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Home My WebLink About4291 Tabor StreetPERMIT: ADDRESS: JOB CODE: INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS / I 6, -?D o n 9/ - - e) re— 7i ,o-1r,F Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Gradog` 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof A (I j( � - �4�Dt�� L 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. The City of Wheat Ridge Third Party Form Check List Property Address Permit Number Permit Issued Date Owner Information Property Owner information Property Owner Address Inspector Information Inspection Company Inspector Name Jj-) Inspector Contact info. Ill - * I hearby acknowledge the roof I am insj: that are under 6/12 must be inspected by * I hearby acknowledge the roofing systei and found to be in compliance with the m IBC as well as all City he t Ridge Po recommend ' ations. Inspector: =t!�4 el I 'T � 4,.-r cting is 6/12 or over. All roofs ie City of Wheat Ridge Buiding Dept. for the referenced building has been inspected imam requirements of the 2012 IRCC and 2012 ;ies and Procedure and Manufacturer's Date: A60?ht�_ Property Owner Statement of Acknowledgement *1 hearby acknowledge that I am the owndr of the building referenced above and I give my consent for the listed third -party inspet-on company to perform my roof inspection in lieu of the City of Wheat Rid "S" L i(Jfn,' _ivision inspection, Propery Owner/Agent: Date: This original document and permit card, � the Chief Building Official within seven d-, Drop off in person Permit counter 2nd floor 7500 W29th Ave Draft Date,- 7/26/17 well as the roofing check list, must be iubmitted tc ; of thp final inspection. Please a�d note to reverse side The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection ❑ N/A ❑ Pass ❑ Fail �N/A El Pass [] Fail Structural roof components ❑ N/A ) Pass TTT[ "' ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A Pass [] Fail Flashing for roof and walls (U� Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) ❑ Pass ❑ Fail Verify sheahing nail pattern ( See policy & Proceedures) fN/A N/A ❑ Pass ❑ Fail Crickets and saddles where needed N/A [� Pass [] Fail Verify B vent must have boot same gauge as ❑ N/APass ❑ Fail pipe Verify vent caps iJ N/A Pass ❑ Fail Verify no flashings are damaged or rusted C] N/A f Pass N/A ❑ Pass ❑ Fail ❑ Fail Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage j❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A Pass [] Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A I Pass [] Fail Dripedge shall be mechanicaly fastened 12" OC N/A C=] Pass I [ 7 Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 (_ N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass [] Fail Below roof residential R-38 N/A ❑ Pass [] Fail Below roof commercial R-32 N/A ❑ Pass [] Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof ;shingles Requirements i N/A ❑ Pass ❑ Fall Metal roof shingles shall not be installed on slope less 3:12 [ N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass [] Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements N/A ❑ Pass ❑Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: Inspector signature: Date of Inspection: 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: yyFA F ) IZ Job Address: Permit Number: �►7t�c 12 j f-112-1 l C1 Ven` N,_, Lai -je ! S-1--+ , -_)s n,_ f-4-, o +,. _.,f n PC — ) it 0In•r� r� Z_ i-1 -4 t --.o " r [-\r i �� iii ❑ No one available for inspection: Time I� �`� �9/PM Re -Inspection required:(Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: I!) o t 1 8� Inspector. I C DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M t 0 ycpf�_ Job Address: 7-9 1 6DRL C_ T Permit Number: /2,o '1 o b noo ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, call fo re -inspection at 303-234-5933 Date: 12- 1.0 I Inspector: &-- (�,G1�-- 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: _�06 'In%fi Job Address: g3_1011 7`c l&r 5t Permit Number: a-01 % ®!E�C)OCV ❑ No one available for inspection: Time 1171 `� AM/PM Re -Inspection required: Ye No When correct' ns have been made, call for re -inspection at 303-234-5933 Date: J0 /� %7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge � W �( Residential Roofing PERMIT - 201708000 PERMIT NO: 201708000 ISSUED: 10/04/2017 JOB ADDRESS: 4291 Tabor ST EXPIRES: 10/04/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 22 sq Pitch = 6/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)422-1376 KOELTZOW MICHAEL E SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED FEES Total Valuation 0.00 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 414.30 *** COMMENTS *** PROJECT VALUATION: 10,000.00 *** 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. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, 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. k , City of Wheat Ridge Residential Roofing PERMIT - 201708000 PERMIT NO: 201708000 ISSUED: 10/04/2017 JOB ADDRESS: 4291 Tabor ST EXPIRES: 10/04/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 22 sq Pitch = 6/12 (3rd party inspector required) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this 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 5be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of ONONER 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Build' - A %Foe REQUESTS MUST BE MADE 11:59PM ANY BUSINESS DA R INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 7 G � 70 FOc)V From: no-reply@ci.wheatridge.co.us Sent: Monday, October 2, 2017 9:39 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4291 Tabor St Property Owner Name Michael Koeltzow Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 303-422-1376 c-� Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. freddygreen@advancedexteriors.net Yes Attach Copy of Executed WR.JPG Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) advanced exteriors 090134 303-725-4502 2200 S VALLEY HIGHWAY Contractor Email Address freddygreen@advancedexteriors.net Retype Contractor Email freddygreen@advanced exteriors. net Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 22 10000; No Pitched roof (2:12 pitch or greater) 18 both? (check all that apply) What is the specific pitch 6/12 of the PITCHED roof? How many squares are 22 part of the PITCHED roof? Describe the roofing shingles materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional house detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 19 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 Freddy Green Email not displaying correctly? View it in your browser. 20 TTZ ADVANCEDID EXTER4 Advanced Exteriors, Inc. Property Owner(s) CustomerAfl Proposal Date a,_ Prop" Address qaC) L / or Primary Phone C_ -30 3 -5_e 'i42RE City,State Z Ip Wk_E_1M+ ' SecondaryPhone . 'ZC)0�3 Y24.Z Insurance Company Claim # Email Address Tear off I "s)ofcomposition &_"s)of Inspect decking F-1 Install decking Install ice and water shield on k'Lo, Install 15 # felt D Install 30 # felt,' Install premium synthetic deck protection Fe kf7e, Install starter course of shingles -entire perimeter Install drip edge perimeter flashing - color Lt Install reinforcement In valleys using LA. I Closed valleys r_1 open valleys Replace step flashing on sidewalls, chimney and skylights Install 6 nails per shingle throughout field area Roofing product TRD b, F.-.;/ Roofing color 7 1? 6 )—, I Manufacturer Warian LJ Special Instructions/Additional Work Standard ridge�igh profile ridge Install ridge vent P3 Install turtle vents Install vents Install pipe Jack flashings 0 Install furnace caps Point jacks/stocks to match roofing color Detach and reset Remove and cover Install beauty course of ridge shingles on headwalls Detach and reset satellite ❑ Remove satellite Clean up & remove trash Sweep with magnetic roller Clean out gutters Provide building permit Register Manufacturer Warranty Advanced Exteriors, Inc. Five Year Roofing Labor Warranty Advanced Exteriors, Inc, $2,000,000 Liability Insurance Spg (e 4110 LADVIII%e_tLA'Velo'i�' - ApproTnate Rate( Payment Terms: (Advanced Exteriors, Inc. is not responsible for any property and casualty Insurance clr�lals dl'lay or dental oflan insurance claim, in whole or In part). Work completed in accordance with these specifications for the price of: $ 1. - ::;E7r X ',/ il Dollars epaPThe property owners) (-Custo("Customer"(authorizes Advanced Exteriors, Inc, ("CApany") to work with their insurance carrier to obtain the full scope of ls necessary for restoration of storm domage. This 'AgreemerTr is not binding upon Customer or Company until the insurance carrier approves Customer's claim and this amount is accepted by Company Upon acceptance by Company, the amount approved by the insurance carrier YAII become the final contract price and Company Wit receive the insurance proceeds for work it has completed. The Company will complete specified work for no additional cost to Customer beyond the agreed claim amount except for the insurance deductible. Customer tsU / is not 0hiencling to make payment from the Proceeds of a property and casualty insurance policy, It Customer's payment is from an insurance cb1m, then pursuant to Colorado law Company (roofing contractor) "shall not advertise, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the claim for payment for roofing work on the covered residential properly," C.R.S. § 6-22-105, The Company shall hold in trust any payment received from Customer, until Company has delivered the roofing materials to Customer's property or when Company has performed a majority of the roofing work on Customers property. By signing below I (We) agree to all contract con5lons on front and back of this agreement, and have been provided notice of the right to cancel both inrwr#'i 1 -1 al Customer Signatures Aceplanc4 Date Company Manager Signature 2200 S. Valley Hwy. www.AcivancedExteriors.com 303-756-ROOF(7663) Office Denver, CO 80222 303-756-3756 Fax INSPECTION RECORD Occupancy /Type INSPECTION. LINE: (303) 234 -5933 r- s a° �z x 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. n INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB' FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS - COMMENTS: - CONCRETE SLAB FLOOR Electrical (Underground) Stemwall / (CEG) Concrete Encased Ground Plumbing (Underground) Heating (Underground) Reinforcing or Monolithic l8 ro ROUGHS Sheathing Ic,.. Lath / Wall tie Mid -Roof Electrical Service. Rough Electric Rough Plumbing INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Gas Piping Rough Mechanical * "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OPA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Framing Insulation Drywall Screw r- s a° �z x 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. n INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB' FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS - COMMENTS: Footings /Caissons - Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic l8 ro Weatherproof./ French Drain - - Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING FINALS. Electrical .Plumbing - Mechanical Roof l8 ro Building Final Fire. Department:. R.O.W R Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC 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 A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OPA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. L, OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ 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: hiivtL Rwl Job Address: Y.2 C?