCed m itiis pemut snall expim if (A) the work autnoozetl is nol commenceE wlNin sizly (60) Eays Gom issue date w(B) the Eui aCanaoned Iw a perioE ol 170 Oays. (7) If Inis pertnil expircs, a new pemul may be acpuired lor a fee o( one-nalf the amount normalty required, pmvided no U+anges have Deen or will be maEe m e di9inal pians antl specificaiions anC any suspension or abanEOnmenl Aas nol exceeEeE ane (1) year. II Uanges are made or if suspensbn or a0andonment exceeds me (t) year, lull lees snall be peiC lor a new permil. (n) No work of any manner shall De Cone Nat will Uange the naWral llow of water ousing a drainage pmblem. (5) Comra r shall notiry tne BuiIEm9lnspector twenry-lour (24) houn in aCvance for all mspecibns and shan receive written approval on inspection wrd belore p ng witn su(sessive pnases ol t~e o0. (6) TTe~iss ance o(((222 pcrtnll ar the approval o~Eawings and specifiwlians s0all not 6e consWed lo be a pertnit br, nor an aDProval W, any violatian ol Ne provisions of Ma udE es or an olner ordlnance, law, rule or regulation. f ~ ie( Building Inspector ~ For Mayor THIS PERMIT VALID O ALL W 345933 24 HOURS PRIOIR TO IN PIE T~ION ECTOR AND MAYOR WESTMONT MORTGAGE SERVICES, INC. 1777 SOUTH HARRISON STREET $810 DENVER, CO 80210 LN 672916 (Space Above This Line Por Recording Data) DEED OF TRUST THIS DEED OF TRUST ("Security Inswment") is made on GERALD A. STORMS ("Borrower"), the Public Trustee of JEFFERSON WESTMONT MORTGAGE SERVICES, INC. which is organized and exisung under the laws of coLORADo 3ddrCSSIS 1777 SOUTH HARRISON STREET ,k810, DENVER, AUGUST 13 1997 , among the grantor, County ("Trustee"), and the beneGciary, and whose CO 80210 ("Lender"). Borrower owes Lender the principal sum o[ EIGHTY FOUR THOUSAND EIGHT HUNDRED AND 00/100 DOIlarS (U.S. $84,800.00 This debt is evidenced by Borrower's note dated the same date as this Security Inswment ("Note"), which provides for monlhly payments, with the full debt, iF not paid earlier, due and payable on SEPTEMBER 1 2012 . This Security Instrument secures to Lender. (a) the repayment of the dcbt evidencecl by the Note, with interest, and all renewals, extensions and modificauons of the Nole; (b) the paymcnt of all otlier sums, with interes[, advanccA undcr paragraph 7 to protcct the security of this Security InsWment; and (c) the perCormance of Borrower's covenanLS and agreements under Ihis Security Inswmen[ and the Note. For this purpose, Borrower, in considerauon of the debt and the trust herein created, irrevocably granls and conveys lo Trus[ee, in Ws[, wiUi power of sale, the following described property loca[ed in JEFFERSON County, Colorado: SEE ATTACHED EXHIBIT A which has the address of 4250 XENON STREET, WHEATRIDGE (Strect, City], Cobrado 80033 ("Propcrty Address"); [Zip Code] ' COLORADO•Single Family -FNMA/FHLMC UNIFORM INSTRUMENT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII (a)-6R(CO)(920e) Form3006 1/91 B Amended 9/92 VMP MOflTC.AGE FORMS - (973)293-8100 - (000)521-7291 Page 1 018 Inlllale: 'c _ I 7` . , . . . . ~ i }7, k i ~ . . . ' ~ i i • i 7 . . . , . . ~ , y f ~ i ~ ~•f. ~ ' ' ~ . . v ~l.)', ' , • r , J . . . ~ ~ . . . . + 4 . I I . . ~ I ~ ' . . ' . . , . . ~ • ' . . . . . . . . . RUG-12-1997 17:31 RBNEY SURVFY COMFRtiY LEGAL Dr.SCRIP"1'ION: GuFA/' / 303 333 0482 F.92102 1, 11, C n PnRC6L A: 7}{E WEST 157 FEET Oi T7iE POLLOWIVG UESCRLI3GD TILACT: ~ NF.GNNIN6 AT A POm7FON TlfE NORIII NrD SOUfH CLN'ieR LINE OF S6CllON 20, l'OWh'SH7p 3 SOGI71, r,nNGI[ 6 9 WFST, O f TI IL GTH P.M., \NIfNCL.APONTFSTAfaI.ISI11iI) . - 13\' COUNIY SL12v[Y AS TIIE MTF.RSFCIION OF SAIU CP.?v IT!'