HomeMy WebLinkAbout3085 Upham CourtCity of
��Wh6atp,d e
!TY DEVELOPMENT
Building & Inspection Services
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: ermits ci.wheatrid e.
I FOR OFFICE USE ONLY I
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 1 d
Property Owner (please print): "(M DcLh Phone: -3 �G10 — 5 373
Property Owner Email: V'a V 13 c'q m a-( l' CD YV\
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: 'Sa y.
Citv. State. Zip:
Gunn ° 303-33�-`'�L09
Architect/Engineer E-mail: L� U flYl i s o f�1 � TU yy�ai �� Phone:
G I
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail
Phone:
. Q , 0
For Plan Review Questions & Comments (please print):
C j
CONTACT NAME (please print): I G NJ (4 hone:
CONTACT EMAIL(p/ease print): J ayi`e CI.+C
IN
h. Go m
`1;-o - 404,1- 9/2,o
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
11
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Gunnison Enterprises 1
Complete all highlighted fields, if applicable.
❑COMMERCIAL
IDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: Kw V of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ A X15 0a `)e
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) 7(CO,TRAC R) or (AUTHORIZ D REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): F!A?E: d1 Z�Z•
Printed Name:
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS.
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
M
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: ® S S- (ireg n, C
Permit Number: a o
1 l) a
❑ No one available for inspection: Time = AM PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: /,g Inspector: —T -N
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
�r Resid. Windows/Doors PERMIT - 201800523
PERMIT NO:
201800523
ISSUED:
02/26/2018
JOB ADDRESS:
3085 Upham CT
EXPIRES:
02/26/2019
JOB DESCRIPTION:
Replace 2 patio
doors like for
like with retrofit
vinyl patio doors, with a
u -value = .28 or
better; according to manufacturer
specs
*** CONTACTS ***
OWNER (720)838-8560
DALY ERIC C
SUB (770)433-8211
Gary Cummings
170102 Home Depot
U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN
GRANGE,
WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
3,431.00
FEES
Window Replacement
50.00
Total Valuation
0.00
Use Tax
72.05
** TOTAL **
122.05
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, b my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all to be performed is disclosed in this docume t and/or its' accompanying approved plans and specifications.
ti
Signature of NER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 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 proceedr conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance a
g of a pe it shalnt!l not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable coo?an on of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat jidge
COMMUNITy DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: j?ermitsCa)ci.wheatridcje.co.us
FOR OFFICE USE ONLY
Date:
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: 3085 Upham Ct, Wheat Ridge, CO 80033
Property Owner (please print): Eric Daly Phone: 720 838-8560
Property Owner Email:
Mailing Address: (if different than property address)
Address:
State, Zip:
Arch itect/Enaineer.
Architect/Engineer E-mail:
Contractor: Home Depot USA
Contractors City License #: _ 170102
Contractor E-mail Address: iamieCcDregdysetao com
Sub Contractors:
Phone:
Phone: 801 710-2507
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub_ Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Replace 2 patio doors like for like with retrofit vinyl patio doors, with a U -value .28 or better, according to
manufacturer's specifications.
Sq. FtJLF Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$__3.431.OQ.__.__
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certi fy that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that i am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZEDIEPRESENTATIVE) of (OWNER) (CONCTOR)
Ll
Electronic Signature (first and last name): DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
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INSPECTION RECORD Occunanc ,,2 Type
r` INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials Comments
Pier
Concrete Encased Ground (CEG)
Foundation/ P.E. Letter
Do Not Pour Concrete Prior To A ro I Th Above Ins ections
Underground/Slab Inspections Date Inspector
Initials nts
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Wnrk Prinr Tn Ar%r%v., l
Rough InspectionsDate
Comments
Inspector
Initials
-- " " ■ ■ � C�.UVI1�
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection /Fire Protection Dist.
Mid -Roof
}
Lath / Wall Tie
Final Mechanical
Rough Electric"
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection /Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning; Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window — Please email insptimerequest@Ci.Wheatridge.CO.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201701 769
DERMIT NO: 201701769 ISSUED: 06/08/2017
JOB ADDRESS: 3085 Upham CT EXPIRES: 06/08/2018
JOB DESCRIPTION: Tear off and reroof house and attached garage. 4:12 slope; asphalt shingles
33 squares
*** CONTACTS ***
OWNER (303) 906-5373 DALY ERIC C
SUB (303)472-3655 Daniel Montez 090249 Team Construction Services Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,700.00
FEES
Total Valuation 0.00
Use Tax 308.70
Permit Fee 283.55
** TOTAL ** 592.25
*** 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 wit -.h ANY gap exceeding Aih-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 rails 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 manufacturera€rms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
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: s
Permit Number: Ul 760
❑ No one available for inspection: Time . , �c -5 PM
N -P-
Re-Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 6/9q// I Inspector: I)DV 6114.04^
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701769
PERMIT NO: 2.01701769 ISSUED: 06/08/2017
JOB ADDRESS: 3085 Upham CT EXPIRES: 06/08/2018
JOB DESCRIPTION: Tear off and reroof house and attached garage. 4:12 slope; asphalt shingles
33 squares
*** CONTACTS ***
OWNER (303)906-5373 DALY ERIC C
SUB (303)472-3655 Daniel Montez 090249 Team Construction Services Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,700.00
FEES
Total Valuation 0.00
Use Tax 308.70' f;
Permit Fee 283.55
** TOTAL ** 592.25
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturergElms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701769
PERMIT N0: 201701769 ISSUED:
JOB ADDRESS: 3085 Upham or EXPIRES:
JOB DESCRIPTION: Tear off and reroof house and attached garage.
33 squares
06/08/2017
06/08/2018
4:12 slope; asphalt shingles
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 gpplicabte municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal ownerbf the propert'and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fufthe est that I .. m leggally authorized to include all entities named within, this document as parties to the work to be
performed and that�lvortg�,o�performed is disclosed in this document and/or its/'accc�inpanying approved plans and specifications.
Signature of '-OWNER of, --.CONTRACTOR Nircle one) Date
1, This permit was issued based on tie inTormation 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.pennit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this pen -nit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and rocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulati f th' jlir'sdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Kimberly Cook G �'
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 7, 2017 10:57 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 24-48 hours, 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. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address 3085 Upham Court, Wheat Ridge, CO 80033
Property Owner Name Amy Daly
Property Owner Phone 303-906-5373
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Team Construction Services
��/�
Contractor's License 90249
Number (for the City of
Wheat Ridge)
Contractor Phone 3034723655
Number
Contractor Email Address dan@teamroofs.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Yes
No
Asphalt Shingles
33
Tear off and reroof house and attached garage. 4:12 slope.
Project Value (contract 14700
value or cost of ALL
materials and labor)
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
z
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 Dan Montez
Email not displaying correctly? View it in your browser.
CONSTRUCTION
ROOFING 6 EXTERIORS
40
BBB
Team Construction Services, Inc.
