HomeMy WebLinkAbout4605-4615 Routt Street'Z10I-7Cs b 6
INSPECTION RECORD
i
INSPECTION ONLINE FORM: http-//www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancv/`. -��
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Electrical
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
'
Do Not Pour
Concrete Prior 10 Approval ut i ne ADove Inspecnvnb
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Sewer Service
'
'?
Plumbing
Lath / Wall Tie
r%— Alert I Inflnrnr/Llrftl nr Rainw/In_Rlah Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
'
'?
Lath / Wall Tie
Rough Elect is
Rough Piurnbing/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 vistnct a 1 UltAA cal IVW vv Layc
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of C-cupancy Is Issued
Protect This Card From The ather
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: __ 11 �`� J - K7�a
Job Address: ! avl'- `4.
Permit Number: Zc>1-7
❑ No one available for inspection: Time
Re -Inspection required: Yes QNo
When corrections have been made, caller re -inspection at 30��3-2//34-5933
Date:,c),) I / Inspector � Rtie�!!
DO NOT REMOVE THIS NOTICE 4
® A s CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office . (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F -
Job Address:
Permit Number: c;) O
Yin c>a r�, i e.3
e r _'
❑ No one available for inspection: Time ►- (O/PM
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: )/So I/Inspector: A CUAJ' �x A, J
DO NOT REMOVE THIS NOTICE b
A i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ;:_11 In, f
Job Address: 2C 1; 4 S f
Permit Number: a o t -7 o S 6, 4. 6.
ii`nc+ i !71/ 0 ►a��i�i�rl'
S -c r s 6, 1AJ , v„ lle A r y
❑ 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: 1I f LD a i -;� Inspector: TD
}� DO NOT REMOVE THIS NOTICE
�'F
4
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F , 0 ex
Job Address: c�� �' S �` c << 4 S+
Permit Number: 'DO 170 S�
❑ No one available for inspection: Timer �`3 AN�YPM
Re -Inspection required: &67 No
When corrections have been maadcall for re -inspection at 303-234-5933
Date: 'i/i5- Inspector: Tb
DO NOT REMOVE THIS NOTICE
A r City of Wheat Ridge
Residential Roofing PERMIT - 201705686
PERMIT NO: 201705686 ISSUED: 08/08/2017
JOB ADDRESS: 4605 Routt ST EXPIRES: 08/08/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 44 sq
*** CONTACTS ***
OWNER (303)332-4398 FULLER PAULETT
SUB (303)862-9841 David Kole
160113 Colorado Western Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,308.00
FEES
Total Valuation 0.00
Use Tax 237.47
Permit Fee 236.00
** TOTAL ** 473.47
*** 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) 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201705686
PERMIT NO: 201705686 ISSUED: 08/08/2017
JOB ADDRESS: 4605 Routt ST EXPIRES: 08/08/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 44 sq
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 perm I further attest that I amlegally authorized to include all entities named within this document as parties to the work lobe
perto d nd that all w rk o be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Ci
Signaturt�to
f OWNE ONTRA R (Circle one) D e
1. Thismit was issued base on the information provided in the permit application and accompanying plans and specifications and is
subje the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 issuan ranting of a permit shall no be construed to be a permit for, or an approval of, an violation of any provision of any
applicabl . co e rpany ordi�r re lati n 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.
Dan Schultz 20;7o f�6
From:
no-reply@ci.wheatridge.co.us
d
Sent:
Monday, July 31, 2017 10:34 AM
To:
CommDev Permits
i'
C
Subject:
Online Form Submittal: Residential Roofing Permit Application
I
Categories:
Gina
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Residential Roofing Permit Application
z
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
Q
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
—t --
documents at the time you are issued your permit.
�'
Q
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 4605 Routt St. Wheat Ridge, CO 80033
Property Owner Name Paulett Fuller
Property Owner Phone 303-332-4398
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.
Attached Copy of
Field not completed.
Contract
CONTRACTOR INFORMATION
Contractor Business
Colorado Western Construction
Name
Contractor's License
160113
Number (for the City of
)
Wheat Ridge)
Contractor Phone
303-862-9841
Number
Contractor Email Address
kolecwc@gmail.com
Retype Contractor Email
kolecwc@gmail.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No %
roof?
Description of Roofing
Asphalt/Compostion
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
44
material selected above?
Does any portion of the
sem-
property include a flat
//
roof?
If yes, how many squares
Field not complete .
on the flat roof?
TOTAL SQUARES
44 %
(pitched + flat) of all
/
z
roofing material for this
proj ect
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)
Replacing 44 sq of asphalt composition shingles on the house
to Atlas pristine oyster shingles. Roof pitch 4/12
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant David Kole
Email not displaying correctly? View it in your browser.
