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HomeMy WebLinkAbout3400 Vivian Court♦�A Inspection Type: Job Address: Permit Number: CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE J No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE A CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type. 2 j{ , v y• F r Job Address: Permit Number.. ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No wnyrereasve been made, schedule for re -inspection online of hpew ' .0 i Date: Inspector: 00 NOT REMOVE THIS NOTICE ♦��41 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C' i t ❑ No one available for inspection: Time ,_, AM/PM Re -Inspection required: Yes NG' When corrections have been made, schedule for re -inspection online at. http://www.ci. wheatridge.co.usli'nspection Date: gni r d.°t Inspector: �—i DO NOT REMOVE THIS NOTICE 1* � � i City of Wheat Ridge �� Residential Retaining Wall PERMIT - 202001850 PERMIT NO: 202001850 ISSUED: 12/23/2020 JOB ADDRESS: 3400 Vivian Ct EXPIRES: 12/23/2021 JOB DESCRIPTION: SWO Install 4 ft tall soil retaining wall *** CONTACTS *** OWNER (720)339-5978 HOME SALE ADVANTAGE LLC GC (720)660-3604 BRENT PETTERSON 190350 BRENT PETTERSEN *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00 FEES Total Valuation 0.00 Plan Review Fee 184.31 Use Tax 315.00 Permit Fee 283.55 ** TOTAL ** 782.86 *** COMMENTS *** *** CONDITIONS *** I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications, applicae building codes, and all applicable municpal 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 thispermrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. no change to valuation From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: General Permit Application Date: Wednesday, September 16, 2020 8:48:18 AM General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential or Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Residential 3400 Vivian Court Jeff Busch 720-299-7254 Property Owner Email Jeff@homesaleadvantange.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General Contractor or Architect Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Brent Pettersen 190350 Contract Phone 720-660-3604 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address blpettersen@hotmail.com Retype Contact Email blpettersen@hotmail.com Address 01:K167CiI91 ffl0N]ayOLib]N:/ Detailed Scope of install soil retaining wall, 12"X16" footing with #5 rebar, 8"X 48" Work - Provide a stem wall with 34 REBAR UPRIGHTS AND HORIZONTALS detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Square footage of N/A scope of work Location of work backyard (backyard, on roof, etc) Project Value (contract 15,000.00 ok bf 12/21/2020 value or cost of ALL materials and labor) Upload Engineer letter, CamScanner 09-14-2020 12 38 46 ndf other documents on 8 1/2" x 11 " Upload Asbestos Field not completed. Report if triggler level is met per CDPHE regulation. 17" or larger 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Brent Pettersen Permit Email not displaying correctly? View it in your browser. ON SITE PLANS N MUST BE ON SITE FOR INSPECTION -ALLeEgWcftare E WSukod-toin =s S LOT 43 DESIGN CRITERIA JEFFERSON COLORADO IRC 2018 SNOW ROOF LOAD ........................68 PSF FLOOR LIVE LOAD ...........40 PSF EXTERIOR DECKS .............40 PSF WIND 3 SEC. GUST ...100 mph, EXP B SEISMIC DESIGN CATEGORY ...... B SOIL BEARING CAP......... 1500 PSF t s Citof KW h6"atC�I'd e UNI'TY UIEVf�MENT ..g APPROVED Reviewed for Code Compliance BRANDON F 12/21/2020 Plans Examiner Date YaNdiM of MON.' T" issuSme of R pennit or WprovW of plans spectf€ owns and computations shalt rat be o permit jby,, or an approval of,, ony ►nolabon to � any of the provlslans of the bui ding code or of aW Clty ordinances. Aermtts p> Wfflarrg to gfvr autharlty to VW00 or camel the provishwu of tiflt. soft cades or ottiltr ordinooM of rade qty shall not be voted I I I I SITE (LAYOUT PLAN � I � 1 " 10'-0" V / 136.2' 25.2' 8.0' 50.8' 16.2' LOT 42 0.8' 11.6' ` .:. VIVIAN CT. 62.4' 24.3' EXISTING HOUSE 14.0' CONCRETE WALL / 4' HEIGHT 211.6' ALL WORK SHALL COMPLY WITH 2018 IRC, 2018 IECC, 2020 NEC, COLORADO PLUMBING CODE AND THE -El REVISION CITY OF WHEAT RIDGE AMENDMENTS I: 0 N V O W SS\ M 08, i^ v e `0 D d 57.7' LOT 41 0 M N N C d Digitally sign O��RAl.) 17.6' Ahcene y °E b Ahcene 'a;' 4p m \ 20.6, o Djebli ....: , Djebl i Date: 2020.12.1554 ENG 14:59:51 -07'00' i� X3.1' September 10th 2020 E- 0 a W E~ DRAINAGE ABRIC co co �-+ o 0 $„ I--� U 00 COHESIVE BACKFILL MAT'L. COMPACTED PER !✓ O BY IRC 2015 (� U #4 @ 30" O.C. W i C3 I-� #4 @ 12" O.C. j 0 SLOPE A�.. 10�i-_ co N 6-0" Max. High >� A " 0 PIPE, CONNECT HOR. & VERTICAL PIPE WITH T e: CONNECTION 12" #4 @ 30" O.C. tiECTION 1- N.T.S Colorado Structural Consultants 2186 S. Holly St. Suite 102, Denver CO 80222 Cell: (720) 939-3405 E-mail: adj ebli@wmconnect. com Ref: Residence 3400 Vivian Ct., Wheat Ridge CO 80033 To Whom it may concern CRY of Wheat Ridge The Colorado Structural Consultants engineer has visited the site above, on December 14th, 2020, to check on the fixes that we recommend to be done. The fixes have being done according to our recommendations. The wall is structurally sound. If there are any questions regarding the above-mentioned report, please feel free to contact us at your convenience. Ahcen e Dj*ebli Digitally signe, �°P°°�� j by Ahcene Djebli,, Date: 2020.12.1___. 4,E NG�� f 15:34:33 -07'001 w Ahcene Djebli, PhD (u), P.E. 12/17/2020 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: k Job Address: Permit Number: 10 0 I ❑ No one available for inspection: Time AM/PM F. Re -Inspection required: Yes ':Nv When corrections have been made, call for re -inspection at 303-234-5933 Date. Inspector: �t DO NOT REMOVE THIS NOTICE AtNhhh, Mc G O U R T Y Su ann C.McGourty. P.E. G Robert H. McGourty P.E. ENGINEERING 0952 S. Fillmore way - Denver, Colorado yeng. O: w.mcg urtyen .cmail: susan@mcgourtyeng.com www.mcgourtyeng.com INSTALLATION OBSERVATION SUMMARY Date: March 27, 2018 Client: Mark Yeaman mark(?homesalesadvanta e.com Re: 3400 Vivian — Installation Observation for Garage Wall Stabilization McGourty Engineering visited the above mentioned property address on May 1St 2020 to review the installation of a tie -back system as described in drawings prepared by this office titled: Garage Wall — Lateral Supplementation 3400 Vivian St. Wheat Ridge, CO 80033 Pier drill logs were provided to McGourty Engineering by the contractor on 5-1-2020. The completed installation and drill logs for the tie -back system was observed to be in general conformance with the above referenced design. No further alteration was necessary to the tie- back system. Note: This installation observation is limited to the items explicitly identified above. This installation observation does not include evaluation or installation observation of any other existing or new structural elements not identified above. The homeowner is responsible for regular maintenance required to prevent water accumulation within 10 feet of the structure and all repaired elements. Prepared by: Robert H. McGourty, P.E. Reviewed by: Susan C. McGourty, P.E. Robert H. McGourty P.E. Digitally si Robert H. P.E. Date: 202( 12:04:30 -I ^GO ENGINEERING eaw_. ,_„ 9100 W Jewell Ave Lakewood, CO 80232 ❑L ENGINEERING. INC. 720-440-9450 www.dlengineer.com 12/26/2019 Affordable Garages 177 W Alameda Ave. Denver, CO 80223 303-384-3242 RE: 4090 Kendall St Wheat Ridge, CO 80033 Foundation Observation: Detached Garage Job # 2019-7135 Please provide this letter as proof of the following onsite observation on December 26, 2019. DL Engineering is not responsible for the design of this structure and has only observed the as -built condition. Below is a summary of the observations made: • LIFER — A #4 bar extended out of the foundation for electrical grounding purposes, this rebar was tied to the lowest piece of horizontal rebar. This was located on the west wall toward the south end. • Monolithic footing — There were two #4 rebar in the edge beam of the slab. (1) top and (1) bottom. They were lapped where they were not continuous. The turned -down edge was a minimum of 12" wide and 18" below grade. • Slab reinforcement — There was mesh present for the slab. If you should have any further questions, please feel free to contact me at (720) 440-9450 or jslama@dlengineer.com. Sincerely, Jim Slama, P.E. Digitally signed Ey JAMES N_ (�� SLAMA DN CN�JAMS IY EJSLA�MDLENGINEER0 M Reason:Ia thorof his d—,_ OLocation: F q. te5�-91� > 7• 0048580 12/26/2019 Affordable Garages 177 W Alameda Ave. Denver, CO 80223 303-384-3242 RE: 4090 Kendall St Wheat Ridge, CO 80033 Foundation Observation: Detached Garage Job # 2019-7135 Please provide this letter as proof of the following onsite observation on December 26, 2019. DL Engineering is not responsible for the design of this structure and has only observed the as -built condition. Below is a summary of the observations made: • UFER — A #4 bar extended out of the foundation for electrical grounding purposes, this rebar was tied to the lowest piece of horizontal rebar. This was located on the west wall toward the south end. • Monolithic footing — There were two #4 rebar in the edge beam of the slab. (1) top and (1) bottom. They were lapped where they were not continuous. The turned -down edge was a minimum of 12" wide and 18" below grade. • Slab reinforcement — There was mesh present for the slab. If you should have any further questions, please feel free to contact me at (720) 440-9450 or jslama@dlengineer.com. Sincerely, Jim Slama, P.E. 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 1 Y www.dlengineer.com 12/26/2019 Affordable Garages 177 W Alameda Ave. Denver, CO 80223 303-384-3242 RE: 4090 Kendall St Wheat Ridge, CO 80033 Foundation Observation: Detached Garage Job # 2019-7135 Please provide this letter as proof of the following onsite observation on December 26, 2019. DL Engineering is not responsible for the design of this structure and has only observed the as -built condition. Below is a summary of the observations made: • UFER — A #4 bar extended out of the foundation for electrical grounding purposes, this rebar was tied to the lowest piece of horizontal rebar. This was located on the west wall toward the south end. • Monolithic footing — There were two #4 rebar in the edge beam of the slab. (1) top and (1) bottom. They were lapped where they were not continuous. The turned -down edge was a minimum of 12" wide and 18" below grade. • Slab reinforcement — There was mesh present for the slab. If you should have any further questions, please feel free to contact me at (720) 440-9450 or jslama@dlengineer.com. Sincerely, Jim Slama, P.E. 0048580 -v Digitally signed by JAMES N_ SLASLAMJAM I�' E EUSLAMAMNIDLENGINEER-CSMS 1 Y A Reason: 1dowmenV 0 0048580 -v ONIH33NIJN3 llignoww '44V I- oEw0z L )ZOZ :aged '3'd 'H vagoH '3'd /,4ano9:)W .H laagoa g'd `�rno�oy�l •D uusnS :,(q pannatnaN -g•d `X7TnoJoW •H 7p3go-a :Xq pajudaid •swom3lo paatudw IIu put 3injowls auj jo 133j 01 uigi!m uotjulmnoou 13JUM Juanajd of paimbw aouuuajumm iuln.5ac loj algisuodsw si aaumoauzoy aql •anoqu pogguapt IOU sivauzaia luinjonals moo io Bunjsixa iz)gio iuu jo uoiluniasgo uopulluisui io uoijunluna apniout IOU SOop uoiIunlosgo uotjullmsut Slgl •anoqu pagtluapt XIjtot[dxa sutajt oql of p31twil si uotiuniasgo uotjuliuisut stu.L :ajoN -w3lsXs Nouq -ail 3qj of Caussaoau suns uopunliu j3glrnj ON •ui?tsap paaua.iaJai anoqu agj qj!m oouuuuojuoo luaau32 ui aq of panaasgo suns wolsXs 3Iouq-ail aqj rod S501 [IPP puu uotlulluisut pajaiduzoo aul OZOZ- [-S uo 1013uz;u03 oqi Xq 5uilaouiSug kunogoW 01 papinoid asann s5ol IPP 131d ££008 OD `z2pt-d IuagM 'IS uutntA 00VE uoijuluawolddnS Ivniu7 — IIuA1 35u.ru9 :palati oogjo sigl ,Cq paaudaad s5mmuap ut pagtaosap su uzaisXs jouq-atj u jo uotlullulsut 041 nnatnaz 01 OZOZ;SI XvW uo ss31ppu Xiiadold pauotluaw anoqu oqj paarstn 5u1133ui5ug X7znoDoyv uoijurtitqujS [Iut1c, a5vjvD joj uotjv uosgp uotjulluisul — uutntA OOt£ :ail u103•3 uJuunpusa[usauaou NjuW uuuUuoA 3jJuW :IUoljD 8I0Z `LZ gozuW :31BCI A,dvww 1S NOI VAIdDS80 NOIIV-n ISNI wox U-9 690Z -T69 -EOE :M JN�2l3�NI�JN� wor6uaAyino6ow�o uesns :slew -3 6902-T69-£0£ �O olm opejoloD 'Januap - ,tern aaowll!j 'S ZS6Z A ,/•3 •3•d AlAnogJW 'H ]jagoy - 'Td 'A]-ino9uW 'J uesnS I ■ , O f - 'Jll `JNIb33NI°JN3 winoo3w ^.