. " I I / %9/ZC~•- ~ I tF..R LIKF.OF WEST 4ATF1 I,INF.OP SCCl101420 AND TIIC CGN AvF,PIUF, 17f.Afi5 NORTI! 00' 70' \'✓EST 86J-75 F[f-:f: 71IENCF SOU771 89'25 ' wES I 514.57 FFF.T: T{IENCESOU771 00° 32 EAST RA FEFT: iNF.NCE NOA711 89° 25 EAST 514.28FCET 101111c, Sn1U NOATII AND SOU rI [ CENT(?R I,MF OF SEC"CION 70; I n IENCE NORTH 00° 20 WT-ST x4 f-8FC TO TI IG POIM OF I ~ 131'.GIItNWQ / COUNlv OI' 1[I'I F_RSON. ;j STnTFOPCOLORnDO. ~r rnRCe].n ~~1' 77{4T PnRT pF -I'llG VC I!d SR' I14 OF SfC. 20. f 3 S, R(7ll', UF.SCRBGDnSFOLLOWS. T7II'FnS1-I30Ff:E101flfcW9F5T 2F7 F[H70fPOLLOWM(iDGSCrtIBfD7RnCf- 111CIM1MGA'I n PoW F UN NORTI I AND SOUn1 CENiCR L R:F OI SND SEC. 20 \vIIENCG A POIM ES fAf1LICIILD OY (AUN'CY SIIRVf Y AS I v.> I l lk. MTf RSCCTIOTI pF $nID C[N742 LING Of S[ C 20 AKU ~ CI-NIFRLMCOIWESTM1ATIIAVC.BLARtiNOItfH00 20'1Vr$T 961 75 FHF, f TIIFNCL SOU71{ R9` 25' wCST 514.57 fl I: i; YllCTIC[ ~ I $pllill 00° JT EnS7 84 fEET:'ll1ENC1: NORTII 89 25 [nSl5142d : fGET TO SAin NORTFI nND SOUTII CF.KTfR LtN6 OF SEC. 20: ll lr_p1CG NORTI{ 00°20' \1'CSt 64 FEG f 7'0 PONT OF BFGINNITI,. PGI.J 1(76G7FtE2 WI7I1 AN EASEM[Sh"f FOR INGRESS nKD FGP.f;55 FRO.'-0 . ~ DESCRIFlI:U fROPERiY TO PUBI,IC 20All, AS N3f_ORDf D M[i00K 1 34 r- 574, PnGE 304, ILFfGRSON COUKIV R[CORDS. GXCC:1`r nri a+~~'3O ! CO [ASFNfFNT F02 INGRF,SS ANU F.OR!?SS OVER 7l{g SOUTIII?RLY I$ FEGT OF AqOVF UESC`.LIPEU PROPfRlY. AS Rf-.CprzDPU IN P11UY. 674. PAGf 705, OF JEFFk7tSON COIRM' RF.,CORDS. COUNTY OF )rt°iBRSON, STATE OF COIARADO. ~ _ . _ I S~ ~~T ~7 N Lnna c~ ti `1 ` ~l Notcs: Lot dimensions Irom plat oii vzr file at JefTerson Couuty Clerk and A Recordcr. No comer evidence fuund ~ acccptcd lines of occupaliou. ca~x.c~o V CerfiGcate does not represent tiUc i 3 Searoh, easemenis may exist that ' are not shoxvn. ! _ _ ~ To X ENON 17 /,~,v= ^ i 1 6ereby certify Ihet lhis Impro~•ement Lucalion Cerlificnlc ~~~a5 prepared for vSii"-'1ON.T ~jC~~V/Ct~ ~ Ihal it is not a I.nnd Sorvey I'Inl nr Lnprovcmenl Survey CI91, ind Ihnl it is not to be relicd upon for tlie eslablishmenl nf fence, Al1llding, af Olhrr fillin'e imnPOVCplcnl Ii1iPS. Ifti, -Ihel' CCrlify IhAI IIIC inlpl'OV[mEi1lS 011 t It c AbOVe drscribeJ pnrcel on I he dntc exropl ulilily comiecliona, are enI ircly within the boundarics of (he parcel, execnt as shown, Ihnt lbere is no encrnaehments upon Ihr aLnoc Aescribed prrmixes by improvemeMS on any adjniuing premisec, cxccpt n5 htdlcnled, nnd lhal lhere io no nppurent eridence or siqn of any cascment crossing or burdening a„y perl of saiA pnrrci, esccpi ns noled. Nntice: AccorAing lo Colol'ndo Inw you mu5l commen<c uny Icgnl nctian based upan nny defrc( in tLis Suney williin tlirec yenr~ efter )'ou frsl Aismvcred 5udh de(ect In no event mny any ndinn Wsed upntl any dclecl in Ihis Survey be commrnceA more Ihnt ten Yrnn frnm Ihc datc M Oic certificetion shown Ilicrcon. PROPERTY NOT IN FLOUD PLAIN PCR: ~7iP~rI /~ANEG Ibl0 ~ 0,!3S0 7-9._ oc~z,c zvtiF _n, AB NEY SUIZT1TY COAIPANY I841VingarA Slrccl Denvcr, CO 80270 303-333-7148 I2 9% T:I!I 5: ; i Ph1 nDUriR.SS: 13Y: nA"lF,: C, \'(/jr J/V ..~-iT g, -/L ~ / 7 `\\,O~~~pOIREGIs ~ bo":'_O K. VIA,y~i.~C'9b `s II'vII'ROVJ?MX±:N1' LocnTION C'ER"TIFii A.TE e^_11 iUML F.02 n 0 0 ~ m=r C- Q ~ ~ r m (D ~ 0 C) ~ c p m co, ~ CD aN ~ C m Q a ~ y v .l o ~ o y ~ n Q Z s^ ~ o ~ f• ~ C' ~ ~ ~ C' 1C f~D AI/ M N ~.A S C 67 ~ ~ CA) . m 3 C' ~ O~ ~l ~ Z1 O ; I ~ 3 C N ■ * ~ O , 0. n . 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