/ TAae Q 5 i Permit Number: ld,13 7 ❑ No one available for inspection: Time ° ;/S AM /Ro Re- Inspection required: Yes No t *When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: inspector: C DO NOT REMOVE THIS NOTICE t 1. City of 'Wheat Ridge PERMI' 90 00 do INSPECON REQUEST LINE: (303)234 -5933 BUILDING OFFICE(: (303)235 -2855: REQUES S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.: I City of - 2� Wheatj j gge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Date: Plan # Permit # Office: 303- 235 -2855 * Fax: 303- 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Property Addressi �ol �J � T��7o.2 S�, (/Jlteu�I�;c�4� �� Pd�'�3 Property Owner (please print): IsJe�7 C4TLt4 �eltzow Phone:�o3- yaaya7(o Mailing Address: (if different than property address) Address: City, State, Zip: 004400: /,eye,l 1?esA L_ou s I-,C , Contractors City License #: X6(3 Phone: 36 3 - l' - 3 Bl Y Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # Aes¢npttoe�f work Contract Value: $ Review Fee (due at time of submittal): S q a _ BTU's Gallons Amps Sq Ft. $ uares 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 Ihave 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. CIRCLE ONE: (OWNER) CONT or (AUTHO&ZEDREPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME - 4AA Gt .� ld e2 SIGNATURE: 4 =� lle DATE: „F1R O approved u�/�mrpeo #s "17 disapproved O y'�6'revie'wTZquire'c"i r Bldg Valuation: I @ �t o ~ 3 ~p 9 I m tl It v Z 0 m 0 C m --rl r a ° ~ m S ~ e O m it ~ ~ C O ~ ~z o ~ w Q S ~ N w 3 CL 3 0 aC) ~p 1 O o~ y O no 3fm < O N .y O 7 (D~ ~ < z ~ fD H C d 7 7 3aw g a A~ o ~ ~y O IC A ~a o ~ ~ N N f3B C ~C ~d ~a ~ s o W cn m D N N N fG Of < O. C- 0 Q O CY ~ a ~ ~ ♦ ♦ u ~ \ + ~ 0 ~ r~~ .j ~ ~ ~ x 0 0, ,1 O C ...Wi G = W N v N ~ut v m m C ~ r v ~ Y/ f'ERMI7TRACKIN6 FORM ADDRE55 ~a,~~ ~~AC~~R J~ • DATE SUBMITTED 3-3 -qq PERMIT NUMBER$RNS_ TYPE OF PERMIT CONTRACTOR PHONE OWNER PHONE TYPE OF REQUE57 f~) ~ ~~~tC~~4sCv IPATE' PERMiT ApPROYED 4- aa -q4 REQUIRED CONDI710N5 MET PRIOR 70 PERMIT APPLICATION ? YES _ NO N/A CONDITIONS OF APPROVAL I~ ` I~- CC~ C4-XtC~ ~Sl C~T11 1 DATE IN DATE OU7 ~ PLANNING DEPARTMENT zICb ~I~.tch _r, P;o.-71 3-q -q~ LA-A-stq v~,AL ❑ FIRE DEPARTMENT_ ❑ GITY ARBORIST ❑ POLICE DEPARTMENT O SEWER DISTRICT ❑ WATER DISTRICT l~ BUILDING DEPARTMENT i~ Certificate of Completion AND/OR Compliance CITY OF WHEAT RIDGE 7500 W. 29TH AVENUE WHEAT RIDGE, COLORADO 80215 THIS CERTIFICATE VERIFIES THAT THE PROPERTY DESCRIBED BELOW, DOES COMPLY WITH THE WHEAT RIDGE BUILDING CODE, ZONING AND OTHER RELATED LAND USE AND DEVELOPMENT LAWS OF THE CITY OF W-HEAT RIDGE FOR THE FOLLOWING PURPOSE. PERMIT # 8805 Residential Addition OWNER: Mike Koelzow ADDRESS: 4291 Tabor Street PROPERTY ADDRESS: 4291 Tabor St., Wheat Ridge CO 80033 DATE 10/12/01 CHIEF BiTILDING OFFICI~ ZONING ADMINISTRATOR ~ ~ INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NO i ICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 INSPECTION RECORD ^ ~ JOBADDRESS 7 ~ C? ~ fA BUILDING PERMIT N~O. OWNER d 4~ f' ?11 ~ CANTRAGTOR - SETBACKS FROM PROPERTY LINES: NORTH SOUTH EAST WEST INSPECTOR MUST SIGN ALL SPACE PERTAININ T THI B INSPECTION DATE INSPECTOR Foundatmons Footings Caissons Reinforcing or Monolithic 6~C 5 1 12_ Weatherproofing POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Electrical Plumbing (Ground Work) Heating (Ground Work) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Rough Electrical .'J6 c5 45~4- A?Z ' Rough Plumbing Air Test Gas Piping Rough Heating & Ventilation (above must be siqned prior to iraminq inspection) Framing c]vc °i G 4 Insulation ,/c . i Drywall nailing r;zx/0 • ~ Roofing Refrigeration Electrical underground F'nal Electrical Plumbin l G Heatin & Ventilation r Frame P/ R.O.W. & Drainage Fire Department Parking & Landscaping OCCUPANCY NOT PEAMI'TTED UNrtIL CERTIFICATE OF OCCUPANCY IS ISSUED TYPE OCCUPANCY DATEISSUED r . PROTECT THIS CARD FROM THE WEATHER m S 3 a ~ 0 0 a C) c N Q m n ~v ~ ~ m 0 ° N = ~ o ~ Co a ~ Z d O m o , ~ ~a m o CL 0 ~ o N ~ N O ~ o ~o m < a 0 io ~ 0 ~ N ~ m - O N m cr r ioom o H C ~ ~ A°U) n =r Q (D~ w o; 0 y \ F A (q1 < a 'o' g o~ ~ ~d d~ 7 CL om ~ ~D 3 m N N y oa ~ . ZJ ~f. n m , » ~ ~ 0 ,n o w =W m y+ aN ~N v m C - v ~ Z ~ v ~ D ~ 3 z ~ DEPARTMENT OF PLANNING AND DEVELOOMENT Building Permit Number : 8805 BUILDING INSPECTION LINE -303-234-5933 Date : 4/22/1999 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 4291 TABOR ST Phone : 422-1376 Contractor License No. : 19825 Company : SCHULZ & SONS CONSTRUCTION, INC. Phone : 9854012 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $45,184.00 I hereby certity that the setbeck distances proposed by this pertnit application are accurate, PeRT111 FBe : $603.85 and do not vioiate applicable ordinances, rules or regulations of the C'dy of Wheat Ridge or 392.50 covenants, easemeMa or restrictions of record; that all measurements shown, and allegations Plan Review Fee : $ made ere accurate; that I have read and a~ree to abide by all condkions printed on this appliption, and that I assume full responsibili for comPlian kh t e Wheat Ridge Building USE T8X : $677.76 Code (U.B.C.) and all other applicable Wheat ie rdma s, for ork under