Licensed/Insured Roofing & Exteriors
www. teamconstruct. biz
88 Inverness Circle East, Suite A-103, Englewood CO 80112 Fax: 303.933.6374 Ph: 303 287 0800
Owner/Buyer: P )n,o lT cti
Address: h iu1 cT
City: V T(4c- CO. Zip: 600,33
Phone:
.2 i�J7 J
Email: Al t0j6 13 &r MG 1,4 coyn",
CONTRACT SPECIFICATIONS (Labor & Material)
Tear off layers: -� av e{r' co L142
Install: D& �-),u ON,
Shingle Color: i & AV,
Year (s) Manufacturer limited warranty
Two Years Company limited warranty
Hip/Ridge: (type)
Felt/ Underlayment: I �t
**Ice & Water:
**Code required: No / Yes
Roof Deck: N�Ut, ban C [ n-,5 10KJI
( 3) 514A I tahf -_!�e ptvi 0 c&v (-Y-
**see item #9 o ev' _e side
7 Valley: (type) I Ce �G (,2 r -
Metal Edge: (Save): color: ;
Metal Edge: (Rake): 2 color:
Pipe Jacks: '�? Jacks:
Ridge/Roof V - is cut ink
Gutters: LF/Color: ' f�D f i '
Downspout: AllA LF/ Color:
Roofing permit/inspection as required included
Special Instructions:
vlut��ul�, s,`I- ��, l s
Lx
Team Construction fully abides with regulation's-: CO SB38
Roof 6a' l Ground Drop - Left / Right / Drivewav
''Protect landscaping as needed
4' -Clean out gutters of roofing trash only
--Magnetic sweep of yard at completion
"'Clean up and haul off construction debris
Clean up around bushes/ shrubbery
Paint Roof Jacks (if needed)
INSURANCE ALLOWANCE AGREEMENT
TEAM CONSTRUCTION SERVICES, INC. will assist
homeowner/buyer with the insurance claim process, including
meeting an adjuster at the home.
INSURANCE WORK TERMS INCLUDE: This agreement is for
the **FULL SCOPE OF INSURANCE REPLACEMENT COST
PROCEEDS and does not obligate the homeowner or
TEAM CONSTRUCTION, unless repairs are approved by
homeowner's insurance carrier. This. signed agreement indicates
and authorizes TEAM CONSTRUCTION SERVICES, INC. to
pursue all repairs at the price agreeable to the insurance
company and TEAM CONSTRUCTION SERVICES, INC., at
no cot to the homeowner except for the insurance deductible.
**Final pricing will be agreed upon between the insurance
company and TEAM CONSTRUCTION, and shall become the
final contract price of full scope of insurance proceeds. The
terms and specifications stated herefore & special
conditions on the reverse side hereof are hereby accepted
authorizing my insurance company/or mortgage
company to make payment for completed repairs/re-roof
tear off and installation of new roofing material directly to
AM CONSTRUCTION SERVICES, INC.
L
Claim i (C� � '� f4 ; X32 .
"Will include all required s4le s, permit
fee, taxes and contractor overhead/profit per
insurance scope of work. ('�Lw G_.j'l-q
X 11 Svf>P'tCk(' 4f-p� i
I hae been notified that I mai cancel this agreement at any tune prior
to midnight of the third business day after date of this agreement.
tI Date: lG'
Accepted by Team Construction; Valid fordays.
Imo-�
i &V—d� ftAT RIDGE
- Building Inspection Division
(303) 234-5933 Inspection line
(303) 235 2455 Office • (303) 237-4929 Fax
INSPECTION NOTICE
Inspection Type: /\ of
Job Address: s
Permit Number: f 70 -7
❑ No one available for inspection: Time I(E- %V AWPM
Re -Inspection required: Yes ('No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ` , /6, `/7 Inspector:�
DO NOT REMOVE THIS NOTICE
P.M.
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Amps Squares Other
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
75925
7/23/2003
Property Owner: VERNA
Property Address : 3085 UPHAM ST
Contractor License No. : 18916
Company : Accent Window Inc.
Phone : 237-1633
Phone : 295-1170
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cedify that the setback distances proposetl by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of W heat 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 tor compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wnhea~t Ridge ordinances, for work under lhis permit.
(OWN ER)(CONTRACTOR) SIGNED 5~~7 DATE 7-LY'0
Use :
Description : NEW VYNIL WINDOWS AND DOOR
BUILDING DEPARTMENT USE ONLY
Zoning Comments:; SIC
Approval :
Zoning :
_
Building Cbmmar~Cs;
OKAY PER REDLINES 7123103
Approval: DM
Public Works~Comrrients:
Approval :
Occupancy: Walls
Electrical License No :
Company:
Expiration Date :
Approval :
Roof : Stories
Plumbing License No :
Company:
Expiration Date :
Approval :
Construction Value :
$6,324.00
Permit Fee :
$181.10
Plan Review Fee :
$0.00
Use Tax :
$75.89
Total:
$256.99
Date
Sq. Ft. :
Residential Units :
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) 7his permit was issued in accordance with the provisions set foRh in yopur appliwlion and is subject to the laws of the State o( Coloredo and to the Zoning
Regulations and Building Code of W heal Rid9e, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall ezpire if (A) the work authorized is not commenced wilhin sixty (60) days fmm issue date or (B) the building authorizad 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, providetl no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not ezceeded one (1) year. If changes are made or if suspension or abandonment
exceetls one (1) year, tull tces shall be paid for a new permit.
(4) No work of any manner shall be tlone that will change the naNral flow of waler causing a drainage problem.
(5) Contrector shall notiy the Building Inspedor hvenry-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
pmceediing wilh successive phases of the job.
(6) The issuance of a per 't or the approval of drawings and specifications shall not be cnnstrued to be a permil for, nor an appmval of, any violation of the
provisions of the bu' in cotle or olher ordinance, law, rule or re9ulation.
i ~
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
oF W"E °j BiJII.DING INSPECTION LINE - 303-234-5933 Date:
:
° CITY OF WHEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2~85V5,~) ~vA~~j'
~O( ORPO' AH_L"PU4;I3 i IN4
Properiy0vmer: lJunsMooz ~ lleIaAA
PropertyAddress: 3085 uOhF.m C-f , Phone:3o3-z3"7-14o 33
Contractor License No.: / $ 9 /!o
ComPanY: QGGtnf G✓~~n~OcJS Phone:303'Qol-0805 (Bob)
OWNER/CONTRACTOR SIGNATURE OF O]VDERSTluYDWG AND AGREEMENT
Construction Value:$ &3z `l°O
I hereby cer[ify that the setback distances proposed by this pecmit appliwUOn are acwrate,
and do not violate applicable ordinances, mles or regulations of the City of Wheat Ridge or
covenants, easemen[s orrestrictions ofrecord; that all measurements shown, and allegations
made are accurate; tha[ I have read and agree to abide by all condi[ions printed on this
applicarion and tha[ I assume full responsibility for compliance with the Whea[ Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under
this pexrnit.
(OWNER)(CONTRACTOR):SIGNED )C~-e eZI1~A'Cb
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
nESCRIPTioN: ~vE~✓ vy..,'I c.J~.;..l.~w: a„~?