3
ev/:)COLORADO
L / (�$39S Sweetwater Road
\�\' Lonetree, CO 80124
�./ Telephone: (303) 862-9841
WESTERN CONSTRUCTION
AGREEMENT
Name:�au �t�T �u<< �� Date: % - /Y -
Address: �l t� G �yb r - fr` S f
City/State: ! Jl� f ✓: a C e G Zip: �Od35 E -Mail: MSte,e1oockv� lot Q [i (rte. cGtti
Home Phone: '2116 5"12,- 7 ?l q Work/Cell Phone:
Sales Rep: �l%a � l �111I p1,� Phone: '7U -S S6 - 34ge _Storm Date:
THE CONSUMER PROTECTION/ROOFING BILL DOES NOT ALLOW A ROOFING COMPANY TO
WAIVE, PAY OR REBATE ANY INSURANCE DEDUCTIBLE
Approximate/Scope of Services/ Materials & Costs
Based on Current Known Damage Report
Replace with: Shingle Manufacturer to 0, 5 Line f1`a
Color ()V4V-✓ Year Manufacturer Warranty
Labor Warranty: a year (Guarantee against leaks)
!Starter_Zgi'p and Ridge_R&R Pipe Jacks
_,, R Attic Vents Type: _Turbine urtle_Ridge_Other
aint roof stacks to match shingles
_Ice and Water Shield_R&R Valley Metal
_R&R Step Flashing_R&R Chimney Flashing _Lg_Md_Sm
_R&R Rolled Roofing_R&R Modified Bitumen
_D&R Satellite Dish, Qty_Special Instructions
Roof Pitch:_7/12-9/12_10/12-12/12 over 12/12
Steep Charge sq,
_Replace Decking (7/16 in. OSB)
_R&R Skylight, Qty_ _D&R Swamp Cooler
TOTAL SQUARES
APPROXIMATE COST $ 00 aV&
DAMAGE REPORT
APPROXIMATE DATE OF SERVICE '7 /—!B J_L,�_
COLORADO WESTERN CONSTRUCTION LIMITED WARRANTY
5 YEARS REPLACEMENT OR REPAIR ON WORKMANSHIP
GENERAL CONTRACTOR. Homeowner acknowledges COLORADO WESTERN CONSTRUCTION as a general contractor and as such shall be
entitled to overhead and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead
and profit,
TERMS: By signing this Agreemeht, you, the homeowner, authorize COLORADO WESTERNCONSTRUCTIOTT(the "Company) to'act'dh your
behalf and pursue your best interests with your insurance company in determining an appropriate roof and/or siding replacement or repair
at a "price agreeable" to both the insurance company and Company with no additional costs to you except for your insurance deductible.
When the "price agreeable" is determined it shall become the basis of the final contract price which consists of INSURANCE PROCEEDS
INSURANCE DEDUCTIBLE (the "Final Contract Price") and you authorize Company to obtain labor and materials in accordance with the Final
Contract Price and the specifications
set ut
eout herein and on the reverse side /h�erjeof and to accom lish such replacement or repair.
Accepted by (Homeowner): r ��1(-c c 1 } V I (-oma✓ 1f /✓�w C / .C.(/�.. Date: 7 -
(Print Full Name)
(Signature)
Insurance Representative Agreement: It is understood that Colorado Western Construction will be contacting my insurance representative
and or meeting on my property to determine scope of loss (property damage) and compensation for loss (amount to be repaired)
Insurance
Property Owner
Claimri 1!!5q '�
COLORADO WESTERN CONSTRUCTION SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL COLORADO WESTERN CONSTRUCTION
HAS DELIVERED MATERIALS OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY
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: %D5 R0rl•-f-}- 5 (-
Permit Number: 221742-569b .
❑ No one available for inspect jon,: Time • 2 '3 ),AM/P
Re -Inspection required: YesNo,,,_)
When corrections have been made, call for re -inspection at 303-234-5933
Date: K )5. / Inspector: 601�, )
DO NOT REMOVE THIS NOTICE
Inspection Type AnP
Job Address V&e 57
Permit 'Number
p '�s
� > t < P . � c� '� fU n 1)7
�ccCa I�
!rir
❑ No one available for inspection: Time �A , PM
Re- Inspection required:: s No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: 4&S-111 Inspecto �
` DO NOT REMOVE THIS NOTICE
k
PERMIT NO: 10(
JOB ADDRESS:.. 46(
DESCRIPTIONS Rex
FE
Fee I: 2272`.
Valuation
ax 216.
'AL 488..
Fw
TED: 03/15/2010
:RES: 09/11/2010
~r;
r ~~/F7{C~ity of$-T7
j/ y y 1160,1_, ge Date:
j„("~~ Permit 1 (~~~~J
COMMUNITY DEVELOPMENT
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
0 Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: ateo - ~owfF
Property Owner (please print): ~0... is F~ Phone: 303-33`~-39$
Mailing Address: (if different than property address)
Address C _
City, State, Zip: LJ-l~ Y-r 44 C-C~ ~OO 3
Contractor:
Contractor License i hone: 30 ~8g-I v ao
Sub Contractors:
Company Name: License Expiration Date: Trade/Profession: Approval:
Use of space (description):
Description of work:
I a HC T W o ) Ia ~~,,rr O s s Construction Value* S ( 000. 00
N! Ga.g Q a hCrLi7po 3p~i Jr p ryt . Plan Review (due at time of submittal): s
Sq. Ft./L. Ft added: Squares BTU's _ Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby cer* that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE: (OWNER) (CONTRACTOR) or f*RSOM
PRINT NAME: Tatot r4s London SIGNA
ZONING COMMENTS:
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
OU1LDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE
FIRE DEPARTMENT:: 0 approved w/ comments ❑ disapproved ❑ no review required
Credit Card Payment: Use credit card listed on file. Date:
(OWNER) (CONTRATOR)
Bldg Valuation:
Date: 3 2 I o
OCCUPANCY:
Print name: Signature:
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 77663
BUILDING INSPECTION LINE -(303-254-5933) Date : 9/7/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: PAULETTE FULLER
Property Address : 4605 ROUTT STREET
Contractor License No. : 20227
Phone : 425-9247
Company : Nationwide Heating & Air Conditioning Phone : 232-3939
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 applirable ordinances, rules or regulalions of the City of Wheat Ridge or
covenants, easements or restriclions of record; that all measurements shown, and allegations
made are accurete; that I have read and a lo abide by all conditlons pnnted on this
applic(tion, ajd that I assum Pfull respon ili forcompli e with,the Wheat Ridge Building
Code U.B.C. and all other a plicable W eat id~ or a es, ~ work under lhis permit.
(OWNER)(CONTRACTOR) SIGNED ` ~ DATE y_7-U
Description : INSTALL 80000 BTU FURNACE AND 2 TON AC
Construction Value :
$2,766.00
Permit Fee :
$108.30
Plan Review Fee :
$0.00
Use Tax :
$33.19
Total:
$141.49
Use:
BUILDING DEPARTMENT USE ONLY
Z45109. mll:
SIC : Sq. Ft. :
Approval :
Zaning :
_
_ K4'
Approval
Approval :
Occupancy : Walis :
Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical license No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accordance wilh the provisions set (onh in yopur application and is &ubjecl fo the laws of ihe State ot Colorado and to the Zoning
Regulations and Building Code 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 sixly (80) days from issue date or (B) ihe building authorized is suspendad or
abandoned for a penod of 120 days.
(3) If ihis pertnit expires, a new permit may be acquired for a fee of one-half ihe amount nortnally required, provided no changes have been or will be made in ihe
original plans and specifcations and any suspension or abantlonment has not exceeded one (1) year. If changes are made or'rf suspension or abandonment
exceetls 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 naturdl flow of water wusing a d2inage problem.
(5) Contrector shall notify the Building Inspector hvent -four (24) hours in advance for all inspeclions and shall receive written approval on inspection caM before
proceediing with success' of thgkal Dol (8) The issuance of a it ap0 of d~wings an ications shall not be conslrued to be a permit for, nor an approval of, any violation of the
provisions of ihe q4xyortl law, rule or regulation.
~
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
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 qPPLICATIo N
Property Owner : ~arsa•?v ~~~~z
Property Address : y(rnS A"17_ Sr. Phone :3o
Contractor License No. : 7o7-2-7
Company : Phone : ~U3--23Z-3y s`>
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy 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 restndions of rewrd; that all measuraments shown, and allegations
made are accurete; that I have read and aqree to abide . all wnditionsWh pnntad on this
appliwtion, and that I assume full responsibiliry for liance with the eat Ridga Building
Code (U.B.C.) and all other applicable Wheat rd~eaces;fbr work under this pefmit,
(OWNER)(CONTRACTOR)
Construction Value :
7 3%G
Permit Fee :
lp8
Use Tax :
3; ! 9
Total:
Use:
Description : /~✓~;wGe
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
BdQd
Approval :
LWBM
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : /9/ L
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Ekpiration Date :
Approval:
(1) This parmit was Iesued in accartlanca with the provisiona aet forth in yopur applicalion antl is aub~ect to the laws of the SWte of Coloratlo antl to the Zoning
Regulations and BuilCing Code of Wheat Ridge, Coloredo or any other appliwble oNinanms of ~e Ciy.