% i ii 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: Cv s Permit Number: ❑ No one available for inspection: Time L` .0 AM/PM Re -Inspection required: Yes No.) When corrections have been made, call for re -inspection at 303-234-5933 Date: "� s ` Inspector:` DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office @ (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C_ Job Address: Permit Number: \x%4 LJ 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 -5 inspector?7 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:'<� Job Address: )`-\ 0 Permit Number: o C) �n � ❑ No one available for inspection: Time AM/PM r Re -Inspection required: Xes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 7-5 '), 'c-� —�� Inspector" DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Foundation Repair PERMIT - 202000688 PERMIT NO: 202000688 ISSUED: 04/22/2020 JOB ADDRESS: 3400 Vivian Ct EXPIRES: 04/22/2021 JOB DESCRIPTION: Foundation repair in rear wall of garage, 3 helical pier with tiebacks. *** CONTACTS *** OWNER (720)339-5978 BROOKS & BRENIMER FAMILY TRUST SUB (303)668-2222 BRADY VAN MATRE 070101 VAN MATRE CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00 FEES Total Valuation 0.00 Plan Review Fee 81.28 Use Tax 94.50 Permit Fee 125.05 ** TOTAL ** 300.83 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Inspection by Wheat Ridge Building Inspector required prior to backfill. Observation letter from Engineer to be provided to Wheat Ridge Building Inspector at Final Inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Foundation Repair PERMIT - 202000688 202000688 3400 Vivian Ct ISSUED: 04/22/2020 EXPIRES: 04/22/2021 Foundation repair in rear wall of garage, 3 helical pier with tiebacks. I, by m signature, do hereby attest that the work to be per 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 perforin the work described and approved in conjwiction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and� �pprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or;any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of,Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Citr of Wheot Ridge Ol/23/202O O8�26 C0BB Fnundotinn repair in CD8O22827 AMOUNT 8PSP 34O0 Vivinn Ct 219.55 APPL/PBRMIT NO: 2O2OOO688 PAYMENT RECEIVED AMOUNT PP / 087 219.55 4UTH CODE: 74184914 rUTAL 219.55 Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Tuesday, April 14, 2020 3:28 PM To: CommDev Permits Subject: Online Form Submittal: Foundation Repair Categories: Plan Review Needed, Dina Foundation Repair This application is exclusively for FOUNDATION REPAIRS. YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes Foundation Repair? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** 3400 Vivian St Mark Cannon 720-339-5978 mcannon@kjcequity.com 3400VivianSTElectronic Payment Form 202003161614204628.pdf CONTRACTOR INFORMATION Contractor Business Van Matre Construction Name Wheat Ridge Contractor's 070101 License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-503-6910 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address lance@solidstructuralconsulting.com Retype Contractor Email lance@solidstructuralconsulting.com Address DESCRIPTION OF WORK Location of Work Rear foundaiton wall of garage How is repair being helical pier tiebacks done? Piers, strips, etc. # of Piers or Strips 3 Upload engineer letter or DexterCasev340OVivianCtWheatRidgeHPtiebackEngPlan. pdf pages on 8 1/2" x 11 " only Repair Plan Set on DexterCasey340OVivianCtWheatRidgeHPtiebackEngPlan.pdf 11 "x17" only - if applicable Project Value (contract 4500 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 work Yes may not begin on this property until a permit FEI 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. Person Applying for Lance Heimes Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. Project Description: Installation of supplemental lateral support for translated foundation wall. General Notes: 1. The structural requirements represent the finished structure. The contractor is responsible for the means and methods of construction. Provide all measures required to protect the structure, workmen, and other persons during construction. 2. All materials, workmanship and methods are to conform to the governing building code. 3. The contractor shall be responsible for temporary bracing to withstand all loads to which the structure may be subjected, including lateral loads, stockpiles of materials and equipment. Such bracing shall be left in place as long as may be required for safety and until all structural framing and diaphragms are in place with connections completed. 4. All dimensions indicated represent finished face. Dimensions are not to be scaled for determination of material takeoffs, lengths or locations. 5. Substitutions to be made only by the written approval of engineer. Any substitutions made without written approval of the engineer is acceptance of responsibility by the contractor and owner for performance of any changes. 6. Installation observation of all framing is required and must be performed by a representative of this office to verify compliant installation. Contractor will correct any and all deficiencies to achieve compliance. Failure to obtain McGourty Engineering's approval of the installed structure in writing may endanger the success of the home's structural performance and will absolve McGourty Engineering LLC from any and all responsibility for any damages arising from failure to obtain proper installation observation compliance. 7. Future stability of this structure requires continued elimination of water accumulation in the backfill zone of the home (10 ft minimum distance). This is to be made via improvement and maintenance of the grading and drainage systems. 8. The following design is specific to the explicitly listed property address, and may not be used for any other project or intent. Design Loading: Lateral Soil Pressure = 47 pcf (equivalent fluid pressure) Codes Used: 2015 IRC - Design performed per IRC301.1.3 Tie -Back / Wall Anchor Requirements: 1. Supplemental foundation elements (mechanical / helical piers) are to be installed to the specified capacity as measured per manufacturer's specifications. McGourty Engineering to be provided drill logs indicating how the foundation elements were installed. 2. Attachment to proof walers to be made per manufacturers specifications. 3. Walers to be deflected to depth of proof load spacer -see section / plan. Steel: 1. All structural steel shall be fabricated and erected in accordance with AISC 14th Ed. 2. All structural steel C -Channel sections shall conform to ASTM A36. 3. All welding to be performed by a certified welder in accordance with AISC and AWS specifications, and be performed with E70xx electrodes. SYMBOLS USED: NN Lateral restraint element (earth anchor / helical tie -back). To be installed at spacing, location, and capacity as indicated - capacity to be verified by manufacturer specifications. INSTALLATION %."r ki) LI -1I 1_iIXC1L Iv:J I ELEMENTS BENEATH THE EXISTING GARAGE AREA AS SHOWN ON PLAN. PROJECT SCOPE SCALE: 3/16" = F-0" M� N O1 - HELICAL TIBACK 10 KIP (ULTIMIM AT ) MINIMUM CAPACITY INSTALL PER DE AIL Ol. TYPICAL (3) PLA ES WHERE DRAWN. NOTE: 1) ELEVATIONS PROVIDED AS REFERENCE OF EXISTING TOP OF WALL (MEASURED ON 2-25-2020). IF MOVEMENT OF THESE AREAS IS MEASURED, VERTICAL SUPPLEMENTAL FOUNDATION ELEMENTS MAY BE RECOMMENDED. 2) CONTRACTOR TO VERIFY LOCATION OF ALL UTILITIES BEFORE COMMENCEMENT OF INSTALLATION - NOTIFY ENGINEER IF DESIGN MODIFICATION IS REQUIRED TO AVOID CONFLICT. 3) WATER ACCUMULATION IN THE GARAGE MUST BE CONTINUALLY ELIMINATED TO PROMOTE STABILITY OF ALL FOUNDATION SYSTEM ELEMENTS. REMOVAL AND REPLACEMENT OF GARAGE SLAB RECOMMENDED. OCD �O �H wU ¢o INTERIOR CRAWLSPACE PROJECT PLAN NORTH% SCALE: 1/4" = 1'-0" EPDXY INJECT (4) FOUNDATION WALL SEPARATIONS WHERE DRAWN. INJECT WITH STRUCTURAL EPDXY SYSTEM CONFORMING TO ASTM C-881. 01 - HELICAL TIE -BACK 10 KIP (ULTIMATE) MINIMUM CAPACITY INSTALL PER DETAIL 01. TYPICAL (3) PLACES WHERE DRAWN. NOTE: 1. EPDXY INJECT (4) FOUNDATION WALL SEPARATIONS WHERE DRAWN ON PLAN. INJECT WITH STRUCTURAL o EPDXY SYSTEM CONFORMING TO ASTM C-881. DETAIL O1 -TIE -BACK ELEVATION SCALE: 1/4" = F-0" POSSIBLE VOIDS MAY EXIST. RECOMMENDED GARAGE SLAB SLOPE FT MIN TO GARAGE DOOR. EXISTING GARAGE SLAB SLOPES TOWARD WALL BEING REPAIRED. DETAIL 02 -TIE-BACK SECTION SCALE: 1/2" = F-0" 1" TACK I 01 City of 1�cormMUNI"IY [)EVELC�I'MENT APPROVED Reviewgd for Code Co glianc Randy Slusser 4/15/2020 Plans Examiner uate Validity of oesmit: The issuance o/ a pimntt or gpprovd of plans sWc4kot1ant and computations shop not be a permit f tr or art approval of, any aolobon to any of the provislons of rhe bmlding code or of aW qty ardrnarues. Permltt presaftng to gide outhwty to vlolam of emel the prwitla" of elle 600V coda or other adinoaott of the City shoes rat be valid SQUASH SPACERS - (2) 2" x 2" x "'ANGLE TACK WELD IN-PLACE BETWEEN CONNECTOR PLATE AND C -CHANNEL WEB. (PREVENT DEFLECTION OF CONNECTOR PLATE FROM TIE -BACK) 02 - PROOF WHALER C10x15.3 ECTOR PLATE I" x 4" PLATE F LOAD SPACERS 3" x 8" x g" STEEL PLATE TO BE WELDED TO REAR OF C -CHANNEL AS DRAWN - TYP EACH END DETAIL 03 -PROOF WALER SECTION SCALE: 1" = F-0" DRAWING SCALED FOR 24" x 36" PRINT Alt*%� McGOURTY ENGINEERING Rob H. McGourty P.E 2952 S. Fillmore Way Denver, Colorado 80210 Rob@mcgourtyeng.com April 2, 2020 REV 1.0 �o,OQ,NO 0 L l�F�so N. MC%F ) G. 10 50109 .5/0NAL Ems' THE INFORMATION PROVIDED IN THIS DOCUMENT IS THE ORIGINAL UNPUBLISHED WORK AND INTELECTUAL PROPERTY OF MCGOURTY ENGINEERING LLC. DUPLICATION, DISCLOSURE OR ANY OTHER USE OF THIS DOCUMENT WITHOUT WRITTEN CONSENT OF MCGOURTY ENGINEERING IS PROHIBITED. Robert H. Digitally signed by Robert H. McGourt McGourty P.E. Date: 2020.04.02 y P.E. 16:30:26 -06-00- FIELD VERIFY DIMENSIONS PRIOR TO CONSTRUCTION - NOTIFY ENGINEER IF FOUND OTHER THAN IDENTIFIED. SHEET: S1160 GENERAL NOTES/ PROJECT SCOPE Z O U Z a O Z i QZ M a o N LL V W � .o V1 ti a, ii (� Z O Q ZLLI O +' tU om N V1 W O 00 O � bA W � � [� +C� C FIELD VERIFY DIMENSIONS PRIOR TO CONSTRUCTION - NOTIFY ENGINEER IF FOUND OTHER THAN IDENTIFIED. SHEET: S1160 GENERAL NOTES/ PROJECT SCOPE Project Deseriplian: Installation nfauppleareetal lateral support for touslated foundation wall. General Notes: 1. The structural requirentema represenl the finished structure. The contractor is responsible for the means and methods of eommuction. Provide all measures required to protect the "'cruac, workmen, and other persona during construction. J. AE materials, workmanship and methods arc to conform to the governing building code. 3. The contractor shall be responsible for temporary bracing to withstand all loads to which the structure may be subjected, including lateral loads, stockpiles of materials and equipment. Such bracing shall be leG in place as long as may be required for safety and until all structural Gaming and diaphragms am in place with connections completed 4. All dimensions indicated resent f (shed face. Dimensions are not robe scaled for determination of material takeoffs, lengths or locations. 5. Substitutions to be made only by the written approval of engineer. Any substitutica s made without written approval of the engineer is acceptance of responsibility by the contractor endownerforperf ceaf-yebanges a. Installation observation of an Gaming is required and most be performed by a representative of this office to verify compliant insmllmion. Contractor will correct any and all deficiencies to achieve compliance. Failure m obtain McGourty Engineering's approval of the installed structure in writing may endanger the success of the home's s mentral performance and will absolve McGoutry Engineering LLC from tiny end all responsibility for any damages arising from failure to obtain proper installation observation compliance. 7. Future stability of this structure requires continued elimination of water accumulation in the backfill sane of the home (10 fl inkitrmm distancel. This is to be made via improvement and maintenance of the grading and drainage systems. 8. The following design is specific to the explicitly listed property address, and tray not be used for any other limiter or intent. Dealers Loading: Lateral Soil Pressure = 47 pcf(equivalent fluid pressure) Codes Used: 2015 IRC - Design peK Mper IRC301.13 Tie -Back / WaR Anchor Kr 9umemente: 1. SupplemmnW foundation elements (mechanical / helical piers) are to be installed to the specified capacity as measured per resn usecomes specifications. McGourty Engineering to be provided drill lop indicating hmare foundation elements were installed. 2. Attachment to proofwaless to be made permm anufulters specifications. 3. Walera to be deflected to depth ofp—flaad spacer -see secfion / plan. Sleet: 1. All structural aft" shall be fabricated and erected in accordance with RISC 14th Ed. 2. All struetmnl sal C -Channel sections shall conform to ASTM A36. 3. All welding to be performed by a certified welder in accordance with AISC and AWS specifications, and be performed with E70xx electrodes. SYMBOLS USED: = Lateral restraint element (earth anchor / helical tie -back). To be 11111111 installed at spacing, location, and capacity as indicated - capacity to be verified by manufacturer specifications. 'L< INSTALLATION OF (3) LATERAL RESTRAINT ELEMENTS BENEATH THE EXISTING GARAGE AREA AS SHOWN ON PLAN. PROJECT SCOPE INugnt SCALE: 3/16"=1'-0" IS PROVIDED AS REFERENCE OF EXISTING _L (MEASURED ON 2-25.2020). IF MOVEMENT REAS IS MEASURED, VERTICAL ITAL FOUNDATION ELEMENTS MAY BE RECOMMENDED. 2) CONTRACTOR TO VERIFY LOCATION OF ALL UTILITIES BEFORE COMMENCEMENT OF INSTALLATION - NOTIFY ENGINEER IF DESIGN MODIFICATION TS REQUIRED TO AVOID CONFLICT. 3) WATER ACCUMULATION IN THE GARAGE MUST BE CONTINUALLY ELIMINATED TO PROMOTE STABILITY OF ALL FOUNDATION SYSTEM ELEMENTS. REMOVAL AND REPLACEMENT OF GARAGE SLAB RECOMMENDED. INTERIOR CRAWLSPACE z&� PROJECT PLAN_ NORTI SCALE: 1/4"=1r-0" EPDXY INJECT (4) FOUNDATION WALL SEPARATIONS WHERE DRAWN. INJECT WITH STRUCTURAL EPDXY SYSTEM CONFORMING TO ASTM C-881. 01- HELICAL TIEBACK 10 KIP IULTIdATE) MINIMUM CAPACITY INSTALL PER DETAIL 01. TYPICAL (3) PLACES WHERE DRAWN. NOTE: 1. EPDXY INJECT (4) FOUNDATION WALL SEPARATIONS WHERE DRAWN ON PLAN. INJECT WITH STRUCTURAL EPDXY SYSTEM CONFORMING TO ASTM C-881. DETAIL 01- TIE -BACK ELEVATION__ SCALE: 1/4" = 1'-0" POSSBLE VOIDS MAY EMT. RECOMMENDED GARAGE SLAB SLOPE J" / FT MIN TO GARAGE DOOR. EXISTING GARAGE SLAB SLOPES TOWARD WALL BEING REPAIRED. _DETAIL 02 -TIE-BACK SF_ d-`rryny l SCALE: 1/2" = F -0" I" TACK I CRY of W hca �rH�e APPROVED Reviewed for Code'o�molim ,, Randy Slusser 4/15/2020 Plans Esivaima, Date ..,.. y r r N-aDlto rw4+Nr4ua+.Jnaaa. .r�,s— ^•.noa.eesa J�r.N.w.on wgam a"u arneawar.mry rp raio,rr. tar r.a"reaaaa. a w ur rn.s — r wa SQUASH SPACERS - (2) 2" x 2" xi" ANGLE TACK WELD IN-PLACE BETWEEN CONNECTOR PLATE AND C -CHANNEL WEB. (PREVENT DEFLECTION OF CONNECTOR PLATE FROM TIE -BACK) M -PROOF WHALER C10x153 ECTOR PLATE .t'PLATE F LOAD SPACERS 3"x8"x1"STEELPLATE TO BE WELDED TO REAR OF C -CHANNEL AS DRAWN-TYP EACH END DETAIL 03 - PROOF WALER SECTION SCALE: l"= 1r-0" ^GOR Y ENGINEERING Rab H. McGourty P3: 2952S. Fillmore Way Denver, Colmado 80210 Rab(gmegounyeng.eom April'-, 2020 REV 1.0 H. MDI G is 50109 �o OMAL� THE INFORMATION PROVIDED IN THIS DOCUMENT IS THE ORIGINAL UNPUBLISHED WORK AND B.TELE(TUAL PROPERTY OF MCGOURTY ENGINEERING LLC. DUPLICATION, DISCLOSURE OR ANY OTNER USE OF THIS DOCUMENT WITHOUT WRITTEN CONSENT OF MCODURTY ENGINEERING IS PROHIBITED. Robert H. Digitally signed by Robert H. MCGOurt M11—dyPE. Da.2020.04a, yP.E. d3oza-0aoo FIELD VERIFY DIMENSIONS PRIOR TO CONSTRUCTION - NOTIFY ENGINEE IF FOUND OTHER THAN IDENTIFIEE SHEET: S1.0 GENERAL NOTES/ PROJECT SCOPE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _= - Job Address: # Permit Number: A v E ❑ No one available for inspection: Tirn/(�' PM Re -Inspection required: Yes 6�) When corrections have been made, s e ule for r -inspection online at: http✓/www.ci.wheatridge.co.uslinspe tion "" �'ne, �§ M �z i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: rO+2 ' -94, Job Address: 3 u Utzy+ v� A fe C Permit Number: ;) C)i U v U 1'h cl ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No c When corrections have been made, schedule for re -inspection online at: h ttp✓/www. ci. wheatridge. co. uslinspection Date:L-1 - 1 U 20 (° Inspector: `M1' DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: �,� �t 0 one available for inspection: Time ` ' ". AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. cL wheatridge. co. uslinspection Date: '—A - 1, c.) c, Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ezCs Job Address: V1 Permit Number:�_�C c iia o' ! . ' DLZ U�o one available for inspection: Time YM Re -Inspection required Yes �)No 'When corrections have been-made'od a of r re'�r9s ection online at: http //www.ci.wheatridge.co.u�nspe,sction I I .�---���rnspector A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: or. Job Address: ' Permit Number: C V—, ( -- C_ I i y-, i-, V v, i') a ❑ No one available for inspection: Time" AM/PM Re -Inspection required: Yes, No When corrections have been made, schedule for re -inspection online at: httpJ/www.ci. wheatridge. co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE A. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 1 Permit Number:. (C/ ,r Re -Inspection requir` Yes',- No When corrections have bAm- iiade, scWule for re -inspection allne-at: http //www.ci.wheatridge.co.uslinspection Date: 3 q� )v114' City of W heat�idge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: � y�0 � (� (�f-�/y � (,{�+ 0o,0� El General Contractor: FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name:` 1 � Contact Phone #: �� v 6V6 4n56 Wheat Ridge Contractor License #: ObO 19 r? (required field) State License #: 6 17 l I Master License #: 46,6 � wAa= fv�c� C, 1-( (� Printed Name of Authorized gent 1�a zi leo�4 Signature of Aut oriz Agent City of ]��WhcatF-,dgc COMMITUNY DEVELOPMET Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(@ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date:31 /�az Plan/Permit # d 0 accol cq 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: S `lo o CU L'1p�v Owner F'l Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: Phone: Phone: ;; a - (�,'glb✓ City of Wheat Ridge License #: Phone: -;w -cPc'�? 6 Contractor E-mail Address: For Plan Review Questions & Comments (please prilnt):r /yJ CONTACT NAME (please print): rn�{-TZA_ l r Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑ COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Li ry-) PA Sq. FULF BTUs )- C%o Ke tF101 r I Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) Ann nn .� OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (A Signature (first and last name): Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: REPRESENTATIVE) of (OWNER) (CONTRACTOR) Z DATE: 4 DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: A. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 1 Permit Number:. (C/ ,r Re -Inspection requir` Yes',- No When corrections have bAm- iiade, scWule for re -inspection allne-at: http //www.ci.wheatridge.co.uslinspection Date: 3 q� 02/25/2020 15:24 3034030657 FEDEX OFFICE ARVADA PAGE 02/10 *►4I City of Wh6 1 e �! COMMUNITY DEvaorMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This forma, Mu: it be completed & signed by the ELECTRICAL SU13CONTRACTOR Performing electrical work on site. Subcontr, ictor's insurance and license must be up to date prior to permit issuance Project Address: General Contractor: Company Name:_ , px rdp Contact Pbone #: - f� 5 Wheat Ridge Con tractor License #•A&M (required field) State License #: Master License #: ' / z Printed Name of ) ptherized Agent Signator Aut4o' Agent Date 02/25/2020 15:24 3034030657 FEDEX OFFICE ARVADA PAGE 03/10 �1 K� lei�R�y Cook. KEMP OR RANDY SLU.S.SM PiAi 6 42 S E �- 02/25/2020 15:24 3034030657 FEDEX OFFICE ARVADA PAGE 04/10 OAI 77//S P,E�eM/7- 3�{oc� v / . *v VIAO Z*oh &Je7p �S' .�tczrri C�tir.�,vcro,� Fort 02/25/2020 15:24 3034030657 FEDEX OFFICE ARVADA fyl yol/ TIi� 7a PAGE 05/10 #3 ST�R;T p�aP�E Y40 tl m, w77,FIWR S?oP i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: r� i Job Address: -, `e \/ i v te_ Permit Number: rP U D 0 G U - ry ' %3 c k-.) ID r, r —f cJ T j2, L v (re- r.j� � iC. l s+e ._ � ` i d" � da K C � ✓� (` 1 % � ti..^ � � l.i a L ` e 0--t ( CJ ')P ((- \, t V.- Y) ( s.✓ 0 ✓� �, C t1 v c% ❑ No one available for inspection: Time 10. u L) AM/PM Re -Inspection required: Yes (No,' When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. usfinspection Date: inspector:* DO NOT REMOVE THIS NOTICE A4f City of Wheat Ridge Residential Remodel PERMIT - 202000189 PERMIT NO: 202000189 ISSUED: 02/20/2020 JOB ADDRESS: 3400 Vivian Ct EXPIRES: 02/19/2021 JOB DESCRIPTION: SWO Interior remodel included removing 7 ft wall, kitchen remodel included change to layout, bathroom remodels, replaced carpet, paint - 2,194 sq ft total *** CONTACTS *** OWNER (720)339-5978 HOME SALE ADVANTAGE GC (720)496-8165 CASEY D DEXTER SUB (720)290-1944 WILLIAM KEIL 190231 CASEY D DEXTER 060192 BK PLUMBING/BK MECHANICAL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 56,163.48 FEES Total Valuation 0.00 Plan Review Fee 510.84 Use Tax 1,179.43 Permit Fee 785.90 Investigative Fees 204.30 ** TOTAL ** 2,680.47 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridqe Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 202000189 PERMIT NO: 202000189 ISSUED: 02/20/2020 JOB ADDRESS: 3400 Vivian Ct EXPIRES: 02/19/2021 JOB DESCRIPTION: SWO Interior remodel included removing 7 ft wall, kitchen remodel included change to layout, bathroom remodels, replaced carpet, paint - 2,194 sq ft total I, by m signature, da 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 ermit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its° accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app}icable code or ajyjordmance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of' /`)`! heat I gc MUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: t r j I/ a� Plan/Permit # ao � OW10 Plan Review Fee: 3'1 ) Vl l ou Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 2) ACc V i V ,l ZJIJ C—t Owner (please print): t-tn AAC-_ S",,. g�`12 �� Phone: ` C� -"Wk Sc t S Property Owner Email: M Tc e�z ✓ ; fY n C_,,A l Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 13A 56p J\� , a vel t rz_�,I \i Z:) . City, State, Zip: MrL �L _►� �� , 1+'2, - Arch itect/Engineer +'2, Architect/Engineer E-mail: Contractor Name: G. Is -r �A i? Xfies— City of Wheat Ridge License #: i 9 0 ^,-1 -`,�, Phone: Phone: _�2_C) - Z(9 (v - P) k G Contractor E-mail Address: ('!�_S-C-3 C_y_,)U,yy* For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Cele f- c f-1— Phone: __7 96 (0 - 8 (),5 C 0 N TA C T E MA I L (p /e a s e print): C_a t -tz�� r Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. ovtd r:vid (r (,t cC-,c) G.�2 5�� r� `� �,� kI %C i.�t C til CJ 14 [f?Iqc�' le t�Y Ie 0c r Sq. FULF �2 OLA BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: _ Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 1 C , cC" _ e%cy OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): ^� DATE: v2 Printed Name: n 17E`` �✓�}� DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: L_ 5� 1' 4 3 Reviewer: CONSTRUCTION TYPE: � ��lo ,�� "' � '� BUILDING DEPARTMENT COMMENTS: -�IGcAPL' J Y l 1( SSG . Reviewer: Z t'' ? + tr , PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: -3CI0j \-) �vtn C4 Ll M. (� A+('\ n .i L(>nnMUNITY DEVELOPMENT APPROVEDxi Reviewed for Code Complip, `J ��1 I •� 6 • -Lc�v l� Carbon monoxide detector(s) required within 15 ft of all sleeping areas. Work shall comply with the following codes: 2012 IRC, 2012 IECC & 2017 NEC, Colorado Plumbing Code i aDt� +��.-, a \ ,mac �v•.; Vu zA 14 r �tTj W C io;-g� /v. w - NAS�er e(cl(00�-, , � A. �: (C)C! r p� a (-" ( fit. +, i -c --� F(t---N[EqTF, DD 72av W "t,*W,r BAY G`M 0% Pot ,NNP �r c` .N oo g � �I I �C�C�DbG City of D � Wh6atP,,1,j1,,.C19e COMMUNITY DEVELOPMT SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This form must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 2 !�d 6 V/ (� LZR--r- General Contractor: #Ogd e, IP114h4-r� � ��?-600/K ? FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: & - Contact Phone #: %© 2 f 6__:� Wheat Ridge Contractor License #: / O /7 2 , (required field) MGL i z� T RAL Printed Name of Authorized Agent S gnature of Authorized Xgent Date Ambient Air Monitoring Report 3400 Vivian Court Wheat Ridge, CO 80033 January 26, 2020 000 1S� City d Wheat Ridge Building Divison �'?�► ZoZD fes' Prepared for: Prepared by: Ambient Air Monitoring Report 3400 Vivian Court Wheat Ridge, CO 80033 January 26, 2020 Excel Environmental Carl Cox 1852 Jasper St — Unit E Aurora, CO 80011 Submitted by Alta Environmental LLC 7045 W 37' Ave., Wheat Ridge, CO (303) 669-7007 11/21/16 Joshua Masek, #22489 Air Monitoring Specialist TABLE OF CONTENTS 1 INTRODUCTION......................................................................................................................................... 4 2 Ambient Air Monitoring Sampling.................................................................................................. 5 2.1 Air Sampling Summary ................................................................................................................................... 5 3 INSPECTION AND AIR MONITORING RESULTS.............................................................................. 5 4 CONCLUSIONS........................................................................................................................................... 5 5 LIMITATIONS............................................................................................................................................. 6 LIST OF APPENDICES Appendix A — On -Site Photographs Appendix B — PCM Sample Analytical Results Appendix C — Air Monitoring Specialist Certifications LIST OF TABLES Table 1 Ambient Air Monitoring Results 11121/16 ii Acronyms and Abbreviations ACM asbestos -containing material AHERA Asbestos Hazard Emergency Response Act AIHA American Industrial Hygiene Association CDPHE Colorado Department of Public Health and Environment EPA Environmental Protection Agency HSE/NPL Health & Safety Executive / National Physical Laboratory 1pm liters per minute MAAL maximum allowable asbestos level mm millimeter NESHAP National Emission Standards for Hazardous Air Pollutants NIOSH National Institute of Occupational Safety and Health NVLAP National Voluntary Laboratory Accreditation Program PCM Phase Contrast Microscopy TEM Transmission Electron Microscopy 11121/16 ii EXECUTIVE SUMMARY Alta Environmental LLC (Alta) provided ambient air -monitoring services for the Client at the residential property located at 3400 Vivian Court in Wheat Ridge, Colorado on January 23rd, 2020. Alta's services included final visual inspections and ambient air monitoring as requested by the client. Upon completion of a visual inspection of work areas, Alta collected ambient air samples and released the work area when laboratory results indicated airborne fiber concentrations were within acceptable limits. Based on Alta's observations on air monitoring results, at project completion, air monitoring results indicated that concentrations of airborne asbestos fibers within the established work areas were below the level of 0.01 fibers per cubic centimeter (f/cc) of air as defined in CDPHE Regulation No. 8. 11/2,/16 Ambient and Air Monitoring Report 3400 Vivian Court Wheat Ridge, CO 80033 1 INTRODUCTION Alta Environmental LLC (Alta) was contracted by the Client to provide final visual inspections and ambient air monitoring as requested at the residential property located at 3400 Vivian Court in Wheat Ridge, Colorado on January 23rd, 2020. 2 Ambient Air Monitoring Sampling Air samples were collected on 3 -piece 25 -millimeter mixed -cellulose ester membrane filters (0.8 micron pore size) designed for phase -contrast microscopy (PCM) analysis. The filters were preassembled by the manufacturer in conductive, three -stage cassettes with extension cowls. Rates were recorded at the beginning and at the end of the sampling period using a rotometer calibrated with a Dryca1TM primary flow calibrator. Air samples were collected on open-faced cassettes that were positioned at breathing zone height (approximately five feet above the floor) with the exposed portion of the cassette facing downward. Asbestos air monitoring records were completed at the site each day that air samples were collected. These records are designed to be the primary working document, containing most information about air sampling activities and are attached to this letter. Analysis of air monitoring samples under PCM was performed by Reservoirs Environmental Laboratory of Denver, CO, in accordance with the NIOSH 7400 method. The method may be found in the NIOSH Manual of Analytical Methods. PCM samples are reported as fibers per cubic centimeter of air sampled (f/cc). Acceptable clearance air samples are those at or below 0.01 f/cc for all PCM analyses. Regulation 8, Part B, Section III.P.3.b explains the Colorado requirements for air sampling and acceptable concentrations. 2.1 Air Sampling Summary The following summaries in Table 1 provide an overview of air monitoring conducted by Alta for the work area. Additional information such as ambient monitoring worksheets and daily air sampling records are included in Appendix B, if applicable. In accordance with CDPHE regulations the materials form the out building required only a visual inspection. TABLE 1 AMBIENT AIR MONITORING RESULTS AMBIENT AIR MONITORING RESULTS Sample No. Date Sample Description/Location Analytical Result (f/cc) 0123-T 01/23/20 Trip Blank --- 0123-F 01/23/20 Field Blank --- 0123-1 01/23/20 West Hall <0.005 0123-2 01/23/20 Living Room, West <0.005 0123-3 01/23/20 Living Room, North <0.005 0123-4 01/23/20 Living Room, East <0.005 0123-5 01/23/20 Dining Room, North <0.005 vcc = nbers per cubic centimeter of air 3 INSPECTION AND AIR MONITORING RESULTS The work area was cleared for re -occupancy subsequent to final visual inspection and ambient air monitoring. Results of ambient air sampling were at or below the EPA monitoring guideline for TEM AHERA analyses. 4 CONCLUSIONS Based on visual inspections and ambient air monitoring results, the work area passed the Maximum Allowable Asbestos Level of 0.01 fibers/cc of air for PCM AHERA analyses as set by the USEPA and the CDPHE. At project completion, air -monitoring results indicated that concentrations of airborne fibers were less than the concentration recommended by the CDPHE for re -occupancy of the work area. 5 LIMITATIONS This report describes the data collected and observations made by Alta during the ambient air sampling in the above referenced building. Alta represents that its services were performed within the limits prescribed by applicable regulations, within scope of work as approved by the EPA and the State of Colorado and in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances. Alta accepts no responsibility for data collected, the recommendations made or expressed to the client, and/or other commitments made by persons or firms other than Alta. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended. Sincerely, Joshua Masek Alta Environmental LLC 7045 West 37" Ave. Wheat Ridge, CO 80033 (303)669-7007 contact@A1taEnv.CO On -Site Photographs ,� ____ �f i ' f � �i y APPENDIX B TEM Sample Analytical Results AIR SAMPLING FIELD LOG Client Excel Environmental Project Contact: Cad Cox Collected by: Joshua Masek Job #: 20200123-2 Location: 3400 Vivian Ct, Wheat Ridge CO 80033 PCM Analyst Joshua Masek Means of pump calibration: Gilian C I Grated Ro ometer # _X_ Filter ECA —X_385mmz Microscope field area: _X0.00785mmn� PCM Filter: __,X_0.8um 37mmum nLot# TEM Filter.W �V CMft CE <0.45u 37mm Lot# Sample # Pump # T Sample Description/ Location: Activity: Start Time: Stop Time Total Minutes: Start Flow Um Stop Flow (L/m Average Flow Air Volume Liters Fbrs. Fids. I LOQ Fibers/cc T Trip Blank - - - - Average: F Field Blank 0/100 1 AA West Hall AA 1116 1151 35 15 15 15 525 2 0.005 0.002 100 2 AA Living Room, West AA 1117 1152 35 15 15 15 525 1.5 0.005 0.001 100 3 AA Living Room, North AA 1118 1153 35 15 15 15 525 1 0.005 0.001 100 4 AA Living Room, East AA 1119 1154 35 15 15 15 525 1 0.005 0.001 100 5 AA Dining Room, North AA 1120 1155 35 15 15 15 525 2.5 0.005 0.002 100 riease use reverse site or Tom Tor sampnng Iocatwn map. SAMPLE TYPE: HEX =HEPA exhaust ACTIVITY: Please fill out a CHAIN OF CUSTODY AA = Ambient Air B = backaround CL = final clearance P = personel NR=Fitter Not REM = removal I WA = inside work area Readable CU = clean up OSWA = outside work area GB = glove bag CL = final clearance BO = bag out AA = Ambient Air 0000001 APPENDIX C Air Monitoring Specialist Certifications off' t \lbY hl'}a 1 i Colorado Department of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that Joshua A. Masek Certification No.: 22489 has met the requirements of -'15-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Air Monitoring Specialist* Issued: May 15, 2019 Expires: May 15, 2020 • This certiftcale is valid anti' with the posses:cion of a T current Division -approved training course certification (,{J� in the discipline spe sifted above. *horizep APr'D Representative SEAL ok CQ { • ti,�`iy,t Colorado Department of Public Health and En -t ironment ASBESTOS CERTIFICATION* This certities that Joshua A. Masek Certification No.: 22489 has met the requirements of 25-7-507. C.R.S. and Air Quality Control Commission Regulation No. 8, Part B. and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: March 06, 2019 Expires: March 07, 2020 * Thic certificate is valid only Wilt lire possession of a _ current Division -approved training course certification i r in the discipline slx cified above. 'Authorized APC9 Represeniativ SEAL Gzi E— 010 Now -C CO3 :D) 0 E c 0 L Now z Ift z F � +s � y�tt'1�e i//y •lr� 'a �Ki�.�+t'�l��a. !!!�••.. C C1a rJ o + ` a -r � L CL �[C1+ Q r r f V i J N s H J PUN/ L L . a L' L t tTt —Ci f w + L tu W �z� f L ..L ci .r N r C C1a rJ o + ` a -r CL �[C1+ Q r r s H Vivian's Remodel Kitchen/Laundry Room Remodel Construction: • Removed and replaced Floors and Cabinets • Replaced light fixtures only Electrical: • Moved 220v outlet from north wall to island • Moved range hood from north wall to island • Relocated 220v for Dryer from North wall to East wall Plumbing: • Moved location of washer/washer box (laundry Room) from North Wall to East wall • Replaced old washer box with new Main Floor— Living Room Construction: • Removed 7ft partition wall • Removed Carpet and installed Floors • Replaced light fixtures Electrical: • Relocated 2 110v outlets Master Bedroom Construction: • Removed Carpet and replaced Floors • Replaced light fixtures Electrical: • Replaced light fixtures Master bathroom and Closet: Construction: • Replaced old carpet with tile • Replaced Shower/bath tile Electrical: • Replaced fixtures Plumbing: • Replaced old bath and Shower Trim with new Delta trim • Replaced old vanities • Replaced toilet and tub Hall Bathroom: Construction: • Replaced tile in shower and floor Plumbing: • Replaced Shower trim with Delta fixtures • Replaced toilet Hallway and North Bedrooms: Construction: • Removed Carpet and replaced Floors • Repainted • Replaced light fixtures Electrical: • Replaced Fixture between North bedrooms Exterior/HVAC Fixes • Added Sump pump (Crawl space) for Hot water heater location Plumbing: • Replaced old bath and Shower Trim with new Delta trim • Replaced old vanities • Replaced toilet and tub Hall Bathroom: Construction: • Replaced tile in shower and floor Plumbing: • Replaced Shower trim with Delta fixtures • Replaced toilet Hallway and North Bedrooms: Construction: • Removed Carpet and replaced Floors • Repainted • Replaced light fixtures Electrical: • Replaced Fixture between North bedrooms Exterior/HVAC Fixes • Added Sump pump (Crawl space) for Hot water heater location 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: c 1/0-- �' �1, � ° n,o�r /&Df Job Address: ;L100 V Of Permit Number: 2 JI6() j 7 Z 6 no / Ll" ") /it) L, c A -o /- t4n ❑ No one available for inspection: Time )0 PM Re -Inspection required: YesNo When corrections have been made, call fol1r��re-inspection at 303-234-5933 Date: 6 f Z// i o Inspector: !fav, L ,U, DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �� Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `-/fl 9 - v „a ) Job Address: 3 y 0 a i/r v 1'an C 4 Permit Number: 2 c IS 0 1 a 3 L -I ❑ No one available for inspection: Time 10 = )_3 49�M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: & Z/ 9 b S Inspector: - —p DO NOT REMOVE THIS NOTICE iQ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (-10 S r`r,a ( /) Job Address: -3 q0 0 (/ 1`I,/ r",B1 04 - Permit Number: a p t n 14, r y ❑ No one available for inspection: Time 10': / I �pm Re -Inspection required: Yes Sp When corrections have been made, call for re -inspection at 303-234-5933 Date: I 9 Ig' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Resid. Windows/Doors PERMIT - 201801726 PERMIT NO: 201801726 ISSUED: 06/13/2018 JOB ADDRESS: 3400 Vivian CT EXPIRES: 06/13/2019 JOB DESCRIPTION: Removing entry door with 2 windows beside the door. Replacing with entry door and 2 sidelights. Not changing the existing header. Will be building up two windows beside it. Additional studs will be installed in between door and both windows under existing continuous header. New Sills will be built for both adjacent windows. Ufactor of windows is .29.Door with sidelights Ufactor .19. *** CONTACTS *** OWNER (303)237-2866 BROOKS & BRENIMER FAMILY TRUST SUB (303)371-3750 Graydon Bevis 020762 Pella Windows & Doors Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,641.78 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 244.48 ** TOTAL ** 294.48 *** 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. fi City of Wheat Ridge Resid. Windows/Doors PERMIT - 201801726 PERMIT NO: 201801726 ISSUED: 06/13/2018 JOB ADDRESS: 3400 Vivian CT EXPIRES: 06/13/2019 JOB DESCRIPTION: Removing entry door with 2 windows beside the door. Replacing with entry door and 2 sidelights. Not changing the existing header. Will be building up two windows beside it. Additional studs will be installed in between door and both windows under existing continuous header. New Sills will be built for both adjacent windows. Ufactor of windows is .29.Door with sidelights Ufactor .19. 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 oy�per of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I f- her attest that I am legally authorized to include all entities named within this document as parties to the work to be performed anthat all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. / I ) - i - Signature of OWNER o<CONTRACTOR.( -Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance orgranting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any or di ce or regulation of this jurisdiction. Approval of work is subject to field inspection. P... .4 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat EIJI Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: 2errnits(a-)ci,wheatridoe.co-us FOR OFFICE USE ONLY Dafe: Plart1pennif#6V901 714 - plan Review Fee., j 19 *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. — Property Address: 3 C 1' Property Owner (please print): ZiWNALL, "FkL"1M(5P_ Phone: 30'S --2_S3- 2.S1 Property Owner Email: -� ectwn b rice' m < n. C, 61 M Mailing Address: (if different than property address) Address: City, State, Z!E. Arch itect/Engineer: Architect/Engineer E-mail: Contractor: 'R(,L.A tPJ)(UDd0,S+_bQQ9-5 OF LOl) Contractors City License #: 20-102 Phone: M3- 371- 3-T5 0 Contractor E-mail Address: L5WF_-ArcC-1vcj Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing. W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL 0 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION VWINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, sed, 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,)� r�r Ky bo©E Wt�'NC�> WIN�OirJS �6 i'V1 b V i Ill C� `�`IN Q W(A)bows �IbMOPAI- 1)C�ORd-TWO ��� gILL�irJ� Is1P'��S�D� iT. ge, iN5�ALUEb 11Q i3-ETW8C-0.b60k- In;Iitr'�0VJ5 iAI1i R EXlSTI�J dNIT INupLI Ot-ADbR- tsl;tN) 511.L5 + aart`+lb� �� AA�flGINT1N�Qh1� WILL, t �L,l�t 1F Sq. Ft.fLF Btu's Gallons Amps Squares Other Project Value;, (Contract value or the cost of all materials and labor included in the entire project) < < 1 Cp4(.-79 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 Fudge 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 prapLrty 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. 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E ƒ \ \ \ CD 2 k o / 3 90 3 \ $ cc _ E o § 7 a a -69 �a7 cn77k M M= e a w o= w « _ _ = a c o # P »® o g o 9@ e m o-4� m 6 6 6 6 6= 6 5 o m c e w o 0 o G c e E � 0 E m ) M = k / -0 Cr ® o \ 0 o ID «CD \ z \ k $ _2 ƒ ® \ / � cc & / ± 0 E [ < ¢ a # O o ƒ 0 4 w 0 0 .4 City of Wheat Ridge Residential Mechanic PERMIT - 201801604 PERMIT NO: 201801604 ISSUED: 06/01/2018 JOB ADDRESS: 3400 Vivian CT EXPIRES: 06/01/2019 JOB DESCRIPTION: Replacing evap cooler on roof; like for like *** CONTACTS *** OWNER (303)237-2866 RANDY BRENIMER SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing SUB (303)359-5885 David B. O'Berry 170020 Electrical & Lighting Con. LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,600.00 FEES Evaporative Cooler 40.00 Total Valuation 0.00 Use Tax 96.60 ** TOTAL ** 136.60 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 thisyermit. l 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 work to be performed is disclosed in this document n r its' accompanying approved plans and specifications. ` 7 kX . �- J.J Signature of O ER or CONTRACTOR (Circle one) ate I, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuancq or ranting of a it shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable or 4ay ordin a or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �Wheat P,idle CommlumTy DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 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: ,.# I V ;V0Y) Lk Prooertv Owner Property Owner Email: �andc,� ��°�'►mpX Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State Architect/Engineer: Architect/Engineer E-mail: Phone: Phone: 303 - Contractor: 6 `Je' P l u w',1Qr15, 4 City of Wheat Ridge License #: u�� V3 Phone: 373-Y?J-2W Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): �aya Phone: CONTACT EMAIL(p/ease print): _cZ_A(XF to mh Sub Contractors (Must provide Wheat Ridge License No.): Electrical: tAC"a (Aytd Lt � �, Plumbing: W.R. City License # 1400 W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # ITF ❑COMMERCIAL [v] RESIDENTIAL 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 use , etc. Q ?1&, t n.�., cvayuca-hu, C of Qx on kie r 7 Commercial Projects Only: Occupancy Type: Construction Type: Sq. FULF Amps BTUs Squares Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) Signature (first and last name): Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Lr (AUTHORIZED REPRESENTATIVE) DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) ER DATE: J 1 OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 0 i CITY OF WHEAT RIDGE Building Inspectior? Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ��6- AMJrQ, f' Job Address: POO Vily01, f✓fi Permit Number:018 01 Z, q L)No one available for inspection: Time )pM Re -Inspection required: Yes t "� When corrections have been made, call for re -inspection at 303-234-5933 Date:1 p ( Inspector: .,Lme-lf DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201801234 PERMIT NO: 201801234 ISSUED: 05/01/2018 JOB ADDRESS: 3400 Vivian CT EXPIRES: 05/01/2019 JOB DESCRIPTION: Reroof remove and install Gerard Stone Coated Metal roofing system with 42 squares. Pitch 5/12. Installed per Manufacturers provided installation specification sheets. *** CONTACTS *** OWNER (303)233-4251 BROOKS & BRENIMER FAMILY TRUST SUB (303)274-1111 Manuel Rocha 021129 Horn Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned- USE: UA / Unassigned SUBDIVISION CODE:. 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,832.00 FEES Total Valuation 0.00 Use Tax 500.47 Permit Fee 426.20 ** TOTAL ** 926.67 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201801234 PERMIT NO: 201801234 ISSUED: 05/01/2018 JOB ADDRESS: 3400 Vivian CT EXPIRES: 05/01/2019 JOB DESCRIPTION: Reroof remove and install Gerard Stone Coated Metal roofing system with 42 squares. Pitch 5/12. Installed per Manufacturers provided installation specification sheets. 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of 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 issu a or granting a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applic . e ode r any o ance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. La enia Reimer From: no-reply@ci.wheatridge.co.us Sent: Tuesday, May 1, 2018 8:48 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application �1 This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3400 Vivian Ct Property Owner Name Randy Brenimer Property Owner Phone 303-233-4251 Number (enter WITH dashes, eg 303-123-4567) I�(Ctiiuc� Property Owner Email humberto@hornbrothersroofing.com Address Do you have a signed Yes contract to reroof this 021129 ! �� property? Applications cannot be submitted without an executed contract 7203912444 attached below. Copy of Executed �'r1VAttach Randy Brenimer.pdf Contract G CONTRACTOR INFORMATION Contractor Business Horn Brothers Roofing Name 1 Contractor's License 021129 ! �� Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 7203912444 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 2325 S JASON ST (Primary address of your business) Contractor Email Address humberto@hornbrothersroofing.com Retype Contractor Email humberto@hornbrothersroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 42 the entire scope of work: Project Value (contract 23832 % value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof. Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 5,:12. 42 Gerard Stone Coated Metal. Metal house SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal 9 owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Humberto Cruz Email not displaying correctly? View it in your browser. FOR OFFICE USE ONLY A. 4 V .it of Date: COMIII, Planmwmit# LU ' f 'e? Building & Inspection Services Division 7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan Review Fee. Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line- 303-234-5933 I'll! !'1111111111111 111111111 111111 ppe, 1111i'111111g1=111111 k114V14A1 ems, Address: contmetor: 4),AJJ V A L�4- A-i'e A', contmetors City Licen" M -7 - �.21* �7, Contmator E-mail Address: Electrical, Plumbing- Mechanical: Wk City License # WA, City License # WA. City Ucense# Other City Licensed Sub: 21APAtJ "T A"14-Pil" efVIX1Z Other City Licensed Sub: City License # City License # Complete all infonnation on BOTH sides of this form (Check all that apply) NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEMIAPPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT /')1-- 4 e'er A-,? F A,1 le— 0 –,e 4" /?6> 1Z o ev'w >e:�as � ,66 12-e- Pe -d 'z,vZ. Sq. F le, OWS Gallom Amps squat" ottw J RDANS BUILDING CENTER C 6000 WARD ROAD HEAT RIDGE, CO $0033 PHONE: (303) 421-1484 MIST NO; J6S PURCHASE OROM, REFERENCE* S: CLERK*. DATE E. 000 C O.D LEE 11118115 3:51 DUE GATE: TSRm SOLD TO: SHIP TO: : 863771 ... CASK .RANDY SRENIMER EXPTOATE:11118115 3480 VI AI CT, W TRICICECO 33 EsPE �r: 11 LEE DRENI+►EI+1 " TAX. 001 CI 1STATE/RTI7 303-233-4251 8637771 u x. LINE SHIPPER C#DEREO UM SKU DESCRIPTION SUGG UNITS PRICE/ PER EXTEN§ION 1 1 EA $001000 MARVIN 7'11%2"X35112" X 1 WHITE 1 947.87 947°87 RANDY BRENIMER 303-233-4251 WILL CALL TAXABLE 947.87 NON-TAXABLE 0.00 SUBTOTAL 847.87 DEPOSIT AMT 1018.96 BALANCE DUE 0.00 TAX AMOUNT 71.09 BANKCARD PAYMENT 1016.86 TOTAL 1018.96 BKCRD# XXXXXXXXXXXX0667 TOT :0,00 X MID7191201928881 APP: 322418 8:863771 I ffy- City of id '0 . , MMUNITY DEVELOPMENT . # i # ' I # - i i - - # PH # I Plawpermit 0 Building Permit Application Address- ArohttecVEnaineer Contractor. I -e' �1z— Contractors City License Phone 7 ---Z04� 46' Contractor E-mail Address: Electricat S,�5"44eR- plumbing: '77V-0 &0 Mechanical; W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: 1----oVeGA Other City Licensed Sub: City License # 10 City License # Complete all information on BOTH sides of this form NEW NEW RESIDENTIAL COMMERCIAL ' A STRUCTURE ELECTRICAL k g SERVICE UPGRADE 11 q YYe # t COMMERCIAL 4 1X1. W4 FING COMMERCIAL ADDITION RESIDENTIAL ROOFING MF D # ADDITION ,... i!1F. WINDOW REPLACEMENT Y1 A. COMMERCIAL lf ACCESSORY STRUCTURE M. x (Garage, RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECH R d SYSTEM/APPLIANCE XW1Mt s •;Y REPLACEMENT F NP t PLUMBING 11..rn SYSTEM/APPLIANCE ww #1 ir.; w >rµ.. & CMENT ELECTRICAL SYSTEMIAPPLIANCE REPAIR I M iAk REPLACEMENT INS <s'6X4e�y Sq. tJt,.F Btu' -34 1410 Gallons AMPS Squares Other 8 tool �� �\ ~—� ���� � ���\�\�«�2 •\ 2 z . <�� �� \ tool Lehrer Metal Products, Inc. 06A Fireplace & Patio 10500 W. Colfax Ave * Lakewood, CO 80215 (303) 238-3800 * FAX (303) 238-0126 Randy Brenimer Lois Brooks 3400 Vivian Ct. ACCOUNT NO. 3032372866 1.00 1.00 1.00 1.00 1.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 ALL CA.TAS IND RETURNED 16WRIDS MST BE ACCOMPANIED BY THIS BILL. INVOICE Page: 1 #:0043646 SALE PERSON DATE Ken 11/28/2015 1 --- DESCRIPTION D30 KOZY CS {-34- Insert, Log Nat Gas W1 Light Kit (requires Front & Shroud) LINE DISCOUNT AMOUNT: 10.00% D30 KOZY CK34-RSF-BS Front, Brush Stainless Rect. Screen Front (for Ck34 & Csk-335s) LINE DISCOUNT AMOUNT: 10,00% D30 KOZY CK34-2740 Shroud, Black 27" X 40" (csk34/335s) LINE DISCOUNT AMOUNT: 10.00% D35 KOZY 816 Venting; 35" Of 3" Flex LINE DISCOUNT AMOUNT: 10.00% D35 KOZY 816 -CAP Vent Cap Only LINE DISCOUNT AMOUNT: 10.00% SERIAL KOZY HEAT Serial Number LS GAS INSERT HOOKUP Labor To Install Venting And Hookup Insert By Lehrer Seri lW,7&A ZZ I I IST - ,:,I ZZ I I 4x4 posts to be centered on caissons, simpson clips should not be bent to fit offsets, and need letter stating caissons by retaining wall ok, No structural support latteraly (not mentioned on plans.), At)" (A � W 1-ki"c"Ige (. E."VELCOMENT , Building &Inspeciblon Services Vvision 7500 W. 29"' Ave- Wheat Ridge, CO 80033 €; 303-235-2855 * Fax: 303-237-,8929 Inspection Request Une, 303-234-5933 Building Permit Application (Complete ALI higtrUghted areas) Propatty Addsoss C Vvi'avy C4)4-,)Iet PN,0�4 y0wjW (please prinl); ivicfq 8fZeA1'kKeiCPhone', (3 Z 3 7- &6, MW#o . (if different than property address) Address: 3Ycl V,"vl'A" C&Cwz-f City, State, zip; Lkk,-0j'9iCCV CC) OWN ERICONNTRACTOR SIGN.VFURE OF UNDERSTANDIM; AND AGREEMENT I hemby cvrfify that the distances prorKmd by this Jwmlit apf"flication "irc accuraw and do not �,iolatc applicable ordinartees, rate s or rqxuhitiofis of the Cily (if Whwt Ridge or Coveiiants, d »awd asavaats or restrictions of rm"f"j, that all awasurmclus ""hown and allcg,ations made arcztccurate that I have rcad and sagrcc to at all cimdifim prinw-Al on flas applivation and twat I assunwe Nil re fi:,wr comfqiance with applicabic Oty of Wheat Ridge aardus and ordituances for wod under arts} 1wrtnit isNued bas'ed on this apIll ication, thaw I am the legal owner or h3ve been authorized by flier leg"'d ouner ofthe propeny w pWrtbrm the dew uvIrk and alla ako "auflunized by the legal owner of niy enfity included on this applicimion to fist that cwtihl on thix, applivatimi- C"I'kett"'0xv, (COA111,010R qf(Off"NER) (CO3NTRA 00. A 9 MIT- Bldg Valuation: I CiHA 1 )UiiVEYiNG �NC, LwT 42, BLOCK 4 APPLENOOD ViLLAGI, C"WiTY OF jEFFERS0 &TAIL Oe CGLORID0 at ef� (-A CON at to at C= CP C 1 u I IMPROVEMENT LOCATION CERTIFICATI Qq�iB 1 00- wI 122- Scow 1 0 30' Wn e7 4 W"it C"WAA 7�in property is not located within a designated &W hazayd area according to M Flood Map No, 085079, 1/3/83. i HFREBY CERTIFY THAT MW !MPh0VQAEN'F ALOCATION CERTIFICATE WAS VAN OCAAACK 'RiAT IT 1S IMT A LAND SURVEY PLAT OR !MPROVEMEN. �WmVEV PLAT AND THAT IT 1S NOT TO bE RELIED UPON FOR :--S';'AB1.1iIiMLNT OF FENCF, OTHER FWTURE III PhOVEMENT LINES I FUR'fi-UR CERTIFY THA'A" "I'HI: IMPROVENIENT6 ON THE Ab%:I 1ASCHMEDPARCTELON THIS DATE 11/28/86 . . EXCEPT UTILITY CONQCT ION S,Az EENTIRELYWITHIN THE BOUNDAHMS OF THE PARCEL EXCEPT AS SHOWN, THATTHERE ARENCENCROACHNENTS UPON THE ;WSCIRIBED PRENUSES BY IMPROVENIEINTS ON ANY ADJOINING PHEIATSES, EXCEPTAS INDICATED AND & iAT THERE IS I NG APPARENT EVIDENCE OR SIGN OF ANY EASEMEME CROSSING OR BURDENING ANY i PARCEL, EXCEPT AS NWED DRA SURVEYiNG INC. WHEAT A�DGE COLORADO How to Use this Guide Provide three sets of plans and complete the following: 1. Complete this Building Guide by filling in all of the blanks on page two and indicating which construction details will be used. 2. Provide 3 Plot Plans showing dimensions of your deck or porch and its relationship to existing buildings or structures on the property. Show all easements and the distance to existing property lines drawn to scale. SPECIAL NOTES: XV16- t-14 — N - Date, Signed: — ------ Ran checker 11 S ]r ON' 'ITE LAN MUST BE ON SITE FOR INSPECTION This handout is intended to accommodate projects constructed under the 2006 International Residential Code. It is not intended to cover all code requirements or circumstances. Check with the City • Wheat Ridge Community Development Department for additional requirements. !1qp.//M6A,6wteqtL_q_ Wheat Ridge Building DepaMnent Approved -MMMIMULM a Denver Decks 12650 W 64 Ave, E424 Arvada CO 80004-3893 (303) 730-9642 4� (:it y of g Public Servicisr 2701 West 7th Avenue Denver, CO 80204 September 29, 1988 Please call me at 571-2502 for any information. Public Servite Company of Colorado P, 0. Box 840 Denver, CO 80201- 0840 ItrI.O.I:ear1:1m ANAPM American Cad evision October 3, 1988 Thofnton, C,fNczado tB0233 1 303) 4,5()-9A)0 City of Wheatridge (Building Dept.) P.O. Box 638 wTheatridge Co. 80034 Attn. Kathy Spafford RE: Residents use of the platted utility easement at 3400 Viviall Ct. also known as Maplewood village subdivision, Block 4, Lot 42 for the purpose of building a retaining wall In that easement. Because our facilities in that easement are aerial, and the construction of this wall should not conflict with the maintenance of our plant, we have no objections to this proposed construction. Sincerely, Brian Reece Construction Coordinator CITY OF Vk ;0 rZI r--v ,- ri .... . ..... �" Q October 3, 1988 AW CaUevision Cordially, Bryan H. Scott American be Chief Technician WANE40- 0 MAE mi I It sm W"! 21, m I 0 I I QL, 0 MAE mi I It sm W"! 21, m I 0 I I | \ � ƒ / \: . \/ \/ 6% �\\ \\ / \ \ \} ( \\ .. .% . # ¢ . \/ \/ 6% �\\ \\ / \ \ \} ( \\ y 1�111110 W 0�" WA This trope rty is not located within a designated flood hazayd area according to HUD Flood Map No. 08079, 1/3/83. i HEREBY CERnFY THAK."IH6 CERTIFICATE WAS 11 hEL"Aiiz"4'-" v:0 O&VAGA & C&kAN&--- - I I- THATITIS N{.. r A LAND SURVEY PLAI OR IMPROVEMEN'. W &VE7 PLAT AND THAT IT IS NOT TO BE RELIED UPON FGH E-:37ABLISHM ENT OF FENCV P"USMN0 OR OTHER FUTURE IMPROVEMENT IINES 1 FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE AbMi 126ChMEDPAI�Cf,'L,C)NTI Iii TEIJ/28/86. . . EXCEPT UTI LITY CON NVECTIONS, ARE ENT] RELY W ITH 1 N 1 H E BOUNDARIES OF TH PARCEL EXCEPT AS SHOWN, A, THERE ARE NO ENCROACHNANTS UPON THE DESCHMED PREMISES BY 111PROVENIENTS ON ANY ADN.)ININGIPRENUSES, EXCEPT AS INDICATED, AND xLiAT THEhE 1. NG APPAREINT EVIDENCE (DR WRIN OF ANY EASEMENT CROSSING 011 BURDENRiG Ally PiRT0FSAa)PABCQ EXCEPTASNCITED DR A SURVEYING INC, WHEAT RIDGE, COLORADO P ROJECT a , D1...RMONa; I. Fill in the blanks on this page with dimensions and materials which will be 2. Indicate in the cheek box in the center of the diagram which support detail r �• r Y h. "' r Buildin Approved Val of permit. The issuance of a permit or approval of plans, perificat' and t nsputat ons shall not be a it for, or an approval of, a violat6cn t o A41 r any of the provisions of the Wilding code or of any City or ant s, Permit presuming to give att4lr 6tv to v;otate or cancM the p sions of the pe of decking _J "M � 4 xE� � , �� y sh4 n;)t t =alt, i u N � APPROVED rr • posts with 1 1 /2" bearinq !! 11;ql '111 11 1 ; 11 1 11 IE t • a - k � e Work shall comply with the following clacks. 2006 IRC, 2006 I CC, & 2005 NEC. 3 HIM at sp ac e d Y I f° a part {x x4 8 ,1 S p all ,f' " (x t' =4") ., Note: 3 copies of a plot plan (plan view) showing the dimensions of year project and its relationship to existing buildings or structures on the property must be included. In addition to project dimensions, your plat plan must also show other details such as post locations and spacing, joist and beam spans, and any other Pertinent information not shown on drawines. 0 Denver Decks 12 650 W 6 4' h Ave, E424 Arvada CO 80004-3893 t APPROVED Note: 3 copies of a plot plan (plan view) showing the dimensions of year project and its relationship to existing buildings or structures on the property must be included. In addition to project dimensions, your plat plan must also show other details such as post locations and spacing, joist and beam spans, and any other Pertinent information not shown on drawines. 0 Denver Decks 12 650 W 6 4' h Ave, E424 Arvada CO 80004-3893 t bal Full depth Zx solid tli �.. � pie C S S Va�r3�`ter�i N p � Se c MI b f em �t�tetrto 1 J : 1 beam eimim I I Mi PO � :_N ". messi er h r c t embedded 7' min, rao co ncrete pier or the e 8' (staid)d4meter r Non- corrosive metal l post anchor 6' resin, it less these ", past must be decay resisthe VVI wa B S Lax, P` L'( "psi, w� K Denv D 12 650 W 64'h Ave, E424 Arva CO 80004-38 73 T A6 , i V' 1' 01, t Cam` /4 � cu Min I Y22* b6ir' I I to beam wkh t o <» . t ,,.. (� � r �I 1 6 ' S p ' r Conditions such as attachment to .w. o r h a n ge r CO W .. #' veneers may require Engineere bal Full depth Zx solid tli �.. � pie C S S Va�r3�`ter�i N p � Se c MI b f em �t�tetrto 1 J : 1 beam eimim I I Mi PO � :_N ". messi er h r c t embedded 7' min, rao co ncrete pier or the e 8' (staid)d4meter r Non- corrosive metal l post anchor 6' resin, it less these ", past must be decay resisthe VVI wa B S Lax, P` L'( "psi, w� K Denv D 12 650 W 64'h Ave, E424 Arva CO 80004-38 73 T A6 , i V' 1' 01, t Cam` /4 IN G uardrail req uired it 3 a' min, run �. more than 30' from nosing to nosm Ope rd ems . less than 4' 7 3' x. ri Handrait Notts: I Handraft sing be contirwous on at fieeast one We ot stairs vvft 4 or more risers, 2, Top of the handrails " be placed not less than 34 inches not .. A Subject Field Inspecti DenverDecks 1,2 50 Arva CO 80004-389 730- Dater PRO JECT ADDRESS: 4 100 V1 ' V l' . 'Oc t: sta O pening s n t. Stairway shall be not less then 36' in width. sid 2. i rises shalt to not greater than 7 314', $ stir tree s r 3. at . treats ti h a r van rss fuse IT. i t inch 4t The gth of Run d the gist sf i shag resat diarrteter Sphere leery e tha 318' in the entire furs of the at . Stairs are reqWred to be i t i sted. pass ihr 6, Open risers per ` ed if diming is fts their 4 r. A nosing not kms than W W not more than t 1, sW be provided on stanvisys with s &sd rise and less than t 1'. , Composite materials ( tr te,Tr ) may require stringers G uardrail req uired it 3 a' min, run �. more than 30' from nosing to nosm Ope rd ems . less than 4' 7 3' x. ri Handrait Notts: I Handraft sing be contirwous on at fieeast one We ot stairs vvft 4 or more risers, 2, Top of the handrails " be placed not less than 34 inches not .. A Subject Field Inspecti DenverDecks 1,2 50 Arva CO 80004-389 730- Dater PRO JECT ADDRESS: 4 100 V1 ' V l' . 'Oc t: I I I I I Ito CA I ELM I E47 ulia Kai CD CD -n CD F5, El 0 0 0 3- I I I Ito CA I ELM I E47 ulia Kai 9 0 I CD LM a 0 < 5T -5 I 0, (D 0 rmir.q 00 > -X m 4�. •r) 0 CL > 0 < 00 0 CD CD 4& 1p A X03 mrlgpd La- al > -X m 4�. •r) 0 CL > 0 < 00 0 CD CD 4& 1p A X03 mrlgpd La- INSPECTION RECORD Occuuancy/TYDe 'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: - Footings /Caissons Electrical Service Rough Electric Stemwall / (CEG) Concrete Encased Ground _ Gas Piping Reinforcing or Monolithic / ! 7 i Weatherproof / French Drain Sewer Service Lines 1 Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) ` * NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Plumbing (Underground) Heating (Underground) UN I IL ABUVE HAS BEEN JIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing _ Gas Piping Rough Mechanical / ! 7 nDvvt INDYCV IIVNU I bt bl 9NW FKIUK I PHVULEVING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical _ Roof — / ! 7 i Building Final FireDepartment 1 R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping - ` * NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PDATC!`T T41Q PADn CDnAR T41C IAIDATU9=0 ♦ 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 i Job Address: ~ kxv\ r~4 Permit Number: i T ❑ No one available for inspection: Time IK' , AM/ M Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date:/ fC Inspector: fC2 ~J rL' DO NOT REMOVE THIS NOTICE i 4; ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r~CJ Job Address: ~fGC t1 ! s~ l~ r~ Permit Number: 3 G S,_., ❑ No one available for inspection: Time AM/PM { Re-Inspection required: Yes No "When corrections have been made, call for re-inspeec°tion at 303-2345933 I s Date: iii I '3, Jai Inspector: DO NOT REMOVE THIS NOTICE A 4' City of Wheat Ridge ro Residential Roofing PERMIT - 093655 .PERMIT.. NO: 093655.. ISSUED:. 10/26/2009 JOB ADDRESS: 3400 VIVIAN CT EXPIRES: .04/24/2010 DESCRIPTION: T/o Install 42 sqs of Gerard stone coat metal; 30#; cI/W shi CONTACTS owner 303/237-2866 Randy/Lois.Brenimer gc 303/274-1111 Manuel Rocha 02-1129 Horn Brothers Roofing PARCEL ..INFO ZONE CODE: UA USE: UA SUBDIVISION: 0695 13LOCK/LOT#:.0/ **'.FEE SUMMARY ESTIMATED PROJECT VALUATION: 23,413.00 FEES Permit Fee 490.50 Total Valuation , 00 Use Tax 421.43 l,Yl(f-'~~'C' **.:TOTAL *.*I 911.93 YT Conditions: 6 nail installation & mid-roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave..edge to 2' inside exterior walls.' ***Contractor/Property owner shall provide ladder(s) secured in place for, inpsections. Subject to field inspection.. Ihereby certify that the setback distances proposed by this permit application are accurate, and do. not violate applicable ordinances, rules or regulations of the City of `Wheat `Ridge or covenants; easements or restrictions of record; that all measurements shown, and a legat' ns made are accurate; that I have. read. and agree to abide by all conditions printed on this application and. that I a s ull responsibility for compliance with the Wheat.Ridge Building: Code (I.B.C) and all other... applicable wheat Ridge for work under this permit. Plans subject to field inspection. Signature of contra o er wdat This permit was issued in accordance with the. provisions set forth'. in your application and is subject to the laws of the state of Colorado and to the Zoning Regulations and Building Codes.. of wheat Ridge, Colorado or any. other applicable ordinances of the City.`. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the. Building Official If this permit expires, :.a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made.: in the original plans and specificationsand any suspension or `abandonment has not exceeded one (1) year. If changes have been or if suspension or. abandonment. exceeds one (1) year;-£ull fees shall be paid for a new permit. No work of any. manner shall be done that will. change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24).. hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job.: The. issuance. of a permit or the approval of drawings and. specifications shall not be construed to be a permit for, nor 7 an approval ofM//3ect ation of the provisions of the building codes or any other ordinance, law, rule or regulation. All pto field. inspections. ignature of Chef: Bunding Official date :NSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICES (303)235-2855 ZEQUE.STS MUST. BE MADE BY 3PM_ANY BUSINESS DAY FOR INSPECTION-THE. FOLLOWING BUSINESS DAY. W HEgT of City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 OOtORP00 Inspection Line: 303-234-5933 Property Address. 3 7_(73S V i V c- C Property Owner (please print):'V an d y ~S r~Yl! wt~. Phone Mailing Address: (if different than property address) Address: 3 Y ®tQ t l a y/ , c Z City, State, Zip: kA 144 n. J 0 I _ f'_ ry Contractor: Building Permit Application Date: Plan Permit Contractor License Phone: ~4 y7f G7JI Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ ;al & s _ Description of work: -T-; r r~ o (as calculated per the Building Va uatfon Dafa sheet) "-d) B dP :#dm/mL PlanJR~ eview (due at time of submitfaQ: $ Sq. Ft./L. Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for. compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERK PRINT NAME: A( cNFt44j-f SIGNATURE: (CONTRATOR) Date: Bldg Valuation: $ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16812 BUILDING INSPECTION LINE -(303-2S459S3) Date : 3/13/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: RANDALL K. BRENIMER AND LOIS J. BROOKS Property Address : 3400 VIVIAN CT Phone : 271-8658 Contractor License No. : Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cerlify Ihat lhe setback dislances proposed by lhis permit application are acwrate, and do not violate applicable ordinances, rules or re9ulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations matle are accurate; that I have read and agree to abide by all conditions printed on this applicalion, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable W fh~eat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE 3 is o Construction Value : $7,200.00 Permit Fee : $199.30 Plan Review Fee : $0.00 Use Tax : $144.00 Total: $343.30 Use: Description : REMOVE AND REPLACE 5 WINDOWS, EXTENDING ROUGH OPENINGS 1' LOWER, INSTALL NEW WINDOW UNDER EXISITNG HEADER, REMOVE AND REPLACE 3 ~6'0 X_ ~6'8~" SLI~DIN~G PATIO DOORS 1_~ zontng Comm~nts: Approval: Zoning : Bu[Ieiing;Co►r~'nn9fi Approval : Pi►blte 11Vo*s Gotriir±ed#s.' APProval : Occupancy: Walls Electrical License No : Company: Expiration Date : Approval: BUILDING DEPARTMENT USE ONLY OK PER DM 3112104 SIC : Sq. Ft. : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company: Company: Expiration Date : Expiration Date : Approval: Approval: (1) This permit was issued in accordance with the provisions sel forth in yopur application and is subject to the laws of the Slate of Colorado and fo the Zoning Regulations and Building Code of W heat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire i( (A) the work authorized is not commenced wilhin sixly (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acpuired for a fee of one-half the amount normally required, provided no changes have been or will be made in t e original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. IF changes are made or if suspension or abandonment ezceeds one (1) year, full fees shall he paid for a new permit. (4) No work of any manner shall be done lhat will change the natural Flow of waler causing a dreinage problem. (5) Contraclor shall notiry the Building Inspector hventy-four (24) hours in advance tor all inspections and shall receive wrinen approval on inspection card before proceediing with successive phaus of the job. (6) The issuance of a permit or the approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building co e 'or/any other ordinancedayv, rule or regulation. RJ 'U/~c¢at ra~e ~n Chief Building Inspector Please sign Terms and Conditions on reverse side of page. 4K L+ws[. #*'7t 004 40" /VSlillEurs~J Ya JlEEP Pt/tws.4-- ,9*V-T,% iF ^7tb 4+ss i'e07- OF WHEqTP COMMUNITY DEVELOPMENT DEPARTMENT ~ g BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE COLORP~ WHEAT RIDGE, CO 80033 -(303-235-2855) APPLICAT►ON Property Owner. R.a..vA4& k. 64onr45 Property Address: 35/011 G- • Contractor License No.: Company: Building Permit Number: Date: Phone: 3c3 271 Bl,SB' Phone: 303 .237 2d64 (H ) UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not viol applicable ordinances, rules or re9ulations of the City of Wheat Ridge or covenanis, easements or resMctions recoM; that all measurements shown, and allegations made are accurate; thal I have read and agree to abide atl conditions printed on lhis application and that I assume full responsibility for wmpliance with the Wheat Rid Building Code (U.B.C) and all other applica^ble Wheat Ridge Ordinances, for work under this pertnit. (OWNER)(CONTRACTOR):SIGNED '~'~++~+~~1 DAT i ~ (OWNER)(CONTRACTOR)'. PRINTED DATE ate ~ or Construction Value: $-]2~~ bY Permit Fee: $ 9e Plan Review Fee: $ Use Tax: $ Total Fee: $ ~,vviui QekO♦ OY4~lKS F DESCRIPTION: RE.wr✓E ~y ~f+0~~ 5 w~~oe~vs , EXr /usrnee uE.v wi~v»ow uAraE,[ EX+ssr.u6 NE.~OER ~ RE~M✓E ~ ~P~~ 3 G'o u 618 sun.Vd PArie Dee.CS, BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS. Approval: Zoning: BUILOING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This Dertnit was issued in accortlance wiN the provisions sM forth in your applicatlon an0 is subjecl to the lawa of the State of Colorada and ro the Zoning Regulations and Building Codes of Whest Ritlge, Colorado or any oMer applicahle ordinances o(Me Ciry. (2) Thispemitshallexpireif(A)theworkauthorizedisnotcommencetlwithinsixty(60)daysFromissueCateor(B) thebuildingauthorizeEiasuspendedorabandonetlfora period of 120 days. (3) If this permN apirea, a new penit may be acquired for s he of one,half the amount normally required, proviEM no changes have been or will 6e matle in the onginal plans end apeciflcadon6 antl any suspension or abandonmenl has not enceetletl one (1) year. H changes have been or if suapension or abandonment exceeds one (1) year, fullleea chall he paid fora new Dermit (d) Noworkofanymannershallbetlonethatwillchangethenriuralfiowofwatercausingadninagepro6lem. (5) ConVactor shall notify the Building Inspector lwentydour (24) hours in aMance for all inapecGons and shall receive wnttm approval on inspection ard before proceetling wtth successive phases of thejob. (6) The issuance o( a pemit or the approval of tlrawings and specificatians ahall not be wnaW ed to 6e a permit for, nor an appmval af, any violation of the provisions of the building wdes or any other ortlinance, law, rule or re9ulation. Chief Building Inspector 4 n, ~ o' ~v f k ~ • ~ d I O ~ ~~hl~ ti A I ~ a y~ rh a ~ I o, o ~ ~ t W o ~ ~ r ` k F ?0 o wl c a I ~ 1 1 L----------~ W O ~ ~ ~ Z n ~ Q ! DFA SURVEYING INC. I,O'1' 42, IILOCK 4 AYPLEWOOD VILLAGE COUNTY OF JGFFERSON Sf'ATE OP COLORADO IMPROVEMENT LOCATION CERTIFICATf ~ _~I l~ ~~.(~i.\U. L L l-~ T ~I / 1y~j't=. \UCl?v ~Ulo {=~.~'lT ~l 1 This property is not located within a designated flood hazard area accordinq to HUD Flood Map No. 085079, 1/3/83. Scole: 1 '-30' 0 bCEVL9==3=Zd 1 HEAEBY CEPTIFY THAT THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED FOR vnN ScnnnCK s ConE$gY THAT 1T IS NOT A LAND SUHYEY PLAT OR IMPROVEMEN'C SUI;VGY PI.AT, AND THAT IT IS NO'C TO BE REI.IED UPON FOA ESTADLISHMENT OF FENCE, BUILDING, OR G1'HER FUTUAE IMPROVEbfENT LINES. I FURTHER CERI7FY TIIAT THE IMPROyEMENTS ON 7'IjE ABOVE DESCRIIIED PAACEL ON THIS DATE 11/28/66 - EXCEPT UTILITY CON~ECTIONS, ARE ENTIRELY WITHIN THEBOUNDARIES OFTHEPARCEL,EXCEPTASSHOWN,THATTHEREAAENOENCROACHMENTSUPONTHE DESCRIFiED PREMISES BY IMPROVEMENTS ON ANY ADJOINING PREMISES, EXCEPT AS INDICATED, AND TIiAT THERE IS NO APPARENT EVIDENCE OA SIGN OF ANY EASEMENT CAOSSING OA BURDENING ANY PART OF SAID PARCEL, EXCEPTAS NOTED. DRA SURVEYING INC. OWNER: eurton ~ ✓ ri:i! ::,r.'=~%:'1~~4'~?`~G`~ - . WHEAT RIDGE, COLORADO ~ ADDRESS:3400 Vivian Court YWR NOs I)A'fE 11/30/86 SURVEY N0. 39212 DEPARTMENT OF GOMMUNITY DEVELOPMENT N RIDGE, I COLO. 3a5 33 S P.O. BOX 838 E B CITY DI OF WHET INSPECTION 2 S vFRM1T VALID ONLY WHEN SIGNED BY TME CHIEF BUILDING INSPECTOR ANC RECEIPTED BELOMr_ JOB ADDRESS CONTRACTOR ADDRESS _ CITY -c PHONE SIGNS r ZIP GODE _ LICENSE NO. PERMIT N0 [vM93#4177 / OWNER ~ ADDRESS ✓ o i ~J~ < < ~ ' ZIP CODE -1 PHONE CONTRACT PRICE $ ~ ~i L7 7S/ DATE _ - - Wall❑ Proietlin4❑ 01hsr Sor DFou 1. 7YPE Ground❑ To1ol Squme Fnf Z, MATERIAL ElKt. Pvmil No. 3 ILLUMINATION Ya❑ No❑ TYDe Zom__ Apprwsd,Zon~ Inapatoi 4. SE7 BACK FROM PROPERTY LINE N_ 5 a E~ W❑ Diaopprwed (Spxity which if front ) ❑ 1. TYPE SolidO Mae Thon 80% ODSnO Lus Thon 80% OM^ _ ~ MATERIAI~- FENCES 3 SET BACK FROM PROPERTY LINE (SoscilY ~'~ieh is frOM) I. OTHER Z 3. N__ S__ E__ yy Zone_ ADDrwed,Zono Impeeta ~ ~ 0 11 015aDDroved DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVING DISTANCES FROM PROPERTV LINES. (SETBACKS OR PROJCC7IONS INCIUDEA) ~ SPECIFY NORTH STREET N4ME SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SIKTN LEAST DISTANCE TO PROPERTY lINES, NO7 MAXIMUM OR AVERAGE DISTANI:E. ppPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THE DAT INDtCATED WORKOIS OTIS ARITEDBWITHEN THATNG~ESPECTION DIVISION. BUILDI THIS APPLICATIO P R~IT W~~MEXPBE BOTDAYSEFROMrTHE DATE OF ISSUAWORK NCE ONLY PLUMBING PERMIT MECHANICAL PERMIT ELECTRICAL PERMIT STATE LICENSE NO STATE LICENSE N0. UMINUM WIRE UNDERSRE 8 ILLEGAL FLOOR BSM IST 2ND 3RD 4TH N0. F~1EL'~~~ FORCEDAIR BTU ~ _--r---- WATER CLASET. _ wwrra _ pTll TEMPORARY METER WASH BOWL STEAM - BTU NEW SERVICE - AMPS BATH TUB AIR CONDITIONING-BTU CHANGE SERVICE-AMPS SHOWER OTHER LIGHTING SINK REFRIGERATION SYSTEM HEATING GARBAGE DISP Retri eront GrouO ppWER SUB-CIFCUITS WA?ER HEATER Paundf C~ar e UTILITY (RANGE, DISPO5ER, ETC ) AUTO. WASHER AUTOMATIC SPRINKIER SYSTEM FI%TURES OISH WASHER ELEVATOR WIRING MOTOF25 d GONTROLS .bOR DRAIN FI URINAL SIGNS TRANSFORMERS d RECTFIERS SEWERS ADDITION TO OLD WORK pTHER 7pTAIL FIXTURES MOTORS OVER I HP , s ' REMARKS / NOT VAIID UNLESS CE1P1 8' PERMIT FEE ~L I Aereby aCknowledqe that this ap0lico- p!~ t a^d undersrond ihat I USE TAX tion it oorrec connot 1}art this vrojecf untii tnia aaoli' E totion is aODrOVed. I sholl comply witn TOTAL FE tpe Iuwa oi the Stofe of Colorodo and to di A na ihs Zoninp ReQulations and Buil D Code ofthe City of Wheaf RidQe. AnY se l GHIEF BUILDI INSPECTOR,Cityof heat Ridge cau ~io~ction of the obove terme wii , CALL234-5933 0cation °l ' Ith's ermit immedio 24 HOURS IN ADVANCE ~ 7 ~ FORINSPECTIONS ~ S aT-zsa Date Issued ~ ~ ~y0litanb 9i0naror• DEPARTMENT OF COMMUNITY DEVELOPMEN7 M91II17562 pERMiT N0 7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION CITY OF WHEAT RIOGE, COLO. . 237-6944 EXT. 255 P.O. BOX 638 PERMIT VALID ONLY WHEN SIGNED BY 7HE CHIEF BUIIDING INSPECTOR AND RECEIPTED BEL'JW. I S TH MIT APPLICATION FOR MISCELLANEOUS PER Tj c OWNER . 'J t ' j / L3r ~ ESS zn Il J08 ADDR ADDRESS CONTRACTOR ZIP CODE PHONE ADDRESS /2 q / ZIPCODE nd~~= CONTRACTPRICES ~ q - CITY G~Z/ ~ ~-7 7 LICENSE NO.I-~3'J DATE - PHONE - F ~ Woll❑ Proitctinp❑ Other GrounE❑ aee SaD I. TVVE TotalSqmn Fpt 2. MATERIAL gIW, permit No. ❑ No❑ TYDa Y es SIGNS 1 ILIUMINl1TI0N E W Zone__ ApprovW,ZOns Ins"eta _ 4. SET BACK fROM PROPERTY LINE N_._ S Q ❑ ❑ ❑ Disopprwsd (Spscify which is iront) Solidm More TAan 80% ODenCJ Less Than 80% OpOM I. TYPE HeipM MATERIAL Zpie__ FENCES N 5 E-- W ADWwW,ZoM IropOeta 3. SET BACK FROM PROPERTY LINE ~ [:1 0 ❑ DiaapWoved . , (Se~ci}v w~ieh ie front) . . rr _ . . / I. OTHER 2 13, DRAW SKEy 0 SHOV' BELOW, THE FENCE,516N,OR OTHER STRUC (SETBACNS OR PROJECTIONS INCLUOED) STREET NAME~ 5 pSTANCE NTO PROPET~Y L~NESBNOTDiMA%MUMJOR IA ERGE EDIS pppLICATION FOR PLUMBING; ELl THIS APPLICATION WILL O ERMIT WILMEXPIRE M80 DAYS F OM THE DATE 0 ELECTRICAL PERMIT PLUMBI STATE LICENSE N0 STATE LICENSE ~ HEATING WIRING MOTORS 6 TO OLD WORK I Aereby ocknowladqe thot thia apDlica- tion n eorrect ond understond that I ppnnot itort thie projtltt until this opDli' eotion is opOroved. I sholl comDIY with the lowf ai the Stote of Colorodo ond to ihg Zoninp ReQulations and Builtlinp Code otthe City ol Wl+eat Ridpe. Any viololion of the obovs terma will couse immsdiole revocofion of 1Ma permit \ooReanl. 41Ynelu,. WASH BOWL BATH TUB SHOWER SINK GARBAGE DISP WATER HEATER AUTO.WASHER DISH WASHER FI,DOR DRAIN URINf+L SEWERS _ INSPECTION TICKET C. ~ JOB ADDRESS J ~/CE-fJ L /.t-v--4a~,,. L-'► DATE: ID BLDG. PERMITB i 7 > ITH PERMITM BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ iYPE OF INSP. "T-o-t c INSPECTION MADE REMARKS -T 7 i4n e W.R. FORM 6-19 V PERMIT FEE I ( 14 'r' U-L/ USE TAX TOTAL FEE 6• ~U via......__ _ CHIEF BUILDIN INSPECTOR,City of Wheai Ri qe Date Issued / 6 / 6_ 1 / I VISION. 40/E q VSS/ in &t/t /Z-7 S' CALL 237-8941 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS 7500 WEST 29th qVENUE ~ DEPARTMENT OF COMMUNITY DEVELAPMENT 237-6944 EXT. 255 P.O. aox saa BUILDING INSPECTION DIVISION THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUII D NGO N PECpR ANDG HE MOAYOR - TWO SETS OF BUILDING PLANS AND TWO PL07 PLANS MUST ACCOMPANV 7HIS APpLICATION CALL BUSINESS NAME_ REQUIRED PERMIT N0. g90#4476 ~ SPECIFY NORTH STREET NAME (VCIRCLE FRONT) N E S W SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HpUSES,STREETS,AND PROPERTY LINES ON ABOE SKETCH; SHOW LEAST DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR AVERAGE DISTANCE. OWNERS NAME . j C-~`~~ ~ LEGAL DESCRIPTION CONTRACTOR S i LIC.NO. ADDRESS3 HO u h C-~ METES AND BOUNDS DESCRIPTION ATTACHED PHONE_7•.3,2'/SZo ADDRESS .~VLJd //,i,'las-~ Ic"f[ rr L~JL~-•}. ZIPC a ODE ~33 ` LOT WIDTH LOT N0. DEPTH pREA BLACK NO. SUBDIVISION_- FILING INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW E%ISTING: Curbd Gut}er ~ 5~~~t Podn9__t.-Wate ✓S~ L-Storm Dminoqe= HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES -NO_ ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY, YES_N0-Ll- OCCUPANCY STORIES 'EXTERIOR MATERIALS: WqLLS ROOF _ UNITS . nna: c, w J6"L~. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Mreby cer}i}y fhot ihe above sePoack distances shown on fhis permif uppliwfion are occurote, and do noi violate PERMIT F E E 5 ~T applicable ordinonces, rules or requlotions of ihe Cify of Wheat Riiqe or covenanfa, easemen}s or resfrictionn ot re- USE TAX 2, cord; that all measurements shown, and allaqations made are accurate; that I have read antl agree to abide by all TOTAL FEE $ l 3 condifions prinfad on ihis opplication, ond fhaf I ossume full responsibilify for complianca wifh fhe Wheot Ridqe Buildinq Code (UB.C) and ull other opplble W~h)eat /Ige ordinances, for work under ihis permit. 16..3"_ _cr ~ NOT . ED (OWNER) (CONTRACTOR) SIGNED_ mfC--'~-c oa7~'-~f'Zl Y38U4~1 v ouILUING DEPARTMENT USE ONI.Y SO.FT COST iBASEMENT-ROUGH BASEMENT-FINISHED 6ROUND FLOOR SECOND FLOOR GARAGE OTHER GR~ J7vtic-~'OTHER THE PROPERTY LOCATED IS PRESENTLY ZONED THE PROPOSED USE ( ) i R/ :i7i' 2- BUILDMG COST $ 2- LI `Z PLANS REVIEWED (_OK)(_NpT OK) NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT PERMIT ISSUED TO PER REpUEST AS PER PLANS NO AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY I CHIEF BUILDIN6 INSPECTOR PLANS REVIEWED (_OK)(_NOT OK) NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PIUMBING PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDINGINSPECTOR I NOT) ~ ORDINANCE. PLANS REVIEWED__ (_pK) (_NOT OK) NO PLANS NEEDED PLANS NEEDED PRIOR TOISSUqNCE OF MECHANICAL PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS Np. AS APPROVED AND ON FILE IN MYOFFICE I DO NOT ISSUE PERMIT UNTII CLEARED BY CHIEF BUILDING INSPECTOR (I) THIS PERMIT Wq5 ISSUED IN pCCORDqNCE WRX TXE PROVISIONS SET FpRTH IN YWR APPLICATION ANp IS SUBJELT TO THE LAWS OF THE STATE OF COLORADO iND TO THE ZONING REGULATIONS AND BUILUING COOE Of WMEAT qIDGE, COLOqADO OR qNY OTHER APPLICpBLE ORDIN4NCES OF THE CITY. (2) THIS PERMIT SMALL EXPIRE IF (A) TNE WOpK AUTHORIZED IS NOT COMMENCED WITHIN SIXTY (Bp) pqYS FqOM ISSUE DqTE OR (B) TNE BUILDING AUTHORIZEp IS SUSiENpEO OR ABANOONED FOR q pERIOD OF 120 DAYS. (3) IF THIS PERMIT E%%RES, A NEW PERMIT MAV BE pCpUIRED FOR 4 FEE OF ONE-MALF THE pAptINT NORM4LLY RE4UIRED, %tOVIDEO NO CHANOES NAVE BEEN OR WILL BE MADE IN THE ORI6INAL GLpNS AND SPEGiFIGpTI0N5 ANDANYSU$PENSION OR pgANDONMENT Hp5 NOT E%CEEUED ONE(I) YEAR. IF CMANGES 4RE MApE Ok IF SUSPENSION OR pgpNDONMENT EXCEEDS ONE (i) YEAR, FUIL FEES SHpIL BE PpID FOR A NEW PERMIT (4) NO WORK OF ANY MANNER SHqLL BE DONE TNAT WILL OBSTRUCT THE NATURAL FLOW OF WATER CAUSING A DRqINAOE PROBLEN. (S) CONTR4CT R SXALL NOTIFY THE BUILDING INSPECTOR TWENTY-FOUR (24) MO ADVpNCE FOfl AL. 'CTIONS AND SHALL qELEIVE WqiTTEN APPROVAL ON INS➢E ION G Rp BEFORE PROCEEDING ITM SUCCESSWF PHqSES OF JOB / ,C AP~_ CHIEF BUILDING IN ECTOR FOR MAYOR o \.l c ~ O ~ ~Q V /f.-Q .3S/DD (/..i'~ccz.c. ~u.c sC D E E D O f T RU S T Eh f°rm I, uwd ~ ~°n necibn t of liusl Inmred under the one to f~mlly prorlsbm o( tha Natloml FHA CASE N0: 051-4935369-703 0424127/317400953 ingAct. TNIS INUENTURE, made this nine hundred and EIGHTY SIX 31ST day of DECElIBER yn the year of our Lord one thousand between DIANE L. AURTON AND J. SCOTT BURTON ,whose address is 3400 VIVIAN COURT, WHEAT RIDGE, the Public COLORADO Trustee 80033 of , County of JEFFERSON , Stale of Colorado, hereinafter «ferred to az the grantor, and County of JEFFERSON Stale o( Colorado, hercina(ter refared to as the trustee, Witnesseth: , I THAT, WHEREAS, the grantor has executed hi: certain promissory note, bearing even dale herewith, payable to the order of VAN SCHAACK & COMPANY, A COLORADO CORPORATION 950 17TH STREET, SUITE 1250 , hereina(tcr referred to as the beneficiary, whose address is in DENVER, COLORADO 80202 , for the principal sum of NINETY THREE THOUSAND FOUR HUNDRED TWENTY AND 001100TflS Do11ars(S 93,420.00 with interest at the rate of -NINE- per centum ( 9.00 yo) per annum until paid, and payable as foflows, namely: In monifily installments o( SEVEN AUNDRED FIFTY ONE AND 68/100THS - - - - - - - - - - - - - pollars(S 751.68 commencing on the first day of FEBRUARY , 1987 , and on the first day o( each month thereafter until the principal and interest are fully paid, except lhat the final payment of prlncipal and interest, if not sooner paid, shall be due and payable on the first day of JANUARY , 2017 . Said principal sum, together with interesl thereon, and other payments ptovlded lo be made under the terms of this indenture, are hereinafler referreJ to as the indebteJness; AND WHEREAS, the grantor is desirous not only o( securing the prompt payment of the indebtedneu, but also of effectually u- curing and indemnifying the beneficiary for and(or on account of any auignment, endorument, or guarantee o( the indebledneu; NOW, THEREFORE, the granror, in consideralion of the prcmius, and for the purposes aforesaid, has grented, bargained, sold, and conveyed, and does hereby grant, bargain, sell, and convcy unto the trustee, in trust forever, all thox certain premixs and pro- perty situate in the , Counly of JEFFERSON and State o( Colorado, known and described as (ollows, to wit: ~ LOT 42, BLOCK 4, APPLEWOOD VILLAGE, COUNTY OF JEFFERSON, STATE OF COLORADO TOGETHER WITH THE IMPROVEMENTS THEREON SITOATE KNOWN AS AND NUMBERED 3400 YIVIAN COURT WHEAT RIDGE, COLORADO 80033 TMs deed of trust also srnes as a financing statement and covers all heating, cooling, plumbing or electrical fixturee, Ooor and window coverings, and (ree•standing or bui11•in appliances located upon the real property described herein. TO HAVE AND T0 HOLD the same, together with all and singular the privileges and appurtenances thereunw belonging: In Trust Never[heless, That in cau of default in the payment of the indebtedness, or any part Ihereol, as the same shall become dUe, or in the payment of any prior encumbrance, principal or interest, if any, or in case de(ault shall be made in, or in cau of violation or breach of any o( the terms, conditions, covenanis or agreemenls herein contained, then upon nolice and demand in writing filed with the trustee as provided by law, it shall and may be lawful (or the trusiee to foreclox this deed of irust, and to ull and dispox o( uid premises en masu or in uparate parcels /as the truslee nwy think bettJ and afl ihe right, tiUe, and interest of the grantor, therein, at public auction at the Front door of the Counhouse, in the , County o( JEFFERSON , State of Colorado, or on said premises, or any part therco(, as may specified in the notfce of such sale, for the highest and best price the same will bring in cash, four weeks' public notice Iiaving been previously given of the time and place of such sale, by advutisement, weekly, in some newspaper of general circulation then published in the counly a(oresaid or by such other notice as may then be required by law and to issue, execute and deliver his artificale of purchase, Trusteds Deed andJ or cer[ificate of redemption all as then may be provided by law•; and the trustee shall, oul of the proceeds or avails of sueh sale, after first paying and retaining ali fees, cliarges, the costs o( making said sale and advertising said premius, and attorney's (ees as herein pra vided, pay to the beneficiary hereunder, or the legal holder of the indebtedness, the amount of such indebtedness, and all moneyt ad- vanced by the beneliciary or legal holder of the indebtedness for insurance, repairs, and taxes and assessments, with interest thereon at ihe rate set forth in the note secured hercby, rendering the overplus, i( any, unto the granror; which sale or sales and said deed or deeds so made sliall be a perpetual bar, both in law and equiiy, against the grantor and all other persons claiming the premises aforo- said, or any part thereof by, from, through or under the grantor. The legal holder of the indebtedneu may purchase said property or any part thereof; and it shall not be obligatory upon the purchaser or purchaxrs at any such sale to xe to the application of the pur- chaumoney. I( a release deed is required, the grantor hereby agrees to pay all the expenus thereof. Replaces Form FHA-2105M, whieh May ba Usetl until SuvPly is ERhausied STATE OF COLORADO VS•1016-1 . . ( Q oRn suRVevuvG iNC. IMPROVEMENT LOCATION CERTIFICATE Scale: 1"-30' LOT 42, BLOCS 4 0 30' APPLEWOOD VILLAGE ~ COUNTY OF JEFFERSON , . , L STATE OP COLORADO . ~ \V. / \7~ 4 i n\ l ~ • j ~ •'t`c47 o ~=clc. l~i~rv..~c<t.lr-<. ~ / u ~In L='~rCf I ~ II^ / This property is not located within a designated flood hazard area according to HUD Flood Map No. 085079, 1/3/83. i i il ~j v i HEAEBY CEATIFY THAT THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED FOR VAN SCHAACK & COMPANY THAT iT IS NOT A LAND SURVEY PLA7 OR IMPROVEMENT SURVEY PLAT, AND THAT IT IS NOT TO BE RELIED UPON FOR ESTABLISIiMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT LINES. I FURTHER CERTIFY TIiAT THE IMPAOVEMENTS ON THE ABOVE DESCAISED PARCEL ON THIS DATE 11/26/66 EXCEPT UTILITY CONNECTiONS, ARE ENTIAELY W ITHIN THE BOUNDAAIES OF THE PAACEL, EXCEPT AS SHOWN, THAT THERE ARE NO ENCAOACHMENTS UPON TH E DESCRIBED PAEMISES BY IMPROVEMENTS ON ANY ADJOINING PREMiSES, EXCEPT AS INDICATED, AND THAT THERE IS NO APPARENT EVIDENCE OR SIGN OF ANY EASEMENT CROSSING OR BURDENING ANY PART OF SAID PARCEL, EXCEPT AS NOTED. • ~~t.l U• - •'~~~;•1:•;:•~~' . C~ i;:_ . DRA SURVEYING INC. OWNER: Burton ADDRESS:3400 V DATE 11/30/86 I WHEAT RIDGE, COLORADO Court YWR N0: SURVEY Nm. 39212 13 90 yy-76 3yoa I/~'v~an Cvu..-~ .f oic y L` ~ ~ t ~ Kl i ~ ~ ~ i ~ Iv i ~ ,Q9a :*~vz V/ INSPECTION TICKET ~ ADDRESS myV60 ~,,v /~9G DATE: 11-S-9O BLDG.PERMITp PERMITp BLDG.CONTR.VCo-~~ /2aAve-'- - SUBCONTRACTOR .,e c~.t Cy INSPECTION REOUFS7FD 90 c f~N For - G`-b-V<..~ - C.2~1. ' B2 V INSPECTION MADE REMARKS ✓ 9 INSPECTION TICKET JOB ADDRESS 3q00 Ifl Ul,~Yti. GT~ DATE: I' t3` g' 6 BLDG. PERMITN 4I4I76 PERMIT# BLDG. CONTR.9 SUBCONTRACTOR DATE INSP. REQ. I/- I~/ ' T V TYPE OF INSP. r' 1" 6' INSPECTION MADE ` /J / 7 ` C-f ef9 R/E~MARKS OL~. y,aa cc,e /S- 90 C',6 ~ W.R. FORM 619 / f% ~ INSPECTIONS Will NOT BE MADE UNIESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 W E ST 29th AV E N U E 237-6944 Ext. 255 INSPECTION RECORD d08 ADRE$$- Carnort - 3400 Vivan Court lIMlDNl6 PERMIT 110. B90/I4476 QAh Mp 10-30-90 OWNER Srotr Bnrton 237-F59 MMOR_ Samp ac nwnPr SETBNM fpOM PROPERTP IINES: NORTH 50Ui11 WEST INSPECTOR MUST SIGN AL.L SPACES PERTAINING TO THIS JOB INSPECTION Ia4TE INSPECTOR Pouadations• Footin (J ~ Caissons Reinforcin or bionolithic Weather roofin POUR NO CANCRETE UN71L ABOVE HAS BEEN SJGNED Conczete Slah Floor: Electrical Ground work Plumbin Ground work Heatin (Ground work D0 NOT POUR FLOOR UNTIL ABOVE HAS BEEN S1GNm ug ec rica Rou h Plumbin Air Test Gas Pi in Rough Heating & Ventilation labuue muet be eiqned pn,iort to (~nami.ng inbpection) Framing Insulation Drywall nailin Roofin Refri eration Electrical underqround Final• Electrical Fixtures Plumbin Fixtures Heatin and Ventilation ~ Job Com leted / l DO NOT DESTROY THIS CARD OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER PERMIT NUMBER B90114476 f p 0 3 ~ ~ m S O i . 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