this pertnit TOt21 : $1,674.11 (OWNER)(CONTRACTOR) SIGNED DATE B~ .ZvOO Use: Description : Addition of kitchen and bedroom: Per Kristy (2nd & Final 6 Mo. extenstion.) BUILDING DEPARTMENT USE ONLY Approval : MLC Zoning : A-1 Approval: DM Approval : GK Occupancy : Walls : Meets A-1 requirements Okay SIC Sq. Ft. : 900 Okay, see attached PW review sheet ENGINEERING FEE IS $705.00 Roof : Stories Residential Units : Electrical License No : 18792 Company :Servco Electric, Inc. Expiration Date : 2l28/1999 Approval: Plumbing License No :20388 Company :Cronen Plumbing Expiration Date : 7l9/2000 Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permR wes isaued in accortlance with Ne provisbns set forth in yopur applicetion and is wE1'ect lo the laws of the Stffie of Cobretlo and to 1he Zoning Repulations and Building Code of Wheat Ridge, Colorado or any other applicable ortlinences W the Cily. (2) This pertnit ahall ezpire if (A) the vrork authonzetl is not commenced wiNin sixty (80) days hom issue tlale w(B) the Wiitling authorized is susperMeC or abandoned tw a periotl of 120 tlays. (3) If Nis pemdl exPtres, a new pemiM1 may be acquired for a tee of one-half the amounl normally require0, provitled no changea have been ur will De matle m the onginal plans and spacaMCations and arry suspension or abandonment has nM e~cceeded one (1) year. If clianges are maEe or H suspension or abantlonment excaeds one (7) year, tull fees shall be paid tor a new pemiit (4) No work of eiry menner shall be done that will change the natu2l Bow of water causing a drainage problem. val on ins on cerd before (5) ConVactor shall nohry the Bulltling Insoector lwenry-four (24) hours in advance for all inspeGions and shall receive wririen approPec[i proceetliln9 with auccesslvetphhases or the I~ob. wns shall not be construed lo be a pertnit for, nor an approvel of, arry violation ot the provisians ~e) 7s~~«.e~i;~wc~o~w~s or~nv othe~ortlinan~cea ew~nr9ule or d regPe40. DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Meets A-1 requirements 8805 4/22/99 Property Owner : Property Address : 4291 TABOR ST Contractor License No. : 19825 Company : SCHULZ & SONS CONSTRUCTION, INC. Phone: 422-1376 Phone: 985-4012 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 wmpliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work underthis permit. (OWNER)(CONTRACTOR) Description : Addition of kitchen and bedroom Okay BUILDING DEPARTMENT USE ONLY = r__ __W Approval : MLC Zoning : A-1 Approval: DM Approval : GK Occupancy : Walls Building Permit Number ConstructionValue: $45,184.00 Permit Fee : $603.85 Plan Review Fee : $392.50 Use Tax : $677.76 Total: $1,674.11 Use: SIC : Sq. Ft. : Okay, see attached PW review sheet Date FEE IS $105.00 Roof : Stories : Residential Units : Electrical License No : 18792 Company :Servco Electric, Inc. Expiration Date : 2/28/99 Approval: Plumbing License No :20388 Company :Cronen Plumbing Expiration Date : 7/9I2000 Approval : Mechanical License No : Company: Expiration Date : Approval : (1) This permil was issuetl in accordance with the provisions set fotlh in yopur application antl is subject to the laws of the State of Coloratlo antl to the Zoning Regulations anC Building Cotle ot Wheat Ridge, Colorado or any other applicable ortlinances oFthe City. (2) This permit shall expire it (A) the work authorized is not commencetl within sixty (60) tlays from issue Oate or (B) the builtling authonzetl is suspended or abantlonetl for a period o! 120 days. (3) If this permit expires, a new permrt 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 specifwtions antl any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full tees shall be paitl for a new permit. (4) No work of any manner shall be done that will change the natural Bow of water causing a tlrainage proDlem. (5) Coniraclor shall notify the 0uilding InSpeQOr twenty-four (24) hours in advance for all inspections and shall receive written approval on inspec[ion card bePore proceediing with successive phases of the job. (6) The issuance of a pertnit or the approval of drawings and specifications shall not Ee construetl to Oe a permit for, nor an approval of, any violation of the provisions of the builtling cotles or any other ordinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 8805 BUILDING INSPECTION LINE - 303-234-5933 Date : 4/22/99 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 4291 TABOR ST Phone : 422-1376 Contractor License No. : 19825 Company SCHULZ & SONS CONSTRUCTION, INC. Phone : 985-4012 OWNER/CONTRACTOR SIGNATURE OF UNDERS7ANDING AND AGREEMENT Construction Value : $45,184.00 603.85 I hereby certify that the setback distances proposed by this permit application are accurate, Pefmit Fee : $ and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or 392.50 covenants, easements or restrictions of record; that all measurements shown, and allegations plan Review Fee : $ made are accurete; that I have read and agree to abide by all conditions printed on this 677.76 application, and that I assume full responsibility for compliance~ ith the Wheat Ridge Building Use Tax : $ Code (U.B.C.) and all othar applicable WheatRidge ordinanpes for wqqc under this permit 1,674.11 U 1 _ i Total : $ (OWNER)(CONTRACTOR)SIGNE US@: «%~'~ic' Description : Addition of kitchen and bedroom 1 1 Ck Approval : MLC Zoning : A-1 ~ BUILDING DEPARTMENT USE ONLY Meets A-1 requirements Okay SIC Sq. Ft. : Approval: DM . ~ , . . Approval : GK Occupancy : Walls Okay, see attached PW review sheet ENGINEERING FEE IS $105.00 Roof : Stories : Residential Units : Eiectrical License No : Plumbing License No : Mechanicai ucense rvo : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloratlo antl to the Zoning Regula6ons and Builtling Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This pertnit shall eupire if (A) the work aulhorized is not commenced within siMy (60) days from issue date or (8) the building authorizetl is suspendetl or abandonetl for a penod of 120 days. (3) If this partnit 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 t e original plans and speafications and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonment exceetls one (7) year, full fees shall be paid for a new pertnit. (4) No wodc of any manner shall be done Ihat will chan9e the naNral flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive wntlen approval on inspection card before ceediing with successive phases of the job. (s)protothebuad ng codes ori any thaPortlinance, Iaw~nNSe ordregulatfiiontions shall not be construetl to be a permit for, nor an approval of, any violation of the provisions Pcz DEPARTMENT OF PLAhAING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 qPPLICATIo N Property Owner : 'ti-e_- Property Address Phone : Contractor License No. Company : , J c 4 . , x, S<<. Use: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value I hereby certify that the setback distances proposed by this pertnit application are accurete, PeffTlit Fee : J CL° U~. J and do not violate applicable ordinances, rules or regulations of the City of VJheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations ~ w------^- > ~C) made are acwrate; that I have read and agree to abide by all conditions printed on this Use Tax :a:5 application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances,forwork under this pertnit ~~A^~. • r l,' Total: (OWNER)(CONTRACTOR) : Description :A~ti vc,ft e» BUILDING DEPARTMENT USE ONIY Zoi~f~0CS~fit~iit~~ SIC : Approval : (1~ ~S A Zoning: A Approval: Pdlili" C SF'g Ac((ALNEo Approval: ` 41101 'ZIf ./y I / p • 2E'I %t-*./ ~4F"T. $1US . I Occupancy : Walls : Roof : Stories : ectrical Lic se P ing License ompany : Company : Expiration Date : Expiration Date : Approval: Approval: Phone: r;•`'. i.,r•~ ~ 'Rn7 J License Company : Expiration Date : Approvai: (7) This pertnit was issued in accortlance with the provisions set toM in yopur appliwdon and is sub~ect to the laws of the Sule of Cdorado and to ihe Zoning Regulations and BuilCing CoOe of Wheat Ritlge, Coloredo or any olher applicaDle oMinances of~e Ciry. (2) This permit shall expire if (A) the work auMOnzetl is not commenced within si.ty (80) tlays hom issue date or (B) Ne building authorized is suspenCed w abanCOneC lor a periotl of 720 days. (3) If this pertnit expires, a new permil may be acquireG for a iee ot one-hall Ne amount normally required, provided no changes have Ceen or will be made in Ihe original plans and specificalions anC any suspension ora0andonment has not enceetletl one (1) year. If Uanges are matle or if suspension or abandonment exceeds one (1) year, full lees shall be paid for a new permit. (4) No work af any manner shall be done that will Uange the nalurel Oow of water causing a E2inage problem. (5) Coniractor shall notily the Builtling Inspectar lwenty-four (24) hours in advance for all inspeclions and shall receive wntten approval on inspecGon card before proceetliing wi successive phases of iheI'ob. (6) The issuan of permityr the aOProval of Erewings and specifca6ons shall not be rnnstrueC to be a permit for, nor an approval o[ any violation of Ne provisions of ihe bu' mg dqs9r~lp olher ordinance, law, rula or regulatian. DEPARTMENT OF PUBLIC WORKS BUILDING PERMIT APPLICATION REVIEW Date:4_ /T119 Case/Building Pernut No.: Location: 4291 -5,1>o2 ST. Attention: Building Department I have reviewed the attached materials submitted in application for approval of a a3d i ~son at the above referenced address. Please note the summary comments below. 1. ~ Boundary Closure: X OK _ Not OK; refer to stipulations. 2. ~ Drainage: a. Drainage plan and report needed _ b. Drainage plan not needed c. Drainage provisions have been reviewed and aze found to be: b y 8%-aqr. OK Not OK; refer to stipulations. 3. ~ NPDES Pernut Required: Yes X No 4. ✓ Legal Description: ~ OK _ Not OK; refer to stipulations. If not OK, please explain: 5. Public Improvements: a. street paving needed: Yes b. curb and gutter needed: Yes c. sidewalk needed: Yes d. street lights needed: Yes e. storm sewer needed: Yes f. escrow required: _ Yes If an escrow is required, for what improvements? 6. ✓ 7. 8. L 9. ~ 10. X No X No * No * No V No -of No Amount of escrow: Development Agreement required: _ Yes X No If Yes, for Traffic impact analysis and report required: State Highway Access Permit needed: New roadway or a]!ey R.O.W. dedication recommended: Ifyes, what is recommended? All 'ng dedicated roadwaYs/alleys meet the standard; If o, w'ch do not and what is requested: 11. ~ FppralVi AL: Thubic W rkDepartment has reviewed this request and hereby gives its a ubjec to the ab e and/or attached stipulations. ¢ Sign ture Greg Knudson Dat~ 12. _ NO APPR VAL: The Public Works Department has reviewed this request and does not give its approval for the reasons stated: Sipature Greg Knudson 13. ~ Stipulations attached: _ Yes 14. ~ SummqryCoc~ments: ~~+o.qc.e~ 04 w~r coIoRPOo Y es Yes Yes :-A- x No k No x No Date C:l..famsWldprtnt2.5m 7500 WEST 29TH AVENUE • WHEAT RIDGE, COLORADO 80215 The City of ~OF WHEAl~ ~O ~Wheat ~ m ~Ridge ~°c o R aoo SINGLE FAMILY MINOR EXCAVATION AND FILL PERMIT NAME OF APPLICANT: iI S. n 5 Co4"~51- . ADDRESS OF EXCAVATION/FILL: 4z7 1 ► At~eR, S t. APPLICANT ADDRESS: - DATE OF APPLICATION: 4 I t All permits shall be applied for through the Public Works Department. An approved permit is effective for a period of one (1) yeu from the date of issuance, and may be renewed. All Fees sha11 be in accordance with those fees established by the Uniform Building Code (UBC), or by other applicable City adopted Resolution or Ordinances. Grading Plan Review Fees*: 0 to 100 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.0 101 to 1,00cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $22.50 1,001 to 10,000 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30.00 10,001 to 20,000 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.00 SUB-TOTAL: Grading Permit Fees*: Oto 50 cubic yards 5.0 51 to 100 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $22.50 101 to 1000 cubic yards $22.50 for the first 100 cubic yazds, plus $10.50 for each additional 100 cubic yazds or fraction thereof: C. Y. Amount Due: $ 1,001 to 10,000 cubic yazds $117.00 for the first 1,000 cubic yazds, plus $9.00 for each additional 1,000 cubic yards or fraction thereof: C. Y. Amount Due: $ 10,001 to 20,000 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $238.50 TOTAL FEES DUE: $ 3 0.°= (303) 234-5900 • ADMINISTRATION FAX: 234-5924 • POLICE DEPARTMENT FAX: 235-2949 Building sites whose total excavation and fill exceeds 20,000 cubic yards must be processed under the provisions of SecHon 26-33 of the Wheat Ridge City Code. Upon conformance with Section 26-33 of the City Code, grading plan review fees and grading permit fees shall be established in conformance with Section 3310, Table A-33-A, and Table A-33-B respectively of the Uniform Building Code. * Uniform Building Code, Section 3310 I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT, AND UNDERSTAND THAT THE REQUESTED WORK CAN NOT BEGIN UNTIL THIS APPLICATION IS APPROVED BY THE CITY OF WHEAT RIDGE. I AGREE TO COMPLY WITH THE LAWS OF THE STATE OF COLORADO, WITH ZONING REGULATIONS AND WITH THE BUILDING CODE OF THE CITY OF WHEAT RIDGE. ANY VIOLATION WILL BE CAUSE FOR IMMEDIATE REVOCATION OF THIS PERMIT, AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGS BY THE CITY OF WHEAT RIDGE. THIS APPROVED PERMIT WILL BE KEPT IN MY POSSESSION, OR PERMANENTLY ON THE JOB SITE. APPLICANT: CITY OF WHEAT ApplicanYs Signature Owner's Signature (if different than above) City Engineer 4 ) IS I q°l Approval Date mexfillp.frm PUBLIC WORKS REVIEW FEE STRUCTURE FOR BUILDING PERMIT APPLICATIONS Date t 511 q I Applicant Sert ot-s 4 Son 5 G'+~ T, Phone a3 -~I'SS - 4ol2. Location of Construction (address) 42q I Tpod¢ Sz • Purpose of Construction q cld ; +t oIN =e SFR Building Permit Value $ 4-0, o eo Commercial _ Residential X DEVELOPMENT REVIEW FEES (this section to be completed by Ciry) S~ o~o Development Review Processing Fee: $50.00 $ Single Family Residen6al Review Fee: $25.00 ee [includes review of construction drawings for improvements in public right-of-way] $ ZS • Multi-Family/Commercial: .$50 minimum fee [confirmation of existing technicai documents]. $500.00 maximum fee [includes review of construction drawings for improvements in public right-of-way, review of preliminarylfinal drainage study and erosion control plan(s) if required] $ Site Pian: $50.00 (Not applicable for single family residential) $ -C, Right-of -Way/Easement $40.00 + $5.00/page recording fee $ - ° - Devebpment Agreement Residential = $50.00 Commercial = $100.00 $ - Shate Highway Access Pertnit: $75.00 application fee 3 - ° - Traffic Impact Review & Report $100.00 processing fee S Flood Piain Variance: Class I=$75.00 Class II =$150.00 $ 00 ~'s~ - TOTAL REVIEW FEES: (due at time of building permit issuance) $ Please note that additional fees will be assessed for those pertnifs related to construction of public improvements. If you have any questions, please feel free to contact the Devebpment Revievr office at 235-2868. Signature of Applicant Dffie 50 0 50 Feet N rne ciry oi 7500 WEST 29TH AVENUE • WHEAT RIDGE, COLORADO 80215 GWheat 9 Ridge LETTER OF NOTIFICATTON FOR PUBLIC IMPROVEMENTS RESTORATION DATE ~ ADDRESS A24iI TAL~o2 ST• Dear Contractor: In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s)of the public improvements at this address. If have any questions, please contact me at 235-2868. 'n erely, d cc: File Greg K udson, M.P.A. Development Review Engineer (303) 234-5900 • ADMINISTRATION FAX: 234•5924 • POLICE DEPARTMENT FAX: 235-2949 PLANNING & DEVELOPMENT BUILDING PERMIT REVIEW CHECK LIST Address: ~ ~ ~(Cap~~~ c;t Zoning: A-~ Existing use: S- Permit is for: LyA \}~-,y\ Deed: Survey: Plot Plan: STANDARDS Required Proposed Setbacks/xeight: Front: Side: 2$, ~ Side: Rear: Structure Height: Coverages: Building Coverage: <~~J°76 Lot Coverage: ._~wm~- Area and Width Lot Area: Lot Width: Landscaping Requirements: Landscaping Percentage: Number of Street Trees: Number of Trees/Shrubs: Parking Requirements: Required Parking Ratio: Number of Spaces: Number of Handicap: Signs: Location Size/Area Free Standing: Wall: Other: Lighting shown: / : 7-/-f13cs,-,=elf T ~ v~ ~ 2 S Fr~ ~ ti w ~T- N I - ~ L ~ Cl~ 9 8 Fr- 5 9 FT \ T~.