(2) This pertnit shall expire if (A) the work authonzeE is not commencatl within sialy (80) tlays Irom issue tlate or (8) the builtling authonzed is suspended or
aDantlonetl for a period o! 120 daya . (3) If this pertnR expires, a new pertnit may be acquired for a lee of ono-half the amount normally raquired, Orovidetl no changes have been or will be made in the
original plans antl specifiptlons and any suapension or a0an0onment has not excaeded one (1) yeac If changes are made or it suspension or aDantlonment
exceeds one (1) year, tull fees shall be paid for a new pertnit.
(4) No vrork of any manner shall 6a tlone thet will change the natural fiaw of water rausing a tlrainage problem.
(5) Canvactor shall no6fy the Builtling Inspector Iwanty-bur (24) hours in atlvence for all inspections an0 shall receive wntlen approval on inspectlon wrd before
proceedling with succassive phases of ihe job.
(6) The issuance of a pertntt or the apProval of tl2winqa and apecifications Shell not ba consWeC to be e permit for, nor an approval of, any violation ot the provisions
o( the builtling cotles or any other ortlinanee, lew, rule or repulaUon.
Chief Building inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
Property Owner :
Property Address :
Contractor License No. :
y
Phone: ~4- -%-:i J'~2
Company
Phone : yr 3- b= /
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity 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 restnctions 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 1 assume full responsibility for compliance with the Wheat Ridge Building
Cotie (U.B.C.j and aii oiner appiicable VVheat K ge ortlinances, forworkyntler tnis permlt.
(OWNER)(CONTRACTOR) SIGNED . /fi DATE
DescriPtion : „ o . ; / e / r , i,
Construction Value
Permit Fee
Use Tax :
y,~ r >
Total:
-
i
~ _ ` ~ e - c f Z i - ~ ~ ~•-~.,c.~ n~:~ - /.,-~!t Yi~-..~
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval:
MI
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expira;icn Date : Expiration Date : Ezpiraiiuri vaie :
Approval: Approval: Approval:
j - Pf~"it~k~~4ul~d~ 23 tEvp?I~::~4ulrerf a
(t) This permR was issuetl In accortlance with the provisions set forth in yopur aDPlication antl is subject to the laws oF the State of Coloratlo antl to the Zoning
Re9ulations antl Building Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permil shall expue if (A) the work authofized is not COmmencetl within Sia2y (60) tlays from issue date or (B) tlle building authonzetl i5 5u5pentletl or
abantlonetl Por a penotl of 120 tlays.
(3) If this permit expires, a new permit may be acquiretl for a tee af one-halt the amount normally required, provided no changes have been or will be matle in the
original plans antl specifimtions and any suspansion or aban0onment has not exceetletl one (1) year. If changes are matle or if suspension or abantlonment
exceetls one (1) year, full fees shall be paia tor a new pertnit.
(4) Nb work of any manner shall be tlone that will change the naturel Flow of water causing a drainage problem.
(5) Contraclor shall notiy the Building Inspector hventy-(our (24) hours in atlvance Por ali inspections antl sha0 receive wntten approval on inspection cartl before
proceetliing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings antl specifcations shall not be consimetl to be a permit for, nor an approval of. any violation of Ne provisions
of the builtling co0es or any oNer ortlinance, law. rule or regulation.
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
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500wES729tnAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M921F18230
237-6944 EXT. 255 P.O. Box 838 CITY OF WHEAT RIDGE, COLO.
TNIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW.
,1t APPLICATION FOR MiSCELLANEOUS PERMIT
JOB ADDRESS -7/2~1 ~ n u. -tT S r OWNER .1: 2 m 6- T ! , ) d A 4
CONTRACTOR :S.C I S~ ADORESS.4/-C.=-cZi~ - ~D ct,7T S 1 _
ADDRESS1 11 Cv L7 yX~n -WL,-, 7l. `I-T S~T PHONE ZIP CODEfll~
CITYIkF' ~,.~I-I` ZIP CODE 3 3 CONTRACT PRICE $
PHONE
TYPEGround❑
1
Wall❑
p❑
Proitetin
pther
S or D Faee
SIGNS
.
2. MATERIAL " -
N Y
N
❑
7
s
Total SQUme Feef
Elkt
Pvmit No
.
o
3. ILIUMINATIO
a
4 SET BACK FROM PROPERTY IINE N
(Specity whien is front )
yp
_
❑
5_ E
❑
_ W
❑ ❑
.
2one_
.
Apprwsd,2ona Inspeetw
DiaopDrwsd
1. TYPE SolidO Mon Than BO% ODen❑
MATERIAL
Lns Than 80% Opon
Meipht
fENCES
3 SET BACK FROM PROPERTY LINE N
(Specify whieh itfront)
_
❑
5_ E
❑
_ W
❑ ❑
Zons_
Approvsd,Zone Impecta
Dieopproved
1
14
7-
^ L-
L S
2
OTHER
3
.
DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIViIr'v AISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
~
SPECIfY NORTH
LICENSE Q.
STREET NAME
SHOW DISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY lINES; ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
' APF'I.iCATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED WORN ONLY UPON VALIDATION BY TiiE BUILDING INSPECTION DIVISION.
vFRM1T WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHW THAT TIME
ELECTRICAL PERMIT
PL11M81NG PERMIT
MECHANICAI PERMIT
STATE LICENSE N0.
STATE LICENSE N0.
ALUMINUAIWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
I5T
2N0
3R0
d
NQ
EbeSda
FUELCirrleOn~GaidlProporr
lcocll
140.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TU8
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LI6HTIN6
SINK
OTHER
HEATING
GARBA6E DISF
REFRIGERATION SYSTEM
POWER SUB-GFCUI7S
WATER HEATER
Retri eroM Grou
UTILtTY(RANGE,DISPOSER,E7C.)
AU?O.WASHER
Pounds CMr e
DISH WASHER
AUTOMATIC SPRINKIER SYSTEM
FIXTURES
WIRING MOTORS 8 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
lico-
a
t thi
h
PERMIT FEE
o!Y• OL("/
pp
o
s
I Aereby ocknowladqe t
ti0n ie correct and understand fhat I
U$E TAX
~Y, e'4
tannot atart this projecf until this appli-
ith
l
FEE
A
$
-
j~J
y w
eation ie aDproved. I sholl eomp
TOT
L
rr
,
, p
tha lowa of the State ol Colorodo and to
the Zoninp Requlations ond Buildinq
APPROVE
Code ot the City of Wheat RidQe. Any
violotion of the above terme will couse
DI
CHIEF BUILDI
INSPECTOR,City of
eot Ridqe
immediafe revocation of this Dermit.
a
/a - ~
Oafe Issued
~
~POlieanb Onalun
NO7 VALID UNLESS RELEIPTED
-9
c/&70~
a-
CALL 237-8944 EXT. 255
24 HOUHS IN ADVANCE
FORINSPECTIONS
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
roooor (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: rr~r ~m
Job Address: _-sr~~ aPn 5
Permit Number: ze_w~) ~ g
❑ No one available for inspection: Time 3 AM4N)
Re-Inspection required: Yes N
When corrections have been made, call for re-inspection at 303234-5933
Date: 3ds70ac~ Inspector: L
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76654
BUILDING INSPECTION LINE -(503-234-5933) Date : 1/8/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: ERMA WRAY, PAULETT FULLER
Property Address : 4605-15 ROUTT ST Phone : 425-9235
Contractor License No. : 19445
Company : Heartland, Ind. Phone : 288 2999
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cerlify that lhe setback distances proposed 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 respons ility for compliance with the Wheat Ridge Buildin9
Code (U.B.C.) and all other applicable WAat R'd~ e~r iHa Pes..fl work under this~p/ermit.
(OWNER)(CONTRACTOR)SIGNED - DATE~
Construction Value :
$1,390.00
Permit Fee :
$0.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$0.00
Use: EXISTI
MINUM
(NO FEE W/ A
DAMED Description ~ NREPLACING EW WOODEON SHED 10NX 2LUN0 ADD'LHCONCRETE OR SPA EI NEEDED2003
PERM IT)
2to611ng Comments:
Approval : TRC
Zoning : R-2
$uild1ng Cornmentst:
Approval: DM
plidlic Warks'Com,ments;
Approval :
Occupancy: Walls
Electrical License No :
Company:
BUILDING DEPARTMENT USE ONLY r"°" ert
is responsible for locating proP r
uCtin im rove~~tAacct'~~1in=toihe
lines and com B P
8 JAN 04 8pprovtd plan and reqUired developme:,: :tard ds.
Ciry is not responsible fur inaccurute irSorri o",
submittedwithinttte plan set and any coosu'actI-
errors resulting from inaccurz' in',rr. 1 1
OK. 118104. MUST BE ANCORED AT 4 CORNERS PER SHED
HANDOUT.
Roof : Stories : Residential Units :
Plumbing License No : Mechanical License No,:
Company: Company:
Expiration Date : Expiration Date :
Expiration Date :
Approval : Approval :
Approval:
(1) This permit was issued In accordance with ihe provisions set forth in yopur application and is subject to ihe laws of the State of Cobrado and to the Zoning
Regulations and Building Code of W heat Ridge, Colorado or any olher applicable ordinances of lhe City.
(2) Thls permit shall ex0ire if (A) the work authorized is not commenced within sizty (60) days fmm issue date or (B) the building aulhonzed is suspended or
abandoned for a period of 120 days.
(3) If this permit ezpires, a new permit may be acquired for a fee of one-half the amount normally requi ed, Pro„an d es are made o~if suspensionl obabandonment
original plans and specifwtions and any suspension or abandonment has not exceeded one (1) ye 9
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done ihat will change the natural Flow of waler causing a drainage problem.
(5) Conlrector shall nolify the Building Inspeclor lwenry-four (24) hours in advance for all inspections and shall receive wrillen approval on inspeclion card before
proceediing withsuccessive phases of the joD.
(6) The issuanc f apermit 9r the approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation o e
pmvisions lhe ~ uild°qdd~s or any olher ortlinance, law, rule or regulation.
Chief Building Insp tor
Please sign Terms and Conditions on reverse side of page.
o~ W"E4r COMMUNITY DEVELOPMENT DEPARTMENT
~o BUILDING INSPECTION LINE - (303-2345933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
~ocoRpo° WHEAT RIDGE, CO 80033 •(303•235•2855)
APPLICATION
Property0wner: z~,Y'Ma WrAyi oA-uleW Fu I Ie(-
Property Address: yb 0 5-'-16 /S 'ROufi' S-f-,lak"4~4'ke go D3 3
Contractor License No.: 1-794,1j
Company: -Tn" 5-~fir5
t
Building Permit Number:
Date.
Phone: 3 0 3-qa5 -
Phone: 0?1?< 9
OWNER)CONTRNCTOR SIGIUNRE OF UNDERSTANqNG AND AGREEYENT
1 hereby cerfrfy ihat the selbadc distances proposed by this permit apDlication are aaurate, and ao not violate
applicable ortlinances, rules a re9ulatlons ol the Cily of Wheat Ridge or covenants, easements or restrictions of
record; that ali measurernents shown, and allega6ons made are accurale; Nal 1 have read and agree to abide by
all wrWNOns DM~ed w th's aPVlicao°n and mat I assume tull responsibiliry for compliance with the Wheal Ridge
Build'xg Code (U.B.C) and all oCier applicable Wheat Ridge Ordinances, for work under this permit
(OW NER)(CANTPACTOR):
(OWNER)JCON7RACTOR).
DESCRIPTION:
BUILDING DEPARTMENT USE
ZONINGCOMMENTS: ~J ~J~yy ~4
~ ~•A~.
F+PProval: r1y ~ x
Zoning: Y- Z
Construction Value: $ 1390, Y1
Permit Fee: s
Plan Review Fee: S
Use Tax: $
Tota] Fee: $
~/Yl'-a~',{~er Gl~fiWC. cZDO%Z
Il1ENT5:
Approval: dk-~. ar'c1'or~ Ly-
WonxsCauMExrs: I't
Approval:
par,cyWallsCompany:
6cpiration Date:
Approval:
J
slt~~ Na-n.e a
Rw`Stor,e~
Plumbing License No:
Company:
Expiration Date:
Approval:
SIC: SQ.FI.:
=1I
Residen;l,:l Units
Mechanical License No:
Company:
Expiration Date:
Approval:
(7) Thb DrM wif inued M xcadmu wpA the DroNWnt ut IarN in your WNkMbn aM is wElscl ta the law ol Me Strts oi CobnOO and M the 2onMq RquWioni
uM Bui1dNn9 Coda dYYhon RidW. ColonAO a any atlw pDk+bk adnanc» d Ne Gly.
(2) iLN VnM Mal "pint M(M Mo work sWhoAad Is not camrnud wNhin s4H (60) daY+han bwe dLLe a(B) ihs Ouildinq wNarixM H w sWMd w abandonW Iw a
prbd d 120 Eays.
(3) Y " 0erwi[ aPense, a nwr W^~* wAY M+WUind for a fw ol anMW the amouM nomwPY reWlnd. Gbvldd no dan9" htve Mw a wiB bs made M the Mpin
pWs and spKMuB^^s anA +nY wMDmabn or aWnOOnmwM haf nal ucMdeA one (1)Yw. Y chan9u hrn M,n w M+uWmalon a Wandonmanl ucNds mo (1)
yw. NR iw Md M WW /a s nw qrmN.
(I) ib vM afmY mnw tAaP b do^s dnd vAP tharp the a+M1+N Ilne, ot wrta auaNp a draYUqe poNrn
(y) Cantr+ctat shal mWY the Bui19n9 YnDoctDr ImindY-fWr R4) hwn N advriu /or &R InpMbns rM thM rscMw writlm WWp'Y on MsDecoon urd ENon
pa"dinY wIM maa We Ohua d the {ob.
(6) TM lauance d a prmN w the +OMmy ddises^9s md sDecificati°ns snaE rro1 Ee conabued to M a panil Iw, n« an +pymal ol, any ridatlon ol the prorisbns ol
the bu" wAa a mY aNa vdnma, law, rWe a n9ulatlon.
Chief Bui mg In ct01
Residential Worksheet (SF/Duplex)
Submittal requirements:
Copy of Deed F-I Site Plan (to scale) ~ Elevations ~
Address:
Zoning: R' 2 Use: b_%30~ Property in the flood plain? ~ O
Lot Size: oosq. ft. Lot Width: 100 '~0=9
Maximum Lot Coverage: AC) % S~& gf sq. ft.
Proposed Improvements: Existin Imp~rovement(s):
House: sq. ft. House: 241~ sq. ft.
Addition to House: sq. fr. Shed: 2g'0 sq. ft.
Shed: sq. ft. Detached Gazage: ~ sq. fr.
Detached Garage: sq. ft. Other: ~ sq. ft.
Proposed Lot Coverage: (Total) Z 1 %3b Z(' 4 sq. ft.
nl 5
Required Setbacks: FR 3O S_)10 _ S 10 R I~
e Q?15 A
Provided Setbacks: FR Zu_ S S 42 R
Maximum Height: \ O ft. Maximum Size:
Proposed Height:
sq. fr.
ft. Proposed Size: I ZO sq. fr.
Access Notes
For one and [wo-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site
shall be surfaced with concrete, asphalt, brick pavers or similar materials.
ts.
In residential zone districts, curb cuYS shall be at least 10 feet and not more than 24 feet in width.
One and twafamity dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet
aparC, measured from the interior edges.
For all uses, one access point per property is permitted.
Landscapina Notes
For one-and two-family dwellings, one tree for every 70 feet of street frontage is required.
100% of the front yard and 25% of the entire lot must be landscaped prior w issuance of C.O.
Stree[ crees required: - Street trees provided: _
Storage Building
(303) 288-2999
Sales Order Local Toll•Free Phone: (8~)466-9299
Coryorate: (800) 234-6167 I
AMEIIICA'S #1 BACKYAIID BUIIDER'
D Ship to:
N
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Commenls: I
ame:
C
N
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ustomer
ame
h/J
Address T q n 11T'7' sT.
~
TIPID
f,
cir,: GWa
F state: CO
zIP: N00.33
n f~ ~ I
Size / Sryle
I
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✓
Home Phone: Work Phone: ~~`I
~JK I~ O I i
Ship To Ciry
• It is important ihat we speak with yau prior to delivery.
I
We will call you within 24 hours of your delivery date.
custome, innmis
SChedUle DatB
Markot ChannNlOthor.
Lot d: Show rY:
Sales Assoc./Dealer Name:
P.O. +f:
Dealer A: Sales Associate N:
Special Rate: Payment Terms
:
STEP Y Choose Your Buildiny Ssriss
le and Si:s
PRICE
Building Series: ❑ Sipnatun 0 Supnme
vBasic
Buildiny Styls:
X❑ ❑ E211
Building Si:e: I ~ x I a x I U Sidewall Nsighl: tt.
~~Q~
~ ~
~ / ~ a~
STEP 2 Choose Your Shinyles, Floo ' nd Doors
Shinyle Color: 812Ck, Bro, White 0J ther sm,bsnaonmryHryo-omai:ow.knwn.~Mae~oc~o~~u~wa~a.
InCIUdld
Flooriny; B.ste OSB on Siynatun 6 Supnm• ❑Treated Plywood or ❑ Untreated Plywood
Included
Doors: ❑ Additional Standard Doors 60"_ 30" _
$
❑ Roll-Up Door SIZB. (NtlONOnaI Daars aik Ho1Wp Daor avtiWDb on Sqnilun 6 SupmmeSeries moEeh ony. ~
$
STEP 3 Choose Your Windows and Window Aeesssoriss
windowa: ❑ 18"x15" _ ❑ 24" x 22" _ ❑ 24" x 36" _ ❑ 24" x 36"tloubkqlue0, Sulq viiryl _
$
Shuttsrs: ❑ 11 " X 22" ~ pyr(s) ❑ 14" X.39" ~ Pyr~i)
$
Flower Boxss: _
a
STEP 4 Ch00Y6 You► Vlrlts and Skylights Oroew ol8'x16'vamsircluOMantllSpmfurt65uprzme5ernsmoEek.
VQOtf7 Li 4"Xl 6" MNalPair_ pair(a) 5/S"X1 6" MeyPair pair(f) ❑ 4' niaa_ ❑ Translucent Roof Vent_
$
I3,00
Skyltghts: ❑ 16" x 16" Skylight _ ❑ 24" x 24" Skylight _
$
STEP S Choose Your Additional Neartland Aeeessories
Lofta: ❑ Loft Size: :~p^•wn i Stairs
_4' x upr.m~ Onyr ❑ Heary ❑ Wrap Around Size: ❑ Stairs ❑ w/ Landin
q
e
.y
Shelriny: ❑ Top Shelf ❑ Standard Size:
$
Workbonehes: ❑ Top Shelf ❑ Standard Size:
a
Namps: StyIB: ou,fs) Dividing WaIL• rspwiw. a rynm.) ❑ SiZB:
$
s• Q ~
Conerots Blocks: _ FQIh toul flioar arw in epwre kn Anehors: ❑ 15"_ ❑ 30"
a
Pro•Painted Sidiny: (sqn.w.i, a fyr.m.)Q qe0 Barn ❑TOwnhall Tan 0 Rock Garden 0 Nelwork 6rry 7FIm: QPure Whih QCasabWma
$
WaII Docks: ❑ Tool Hanger ❑ Hose Rack ❑ Multi-Use Hook ❑ Cord Wrap ❑ Utility Hook
a
Othor:
$
o It is your responsibiliry to obtain and pay for any
permit which your area requires.
~U Ll Check 0 Money
HANDLINO:
$
17.e5
o Cancellations subject to a 10 /o restocking charge.
°
Order
❑
Financing:
SUB 70TAL:
a 1
~
2
o Prices su6jecl to change if not delivered within
45 days.
Auth. Exp:
DELIVEnY:
a
I hew nad the eonditbns on the front and boek
of this shset and apne to the terms:
Card N:
TAX:
X
Attachment fo concrete paEs where no Aoor'x used repuires a sipned waNec
AMOUNT DUE:
91
ass rsrerse sias tor important schWuliny and installatfon informatfon. 079 so-1-2oo3
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PORT 8 ASSOCIATES, INC.
R.E. W-Ai
LAND SURVEYING ATTN: CHERYL
12395 W.53rd Ave. Suite 104
Arvada, CO 80002
(303) 420-4788
IMVROVEMENT LOCATION CERTIFICATE
IV 1 1
13l Zt~
S U'fl" lz~hMT
I -4
z o I L_
--I G01~~ r
c.c~NC. .°i f~TjD n~
I o< r3
~ I
-3 I , I u
74
6t U'fIL Flom'(
I 39 30
propertY ."a Im&_._.. located within a 100 yea:
fIood hazard boundary in accordancc with the curtent HUD FeAenl Adminisueuon Flood ~
Huud Boundary Maps Dated te") E' . Robe►t E.
O~
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te t
34!`S
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1154a T
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~ ~ 44
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On the basis of my knowledge, infortnation and beGef,
I hereby certify that thie improvement location certificate wae prepared for
~T~ ~ , that it is not a I.snd 3urvey
Plat or Improvement Survey Plat, and that it ie not to be relied upon for the establiahmeat of
fence, building, or other future unprovement linee. I further certify that the unprovements on the
above described parcel on thir date, except utility connectione ere entirely within theboundari"
of the parcel, except ae ehown, that there are no encroa the deecribed yremisee by
unprovemente on any adjoining premiree, except ag~ ~Ifpd't}~at ihera is no apparent
evidence or aign of any eaaement croeeing or burde f~parc escept as noted.
"NOTICE: According to Colorado law you must couwence~ /tee act o.~ f~9pa y deftct in thls
survey wichin chree years afcer you Eirsc discover suc~ def{ ct 9ven mal action baaed upon
any defect~in le ers more chan ten Years
It is hcreby certified thet the above dex:ribed fros the d~ceJf e S ceAtifiF~ion own hetton."
~
~
0
J
~
~
~
DATE GB/28/flaEE $t55 JO8♦ 87-10503
MORTGAC3E CO. CENTRUST MORTOAGE-N
ADDRESS 4605-35 ROUTT STREET
BORROWERS NAME FULLER
r LEGAL UESCRIPTION
I ~
LOT 7, RESLIBITIV15IDN OF
KARELIN'S;;,SLIBDIVISIQN CWJDFIh"'"0~
JEFFERSQN iSTATE OF CJ6L.otAD6'
L