S£E /aTT,4cNeD 5Aee,4 3
9 LaJtn~aWS ~
# #
/.JOes2 . /Lt/II4 LG( ew~s
y)oo0.5
BUILDING DEPARTMENT USE ONLY
SIC:
ZONING COMMENTS Approval:
Zoning:
BUILDING COMMENTS:
Approval: 4' -`'`c
PUBLIG WORKS COMMENTS: ~
Approval:
Sq.Ft.:
Occupancy: Walls: Root Stories: Residenrial Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expuarion Date: Expirarion Date: Expiration Date:
Approval: Approval: Approval:
(1) 'Chis pemiit was issued in accordauce vrith the pmvisioas set forth in your applica0o¢ and is subject to the laws of the State of Coloado aud m the Zoniog
RegWafions and Building Codes of Wheat Ridgq Coloado or my otber applicabfe ord'wances of the Ciry.
(2) This pemoit shall enp've if (A) the work authorized is not commenced witbin sixty (60) days from issue date or (H) the buildivg authonzed is suspevded or
abandoned for a period of 120 days.
(3) If this pemilt exp'ses, a new pemtit may be acquired for a fee of ouo-half the amauvt uoemalty rtquired, pmvided uo changes have be<n or will be made in
the origioalplans and specifications and any suspeasion orabavdoarnenthas not exceeded one (I) yeaz. Ifcltanges have been ot ifsmpevmou or abandonment
exceeds ove (1) year, full fees shall be paid for a new permit
(4) No work of any manner sLall be done that will change the oaNrzi flow of water causing a drainage problem.
(5) ContracrorshallaotifytheBuildinginspecmrtwenty-four(24)hoursinadvanceforalliuspecfioosandshal:recervewrittenapprovalonmspecfioncardbefor<
pmceeding with successive phases af the job.
(6) Shc issuance of a pemilt or the appmval of dawings and speciScatiovs shail nof 6e consWed to be a pecmit for, nor an approval o$ my violatlov of the
provisions obuilding codes or any other ordinance, law, mle or regulafion.
~
Chief Buil spector
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CUSTOMER
dIlI1DCCC
16E ~ OF~' ~
DATE ~ ..Z~ O-~
WINDOW SPECIFICATIONS
WINDOW OPTIONS
61.A2IN6 OPTIONS
❑ WHT~BGE ❑BRZ WOODWORK
❑ SIGNATORE ❑ XO ❑ WRAP ❑ SILL
[:f SWING & CLEAN ❑ GRIDS
❑LOELITE HM 9.1 .
'9 LEGACY6{ ❑ XX ❑ OAK ❑ PINE
❑ CAMING V_H
❑CLEAR HM 63 ❑GLUE CHIP
❑LEGACYI ~XOX ROUTER
❑ PATTERN ❑ WHITE
LOELITE4.2 COBSCURE
❑M3000 ❑ SH PROF[LE
❑ GOLD El BEIGE
❑CLEAR ❑TINT
DGARDEN ❑ DH CASIN
❑ WHITE ❑ BRONZE
❑TEMPERED
❑BAY ❑ pW STAIN
❑ DIAMOND SIZE _ ❑ ALUM SCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
Sp cial Not
(ISLO) .
W ~ H-7
WINDOW SPECTFiCATIONS
WINDOW OPTIONS '
6LAZIN6 OP'fIONS
❑WFI7-M BGE❑BRZWOODWORK
❑ SIGNATURE ❑ XO ❑ WRAP ❑ SILL
-
❑ SWING & CLEAN ❑ GRIDS .
❑LOELITE HM 9.1 .
LEGAC)LW
❑ XX ❑ OAK ❑ PINE
❑ CAMING . _ V _H
❑CLEAR HM 63 OGLUE CHIP
,
❑LEGACYI ❑XOX ~ ROUTER
❑ pATTERN µ'HiTE ,
MLOELITE4.2 [nBSCURE,
❑ M-3000 . ❑ SH . PROFIL
❑ GOLD ❑ BEIGE .
❑CLEAR ❑TINT : , .
D GARDEN ❑ DH . CASIN
❑ WHITE . . ❑ BRONZE
❑TEMPERED
❑pW STAIN
❑BAY.
❑DIAMONDSIZE ❑ AWMSCREEN
❑OTHER
.
❑OTHER
0 BRASSHARDWARE
S ecialNgte . .
1:.
. . .
. (ISLO)
;
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. .
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W H
WINDOW SPECIFICATIONS
' WINDOW OPITONS
6LA2IN6 OPTIONS
❑ WHT ;LJ BGE EIBRZ WOODWORK
❑ SIGNATURE 19 XO ❑ R'RAP ❑ SII.L
❑ SWING & CLEAN ❑ GRIDS
❑LOELITE HM 9+~
LEGAC`~ ❑ XX ❑ OAK ❑ PINE
❑ CAMING -V-H
'
,
❑CLEAR HM 63 I$GLUE CHIP
❑ LEGACY [ ❑ XOX ROUTER
❑ PATCERN ❑ WHITE
FLOELITE4.2 ❑OBSCURE
❑M-3000 ❑SH PROFIL
❑GOLD 11 BE1GE
❑ WHITE
B
ONZE
❑CLEAR p7'INT
"~EMPERE
❑ GARDEN ❑ DH CASI N
0
R
❑BAY - ❑ pW STAIN
❑ DIAMOND SIZE_ ❑ ALUM SCREEN
❑OTHER
❑OTHER
E] BRASSHARDWARE
Special Note
(ISLO)
t
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W
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CUS OT MER NAME v'
ADDRE55
NDOW
~ G1/JJ•~Ioo~2
c/7-
WORKSHEET
PAGE ~ O ~
. DATE
WINDOW SPECIFLCATIONS
WINDOW OPTIONS
6LAZIN6 OPTIONS
❑ WHT-OBGE ❑BRZ
WOODWORK
❑ SIGNATURE ❑ XO
❑WRAP D SILL
❑ S WING & CLL-AN
❑ GRIDS
❑LOELITE HM 9.1
NLEGACYO1. 0 XX
❑ OAK ❑ PINE
❑ CAMING
V_H
❑CLEAR HM 63 ❑GLUE CH[P
❑LEGACY[ r?~f XOX
ROUTER
❑ PATTERN
❑WIi1TE
FTLOELITE42 ❑OBSCURE
❑M-3000 ❑ SH
PROFILE
❑ GOLD
❑ BEIGE
❑CLEAR ❑TIN'C
DGARDEN ❑ DH
CASING
❑ WHITE '
❑ DRON7_E
❑T.EMPERED
❑BAP ❑ PW
STAIN
❑ DIAMOND SIZE
p ALUM SCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
S c'ia/l Nores ~
/
(ISLO) .
W
H
• '
WINDOW SPECIFICATIONS
WINDOW OPTIONS
6LAZIN6 OPTIONS
❑ WHT gYBGE ❑BRZ
WOODWORK
,
~
❑ SIGNATURE XO
❑ WRAP ❑ SILL
❑ 5 WING & CLEAN
❑ GRIDS
❑LOELITE HM 9.1
(a1EGACYQ' ❑ XX
❑ OAK ❑ PINE
❑ CAMING
_ V_H
❑CLEAR HM 63 ❑GLUE CHIP
❑ LEGACY I ❑ XOX
ROUTER
❑ PATTERN
D WHITE
LOELITE 42 ❑USCURE;
'
❑ M-3000 ❑ SH
PROFI~E
❑ GOLD
BEIGE
❑CLEAR DTT]
T . .
FIGARDEN ❑ DH
CASIN
❑ µ'HITE
❑ BRONZE
OTEMPEREp
❑BAY ❑PW
STAIN
❑DIAMONDSIZE_
❑ ALUMSCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
SPe/cial Notes ~
LCIG~NU/l
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WINDOW SPECIFICATIONS
WINDOW OPTfONS
6LAaN6 OPTIONS
❑ WHT-;ffBGE ❑BRZ
WOODWORK
❑ SIGNATURE }CO
❑ WRAP ❑ SILL
❑ SWING & CLEAN
❑ GRIDS
❑LOELITE HM 9.1
EGACYdK ❑ XX
❑ OAK ❑ PINE
❑ CAMING
_ V_ H
❑CLEAR HM 6.3 DGLUE CHIP
LEGACY I ❑ XOX
ROUTER
❑ PATTERN
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PrLOEL[TE 4.2 OOBSCURE
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PROFIL
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D BEIGE
❑CLEAR DTINT
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CASIN
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OTEMPERE
❑BAY ❑ PW
STAIN
❑ DIAMOND SIZE_
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❑OTHER
❑OTHER
E] BRASSHARDWARE
Spec' Notes
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~~7
NING AND DEP URILDINGTINSPECTNON DIVIS ONE 2VEL 35-O2855 PMENT Building Permit Number :
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : \o A
Property Address : 36$ S UP H~MM C: ~1JE1E.R\Q 10~~- ~LO Phone :Q 3~ - 3 3 \
Contractor License No. : \IJg\b Pqr1 5~3- 15X7 142Z) Z
Company : f-\cx,~Rk
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify lhat lhe setbaek disfances proposod by this permit aDD~ication are accurate,
and do not violate applicable ordinances, tules or regulations of the City of Wheat Ridge or
wvenants, easemenls or restricUons of record: ihat all measurements shown, and allegations
made are accurale; that I have read and a4ree lo abide by alt conditions printed on this
application, and thal I assume fuli resporisibil'Ry tor compliance with the Wheat Ridge Building
Code (U.B.C.) and ail other appliwbl- XA&Lgat Ridge ordinances, for work under this pertnil.
(OWNER)(CONTRACTOR) SIGNEXS~C~ DATE -S-[LLLct&
or ~b Rccp-rck w;~ar..,z
mGShhur
Description : n
E.nc\~eCQ.JeV , S,SC~.OO
h Iz~/a o
Approval: G~ fwe°
Zoning : R - ~ A
Eardmmm~~
Approval:
P_QBIi"~111btK5~~_~
Approval :
Occupancy : Walis :
Electrical License No :
Company :
Expiration Date :
Approval:
Phone: 2cil5- ik I
ConsWction Value : S~ Sv~ CX
Permit Fee : 100.56
Use Tax:
Total :
Use:
u
,
~
BUILDING DEPARTMENT USE ONLY
w~v, Sa~tbar.~ -
Roof
Plumbing License No :
Company:
Expiration Date :
Approval:
SIC : . ~y''sq• Ff: 34
_
.
41
~ M AY
' r
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) TTis permM was lesued In aaorde^te wKh the DroyIsions set forth in yopur a0dicakn anE is suDie[t M the Wws of Ne State ol Cdaadu and W the 2on'nq
RegulaGons anE BuilCinB CoCe ol Wheat Rkge, Cobrado a any oNer appliaWe ordinances ol the Ciry.
(z) 7nq perrtxl yhap expiro d(A) the work eWMnzM b not com^K^ced vwt"^ sixty (60) Oays 1rom issue Eate u(8) IM M+ilOkq auNUlzed is auspenEM a
abanOaiM la a peAoE o(120 days.
J II Nis n. a new Pemmt maY he aWulrcd fu a lee ol o~e-hxM IM amount nomalty rcquuM. Provqed no chanqes have beenor witl be made m e
oriqinal~q aM speafications and arc/ auspensfon a aDaMOnmeM tus not ezmeEcC one (1) year. II Wipes are rtuEe a if suspension or aDaiWw~ment
exCeCds one (i) year, lull /ees Shall ba peld (a a new pemnl.
(4) No vrork ol airy rtunner snall be dane Ih2l vnll chanqe Ne naWral Ilow ol water causiig a d2inage problem.
(s) conuaa« snan nouN Ne euiainq insoectw Nlenty-lour (zq laurs in advaxe ta all InspeUions aM snan receive wrinen appraval on Inspec0on oro Ee1ore
roceeCihp wiN suaessive ohaxs ot Ne bb . m a eppr 10(. em/ vloWUon d the provisbm
.(6~ W Ihe bua ~ol a~« a th~ ~ Ince, law,~r9ule ar rep~^UOns shatl ral be cons a Pn^~~ ~
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oa.~~....lnencet ForMayor
Stories :
THIS PERMIT VALID CONLY ALL W234 5933 24 HOURS PRIOR TO I~NSPECTION ECTOR AND MAYOR
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CONDITIONS A1vD ST[PULATIONS
1. Definition of Terms
ihe [ollowine lerms when used In [his policr mean:
(a) "lan8": the IanA Aeecribetl. apedfiwlly or bs raferen,e, in
ScM1CAUIe A and impwvemenu effixed thereto wMCM1 br law consutute real
pfOp¢fly;
(b) "publk rtcorAa". Ihoae mwrtle which impert constmctive wtice
of matters relatim to saitl land:
"knowledae": sc[ual tnowletlee, no[ constmctive knowletl¢e or
notice which mer be impu[etl lo the Insured bv reaeon o( any nublic recortls:
and
(tl) "date'^. the e[[ective tlate.
2. EKClunions fmm the Covmatle of tM1ls Policy
TM1id tmlicy does not Insure n¢ainet loas or tlamuae by rw~on o( ihe
fullowiny: '
(a) Any iaw, ortlinunce or aovernmental reyulatim (incluAin¢ bm
not limitetl to buildin¢ antl zoning or0inances) resuictin¢ or reoulatlne or
ProAiOilinu the ocvueancy, use or eNovmenl o( the IunO, or teeulnlin¢ the
cAara<ter. dimenaions, or location of eny improvemem now or hereaf[er ereqed
saitl land, or orohibiting u sevaration in ownushio or a reduction in the
climcnsions or area of anr lot or oarccl of lana.
(b) Governmrnlal dehls 0( police Dower Of Gminenl tlomdin unless
notice ot tM1C exercise o( euch tlghts appeare in the oublic remrds at the dale
hereoL
(c) Title lo eny propertr bevond We Ilnq of the land exvreuly tlea-
cribed or referred m in Schedule A. or Htle to uem althin or dYMe or eme-
ments in any ebmtin¢ etreeu, roeAe. avenuq. Imee, we>a or waterware (excev[
to the exten[ the riyhe o( access m and trom seid lantl is coveretl bv the In-
suriny provisions of this volicY). or Ihe righ[ ro malntain Iherein vaults. mm
flelf, fLMpY V G[M1Cf Stlll[tutt fiIIOtOVement, undess tIIiS OolicY
sru-ibaaliv n'ovideslhat auch titles. ueMts m ensemenL+ a umJ.