~3aR VA KE - - - ----------y` -CL-- - i ~ ~ i ; PLOT PLF{N ~ ~ i ~ 429 1 T4 13 0 1~ s;. i \AjHEIqT PI067t, C~. I gpo33 i i ~ ~ ~ QiZaposED - 0~4 ~ ~ $CALE - ~ DRRv✓jNtT IS APpZcYi.nArE ~ ~W/0TH DofS NOT F ir P,460 ~ 35 FT 1 C cv,,i 7-.e,4 c ro .e . When Recorded Mail To: Homeside Lending, Inc. 7301 BaymeadowsWay Jacksonville, Florida 32256 [Space Above This Line For Record'wg Data] Loan Number 2012927 DEED OF TRUST THIS DEED OF TRUST ("Securiry Inst[ument'7 is made on DECEMBER 24, 1998, among the gnntor, MICHAEL E. KOELTZOW and CATHY L. KOELTZOW ("Borcower"), the Public Tnutee of JEFFERSON County ("Trustee'), and the beneficiary ; ABACUS FINANCIAL, w3uch is organized and eusting under the laws of COLORADO, and whose address is 5675 DTC BLVD, SUI1'E 123, ENGLEWOOD, COLORADO 80111 ("Lender"). Borrower owes Lender the principal sum of SEVENTY THOUSAND AND 00/100ths Dollus (U.S.$70,000.00). This debt is evidenced by Borrower's ❑ote dated the s•ame date as this Security Instrument ("Note"), which provides for mont}ily payments, with the full debt, if noc paid earlier, due and payable on JANUARY 1, 2029. This Security Instrument secures to Lender: (a) the repaymenc of the debt evidenced by the No[e, with interest, and all renewals, extensions and modificauovs of the Note; (b) the payment of all o[her sums, with interest, advanced under paragraph 7 to protect the security of this Security Instiument and (c) the performance oY' Boaower's covenants and agreemencs under dus Security Instrumant and the Note. For this purpose, Borrower, in consideration of the debt and the mLCt herein created, irrevocably grants and conveys ro Trustee, in trust, with power of sale, the following described property located in JEFFERSON' Counry, Colorado: SEE LEGAL DESCRIP'fION ATTACHED HERETO AND MADE A PART HEREOF. * If Denveq read "City and County of Denver". which has the address of 4291 TABOR STREET , WHEAT RIDGE ls~l [csry] Colorado 80033 ("Proper[y Address"); [Zip Codel ToGETHER WITH all the improvements now or hereafrer erected on the property, and all easements, appur[enancts, and fixtures now or hereafter a part of the property. All replacements and addidons shall also be covered by tbis Security Instrument. All of the foregoing is referred to in tbis Securiry Insuument as the "Property." BoRROWER CovENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to grant and convey the Property and that the Proper[y is unencumbeced, except for encumbrances of record. Borrower wazrants and will defend generally the dde to the Property against all claims and demands, subject to any encumbrances of record. THIS SECURITY INSTRUMENT combines uuiform covenxnts for na[ional use and non-uniform covenanu with limi[ed variadons by jurisdicdon to consdmte a uniform secudty iascrument covering real property. UNIFORM COVENANTS. Borrower and Lender covenanc and xgree as follows: 1. Payment of Principal and Interest; Prepaymenc and Late Charges. Borrower shall prompfly pay when due che principxl of and interesc on the debt evidenced by the Noc-- xnd any prepayment and late chazgzs due under the Note. COLORADO-Single F:unily-Fannie MAe/Freddie Dlac UNIFORNI (NSTRUMENT Form3006 U91 (pa;r 1 c4 6Fc?°.:i G%iD 0002 (797) . 75' ~~0 &.i.(~~,...r~~t~,,~urc.e-.^~ .,G.ti -d~c.G`e.,-~ o'Z, ~j • • C6 t~ y~~~ $z'00O~ _ o~z=:JEMo*°~Omz m v xs_'n- MZzmz ~zOZZmZZr~xlrx { -~^zmg0Zrn z zri -0 sz r) rn °zo°z° cn-OiK5 "XOm - `n-ziAm~ iOrt il r M<Z-Z-IIm~a=o ~MD Om Ik. 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V) 0 M rrl m w 0 f M c~ O M N N < D r 4 47.5 M N1 0 D° 0 MX ll O~ O mo uc N 0 O M r - M r ;u Z N Z W iz m N 6' WOOD FENCE m m M 134.00' Isi 00 TABOR STREET (20' R.O.W.) d, Exuinir n LftGAL UESCRIP710B OI+ 4291 TAFIOR SIRHL+T, VHEAT P.IDGH, COI.OR6D0 The North One-hnlf <N 1/2> of the North One-third (P 7/3) of the Sauth Two-Lhirda (S 2/3) IIluck Eleven'(11), in Leo's Subdlvislon, Sn Sectlon 20, Township 3 Soutb, Rnnge SSxty-nlne <69> Veot oi the GCh P.1S., together with Fivo (5) SncLes of wntar in the Lee and Anugh dilcL, elao ell nater rigLt, ell dlt<:bee nnd dltcb r1gLGS nppurtnlning or bulonging to thiB lnnd, snve and excop6 thr Csnst Ten (10) feet of Beid property ^onvey Lo Jefferson Covnty for road purpoBes recorded i IIook 203, Pege 414; eod TLe Suuth 5 Acrec o£ the AV1/4 Riil/4 SE1/4 Sectlon 20, 1'ownsl-.lp 9 South Range 69 VesL oi the 8LL k'. M. , being the Sout6 one-half of the AortL one-CDlyd aC LLe Sauth Lwo-tLlyds, Dlock 11 Leo's Subd7.vielon, with all diLCD encf walet rights belonging to saSh cnnd, lncluding 5 SncLes of wetor in the Loe nnci Dough Dltch. fiXCGPT the AV1/4 of the AIl1/4 of the SII1/4of Seotlon 20, Tuan6hly 3 South, Ranga 69 Vest af Llia 8lL P.M. nnd ,Sncluding nlnu <95 incLue ot woter in the Leo and DauRh DSLCG more tully deacribed Snthe deud recorded ln 6ook 1566 ol. Poge 114. ~ i ~ '4 O O ~ R~ `f-3 r ~ 9. -'7 t~63 8eaordM ~t . o Ix M 1q ' l:it'(; I • JIJdES P MdJAL1Y ReeeDUen \o. 9'ms Ueen, aiya.tni. 31st'a.yer January In the 7ear of eur Iard one thouund nlee huodrcd and s ixty-[hree [~i•••<n Gunnard W. Johnson and Irene Johnson, Husbantl and wife oren. Ce--vet Jefferson •^a=u« of Colnrsdo, n( lhc t{nt psrt. finJ TNe Brannan Sand and Gravel Com~any . .v,~rna••uon ,.R.~i:.a..a v. intin, un.t uu AY vtr:uc o( th< 1aws of the 1,ate uf Co I or ado . a/ lhe orlmA parU , . FECOROP.R'S 5T,\NI' \\'il'\f SSlilll. Thal thr nuid parl oI the !int pnrt. for nnd in romiA.rolinn o! ilv n. Ten Doliars and other qood and valuable consideration clxoON=• t. the .•„i ,.i i e s tn, r.,t r:,•t in L•an.l r-iJ by Ih, n>id •.vty nf •.io. - n.l Pv:. the rcrriP~ r n herrhS TouffeooJ imd nrkm.wlyd. Aa VC ¢rnntrd. Larlnv.el. ~uld anJ cmw~ y„d. nnd Ly lhne pn'•rmr do er.m4 burcain. r•iL eom... m.l .ofirw. unto r. , •aid C^rq' of the c~~.l f'"t. iu aurc~e.ora nnd u. .n. fan.v,r. nll of thr 6.II..om4 d~.eriL~d lot nr 1'o r: ,I i.f tvnd. eitm:e.lpin¢ unJ Io,in¢ in lhe County uf Jefferson ond Stnte of Calorado, w-.it: The NW ; of the NE of the SE } of Section 20, Toanship 3 South, Range 69 Wes[ of the 6th P.M., excepting [herefrom the East 10 feet thereof, deeded for the use of Tabor Street, a vublic Way; and excepting further, the East 165 fee[ of the Nor[h 132 feet [hereof; said property being a part of the South } of the North 2/3rds of Lot 11, Lees' Subdivision acco.rding [o the recorded plat thereof, in Jefferson County, Colorado; together with nine (9) inches of water in the lees anC Baugh ditch. TUI:IiI'i1F.lt with ull n::.l aintivl:v 16v hrreJibmente ne:d aPPurtennnr,.. theri•umu L.~lunein¢ or i nnywiee . ar : ~ppert~inin¢. nnd the rcvvraim +nd rem•rsione, remeinJer, nnd rcmaindr: t-nt e. ineuce nnd Pmfi1 n We e:lntr. ri¢ht. titlr. inter,~et. rL im nnd domnnd whM~n..e..r if tlu• enid ~iiYi eS of thc fir... V•r!. -:her in Lmw 0r MuitY, of, in and to the aLnvr Lar4nincd premie<e. -IIM1 u, ro .1, . i I pp..ro.:..... TO IfA\'1: .\\U TU IIIII.U ~Ae .oiJ Oremieca ~Lava L,,4nkn.~l mnd e. nlmd. with tLo. appvrtennna^., mm1, the saiJ nertY ^f the ~-crpI Io•n. it..uaro..nn nnd u+i¢m Lnrrrr. \nd tl•.. sii.l Vun1CS of the fic.c pnrt. fm them.eaveS th hri". •necutnr., nnd nJmininuunin, do ~.n..nwn.. rran4 bnrenin vnl n.. bt ord wi~S :he eaid pnrp' of th. nri~n.l par.. i,. end nn+.. Cvlt ut •ho. •in...f th. rn.t-nlinc rm.l .Irliv.ry o! .I,,.. they are - 1.....~. c~f lLe premi...e~nLuvr ~onr,y.rA. nxuf [nn. l. rnm. Perfrn, uLanlulr nn:l - ndefonaiLle eat.tr of inhrriin.:r, io In~ . n f.e eimnL•. en.l I.nVO ¢.•,,A rl¢hl. tu:l V•""•.r mn.l Inni,J euthority m pnn0. b.r¢nin.+.+i v.u . Inv.r lhe ama in :nonncr anJ honn n, nbon..:i'i,l. ood tV.ai lh,:~.ilro . e.. :.r. ,l rl.nr fnoci JI hxmer und onh~~r crnme, Lnrtnirr.ll..r~ tacc+. n.r... o.c. i~nA Innnnbr~~nr... i.f ..'.r F.iid „r naUorr n excep[ lien of generaltaxes~for 1963 duc January 1, 1964 and ;ubsequent years, v , ~.u• .nd ihe obocr hnrRninrJ ?r,~nii,.. i i thr qalr[ :md p•'n...(lii po. ...~~~n :ho. ,..i.i nu•.te :~.I I ~u amd n,<tRr.z. ,eai•,•• nu on,i er..v penne u, o^.,mi. Ia,.ninr •~:~:~,:ntt •~:~in, •f~. .:I:,.~, pnrt ux•r•nr~ herrof, the eaid PvtiCYt tLe tir.t fart ~dIall nnA .rill tt',V:C.\\T A`:i- YuC!C',?'i: I0:FLSU. 1\ t\'1'1'\I:.s 1C11I:I:i:nl'.'.!.: aid i n••l n S "r Oh,, il.q r... ' I., vC ':...r:::r., [hn i r l,n.1 q 26111111111111111~ nJ icals the JnY fiml ,r,ur iir, und Urllrrr...l In ih.. I'n.s.:11. 11 GunnarC 'n'. .lohnson lrene Johnson, nusban^ and \ wife ST.\TF.lWC11I!1¢AUO . ~ .I Gity and ;1Uenver ' TL~• fnrr¢nine in.nurnl.nf w wi.."c..•l Li.h.r. u i.... Gunnard w. Jjhnson and Irene .'.er'......... I•<. i,.nd no„i orarit:i ~,~:'i. . - 1.~ . .I•- itr ~4,;rii..i~~n 8/9i64 'i ~ It......,•:'•'". . Inr •1i January Jpnn;on, husband and ~ .n~d. . . \n.9rr~ .1 Tl'11Y.1:11T11I oP1'I.IIATII"\'-Wrl` n...r..~xlile.ll. _.rnu.. ..1 n 1 n ~nKi..n.~~nn~. ~ . vc-xs~.vn'm~~~7: ou~~1y'rssvr~µ;lfsr,~t ~ 215 . . . . 'RST +SA" ~ . f:) . . t . DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : ~T Z' PropertyAddress: phone: y~;2+.13 76~ d Contractor License No. 7%~-- Company : s f l! %a f ~ Phone : lo,; °J OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify Ihat the setback distances proposed by this permit applieation are accurate, and do not violate applicable ordinances, rules or regulations of the Ciry of VJheat 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 condilions printed on this application, and Ihat I assume full responsibility for compliance with the Wheat Ridge Building Code (U,B.C.) and all other appliwble Wheat 8idgTc s, for work under this permit. (OWNER)(CONTRACTOR)SIGNED/ . ~DATE//"~" Description-/~~f se . v, r4 iY' / 5 - . Construction Value Permit Fee : Plan Review Fee : USE T8X : Total : BUILDING DEPARTMENT USE ONLY Zoriin~'~3 tFf~n~-'I SIC : Sq. Ft. : Approval: Zoning : Bu11Hin'C _ ents-'.] Approval: P,atilf'iV1/bP ~I~,+~C"oT~l Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : jFp I e Plumbing License No : Company : S~,.-~ G yrr , IIr Company : Expiration Date : Expiration Date : Approval : Approval : IN &PIaf13~R~IIlt~~ ~ Q,P,Ia"~fA_4RSt10iC8;1~ Mechanical License No : Company : Expiration Date : Approval: n BP.aSR~1om (1) This pertnil was issued in accotdance wiN the provisions sel/oM in yoWr applinUOn aM is subf'ecl lo the laws o( Uie Slate ol Cdaado aM W the Zoning Regulations and BuilAing Code o1 WTeat Ridye, Colorado or atry other applicabk ardinances of the Ciry. (2) This permll shall expire d(A) ~e work aNnonzed u not mmmenceC wMin siary (60) days fmm issue date w(B) the DuilEing authaized is suspended or a0andone0lar a penod of 720 Oays. (J) If tnis permll e:pires, a new pertnit may De atquired for a lee o( one-hal/ the amount nortnaly required, providcd no changee have been w vntl be nwEe in the onginal plans anE specifcations and any suspension or abandonmenl has not exceeOeE one (t) year. If Uan9es are matle a il suspension or aCandonmenc exteeCs one (1) year, lull lees shall be paiE for a new pertnit. (a) No work al any manner shall be done lhal will change the naturel tlow of waler causin9 a Orainage Drobiem. (5) Contactor snall no6ry the Builaing InspeCtor twenry-lour (24) hours in aCvarke tor an inspections and snan receive wrinen apOrovai on inspection rard before proCeeEiing with sutCessive pnases of the'ob. (6) TTe issuance of a pertnit or Ihe approval o~drewings anC spedfwtions shall nol be consWed to Ee a pefmil lor• nor an approval ol, arry vidation af the provisions o/ the builCing coaes or any other orCinance, law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION