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Home My WebLink About3380 Wright StreetCity of Wheat Ridge f Residential Roofing PERMIT - 201801477 PERMIT NO: 201801477 ISSUED: 05/22/2018 JOB ADDRESS: 3380 Wright ST EXPIRES: 05/22/2019 JOB DESCRIPTION: Reroof remove and install Owens Corning Tru -Def Duration STORM Asphalt Shingles with 29.07 squares. Pitch 6/12, 3rd Party Inspector required for inspections due to Pitch.** **This reroof permit is due to incorrect shingles installed on roof when permit 201703276 was issued, no cost to homeowner.** *** CONTACTS *** OWNER (720)436-4493 MAES EDWARD JAMES SUB (303)752-1317 Troy Bergman 160020 First General Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,723.48 FEES Total Valuation 0.00 Use Tax 162.19 Permit Fee 172.60 ** TOTAL ** 334.79 *** 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. 8806, 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. lv► i s City of Wheat Ridge Residential Roofing PERMIT - 201801477 PERMIT NO: 201801477 ISSUED: 05/22/2018 JOB ADDRESS: 3380 Wright ST EXPIRES: 05/22/2019 JOB DESCRIPTION: Reroof remove and install Owens Corning Tru -Def Duration STORM Asphalt Shingles with 29.07 squares. Pitch 6/12, 3rd Party Inspector required for inspections due to Pitch." "This reroof permit is due to incorrect shingles installed on roof when permit 201703276 was issued, no cost to homeowner." I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed amc that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5 � The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantin of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appli code or any of or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of ChidtBuilding Official Date REQUESTS NUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. La enia Reimer j i L/ From: no-reply@ci.wheatridge.co.us Sent: Tuesday, May 22, 2018 10:25 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3380 Wright St, Wheat Ridge, CO 80033 Property Owner Name Edward and Diana Maes Property Owner Phone 720-436-4493 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. ejmae123@yahoo.com Yes Attach Copy of Executed 5.18.28 Roof Contract A Maes.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) First General Services 160020 303-752-1317 Contractor Address 7079 S Jordan Rd, Ste 6, Centennial, CO 80112 (Primary address of your business) Contractor Email Address lucinda@fgsofdenver.com Retype Contractor Email 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 lucinda@fgsofdenver.com 29.07 7723.48 No Pitched roof (2:12 pitch or greater) z 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: 6:12 29.07 Owens Corning Tru -Def Duration STORM Asphalt Provide any additional This is a home, re -roof, incorrect shingles placed on roof in detail here on the 2017. description of work. (Is this for a house or '+ t1 -LJ 41 2(; garage? Etc) 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 3 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 Lucinda Young Email not displaying correctly? View it in your browser. Property Address Permit Number Permit Issued Date The City of Wheat Ridge Third Party Form Check List 3 0 ('O'2A -I- s t Owner Information Property Owner Information Property Owner Address Inspector Information Inspection Company Inspector Name —� Inspector Contact info. — 760 l oG 7 Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations and snecificntinn_Q Date: Z� / / Property Owner Statement of Acknowledgement *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party insp n company to perform my roof inspection in lieu of the City of Wheat a Build�g' i sion an, Propery Owner/Agent: Date:'—! This original document a permit c rd, as well as the roofing check list, must be submitted tc the Chief Building Officia within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side IdEG*EI\1ED JUN 0 7 1018 Per The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A Jd_ Pass ❑ Fail Structural roof components D N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist D N/A l ass ❑ Pass ❑ Fail Flashing for roof and walls Q Fail If new sheathing is installed verify that it is listed in the ff-H/A permit description (Valuation must be adjusted) Q Pas ❑ Fail Verify sheathing nail pattem (Seo policy ,& Procedures) EN/A �] ❑ Pass D Fail Crickets and saddles where needed N/A Pas D Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps Q N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ NJA 'WN/A Pass ❑ Pass ❑ Fail ❑ Fail Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage ❑ N/A ❑ N/A i Pass Pas ❑ Fail D Ice and water shield 2' in heated wall spaces Fail Underlayments must follow 2012 IRC / 2012 IBC D N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A ❑ {V/A }Pass 2 Pass ❑ Fail Q Dripedge should extend down min 2" past roof eck Fail Dripedge shall be mechanicaly fastened 12" OC P9 -N/A ❑ Pass D Fail 90 LB roil roofing shall not be applied to roof slopes less than 2:12 slope. Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A N/A ❑ Pass ❑ Pass D Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope Q Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass Q Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed 4n 510p,� leSS N/A ❑ Pas ❑ Fail 3:12 Metal valley flashing shall be the N/A ❑ Pass ❑ Fail same material as roof Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes PLA L Company Name:- L, L L Inspector signature: Date of Inspection: jZ-)_ The City of Wheat Ridge Inspection Check List notes Final Roof _Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A '1�,(� Pass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the N/A ❑ Pass ❑ Fail permit description (Valuation must be adjusted) Verify sheathing nail pattern (See Policy & Procedures) ZLN/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A [ Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A [g -N/A Pass ❑ ❑ Fail Step flashing shall be min. of 4x4 piece per shingle Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A 0 Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A �p Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A ,Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A ❑ N/A P+ Pass lZ Pass ❑ Fail ❑ Dripedge should extend down min 2" past roof deck Fail Dripedge shall be mechanicaly fastened 12" OC [ ( N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TRO min slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underiayment The City of Wheat Ridge Inspection Check List notes Final Roof Notes N Cit z ) 1 � G � ° iZ—f `_ �� L Company Name: ( cam- r— z a L. L„ �- Inspector signature: Date of Inspection: 5 —1 i5Yt1TcLriYor Pefatred PERMIT: -L I R iq t7-)W(lqk15.4ADDRESS: 3 JOB I ZV- ) 9 15; , CO E:p� Rough Inspection (continued) Date Insp ctor Initials Comments 7�. 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 401 Gasline 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. PERMIT, 0 / ADDRESS: rc 0-5 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. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection 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: 2- 13y`i 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 307 Metal / 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 gh Plumbing Commercial F wer Pan SEE OVER FOR ADDITIONAL INSPECTIONS ly- re V -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: �?/ ka-9k Job Address: �.� 8 ►� Sa- Permit Number: 1 Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: /,� t /, /7 Inspector: ),Al DO NOT REMOVE THIS NOTICE �.� ! i • : CITY OF WHEAT RIDGE, Building Inspection -Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: X10 FLEff � S Job Address: - 25 Permit Number: 70-709 �S% ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: I oils Inspector: DO NOT REMOVE THIS NOTICE Chi; 5 33 - 69%- ggl c) i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30 9 '� e- A Job Address: 3380 �✓ ! a t 5 Permit Number: O 3 e for ins Re -Inspection required: M ime AM/PM When correcti n have been made, call for re -inspection at 303-234-5933 Date: 1 Inspector: M77/ff ADO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703276 PERMIT NO: 201703276 ISSUED: 07/05/2017 JOB ADDRESS: 3380 Wright ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Tru -Def Duration Storm asphalt shingles - 29 sq. *** CONTACTS *** OWNER (720)425-9480 MAES DIANA SUB (303)752-1317 Troy Bergman 160020 First General Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,723.48 FEES Total Valuation 0.00 Use Tax 162.19 Permit Fee 172.60 ** TOTAL ** 334.79 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 11 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 alA�ai opal codes,policies and procedures, and that I am the leeal owner or have been authorized by the legal owner of the prope autho ' ed to obtain this ermit and perform the work describedand approved in conjunction with this permit. I fuly aut orized to include all entities named within t is document as parties to the work to be perfbr ned n tha o to e perform ►s disclosed in this document and/or /ss jacco panying approved plans and specifications. /v Signatu�o6�,)Z,/6r_,C06NTi-ACTOR (Circle one) Datas i ued based on the information provided in the permit application and accompanying plans and specifications and is su ject 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 originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The 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 applicabl�od,c or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat Ridge Residential Roofing PERMIT - 201703276 PERMIT NO: 201703276 ISSUED: 07/05/2017 JOB ADDRESS: 3380 Wright ST EXPIRES: 07/05/20118 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Tru -Def Duration Storm aspha_r shingles - 29 sq. 11 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 alA�ai opal codes,policies and procedures, and that I am the leeal owner or have been authorized by the legal owner of the prope autho ' ed to obtain this ermit and perform the work describedand approved in conjunction with this permit. I fuly aut orized to include all entities named within t is document as parties to the work to be perfbr ned n tha o to e perform ►s disclosed in this document and/or /ss jacco panying approved plans and specifications. /v Signatu�o6�,)Z,/6r_,C06NTi-ACTOR (Circle one) Datas i ued based on the information provided in the permit application and accompanying plans and specifications and is su ject 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 originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The 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 applicabl�od,c or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook Zol 703276 From: no-reply@ci.wheatridge.co.us —� Sent: Thursday, June 22, 2017 11:34 AM 1 To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application 1 This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3380 Wright St, Wheat Ridge 80033 Diana Maes 720-425-9480 bleugirls@yahoo.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name First General Services Contractor's License 160020 Number (for the City of Wheat Ridge) Contractor Phone 303-752-1317 Number Contractor Email Address stefanie@fgsofdenver.com Retype Contractor Email stefanie@fgsofdenver.com Address DESCRIPTION OF WORK Are you re -decking the No / roof? Description of Roofing Owens Corning Tru -Def Duration Storm Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 29 material selected above? Does any portion of the No / property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 29 roofing material for this project PkI Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) Re -Roof house. Pitch is 6/12 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Stefanie Hayes Email not displaying correctly? View it in your browser. 3 First General Services 7079S. Jordan Rd Ste 6 '- Centennial, CO 80112 11 10 Ph: 303-752-1317 Toll Free: 1-877-434-3505 Fax: 303-496-1212 Em.-il: stefanie@fgsofdenver.com �aL � Diana and Jim This agreement dated �� between: Maes ` here in after refered to as "Owners(5) and First General Services of Denver, herin after refered to as "Contractor" For the roofing project located at: 3380 Wright St, Wheat Ridge, CO, 80033 Insurance Company: USAA Claim # 039341165-002 Insurance Adjuster Name: Phone # (720) 425-9480 Owner is X / is not intending to make payment from insurance proceeds of a property and casualty insurance policy. Article 1. - Scope of Work The Contractor agrees to repair/replace the roof at the above mentioned address according to the approved estimate dated: June 7, 2017 Owner(s) and Contractor acknowledge the attached estimate as part of this Contract. 652? , �,_ � 2 l Manufacturer of Shingles Color Series Approx Start/Completion Dates: (Owner(s) initials: ) Special Instructions: Contract total includes full scope of work notated in the approved insurance estimate referred to above in Article 1. 7079 S. Jordan Rd Ste 6 Centennial, CO 8011 P: 303-752-1317 F: 303-496-1212 (Arch Specialty Insur Co - GL # 72094-02) (Pinnacol Assurance WC # 4142956) Six & Geving 719-590-9990 PAGE 1 of 3 First General Services 7079 S. Jordan Rd Ste 6 Centennial, CO 80112 Ph: 303-752-1317 Toll Free: 1-877-434-3505 Fax: 303-496-1212 Email: stefanie@fgsofdenver.coin Article 2. Contract Price 2.1 The contract price of $ 20,195.30 matches the approved Estimate. (Owner initials Less Deposit $ - received n/a . Deductible $ $ 1,000.00 Balance due within 10 days after completion $ $ 20,195.30 Contractor will hold in trust any payment from the Owner(s) until we have delivered materials to the jobsite or have performed a majority of the roofing work on the property. 2.2 The owner(s) and contractors acknowledge that the Owner(s) is responsible for his/her deductible and any cost associated with changes made to the Scope over and above the approved Estimate. Owner(s) is responsible for any and all approved cost and fees not paid by the provider. First General Services of Denver cannot pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property. At no additional cost to the Owner(s), First General Services of Denver also reserves the right to file supplemental insurance claims due to material and labor price increases due to storm environment. 2.3 Any and all changes to this Contract will be addressed in a Change Order to be signed by both the Owner(s) and Contractor. All parties acknowledge the Change Order as part of this Contract Miscellaneous: 1. Each party hereby agrees that he/she has read this agreement carefully and fully understands that the terms of the same. 2. Each party agrees that the other has given sufficient consideration to the other for the benefits and restraints provided for in this contract. 3. Neither party may assign its rights or delegate its duties under the Agreement, unless such party shall first obtain written consent of the nonassigning party (which consent may be withheld in the nonassigning party's sole and absolute discretion). 4. This Agreement shall be binding upon and inure to the benefit of the parties to this agreement and their respective successors and assigns. 5. The article and section headings are inserted only for convenient reference and do not define, limit or prescribe the, scope of this Agreement or any exhibit attached hereto. The Recitals of this Agreement are included as an aid to interpretation of this Agreement, but do not themselves create, limit or define any rights or obligations of the parties hereto. 6. Should it become necessary for First General Services of Denver to employ an attorney to enforce any of the conditions or covenants hereof, including the collection of any unpaid amounts due to First General Services of Denver or upon material breach by Owner(s), Owner(s) agrees to pay all expenses so incurred, including any and all costs and reasonable attorneys' fees if judgment is found in favor of First General Services of Denver. 7. This Agreement shall be governed by and interpreted in accordance with the laws of the State of Colorado. The parties hereto consent to venue and jurisdiction in the District Court in and for Douglas County, Colorado, or in the United States District Court for the District of Colorado in any action commenced relating to this Agreement or the transactions contemplated hereby. 7079 S. Jordan Rd Ste 6 Centennial, CO 8011 P: 303-752-1317 F: 303-496-1212 (Arch Specialty Insur Co - GL # 72094-02) (Pinnacol Assurance WC # 4142956) Six & ';eving 719-590-9990 PAGE 2 of 3 First General services 7079 S. Jordan Rd Ste 6 Centennial, CO 80112 Ph: 303-752-1317 Toll Free: 1-877-434-3505 Fax: 303-496-1212 Email: stefanie@fgsofdenver.coin TERMS AND CONDITIONS All material guaranteed to be specified and above work to be performed in accordance wish specifications submitted for above work and completed in a substantial workmanlike manner. Warranties may be transferrable upon request at the discretion of First General Services of Denver. Labor warranties are void if roof has been tampered with by anyone other than First General Services of Denver. All warranties void if payment is not made when due. This agreement is contingent upon strikes, accidents, weather or delays that are beyond First General Services of Denver control. Owner(s) to carry fir_, tornado and other necessary insurance upon above work. Workers compensation and general liability insurance shall be carried by First General Services of Denver. The contract is the entire agreement between the Owner(s) and Contractor and can only be modified with a separate written agreement signed by both parties. Owner(s) has the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering into this contract. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work you may rescind this contract within 72 hours after you receive written notice from the property and casualty carrier/insurer that your claim has been denied in whole or part. However, First General Services of Denver is entitled to retain payments for deposits to compensate First General Services of Denver for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Owner(s) may cancel this contract by providing the Contractor a signed, written notice at any time prior to 72 hours after the time of this transaction by delivering in person or US Postal Service mail to PO Box 470727, Aurora, CO, 80047. After 72 hours, there will be a 15% cancellation fee. First General Services of Denver is not responsible for any existing cracked or broken driveways. Verbal understanding and agreements with representative shall not be binding. All understanding and agreements must be set forth in writing on this contract. Owner(s) agrees to remove breakables from outside wall of home during installation of work. First General Services of Denver is not liable for interior damage due to normal construction vibration and extreme weight load changes and is not responsible for any damages below the roof due to leaks by wind, ice, hail or poor building structure during the period of the warranty. Owner(s) is responsible for complying with their homeowners association and architectural control requirements. Contractor will not be responsible for unapproved materials installed. Skylights are not warranted unless First General Services of Denver replaces them.All materials are the property of First General Services of Denver. For purpose of this agreement, in the event that the work to be provided hereunder requires a final and approval by a local building authority,the work to be performed hereunder by the Contractor shall be considered completed when local building authority that the work has passed final inspection. The Contractor shall correct any deficiencies following such inspection that is required by the local building authority in order for the work to pass final inspection. The Contractor is not responsible for any delay in final inspection by any local building authority after the Contractor notifies the applicable local building authority the work is finished and ready for final inspection. i Owner(s) Signature Date Owner(s) Printed Name Authorized Representative for Contractor Date 7079 S. Jordan Rd Ste 6 Centennial, CO 8011 P: 303-752-1317 F: 303-496-1212 (Arch Specialty Insur Co - GL # 72094-02) (Pinnacol Assurance WC # 4142956; Six & Geving 719-590-9990 PAGE 3 of 3 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: Job Address: Permit Number: 9 ❑ No one available for inspection: Time �� (`� AM/PM Re -Inspection required: Yes (No) When corrections have been made, call for re -inspection at 303 -234 - Date: !, f Inspector:'-' t 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: M 19 Job Address: 3'J 000 1�1 V_ I fa W 15'r Permit Number: -10 3 -1 V ❑ No one available for inspection: Time. [G. 4(( AK/ M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: 9 /-7 /1-7 Inspector: DO NOT REMOVE THIS NOTICE Cho (&) r C Sr- INSP91601ftdN RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical 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 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insptimereciuest(a-)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather d CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Sy f; - Job Address: `3 i 0 Vj (i Permit Number: -)- ® l '? 0 o 13L 1-70 g u-(/? ❑ No one available for inspection: Time �� AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: - Inspector: DO NOT REMOVE THIS NOTICE I* � A City of Wheat Ridge Residential Plumbing PERMIT - 201700336 PERMIT NO: 201700336 ISSUED: 03/08/2017 JOB ADDRESS: 3380 Wright ST EXPIRES: 03/08/2018 JOB DESCRIPTION: Sewer repair - 15 ft to 20 ft in yard; installing dual sweep cleanouts, using strong back ferncos and squeegee for bedding *** CONTACTS *** OWNER (720)436-4493 MAES JIM SUB (303)210-8207 Brandon Weston 110115 Premier Excavation Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,800.00 FEES Total Valuation 0.00 Use Tax 68.40 Permit Fee 109.20 ** TOTAL ** 177.60 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** 1*16 A leCity of Wheat Ridge Residential Plumbing PERMIT - 201700336 PERMI^t NO: 201700336 ISSUED: 03/08/2017 JOB ADDRESS: 3380 Wright ST EXPIRES: 03/08/2018 JOB DESCRIPTION: Sewer repair - 15 ft to 20 ft in yard; installing dual sweep cleanouts, using strong back ferncos and squeegee for bedding I, by my signature, do hereby attest that the work to be performed hall comply with all accompanying approved plans and specifications, applicable �uilding 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 furtherrattest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and hat I work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of WAR or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of an 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 NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of W heatj�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(o�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 7 Plan/Permit # d,,O l X3 36 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 8c W Property Owner (please print): 1-M mG c<� Phoneb ZG') Property Owner Email: Mailing Address: (if different than property address) Address: �o w '` J City, State, Zip: l � 1"" V k &I, s 60(' �-� Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: P(em!6 G-Cc:�yA-�o-A Contractors City License #: Phone: L50 1) 2 (cA l Is - Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # 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 4 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) (C (�G' I ( (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.) C,Me101 Sc vv - uQ i b Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3 cc�m,(Do 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. CLRCLEONE: (OWNER) (CONTRACTOR) or A{ITHORIZEDREPRESENTATTi� of (OWNER) (CONTRACTOR) Electronic Si¢nature (first and last name): DATE:E/8 /14 - ZONING COMMMENTS: Reviewer: BUILDING DEPARTMEN'i COMMENTS: Reviewer: DEPARTMENT DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ • Current owner/occupant SALAZAR DAVID H 3380 WRIGHT ST WHEAT RIDGE CO 80033-5234 Regarding Permit: 201401381; Install 40 gallon water heater. 3380 Wright ST, Wheat Ridge, CO 80033-5234 Our Records indicate that the above noted permit was issued on 09/18/14. Our last inspection related to that permit was on NONE. Because of the inactivity on this permit, it will become void as • 12/31/2015. Please contact this office within one week from the date of this letter to update us on the status of this permit, or call for a final inspection on the property. You may call 303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed are permit number, property address, type of inspection and date to be inspected. If you do not contact this office, and wish to resume work at a later date, you will be required to submit a new permit application, drawings with appropriate code edition information and pay applicable fees. Incomplete or inactive permits may be reported to agencies such as Jefferson County Assessor, title companies, etc., and could affect future transactions related to this property. Thank you for your cooperation concerning this matter. If we can answer any questions, please don't hesitate to contact us at 303-235-2855, option 7. Melissa Mackey Senior Permit Technician Property Address: wk Contractor License No.: / s / Building permit Number: 3 3 n .�� L � "' Date. Construction Value: Permit ee: Plan Review de; Total. >q. Ft. added B UILDING D 1RTNI - I;T US C?jNLy SIC;; q. t.: COMMENTS: Approval: ,Zoning: Building Chief O fficial +r Buil ding Permit App lication (C omple t e highli FF s- * . 10 Address: City, State, Zip: w ..,��I I IIIIII IIIIII II I City License # W (F descr f be performe A tt ac h + F 4 R ih If . t Squares BTU's Gallons Amps Sq fit. 1 $ PUBC.t 03/03/2010 11:46 3034220372 TEAGARDEN PAGE 01 -- — ... ............_ ._........_ _....__n1zro15 ..__..,. INSPECTION "INS '��_ N .LI NE': (303) 2:34 -5933 In¢nans:..:.._ ,.v, ue made unless this card Is posted the thth building Call by 3:00 PM to receive inspection the foll'o gted business day. ` Trr - ___ ._,v wtl; (UR MUST SIGN A1_L SPACE RTAiNING TO T�� 1-ii5 Jo FOUNDATION fNSPHCYlON3 `��-r- 1N 1N--S--------- P --- -- -- '� FnOfIDp6 /Cafssa� sons tN Stamw 'I , I(CEG) " �Cunuete Encase G round L cl ng Or MA oncllth r— rproof / Frenoh Drain e rvic e Lines rvice une� ""-�- L CONCIIE TE $Lqg (Underground PlU (Underground) �` Heating (Underground) Sheathing lath / WaD tie ✓kd- Rcof�" .Electr Rough cMc Ele Rough Plumbing -- Gas Piping Rough Mecha Insulation nrYwali Screw FINALS CITY OF UREAT RIDGE 1 /19/99 2a35.pA cdbb 10ert Fouler Mechanrcal -�`- urar neruu x Sills 476,22 _ Lrmft Fee 272.19 Roof §e Tax 94 12 BUllding Final EraD "c sqs - - Fire Department - - Permit Fee,1. Permit Fee 199.30 R,p:W & Drainage Use Tax 126.36 Parking & Landscaping , NSPrenCIns P[ .. 'PAYMENT RECEIVED AMOUNT KCALI US' 4959'.:.': . BRb.BB CERrI ALL rr B Et) q(y/I gryPROV D.gYPLANNlN SHOULD SK AND Aatir Cdde: CE,RT /FTCq.TE E AfpLer OF000U(IANCY ISdSSfIE'p_ FINAL 11vs 'n0N a)7TyEffUJLC1fNG:: A CE",el ,` j7t OF OCCUAANCY NPAPERMf55(r�; ' TOTAL OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE O� OGG UP ANGY I� PR S ISSUED. WEATHER COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: o' qT A BUILDING INSPECTION LINE -303-234-5933 Date: l` CI T Y OF WHEAT RIDGE u! (m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2355) J` RA°J APPLICATION Property Owner: Property Address: ,3,38'0 kle Contractor License No.: 1171/ O0 L/ Company: ~e(/ /&Jw,C/'hQ £ OWNEFUCONTRACTOR SIGNATURE OF UNDERSTANDING AND A6REEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Cade (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. (0 W NER)(CONTRACTO RI: Phone: ~03 a?3T-DD~D Phone:J~Z'? Construction Value:$ lOoo e0 Permit Fee:$ ;0& Plan Review Fee:$ c /X, - Use Tax S Total:$ >j80 Description: GI/A ~ 9>C~/2 . 1J 1A &emlee STv Sq. Ft. added Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (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 if (A) the work authorized is not commenced within sixty (50) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (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 pem,il- (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) 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. (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, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. ief Building Official ~~a 3 Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Interstate Roofing 11452 W. Hampden PI Denver, CO 80227 October 30, 2009 To whom it may concern; This is to state that Wheat Ridge has the right to use the credit card on file to charge for re-inspection fee for permit number 092489, with address 3380 Wright St. Please also schedule the mid-roof inspection for Monday, November 2, 2009 Thankyou 18/30/89 CITY 2:11 PM edba Robert Fowler RECEIPT NO-CDA003853 BP8P Reroof 31 s AMOUNT qs 092489 81.08 Reinspection Fee 81.08 PAYMENT RECEIVED VS AMOUNT 4958 Auth Code. 81.88 015248 TOTAL 81.88 J pw) L:ib-Labs Vnlce • (&uo) z37-e929 t-ax INSPECTION NOTICE Inspection Type: 6o o Job Address: S-0 b,)A_, - T Permit Number: ❑ No one available for inspection: Time AM/PM ` Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 L. Date: ~D Inspector: DO NOT REMOVE THIS NOTICE 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: Job Address: 33 Gr1 S Permit Number: 2~l25 i i 6)a I A2 le ❑ No one available for inspection Time AM/PM Re-Inspection required: Yes (19 *When corrections have been made, call force-inspection at 303-234-5933 Date: 6-d9 Inspector: ✓ DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 1/+ f Job Address: t ) `3o (I ; ( ~1 T j Permit Number: _ f `3 rY ❑ No one available for inspection: Time AM/PM ~~7 Re Inspection required: Yes t No When corrections have been made, call fjo cfipn of 303-234-5933 Dater;~-0 7 Inspector: ~gidx~~ DO NOT REMOVE THIS NOTICE Interstate Roofing 11452 W. Hampden PI. Denver, CO 80227 November 6, 2009 To whom it may concern; This is to state that Wheat Ridge has the right to use the credit card on file to charge for re-inspection fee for permit number 092489, with address 3380 Wright St. Also please schedule this mid-roof inspection for Monday November 9, 2009. Thankyou CITY OF WHEAT RIDGE '11/06/09 3:55 PM edbb Robert Fowler RECEIPT NO:CDB003276 BPSP Reroof 31 sqs 092489 Re-insp fee 2 PAYMENT RECEIVED VS 4956 Ruth Code: 655798 TOTAL AMOUNT 61.00 61.00 AMOUNT 61.00 61.00 ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: er'` Job Address: ?773b90 1.A1,r;AW 9, Permit Number: Oq P(/99' , 4, A, P ❑ No one available for inspection: Time I V "T1 AMF~PM Re-Inspection required: es No When corrections have been made, call ipr r ins action at 303-2 Date: C o'(F Inspector: EI } f , .'r DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE i''arLt~ Inspection Type: Job Address: Permit Number P?/t ❑ No one available for inspection: Time /:a,✓ iAM/ M Re-Inspection required: jYes No "When corrections have been made, call for e-inspection at 303-2345933 ~ F R ~k Date: LP . InspectDO NOT REMOVE THIS NOTICE A 4' City of Wheat Ridge -rr ►J Residential Roofing PERMIT - 092489 PERMIT NO: 092489- - "ISSUED: 09/17/2009 JOB ADDRESS:. 3380 WRIGHT ST EXPIRES: `03/16/2010 DESCRIPTION.: Reroof:31 sqs. * * CONTACTS * * * owner 303/237-.0800 David Salazar sub 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing Incorporate **'.PARCEL `INFO ZONE CODE: UA USE: UA SUBDIVISION:. 0695 'BLOCK/LOT#: '0/ **'FEE SUMMARY `ESTIMATED PROJECT VALUATION: 5,487.00 FEES Permit Fee 162.90 Total Valuation r .00 CGD, Use Tax 98.77 * TOTAL 261.67' _V Conditions : 6 nail installation & mid-roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield` required from..eave edge to 21 inside exterior walls. Subject to field inspection. Ihereby 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. Ridge Ordinances for work under this. permit. Plans subject to field ` inspection. S g of contractor/owner G--~ d t 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 t. 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 a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. 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. 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, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. ' All plan revi eyo,i ject to field inspections. Y//// :Signature of# ie uilding Official date INSPECTI N: REQUEST `LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS: MUST 13E. MADE BY 3PM ANY BUSINESS DAY FOR 'INSPECTION THE`. FOLLOWING 'BUSINESS DAY.'.. *A( -e V, 11~ City of Wheat d e tee: COMMUNITYDEVELOt'MENT permitA Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 a 4-1-7 inspection Line: 303-234-5933 Facsimile Building Permit Application Prap" Address: Property owner (please print): C)ffifd Mailing Address: (If different than property address) Address: WO City, State, Zip: Contractor: frY t Contractor License ) ggS(7 Phone: ~L~ LQ a J t~ Sub Contractors: . Woof space (description): ear -tt-S'w1C i ~4~ r Plan Revlew (due at Nmo of submittal): $ O Sq. FUL.Ft added: Squares 3 1 BTU's Gallons Amps 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, rules or regulations of the City of wheat Ridge or covenants, easements or restrictions of recaid; that all measurements shown, and allegations made are accurate; that 1 have read end agree to abide by all conditions printed on.-this application and that t assume Potl responsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordlnanoas, for work under this permit. Plane subject to field Inspection. CIRLCE ONE:: (OWNER)l ( ONTRACTOR) or PERSONAL REPR ENT.4TivE o NNER) (CONTRATOR) PRINT NAME' 0~~6V 4*e"4O~gIGNATU Date; A 4~P~tt~l;~Y R9v13 kbr 1talCDhve~; fttbl: 1 0' nOtriihe711 O;distiopmved ❑.rto:Yetrggpa stdgvaluation:arJL', A0 - - Credit Card Payment: Use credit card listed on file. Date: Print name: Signature: DEPARTMENT OF GOMMUNITY DEVELOPMENT M94#19247 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. 234-5933 P.O. aOXS38 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VAUD ONLY WHEN SiGNED BY iHE CHIEF BUILDING INSPECTOR AND RECEIPTEDBELOW. ~~qy~ / APPLICATION FOR MISGE~LANEOUS PERMIT n C JOBADDRESS 2~2~~L-1~~-~~~ ~T~ OWNER ~ApQtn /~l N CONTRACTOR l~. ADDRESS 30 vo ~G1b~I r Sr~ ZIP CODEgO~ I ADDRESS ~~-LNPHONE -GOpU _ CITY ZIP CODE ~D - CONTRACT PRiCF I IO ~ PHONE / S5~ So~LII LICENSEN0. DATE I. TVPE GrOUnd❑ Woll❑ Proiectinp❑ 0fmor SwDFUCe 2. MATERIAL Total SQuan FeN $IGNS 3. ILLUMINATION Yes❑ No❑ TYDO Elat. Pvmif No. 4. SET BACK FROM PROPERTY LINE N__ S__ E__ W Zorn__ ApprovM,ZOnG Inspecta (SDSeify wAich ia front) ❑ ❑ ❑ ❑ DifaDDrowd I, iYPE 5 id MOre Than 80% ODwn Lose Thon 80% OpOn MATERIAL 4_D A 2 Hoiphf FENCES 3. SET BACN FROM PROPERTY LINE N, 5_ E_ W'~N' 2one ~ p r _,Zom In~D~Na ,O , (Soscifv which is front) ❑ ❑ ❑ Disopprowd i C \ OTHER 12. DRAW SKETCH OfY SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhv DIST4NCES FROM PROPERTY LINES. (SE7BACN5 OR PROJECTpNS INCI.UDED) REAR P PERT 01~~~ F 00 ~buJ~ ~ bP ~ ~ a ¢ F2orv' ~ v U1 FRONT PROPERTY LINE M'C~ + $pECIFV NORTH STREET NP.ME ICU17 $HOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS,AND PROPERTY LINESiON IRREGULAR LATS, SV10W Lceer DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. qPPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLV UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. runi i ovoiac inn naYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHM.THAT TIME. _ MECHANICAL PERMIT ELECTRICAL PERMIT PI.U MBING PER MIT STATE LICENSE N0 STA7E UCENS E NO . 00R F1 BSM i5T 2ND 3RD 47H N0. FLELCirtIeQN GW 01~ ROpaN Elee Sda ALUM iNUM WIRE UNDER SIZE 8 ILLEGAL . FORCED AIR - BTU ~ CLOSET WATER - BTU MOT WATER TEMPORARY METER WASH BOWL STEAM BTU - NEW SERVICE - AMPS BATH TUB AIR CONDITIONING-BTU CHANGE SERVICE - AMPS SHOWER OTHER LIGHTIN6 SINK REFRIGERATION SYSTEM HEATING GARBAGE DISP A7ER Refri e~ont GrouO POWER SU0-CIFCUI7S WATER HE Pounds Ch0f 0 UTILITY(RAN(oE,DISPo5ER,ETC.) AUTO. WASHER AUTOMATIC SPRINKLER SVSTEM FIXTURES DISH WASHER ELEVATOR WIRING MOTORS d CONTROLS FLOOR DRAIN SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORN OTMER RES MOTORS OVER I HP TOTAL FIXTU - i PERMIT FEE U S ~ ca I hsreby acknowledQe ihat this oppI tion ie correct ane understone tnat I USE TAX C;;i connot .ra.r tnls pro;ncr unw tnls oooii- ootion is opOroved. I sholl comDly witn TOTAL FEE S. g ths laws of the Stote o( Colorad0 and to ihe Zoninp Repulafiona and BuildinQ Code of tne City of wheat Ridqe. Any violotion of tne above terme win cause immediate revocotion o1.tnis permir APPROVED DISAPPROVED CHIEF BUILDIN ~ . ' NSPECTOR,City of Wheat RidqC ~ 01 /L_~ Date Issued plieant. sia^a~ r~ T VALID UNLESS RE e PE joi7V-'~ y--~a # CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS 7500 WEST 291h AVENUE 237-6944 EXT. 255 P.O. BOX 638 ?HIS PERMI7 JOB ADDRESS CONTRACTOR ADDRESS _ CITY L~ i PHONE ~2 SIGNS DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. PERMIT N0A'11 # 1?/ S7 VALID ONLY WHEN SIGNED BY TFiE CHI AND RECEIPTED BELOW. ol~Ob'-GL/~r'o VZ~~~TOWNER ~K6vGfJ~ ADORESS ~ 6 " PHONE -~a~D ZIPCODE q ZIP CODE ~rU CONTRACT PRICE $ r7~ S 5 LICENSE NO. DATE L TVPE Ground ❑ Wall❑ ProieClinOCj Other S or D Faa Tofal Square FNf 2, MATERIAI El 3. ILLUMINATION Yq❑ No❑ TYDS ~et. P~rmil No. Zme__ ApDrwed,ZOns Inspeeta 4. SET BACK FROM PROPERTY LINE N- 5- E-- W ~d (Soeaifv wliich ia fronl) _ ❑ ❑ ❑ ❑ DisoDDra TYPE SolidEl Mon Thon BO% leu Thon 80% I. ~ MATERIAL FENCES 3 SET BACK FROM PROPERTY LINE N_- fso.elN whieh is fronll ❑ I. OTHER 2 a. Heiphf E__ W Zone _ ApprwW,Zone InsDecta cl Cl DiaaDDraved DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE, GIVIM1i (SETBACKS OR PROJFC710N5 INCIUDED) INSPECTION 71CKET 7 JOB ADDRESS 3 ~ ~L''' `v'✓G DATE: o--BLDG. PERMITM ij ( S`! PERMITR BIDG. CONTR. SUBCONTAACTOR STREET NAME SNOW OISTANCES FROM THE M41N BUILDING TQA0.101NING h10USES, STREETS,AND DATE INSP. REQ. ~ DISTANCE TO PROPERTY UNES, NOT MAXIMUM OR FVfRAGE DISTANCE. TYPE OF INSP. APPLICATION FOR PLUMBING; ELECTRICAI THISAPPLICATIONWILLBECOMEAPERMITTOPERFORMTHEINDICATEDWORKON ~NSPECTION MADE PERMIT WIIL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF' - ELECTRICAL PERMIT STATE LICENSE N0. tMINUM WIRE UNDER PLUMBING PERMIT STATE LICENSE N0. WASH WIRING FLDOR SEWERS OLD WORK R IHP REMARf(5 I Mreby ocknowledpe thot this a001ico- tion ie correcl ond understand tnai I connot start tnis vroiect untii thie ovvli- Co1i0n is oDCrOVeA. I sholl comply wifh ths lowf oi the Stote oi Colorado and to ths Zoninp Requlations ond Buildinq Code of the Uty oi Wheot Ridqe. AnY violation o1 the above terme will cauee immediate revocotion oi,tnls permit PERMIT FEE USE TAX TO7AL FEE CHIEF BUILDING REMARKS ~ 3 V W.R. FORM 6-19 3- " Q. $ ,City of Wheat Ridqe ~9 - Date Issued NOT VALID UNLESS RELEIPTEo ~CNl CA11237-8944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS :,erteeou 70 lm 7500 WEST 29ih AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 EXT. 255 P.o. eox 63e BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. PERMI7 N0. g91414544 THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPEL70R AND THE MAYOR - ~p~~ pq HOURS PRIOR TO IN P 7 TW DING PLANS AND TWp PLOT PLANS MUST ACCOMPANY THIS APp~ICATION BUSINESS NAME ~ ~'i ADDRESS S(Y~ COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED r S-ep--ES 4bti ~ SPECIFY NORTH STREET NAME ,S), S 0 ri'yk t Sf (CIRCLE FRONT) N E S W SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES pN ABOVE SKETCH; SHOW LEAST DIS7ANCE TO PROPERTY LINES, NOT MA7(IMUM OR AVER4GE DISTANCE. n , OWNERS LIC. NO ADDRESS ~ S- S2ts-QS'1~ ~f7 pHONE ~ CITY_~~_ry/a~q ZIP CODE ia?aa LOT WIDTH DEPTH noc. LEGAL DESCRIPTION METES AND BOUNDS DESCRIP7ION ATTACHED ADDRESS ~1f 9O I~~I( L4"1' f2^'r LO7 NQ ~n BLOCK N0.- 7 INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: CUrbBGuftar f~ HAVE ARRANGEMEN7S BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING YES_NO_ S~~eet Povina_NM}sr_ sSSwer ---fSfamDrcimpa! ARE THERE ANY SPECIAL ASSESSMEN75 AGAINST THIS PROPERTY: YES_NO_ OCCUPANCY -6 IM ' I REMARKS E%TERIOR MATERIALS: WALLS ~rRI( Wo~ STORIESUNITS ~-y~- ROOF H4 ~f OWNER / CONTRACTOR SIGNATl1RE OF UNDERSTANDING AND AGREEMENT I hereby cerlify fhaf ihe above sefback disfances shown on fhis permit ppplicafion ore occurate, onE do not violate PERMIT FEE ~ apDlicable ordinances, rules or regulafiona ot the City of Wheat Ridqe or covenunts, easemen}s or resirictions of n- USE TAX ~.5 cord; ihat oli measurementa shown, anE olleqations mude are accurofe; that I hove read and agree fo abide by oll TOTAL FEE conditions printed on this uppllpption, and itrat I assume full responsibility for compliance with the Wheat Ridqe E Jy7 5 8uilding Code (U.BL ) ond oll other oDVf~~~~' heaf Ridge orEinonce~a, fop>~work under }hie permif. NOT E ED (OWNER)(CONTRACTOR) SIGNED ~„"Y7 ~/•~~/-7 DATE 41- RIIII nll SQ FT COST V✓~~ 1°'~~v i u~t VNLY BASEMENT-ROUGH THE PROPER7Y IS.p\R/€SENTLY ZONED '~I~ iBASEMENT-FINISHED THE PROPOSED USE (~XIS) (_IS NOT ALLOWED UNDER THE ZONING ORqN,qNCE GROUND FLOOR ~SL~~~ COMMENTS! ~C~ - SECOND FLOOR GARAGE OTHER OTHER _ BUILDING COST g~yy sn n rnrr,.....~.._..._ NS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMI7 PERMIT ISSUED TO NMn7a.n PER REOUEST AS PER PLANS NO AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR BY. REMARKS: NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLUMBING PERMIT PERMIT ISSUED TO PER REQUEST AS PER PLANS NO _ AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UN71L CLEARED BY CHIEF BUILDING INSPECTOR BY PLANS REVIEWED_ (_pK) (_NOT ON NO FLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF MECHANICAL PERMIT PERMIT ISSUED TO PER REOUEST AS PER pLp1/5 Wp AS APPRWED AND ON FILE IN YYOFFICE DO NOT 4SSUE PERMIT UNTIL CLEARED By CHIEF BUILDING IN$PECTpR CONDITIONS (q TMIS PERMIT Wq5 ISSUED iN ACCORDANCE wiTH THE PFOVISIONS SET FORTH IN YOllq APGLICATION AND IS SUBJELT TO THE L1WS Of THE STAtE OF COLppApp AND TO THE ZONING flEGULATlONS AND BOILDING COOE OF WHEAT RIDGE, GOLORADO OR qpY OTMER AVPLICABLE ORpINANCES OF THE GTY. (2) TMIS GEflMIT SHALL E%PIRE If (q) THE WOflH BUTHORIZED IS NOT COMMENCED WITHIN 51%TY (80) DAYS FROM ISSUE MTE Op (B) THE BUILDING AUTNORRED IS SUSPENDEO OR qBCNDONED FOR q PERIOD OF120 DAVS. (3) IF TXIS FERMIT E%PIRES, F NEW GEflMIT MAY BE FCOUIRED FOR A FEE OF ONE-HAIF THE AMOUNT ryOFMALLY REOUIqED, PIiOVIDEO NO CMANl3E51WVE BEEN Oq WLLL BE MGDE IN THE OPIGIN4L VLANS AND SPELiFICqTIONS NND ANY SUSPENSION OR pUqDONMENT Xq5 NOT E%LEEDFO ONE (I) YERp. IF CXAN6E5 RME 4AD[ OR IF SUSPENSION OR qB4NpONMENT F%CEfDS ONE U7 TEAR, FULL FEES SHRLL BE P FOR 4 NEW VERMIT (4) NO WORN OF ANY MANNER SHALL BE DONE THAT WILL OBSTRULT THE NGTUq OF WqTEF C40SI DR HG6E PROBIEN (S) CONTRACTOF SMALL NOTIFV THE BWLDING INSGECTOR TWENTY-FOUR ON WSPE N CqRD B (24) M RS IN ADVpNCE FOR A NSP IONS ANO SHALL PECENE WpiTTEN AFPRWAL FOFE PROCEEDiNG W i T SUCCESSrvE iMq5E5 OF T JO PP HIEF BUILDING INSPECTOR FOR MAY R PIANSREVIEWED (_OK)(_NO70K)I PLANSREVIEWED (-ON)(_NOT OK) NO PLA ~ N < , N 'S (V \ Gv ~ INSPECTION TICKET JOB ADDRESS .°J~p l1 Vjf{r~G~Y6~~ DATE: ~;-l BLDG. PERMIT#". PERMIT# BLDG. CONTR. 0I 0~NVli SUBCONTRACTOR DATE INSP. REQ. TYPEOFINSP. OvY INSPECTION MADE 6 2 ~ n REMARKS {-G ~ INSPECTION TICKET JOB DDRESS DATE:BLDG. PERMIT# PERMIT# BLDG. CONT~^% i SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. `~~7`"'' ~-~":i t,,..y. v~, r~~..•. INSPECTION MADE REMARKS W.R. FORM 619 INSPECTION TICKET 6 ~ JOB ADDRESS ~ ~ ~G r 9/ DATE: BLDG. PERMIT# y~Yy3 PERMIT# BLDG. CONTR. /Oy-6-4--o--k-rC~ SUBCONTRACTOR DATE INSP. REQ. / - ~ TYPE OF INSP. ~--r..F INSPECTION MADE REMARKS U INSPECTION TICKET JOB ADDRESS 8~ DATE: ~ --j BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE 7 REMARKS W.R. FORM 619 ~ INSPECTION TICKET JOB f , ADDRESS 3 ~ 0 DATE: BLDG. PERMIT# 44N3 PERMIT# BLDG. CONTR.OL~~~~- SUBCONTRACTOR DATE INSP. REQ. . TYPE OF INSP. Z- INSPECTION MADE ~ l REMARKS 3 -Z /0 INSPECTION TICKET JOB ADDRESS c~ JS SU ~.h ~l I DATE: 7"~~ BLDG. PERMIT# `s'S`5'3 PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. lI - / `3- TYPE OF INSP INSPECTION MADE ` //G REMARKS W.R. FORM 6-19 / ✓ r .,ti 04 k= ~t U a M G ~ s ~ N-cr-~~ S,4 ~,~ws GBW Sdd{@8i 3381 --i i\_'udRwQ ci i,r:C SSeW dmc_n, se~ti -::.:)fioON! 3170 3170 ]U -AS 037103HO AS 0317V10170 ON 133HS 90r 1 ~ ~Y .ice. .tee n UAJ C~ Y ~i j pAT~~F~E -160 J0e+91 ~5?o PORT & ASSOCIATES, INC. R E . . LAND SURVEYING MORTGAGE CO. 3380 WRIGHT STR EET 5460 Ward Road Suite 160 ADDRESS ~ Arvdda,C080002 BORROWERS NAMESALAZAR (303) 420-4788 IMPROVEMENT LOCATION CERTIFICnTE LEGAL DESCRIPTION (PERCLIENn ~ ~ LOT 6, BLOCK 2, APPLEWOOD VILLAGE N COUNTY OF JEFFERSON STATE OF COLORADO L J I~ LO <~C 0 L G (-s o.o R.0 W,) ~ r, ~ QP ' ~ I ~ PArrt o _ vE. a m ~ I joJ ~ 1 o io_o~ z L-s- J r- ~ a ' y •I ' L? L C L ~ '7'5 •1 ~ JD 4-1 FRri1t L o T ~ r ~i O ;cc 3Z9 ~ _ ^0 ~ C IZO•oo On the basis of my knowledge, information and belief, I hereby certify that thia improvement location certificate wae prepared for , that it ie not a Land Survey Plat or Improvement Survey Plat, and that it ie not to be relied upon for the eetabliehment af fence, building, or other future improvement lines. I further certify that the improvemente on the above described parcel on this date, except utility connectione, are entirelywithin theboundariee of the parcel, except ae ehown, that there are no encroachmenta upon the deecribed premises by improvemente on any adjoining premiees, except ae indicated, and that there is no apparent evidence or eign of any eaaement croseing or burdenitig ariy-paFt of eaid1 parcel, except ae noted. "NOTICE: According to Colorado lar you must co ence any legal ac`~`VA1~y~f any defect in this survey within chree years afcer you firsc discov such de£ecc, I~~ a ion based upon e an ten years It u hereby artificd that We above described any d ett in this .04 from thlate o f tli$ r n." pr~Ry • S.~ or located within a100 yw c ~ - flood huud boundary in accordance witL t6c 9: /2~ . ~ curtent HUD Federal Adsinistration Flood ~ `3• Hu.ud Bouoduy Maps Dated /96$ . Robert E. Poh, L.~ry or .jtF*ayden, L.S. 27268 7s.•. VA Paem 36-6701a (Home Intn) Rnixd Nrnember 1960 COLO[uM Uae Ooowul Seaion 1810, frtle 38. U.S.C. Accepable ro Fedenl NaepW Martgsge Auociuion. DEED OF TRUST NOTE S 30.000.00 Dewsr , Colorado. , FOR VALUE ReCewsn, The undersigned promisc(s) to pay to Jnly 28 1971. MOO1tE ltOiTGAGE C0. , or ordcr, the princiEal sum of-.•----.»------.-.. ---__-____•-•ft_TAIAIT TBOOSAlID AIID NO/100.................... Dollacs 30,000.00 wich interest from date at the na of tevea per crntum ( 7%) per annum on the unpaid balance until paid. The said principal znd incemsc shall be payable at the office of M00lt= MOYTGAGE 00. 300 Spsst Elvd. 1O D*nveso Colorado 20203 , or at such othn plue u the holden ccreof may designace in writing, dclivered or mailed to the debtor, in monthly installments of----------- One Nuad=ed 1Tineiy Alae and 80/100............ Dollars (d 199.80 commencing on the first day of Septeabe! , 19 71 , and continuing on the first day of euh month thereafrer undl this note is fully ptid, except that, if not sooner paid, the final paymrnt of principal and intttest, shall bc duc and payable on the first day of Jnly , 2001 , Privilege is reserved to prepay at any time, without premium or fee, the entire indebtedness or any part thereof not less than the amount of one installment, or one hundred dollacs ($100.00), whichever is less. If any deficiency in the paymcnt of any insrallment under this note is not made good prior to the due date of the nexr such inscallment, the entire principal sum and accrued ineerest shall a[ once be- come due and paynble without notice, at the option of the holder of this note. Failure ro exttcise this opcion shall not consricute a waiver of the right to exercise the s2me in the evrnt of any subse- qucnt dcfaulc. In the evrnt of defaulr in the paymrnt of chis no[e, and if foreclosure be made by the Public Tcustee, an attomey's fee for such reasonable amount u may be approved by such Public Trustee for services in supervising such forttlosure Proceedings shall be allowed by the Public Teustee as a pan of the cost of foreclosure, and in case of foredosure by action in court, a ttasonable sttor- ney's fee shall be caxed by the court u a Pan of the coscs of such foreclosure procttdings. This note is secured by Deed of Teust of evrn date executed by the undersigned on catun propecty described therein and represents monry actually used for the acquisition of said property or the improvements thermn. The undersigned hereby waive presencmrnt, protat, and notice. -~te"s: -e:tu:: 'Hatv"!f: "87Iaas THIS IS TO CERTIFY thac this is the noce described in and secured by the Deed of Trust of even date herewich co the iublle , Tnustee(s), on real estate located in Jsfforson Cqtnty , Co(ondo. Mp Comoieslon Esplres Jdtne 70. 1975 21ta•11•-8otsallaa•---------•_••-•-•-------------------- Notary Prrblic 411451