(d) llefemn. liena, encumbrsoces. utlveese claims aealmt the tlble as
insured or other matters (1) crenttd, m(fered, assumetl or aerced m py ~he
Insuved: m(2) known m the Insmetl efthev et the date of this policr or at
tI1¢ QdIC SYC11 If19Yt¢A 8Cy11I1'Cd 8f1 ¢glLf! Of 111[¢p¢SI INYf¢d bY 11119 110liLy
nnA not ahown bY tM1e public recartls, unlese Oieclosure thereaf in wdtine bY
the InsureA shall M1ave been ma0e lo IM1e Comnanv vrior [o the Dale of this
ooliw; ur (3) resultine In no lota to the Insured; or (d) a¢achinr oY createe
subseQUent to the aare hereof.
(e) Loss or stama¢e wM1icp woWtl wt have been sua[ained if me
Insured werc a eurchaser for value wiMou[ knowlMee.
3. Defense anJ Prosxwion o( Actione - NoHce of Ciaim m be Given
br the Insureq
(a) The Comvany, at its own <os[ and withom unCUe tleler, shall
nrovitle for the Jefense o[ the InsureA in ell IllieaHOn c nsisUng of actlons
of pmceetlin65 rommencee 36ai05[ the IOSUftd, or dCf¢OS¢s inle(p05¢0 figainS[
sule of the estme in said land which litl¢atlon in any of auch even[s is
founAeJ uoon an alleyeJ tlefmL lien or encumbran<e insureA a¢in
aat bv lhis
pnliq, nntl mavpursue such ptieflion to finel dettrtninatlon in tM1e coutt o[
lazt ewurt . (b) In cese any such actlon or vroceedina ahall be begun, or defenee
intunosed, or in case Icnowledce aM1ell come to the Imwe4 of any cidm of
title m inrerest wMch ie advene to the title aa ineured, ot which miTht eeuae
loss or damane tor which the Compam shall or mev 4< liesle bY vlrtue o[
this Poliw or in the ev¢nt the title ie relecled as wmarketebie by one who
has leased or has convaaed [o vurchasq lesee or lend monev on the ImC
described in S<Medule A her<oL the InsureC shali notifr the Compam Mereof
' writine. If su<h notice Mall not be aiven m the Comoeny wilhin lm dnYs
o( the receipt of pmcess or pleadin¢s or if the Insur<tl ehall nol in writlne.
oromvtlv no[i(y the Comoenv of any AetM, lien or enwmbrance Ineured
aeain¢t wM1ich sAall wme [o the knowleAge o( the InsureA, or If the Insured
sMail not, in wtlOne, nromotlv notifr the Companv o[ any aucM1 relectlon b>
reason o! Naimed u marketabilitr of the tiUe, ihen all Iiabilitr of the Com-
vnny in meard lo the subiec[ ma[ter of auch action. proreetline or maLLCr
shall ceaseand terminate; vrovided. however. Nat fallure to noti[rehell in
no case vrelotlitt Ne cla{m ot any InemeA unlen the Comoem ahelt b<
accua0y oreiuAiced Dr euch tnilurc end lhen onlv lo the u[rnt o[ euch
meudice.
(c) The Comoanr shali heve the tl¢ht at ils owo cost lo inetltu[e
antl vmsecute any action or Oroceedine or do enr other xcl which I. i[a
o0inion mar Fe necessnrv or tlesirable to eatablish the title as ineurM; end
the Comouny mxv take anr nonmpriare action untler IM1e terma of this policv
wM1ether or not it nhall be liable thereunder ane sM1aO mt therebv concede
liuNliiv o aV anr nrovision of this ooli<v.
(tl)WIp alI ep5¢4 WhPf¢ th16 pOIICY p!l111114 Or f¢qul[P$ the CoTpaDy
lo elOSe+:ute o[ pmvitle fo[ lM1e defen9¢ of anY actiOn O[ prot¢ttlin¢, the Im
red sM1ell secure m it the riNM1l 1o so vrosecute o1 Orovitle Aefense in au<h
&CllOfl O( proceeJiny, TnJ 8lI eppCglB [f1E[¢111, ellE pCrIllit i{ LO YBC, e[ I{i
ovtion, the mmc M the InwrcJ for such pmpoee. Whenever reuueamA by the
Comnany the InsmW shnll yive the Comoany all reasoneble aitl in any such
ac[ion or proceedinx, in efiecting setllemenL eecurine evitlence, oblainin¢
wilnesses, or urosecmin¢ or JefenAine such action or vroceetlln¢. enC the
Comnam sM1all rumCUne the Insured for am expeose eo inwrretl.
4. NoHCe of lue.v - Limitatlon o[ A<tion
In aJdition m the noticu reyuired under pareurapM1 3lb). a statemem in
wrikinx o( unv laes or damaxe tor which it is claimea the Co-moanv ie llebl<
under this nolicv shall be lurninM1ed m the Cumpnnr within sixtr Aars aftv
such luss or tlamu¢e xhall heve been tlelerminctl en0 vo ri¢hI of aclion sM1all
uccme m the InsureA anAer this oolicv until thirty davs a[[er sucM1 statement
nhap have been furnixhetl, and no rewvery shall be had br the Insuretl untler
thls votlcv nnleaa action shull be commencetl Ihereon within (ive vean efler
expiration of saitl [hirtr dar oeriod. Failure w turnish such statement o[ loss
or tlama¢e, ur w commence such action within the time hereinbefore aoeciOeJ,
sM1ell be a conclusive bar aKUinst muintenana by the Insuretl ot any action
uvace this nolicr.
5. Option to Pav, Se[tle or Compromise Claime
The Comoam cheli have the oacion w var o snole o mommiee for
or in the name of lM1e IotureJ any <laim inured eYainsl or to par IM1e fuil
amwnt of (M1ie irolicr antl euch nnyment orpenaer o[ parmrnL to¢eMer wi[b
all cos[s, etmmerY (ees sntl exoemes which the Company is obli¢a[etl here-
unAer to oar, sM1ail termina[e all IVabillty of the Companr hereunder.
6. Perment of Coss
(a) The IiaDiiity of the Comoem untler tMe pollq ehell in w cax
exceetl, in all, thC acWei lose of the Insuretl end coAs md ettorneYS' feef
wM1icM1 the Comoanr mav be oblleated M1ermntltt to vav.
(b) The Comvem wiV pav, in eddition to eny loas insuretl asainst
by Ihis pollcr. all coaa imposed uron the Insured in llU¢ation cartled on bY
the Comoanr for [Ile InaureA, and all cosls antl aUOrneYS' feee in Iiti¢alion
cartietl on bv the lnsured wi[h the wriurn authorizetion of the Companv.
(c) No dalm for tlamuser sM1nll erire or be meintxinable under thla
rolicr (U if the Comoanv. xfter M1avine recelved notlce o[ an alleyetl tlefect,
lien or encumbrantt mt exceonetl ar excluOeA herein removes euch defecL
lien or encumbwnce wilhin a reasonable lime af[er recelpl o( auch notice;
or (2) tor Ilability volunmrily asxum~ bs the insured In set0in¢ eny claim
or auit withaut wriLLen consent of the Comvanr; or (3) in the evrnt the ti[le
ia reieqed e unmarketable because of a defecL lien or encumbrantt not
exceorea or excluaea In Nie ooii<r, until [here M1ae eeen a tinal tlerermination
by a coun of romoecent ludstlidion sustainine such relmion.
(d) All varmmts under thie ooliw. e ceot aeymrnes metle for coata,
ettorners' feea end <xDenses, aha0 retlutt the amount Of M< imur0nce Dro
lento enE no Dprment Me11 Ee matle withoul produclnY [hie polics tor eo-
tlonemml o[ auch DaYmmt unlue the policy be lop or tlMrosW, le whlch
caee nroot of such loa or dahucllon ep.p be tumiMM to the wtldec[lov
of the ComOanr. (e) When liabilnv has been tlefiNtely tixed in accordence with the
conCiOong of this Policy the losv or damave ahall be yeyable within thirtr
aars Inereafrer.
Lianilitv Noncumnimivc
Il is exorevly unJerstooJ tha[ the am.oun[ of this poliq is reAU<eC br
any amount the Comnanv mav oav nnder anv volicv insurine the validitv or
PllOfttY of ally mOTIBaH¢ Or tlePA o( 1(uft Ehown o lefe(fed l0 1n ScM1etlUle
B Mereo( or anr morteaxe or deed of trvst hereafler execumd br iM1e Insured
which Is a charae or Ilen on ihe land described or rePorreA m in Schedule
A, enA the amounl so PaiJ shall be Jeemetl a paYment lo the InsureA untler
Lhie potlq.
8. Coinsurance and Avvortionment
(a) In the event thet a vnrtial loee xcurs efrer the IneurM mekee an
Imnrovement suFUqumt lo the dem ot tM1is volicy, anC onlr in tM1at evrnt.
the Insuretl becomu e winmrer to the eztent herelne[ter eet fonh.
It the cort of the imorovement exceMS twenty eer crnwm ot the amowt
o( tMa polic>, euch Droportion only of mv nertial low ea[abOSM1ed ehall be
Eom< M the Comp+ny m one hmEreU twrn[y per crnmm of the emount
of lhls pollry bears W[he aum ot the smount of thb policy antl the emoun[
exvenAW for lhe 1mOrovpnenL ]Te fortooinQ plOVlfi0n8 M911 110[ aOOIY [O
coete aM attornest' tea incurreE bv [he Comosnr in proaecuHne er vrovidine
for the de(enee ro[ attione or proceepinb In beMif o[ the InsurcA vunuant
lo the tmne o[ NI. poliq ot to eoaG ImDO,ed on the Iopured Ie aueh ttNons
or' orouetlinn, md epall aonly oMr to t6at nottlon ot loeon whlch acxC
In the etRe¢ale tm pet ceoWm o[ ihe tace o( the OoIIcY.
ProvideE. howevtt. Na{ the [oreyoies wlmuiuuce vrovldow Nailvot
aeolY b em lom arieint ou[ ot n Ilrn or mcumbrsece (or s IlpuidLLW tinount
which cs 1uM on Ne Cete o[ thla Ooll<y and wu not ehown i0 9tdWWa B;
and oroWEW further, such winsurance orovitlone Mall not BDOiv [o aes loee
i[, at the Hme ot the octurrmce of such loe,, the thee valoe oj the.eremlw.
as eo imoroved, Aoee no[ excxtl ooe hundrc0 twenty per cen[um ot the amount
Of lhle poliry.
(b) It the land deecribetl or referrcE to in SchMUle A ie OWIeiEle
InIO HGpBldlC p04 11011C011[Ii110118 09!<CIS. Of i[ COOlituOYb 0nd 6IXh OuCCIa
e na uccd ea om tlnele site, end a iosa ie establlMeC affuHn¢ one or
more of aaitl oarceia but rot a11, the loes shall be comOUMA mE sellleEon
V!O (2ta b091c aa If the fnce a unl o[ [hip pOlicy wa8 dlvlde4 DrO l0lea
m the value on the aam o( enis nolicr ot eech sepnrete intleoenGrnt nnrcel
lo the whole, excluNve of eny improvemmta maAe sueseauem m m< mie ot
this poiicv. unloe a IiabiVty or value hes oN<rwlw been asceed upon a lo
each euch uarcel br the Compenr and the ImweG et the Hme ot the Imu-
ence of thle volicy and ehown br en expreao elatemmt hueln or bs an en-
tlorsement ethcM1M hereta -
9. Subro¢ation upon Paymrnt or Sntlement
Whenevn the Comvam ehall have eettlM a cialm unAer tM1le pollcy, a0
rlvht o[ aubmeeHon ehep ves[ in the Compeny mafhctM by em act o! N<
Insurcd, and it shell be subroeared m antl be enti[letl bW1 riehb end reme-
diee whicM1 the Insured would have had aeainet any oenon or vmperty in
respect to such cleim bad [his nolicy mt been isBUetl. If the pevment Coea
not cover the loee ot the IreweO, the Company ahell be eubmeatetl to nuch
ri¢hts anE remetlid in the omoartlon wpich seld oennmt been m the
amounl ot eeiC loss It loss should resW[ fmm anv ect ot the Insuretl, mch
att ehall wt void thic policv. hul the Comaem. in lhat evev4?, ahell be re-
auireA lo pay only thal oert of any loeses ineured aaainn hemunder which
ehall exceeG the smouN, I[ anr, lort [o the CamOem bv reeaon o[ the im-
pnirment of the rloht of xubrooaHon. Th< Insuretl, if reaueatM br the Com-
canv, sM1ep Inns(er lo We Company ep ri¢M1ls entl remetlies a¢alret any
perwn or oropenv neceesarv in ortler to perfa[ such ri¢htrof subro¢atlon,
enA ehell cermlt the Comoany to use the name of the InsureO in am Irane-
ectlon or IllitaUon InvolWn¢ auch ri¢M1ie ar remetlies.
10. Policr Evtlre Cuntract
Any actlon or ectlona or richts ot a.[ion tM1at the Inanretl mar havc ox
mq EtlnY nealnu th< Comoanr arisin¢ cu[ of the ate[us of the ti0e inmretl
b<rtin mun be bwed on the orovivona of lhie poliq.
11. Notl<ee. Where Srnt
All volicee reuuiretl to be eiven the Companr antl am s[etement In
writine rtnuireU to he furniahetl lM1e Compaur ahall 4e adtlreesetl to IL ct its
home o[fice. Demer. Colorado.
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3CHEDULE A
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`LIL
Dated [his___fth-day of July
.19---63 at the hour of_ : 00 dclock-A..M.
1. The name of the insured and the estate, or interest of the insured in the land described below and covered by
this oolicy is as follows:
F, s, DUNSMOOR and VERNA A. DUNSMOOR, in fee simple,
in ,joint tenancy ,
2. The land, [he [itle [o which is insured, is described or known as follows:
That part of Lbt 2, Block 1, BARTH'S SUBDIVISION of the South-
east quarter of 3ection 26, Township 3 South, Range 69 West,
according to the recorded p]a t thereof, arly
described as follows: more particul
Beginning at a point on the North line of said Lot 2,
at a point 127,35 feet Tsast of the Northwest corner of said
I'°t Z; thence 3outh2ad parallel with the West line of said Lot ;
continuing 8outh7alongesaid linet$udistanceoofb133nfeet; thence
Sast and thence
parallel Vrith the North,line of said Lot 2, a distance
of 72,4 feet, thence North and
said Lot 2, a distance of 133 feeta1moreWOrhless,wtptaipointf
167,8 peet gouth,ot,.the. North line of said Lot 2; thence West
and parallel" with the North line of said Lot 2, a distance of
72.4 teet to the true point of beginning, County of Jefpergon,
State of Colorado,
SCHEDULE B
This Policy does not inaure against loss or damage by reason of the following:
. 1• Rights ot claims of partie3 in pmye-$$ion aot shown. of record, including unrecorded easements.
.:#4 2 My state of facts an accurate survey would show.
3 MecLemG Iiens, or any rights tyereta, M.here no uotice of auch lirns or rights a
. . . . ppears of record.
4. Taxes and assessments not yet due or payable; and Special Tezes or Assessmen[s certi[ied to the office of the
County Treasurer subsequent to: $gpCb 18, 1963 flt QO O'ClOC$ A.M.
;y 1962 Taxes,
5. An
q tax or assesament Por sewer seri#ce,
`;4
.rJ8i: 1fi0 eeorded aL!••?~~~ _._"e--!1 ..aq - .
RecepUon N~ 034 ____JAA46S..1L McNAt~_Reeorder• -
RECORDER'S STAMP
TmS DEED, Made thia 27t21 day oi MBTCh
ia in the year of our Lord one thoueand niae hmdred and 8j.7C'ty-~I'98
Q' ~ i between
W. K. KETTLE and KATHRYN G. KETTLE -
AQQ'of ffie County of Jef£ePSOn and State of Colorido, of the £rat part, and
#5.«
.y
ri F. S. DUN$MOOR and VE??NA A. DDNSMOOR
of the Covnty of D8nv8Z' and State of Colorado, of the accond part:
:
WITNESSETH, that the said part iES of the first part, for and in coasideration of the aum of
Ten Dollars and Other Good and Valuable Considerations----------------- -DOLbARS,
to the eaid pazt 3@8 of the first part in hand paid by the eaid pazties of the aecond part, the reeeipt whereof ic
hereby conteased and aclrnowledged, ha pC gtanted, bargained, eold and conveyed, and by theae ptesents do
grant, bargain, aell, convey and conf'vm nnW the said partiea of the second part, their heirs aad assigaa forever, not
in tenancy in common but in joiat teaancy, all the following deacribed lot or parcel of land, eituate, lying and
being in the County of Jefferson and Stata
of Colorado, so-wir: That parb of Lot 'l~ao (2), Block One (1), BARTH'S SUBDNISION of thi
outh East Quarter of Section 26, tp. 3 South, Range 69 West, according to the re-
~ orded plat thereof, more particularly deacribed as follows: Beginning at a point ol
e North line of said Lot 2, at a point 127.35 feet East of the Northwest corner o:
aid Lot 2;'.thence South and parallel with the West line of said Lot 2, a distance
( ~;l,/ ~d f 167.8 feet to the true point o£ beginning• thence continuing South along said lii
distance of 133 £eet• thence East and parailel with the North line of said Lot 2
diatance of 72.4 feet, thence North and parallel with the West line of eaid Lot ~
diatance of 133 feet, more or less to a point 167.8 £eet South of the North line
f said Lot 2• thence West and parallel with the Idorth line of said Lot 2, a distani
f 72.4 £eet to the true point of beginning, County o£ Jefferson, State of Colorado,
TOGETHER with atl and aingnlar the hereditammte aad appvrtenancea thereunto beloaging, or ia snywiee
•DMrtaininB, and the reversion aad rwerdonn, remai¢der ead remaindera, rente, isaues and profits thereof; and all the
eatatq right, titlq intereet, claim and demand whatsocver of the said yart ie9 of the first part, eiWet in ]aw or equity,
of, in and to the above bargained premisea, with the hereditaments and appurtenances.
TO HAVE AND TO HOLD the said premisea abme bargained and described, with the appurtenancea, uato the eaid
parties of the second part, their heira and assigns forever. Md the said pari ie9 of the first part, for{hgmeetpe3 .
their Leira, ezecutors, and administratore do covenant, grant, bargain and agree to and with the said panies
of the second put, their heirs and assigns, ihat at the time of the ensealing and delivery of these presenta thG}r gTB
wep seized of the premises above conveyed, as of good, awe, perfect, absolute and indefeasible estate of inheritance, in
law, in fee simple, and ha Ve good tight, full power and (awful authority to grant, bargain, sell and convey the same in
manner and form aEoresaid, and that the same are frce and clear from alt former and other granb, bargaine, ealea, liene,
taxee, aeseesmenta and incumbrancea of whatever kind or nature acever, exeept taxes R71C1 assessments
subsequent to the date hereof, reservations, restrictions and rights of way of
rdcord.
and the above bargained premiaea in the quiet and pnceable poseessioa of the said partiea of the eecond part, ffieir heire
and asaigna, against all and every peraon or peraona lawEully c(aiming or to claim the who(e or any part thereof, the said
part ie9 of the firat part ahall and will WARRANT AND FOREVER DEFEND.
IN~ WJ~S~NESS WHEREOF the eaid yazt ie3 of the firat part ha ve hereunto set tlleithand8 and
eeal$,, ~ 1111 1 A{~ day and year firsS above written.
. "EtvFrq q~• 2
,•'~gled; 5e'sled~anred ia the Preawce of ---....N.t'_'......~-.-- • _ .[SEAL7
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~DFSt~'A~'~!!'~OF COLORADO, 1
County Jefferson 1
Kathryn G. KefniYe*'* [SEAI.]
--~'=`--1-7-~`~f.! [SEAL]
The foregoing instrument wae aclmowledged before me this 27t}1 day of Mareh
i9 63, ny+ W. R. Kettle and Kathryn G. Kettle
My commissioa wcpirea 19 . Witneas my hand and o'cial aeal.
My Commission expires Oct.15, 1964 ~
..c-F~-=---.._~.._:--- . `'t''~'i
Notary Yablie..
N0. 821. WABRANTY DBED.-To ,lefnt Tenanb. Hnd[ord-RObSneon Priu:;:: .npsoy.18E4de Btont Street, Denver, Colorado
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sLWrney-ln-[aoL, tLen IneeK aainu a[ Vernon as ezecuWr, attoruey-In-fact `~xr rsyacfty or descrlDtion; 1f by oftlcer ot coi-
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BUtLt)IMt3 INSPECTION D1"S10N - 235-2855
-
CITY OF WHF-AT RIDGE
Date : 6/15198
1500 WE:2T ZVH AVeNUE
VYHEAT FtIDfiE, CO 80215
Praperty Owner :
Prope(ty Address : 3085 Upham Ct.
Phone :
Contractor Llcense No. : 19897
Company : UNITEU EIECTRICAL CdNTrtACTORS
Phone : 232-2131
OWNER/CON1'FlACTOR StdNkTIJRE OF UNDrzRSTRNDWG AND AGREEMENf
CoAStNCtbMyelut! : $275.00
I trereDy certlry that Me;emadc distatrcos PmPaRadby tfis pertnRapplicationareaccureM,.
end d0 n4t Yfolata a~pplia6bb adkiYrtceS, rubs a tegUlBNrne of Me C'dy W YYAeatRidg9 cr
Permk Fee : $25.00
.
wvenefts, e.agmnats u restdarons of recwa; met aa me.saromeMe ahrnn,, and d boaewn.
Plar, Revie~a Fee : $a:oo
to abkle afl condidans peiMed on thia
made aro acpftate; !llat 1 have roed md egr0r k
applkation, aiul 1 HS;6ume tu11 re ppof~s&~i tOr qCa wkh the 4Nfaat Rkge 8ulltling '
.
USB Tax ~.13 :
.
Code~ (U.B.C:) anll nM1her eppHeebbWheat~~ nances, for woAc umNr Mla permit.
. .
Total: $29.13
. . . DATE
SICiNED '
7RAC7
.
QR)
(OWNER)(CON
. . . .
. .
. : : . . .
US@.: .
Description : Add 3 outlets to enclosect patio, add future circuit for baseboard
BUIIDING DEPARTMENT USE ONLY
SIG : Sq. Ft. :
' Approval:
Zonin,g :
Approval :
APProval :
Occupancy Walls : Roof : Skories : Residential Units :
ElechicaCLicense No : Ptumbing License No : Mechanical License No :
Company: Company: , Company:
Expiration Date : Expiration Date : Expiration Date
ftpproval : Mproval : APproval ;
;
(1) Thht WW*waa F1 A~atdaM~ WNh OW Prwllbn sel faCi In yopur appNcatlon enfl h~ to Cls lews d tlle SNb of CUWSdc aIM tD ths ZdOq
Requqtlplaemal GabdVMSat ColafdooreMOMxappI ordln~t~caed Cy. . .
(2) Thla plrmi slnq fA~YYS wWlc auC~ro~ed b naS corMianoed wNhln Wc~q (80) tlsys fian bwe ~feRor (9) tlro MildfnB:wtlaAzad is wapaWad or .
aWfKlEl~sd IOt e psti9tl W t (3) ttWsk~tfiM~ph~e,6nawmaYEeacqWiedTOrlfeeofontrhaMtl»artWUMmrmalN~red,nGCt~enqsMvebeenorwlNCSmekIn1M ,
e N,~~p~ arc mas or N auepenswn a abandmmam
«IpMWWm+saml~ fCeemca Mtl+ro' araWrMonmmtnaenotezceedeaais(1J7reec • m«aoa0s 9~ (f) y~c . h~q tees a4a16 be Potd as~- ~ ~ . .
Nowaxk M ury ~eMer atreli bs dm~ey tph~N vrdl dw" 8ie n~lu~al Avx MwaMrcauekp a dra~nepe Probbm. . .
~5) cp~Opn~ba9~y ~ muowtl~/ p~~q rg%~ tionly-lbar (24) hours tn aavBnce r« an Ineo~` ana enall recenre wMOen eaP~`~l an tnspxuon cve bewre
(8) TI11Y'I~1lnSx D1 d R~~ Or dN ~a/a~ 1r8wIA0s MO spetl~tlcns ahBtl nOl be conEbuOd SD be a pMRt fOt, nw Bn apprRVel of, auY hdetlon Ot Me Pmv#I~s
re~~ 1~.(~~adMance.law,mNor`~~ . . . .
Chief Building Inspector
THIS PERIAIT VAL1E1 ONLY WFiEM 81GNED BY TME CHfEF BUII.DING INSPECTOR AND MAYOR
CALL: 234~953 24 HOORS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
PropertyOwner: Oc"(6p~ov-
Property Address : 3 u~S U~~~u ~h C~-. Phone
Contrector License No. : ~ ~$q 7
Company: ~4j Phone: q$G--6(o7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : a ZS °O
I hereby ceAify lhat the setback distances proposed by this permd appliwtion are accurate,
and do not violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions of record; that all measurements shown, and allegations
made are accurale; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility tor comp iance with the VJheat Ridge Building
Code (U.B.C.) and all other appliwble Vvheat Fiidge.ordiances, for work under this pertnil.
(OWNER)(CONTRACTOR)SIGNED/C ~u~L- DATE~'9Z lr
Description: Aad 3 ou-f-~e~t f,
,q~q~ ~u ~-cs ~ crv u J
BUILDING DEPARTMENT USE ONLY
SIC
Approval:
j Zoning :
EMWMM.~
Approval:
P_Qlfl m bt~~
Approvai :
Occupancy : Walls : Roof : Stories
Permit Fee :
Use Tax :
Total: $0.00.
l~3 l o~-n ~a
Sq. FL :
Residential Units :
Electrical License No Q~q ' Plumbing License No : Mechanical License No :
Company : P-7/p. C~,(y,Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approvai : Approval :
(1) This pertnit was IuueO In aaatlance with the qovisions set lorth in yopur applicauon and Is suq'ecl to the laws o/ the State ol Cob2AO arW to the Zoning
RegulaGOns aiM Builtling Cotle o( Wheat Ritl9e, ColoreOO a any oUxr applicaDle adinanoes of the Ciry.
(2) This pertnil shall expire il (A) the wotk eulhonzed is (wl mrrimented wNun saM (60) Eays Irom Issve Eale or (8) the builEiip auNOrized i5 suspMded of
abarMOned tw a perioE of 740 days.
(3) It ihis pertrvl ezpires; a Mw pertnM1 may be acqWred Iw a lee ol one-halt ine amount nomuly required. DmvideA no changes have been or wili be made in the
original plans aM spedfimtions aM eiry suspension or a6antlonment lus not esceeded one (1) year. II Uianges are ma0e a if wspension or aOaMmment
ezceeds ane (1) Year, full (ees shall6e Paid fa a new pefmit.
(4) Na woAC ol any manner shall be tlone thal vrill rhange the naWral Ilow ol waler causing a drainage problem. (5) ConUaclw shall raUry the Buildinq Inspector twenry-four (24) hours in aEvance lor all inspecliotis an0 shall receive written approwl on inspeclion oN De1we
proceediing wilh successive phaxe of the b6.
(6) The issuance ol a pe~mil a ihe epproval of Erewings enE specifwtions shall nol be consWed to be a pemtit la, nor an aOProvaI o/, am/ Ndatlon of iha provisions
. of the builEirp cotles or any oNer adinance, Ww, fule w requla4on. -
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION