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11175 W. 40th Avenue
M CATY Y Of WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -1 P0 F til Job Address: 4✓- Permit Number: ❑ No one available for inspection- AM/PM Re -Inspection required: Yes ofor When corrections have been made, ce-inspe]ccttion at 303-234-5933 Date: Inspector: %11/l_ DO NOT REMOVE THIS NOTICE w City of Wheat Ridge Residential Roofing PERMIT - 201706959 PERMIT NO: 201706959 ISSUED: 09/06/2017 JOB ADDRESS: 11175 W 40th AVE EXPIRES: 09/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 51 sq Pitch = 6/12 *** CONTACTS *** OWNER (720)389-6560 JOHNSON TIMOTHY LYLE JOHNSON K SUB (303)600-8696 Lawrenc.e Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 0191 / BROOKSIDE BLOCK/LOT#: 0 / ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00 FEES Total Valuation 0.00 Use Tax 420.00 Permit Fee 362.80 ** TOTAL ** 782.80 *** COMMENTS *** ** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 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. Z01766q "" 1117 s L/ CoA Ore, I NSPEf' w. N RECORD INSPECTION ONLINE FORM: http./ ::i.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Ur- 6/Iz Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Floodplain Inspection (if applicable) Concrete Encased Ground (CEG) Final Electrical Foundation / P.E. Letter Final Plumbing Do Not Pour Concrete Prior To Aooroval Of The Above Insnectinns Underground/Slab Inspections Date Inspector Initials Comments Electrical - - - - --- - - - --- - --- - - - ---- -------- Comments Sewer Service Floodplain Inspection (if applicable) Plumbing Final Electrical Do Not Cover Underground or Below/In-Slab Work Prior To ADDroval Of The Above Insnertinnc Rough Inspections Date Inspector Initials - - - - --- - - - --- - --- - - - ---- -------- Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof Final Plumbing Final Mechanical Lath /Wall Tie Roof Final Window/Doors Rough Electric' Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. ror ,ow voiiage permits — riease be sure tn� • -� by the Building Division. Occupancy Is Not Perm P 7istrict and electrical low voltage icy Is Issued ► City of Wheat Ridge Residential Roofing PERMIT - 201706959 PERMIT NO: 201706959 ISSUED: 09/06/2017 JOB ADDRESS: 11175 W 40th AVE EXPIRES: 09/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 51 sq Pitch = 6/12 *** CONTACTS *** OWNER (720)389-6560 JOHNSON TIMOTHY LYLE JOHNSON K SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 0191 / BROOKSIDE USE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00 FEES Total Valuation 0.00 Use Tax 420.00 Permit Fee 362.80 ** TOTAL ** 782.80 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 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. City of Wheat Ridge Residential Roofing PERMIT - 201706959 PERMIT NO: 201706959 ISSUED: 09/06/2017 JOB ADDRESS: 11175 W 40th AVE EXPIRES: 09/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 51 sq Pitch = 6/12 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 muni ' odes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am aut ize to btain this permit and perform the work described and approved in conjunction with this_permrt. Vfther attest that I am legally horized include all entities named within this document as parties to the work to be performed nd at all w t be performe is disci ed in this document and/or its' accompanying approved plans and specifications. ,, Signature of OWNER or- CONTRACTO,t(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 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 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 graillting,4 a permit s1� be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or an egu 1 o ig j risdiction. Approval of work is subject to field inspection. /, / Si�rrature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 9/8/2017 2017-8-18_13130-1.jpg (1698X2197) Customer Name: Karen Johnson Rep: Evan Harris Address: 11175 W. 40th Ave. Phone: 7192095483 Wheat Ridge CO, 80033 Email:evan@formularoofing.com Customer Phone: 7203896560 Ph#2 6/12 Trailer Email: karensnowj@hotmail.com Pitch: Insurance: USAA Claim: 012650915/90A Stories: 1,2 Access: Yes Adjuster Name:John Foy Adjuster Phone919-801-8426 Adjuster Email: Ca r Int©Formula Roofing & Remodeling ,illperform all mpaln as ou imod and.pp—o by the llomr amrrN humomee emepum', including supplements. Shingle Manufacmrer:At12S AGREEMENT Stt•Iz of Shin ales: StormMaster Shake Color of Shingles:Burnt Sienna 4550 Calumbin 5t. Number of Squares: 51.33 Denver, CO 80216 303 ar Teoff # of layers: 1 .600.8696FRMLA FAX303.600.Bfi54 Building Solutions forColorado Customer Name: Karen Johnson Rep: Evan Harris Address: 11175 W. 40th Ave. Phone: 7192095483 Wheat Ridge CO, 80033 Email:evan@formularoofing.com Customer Phone: 7203896560 Ph#2 6/12 Trailer Email: karensnowj@hotmail.com Pitch: Insurance: USAA Claim: 012650915/90A Stories: 1,2 Access: Yes Adjuster Name:John Foy Adjuster Phone919-801-8426 Adjuster Email: Ca r Int©Formula Roofing & Remodeling ,illperform all mpaln as ou imod and.pp—o by the llomr amrrN humomee emepum', including supplements. Shingle Manufacmrer:At12S Stt•Iz of Shin ales: StormMaster Shake Color of Shingles:Burnt Sienna 1.0 Number of Squares: 51.33 ar Teoff # of layers: 1 Install Felt: Summit 60 Replace Plumbing Jack: All Replace Roof Vents: All '� Ice and Water Shield: Eaves Nailing Pattern: 6 nail Drip Edge: Full perimeter Appropriate CounryiCity Code Requirements Clean-up and haul offal] trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed for 5 years All repairs guaranteed for 90 days. Additional Warranty: Signature Select homeowner IOfai Lrest: acv,f cu. -r f'r slipplP.rriPntS Exdlmhog permit and eodc rquirrnaz,ta GuttersAll work per insurance scope Windows Not included Screens' Glazing Bead /A Paint All work per insurance scope Fence/Deck All dein work per insurance siding Labbfflnimum only for step flashing Additions ommenis: Aluminum flashing over windows not included Copnrnv Ry signing this rummer 1, the property owner, agree to th obuve fated work bring completed le,dali a, Mutual, �� Ivaurava Claim: By signing Nis eanRact 1 do hmeby pis'c Limited Powrr ofAnomcy b Formula Roofing & Rsanodeling, xmMrizing my inmmncc comparrym speak with mY tanuactor Formula Roofing & Rana@ling on my belialfwith anyarxl all dealings regarding the curtest claim listed in Ilia contmtt. Limited Power o(Atlamcy rs to be wilhdmwm when Formula Roofing &Remodeling is paid in a:ll. Formula Roofing & Remodeling will bill my insurance company for all wort. ioduding carie required work necessary, which, in mwt cases, e, payabk by my insurance emopaoy. 1, the I ... reE, and not be rsspme.ible car any musics sat pall b)'the lasurance company except roc rite dedacable and optlanaI apgr.da lined on eoutrad, unless notification u made prior to wmk being earoTA-1. or in a of'•No Code C'ovcmge•• on my imurww policy Code nems arc required m comply with city, .y code and arc on, maimrel. Fnuml. Roofing & Remodeling will requen the final inspection widt the appropriate City/County Authority. Formula Roofing & Remodeling will perform any and all mppicmeaml work appmved by the pmpcny owner's inamanm company. Any aeldil—I fonds Cuuomer allocated for additional workas part oflhisclaimwill bepaysblemFormWa Ruufing&Remodeling Initials a the wank has ban ampltted and rands have leen rel red. 1!C TIIE`TERMSAND CONDITIONS OFTHE AGREEMENT" PRINTED ON THE BACNOF THIS PAGEARE INCORPORATED INTO,AND FOR.VIA PART OF, THISAGREEMF.NT. Contractor. shall hold m bast any payment received from Owvervvtil Contractor hu deltvered roofing materida to the rite or hu performed a myarity work or the roofing on the property, whlehever occurs flet ,dti17 Deposit Received: S S (In I _ Approximate date of service commencement:9/20117 Imuranre claim, proe,reh: Owner to remit ACV I... nn payment on later than date of —.te r. en am -L Find payment due upon eompietioo of —p, of work as agreed upon, —dpi of Inness,. proceeds(Ifappacable) antior appr col of building department anal Inspection. Upon I nuo f the tontratt the owner reserves the right to n these day rcsdasiov period. If the contract is sedan arter Ilat t d y�dl, customer will pay 25% of contract -�pr-eic�-.{ Customer Signature: / Date: Customer Signature: Date: Formula Representative: bOA i.� Date:8/1/17 https://files.acculynx.com/store/companies/47bcbec9-04dd-45af-ac54-a68aOd49fbO5/jobs/24a622bb-5f51-481 e-adda-16bf6a5403ed/documents/4b542... 1 /1 Dane Lovett 7011(9 D q Js From: no-reply@ci.wheatridge.co.us Sent: Monday, September 4, 2017 6:17 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 5� Follow Up Flag: Follow up Flag Status: Completed 0 O 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 V I Property Address 11175 W 40th Ave, Wheat Ridge Property Owner Name Karen Johnson Property Owner Phone (720) 389-6560 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract formularoofing1 @gmail.com Yes 2017-8-18 13130-1. i P 4 CONTRACTOR INFORMATION Contractor Business Formula Roofing Name Contractor's License 110274 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3036008696 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 4560 columbine st (Primary address of your business) Contractor Email Address form ularoofing1 @gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: formularoofing1 @gmail.com 51/ Project Value (contract 20000 value or cost of ALL materials and labor) Areou re -decking the No Y g roof? 10 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? 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) No Yes 6/12 51 GAF Timberline Shingles Asphalt Install shingles Ice & Water with New Drip Edge SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 11 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. 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 Dominick Orrino Email not displaying correctly? View it in your browser. 12 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 ) Job Address: %�� ' -) ' /o' V Permit Number: ❑ No one available for inspection: Time Re -Inspection required: Yes CNN _ When corrections ha a been made, call for re -inspection at 303-234-5933 Date: /m '� Inspector: � 4 DO NOT REMOVE THIS NOTICE City of �� Wheat�idge I - COMMUNI DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29 "' Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F: 303.235.2857 DATE: August 2, 2010 TO: Accounting Department FROM: Meredith Reckert, Senior Planner SUBJECT: ESCROW REFUND /RELEASE Reimbursement requested for funds in the amount of $200.00 (two hundred dollars and no cents) being held for grass seed application: Karen S. Johnson 11175 W. 40 "' Avenue Wheat Ridge, CO 80033 The Landscape improvement has been completed to the City of Wheat Ridge's satisfaction. MAKE PAYMENT TO: Karen S. Johnson SEND' TO: 11175 W. 40 Avenue Wheat Ridge, CO 80033 9-2 - 1 0 Meredith Reckert for Ken Johnstone Director of Community Development www.d.wheatridge.co.us 0 11 6 City of Wheat�ge COMMUNITY DEVELOPMENT Landscape Escrow Agreement This agreement made this 3 day of February , 2010 by and between the City of Wheat Ridge and Tim and Karen Johnson (owners): Escrow in the amount of Two hundred DOLLARS ( $200.00 ) is being held until all landscaping improvements, are completed at, 11175 West 40 Avenue In the event that landscaping required by Wheat Ridge Code of Laws, Section 26 -502 and/or as shown on an approved landscape plan is not installed by June 1, 2010 the City of Wheat Ridge or its designee shall have the right to enter upon said property to constrict and/or install such improvements or do other such work to accomplish that purpose as may be necessary, provided that the City of Wheat Ridge shall first give notice in writing to the contractor, developer or owner of its intent to do so. If the City of Wheat Ridge exercises its light to perform work of any nature, including labor, materials and use of equipment either by force account or contract, the City shall have the absolute right to withdraw the escrow funds to complete said landscape improvements. The only precondition to the City's right to withdraw the escrow funds for this purpose shall be a letter from the Planning and Development Director, stating that the landscape improvements have not been completed or provided and that the compliance date of June I, 2010 has expired. Approved and Agreed: d.l��1U Dat Title - Citv of Wheat Rid a Colors do i By: Title: 'h v)n G LA r i F �E V e. I u, Date: i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE _Inspe..ctio Ty pe_ / r wz A50F _ Job Address: _ //! 7,,5' u, . ear z% Permit Number: 0,91972 $�ciz/ a f_ 01Afe/2 4i� 73flT� f y ilt/ t]� 1�� 7r St�`in//�d,� S ,4Pc wzf1 frl, C' Li/ p.vsv- �i /.G -T�r✓ c�l�of s5 Ad���o�J €i? ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No * When corrections have been made, call for re- inspection at 303 - 234 -5933 Dater 2�f7 Inspector. DO NOT REMOVE THIS NOTICE 3�IlON SIHI 3AOW3d ION 00 77 :aoloodsul :alep E£69-mee-Eo$ 7e uopoedsui -ei joi im epuw ueeq eneg summijoo uegm 0 i :paambei uoiloadsul-eU Ad( a ;'c?/ awil :uoiloadsui aol elgepene auo ON\ 700 _ �aou vx r a yr r r S cf ao�f au lr, z Lrw vp rvoyd tefi7 f vbf,>/ F-r%t r'7 :3 >10 r ! &O :aagwnN MtuJGd iJ 9 Sr?( S !( :sseAppygor a O - 7-V ry y :oaAjL uoiloadsul 331ION N01133dSNI r f e Xu f 6Z68 (£OE) • OO!! O SS£Z -SEZ (£0E) eui/ uopoedsul Ce6s -tiea (Coe)_ uoisiAIG uoiloadsul 6uiplin8 Maw 1H3HM d0 A113 _N CERTIFICATE OF OCCUPANCY a City of Wheat Ridge ± 7500 W 29th Ave' Wheat Ridge CO 80033 Permit# 081392 Issued: 02/05/10 ~Stipulations< New Single Family Residence (3.,956 sq ' This certificate verifies that the',building constructed and or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and F~°development standards of the zone district in which it is ¢°cf, located and may be occupied. All other licensing ll,requirements for the City; must be meta ,"'..U411 Site Address: 11175 W 40th Ave -;1Parcel Number: 11175UA a e Owner:` Tim & Karen Johnson 11155 W. 40th Ave. aye 9 Wheat Ridge, CO 80033 Contractor: Ron Catterson Catterson Custom Builders 28577 Buffalo :Park Rd. Evergreen, CO 80439 Ka ;For the Following Purpose: Res. New SFR fCEditions NO change shall be made in the USE of 611 i E 2003,'-ICC/2005,NE,C this building without. prior notice rKy~`l 2003 ICC/2002 NEC and a new Certificate of Occupancy ~ _1997 UBC/2:002 NEC fromtheCity of Wheat Ridge.. Sprinkler System I ai i f u'lding Inspector i1nKgt;A!~d&inis: ator gf%i CE FICATE MUST BE POSTED BY FRONT DOOR F COMMERCIAL',OCCUPANCIES ~ poi 02/08/10 10:15:07 City of Wheat Ridge Page 1 bp701-1s PERMIT INFORMATION - 081392 mmackey PERMIT INFORMATION: Permit#: 081392 Permit Type: Res. New SFR Permit Dt: 12/03/2008 Expires: 02/05/2010 LAND PARCEL INFORMATION: Zone Cd: Unassigned Funct Use: Unassigned Subdivision: Unassigned Cont Type: Miscellaneous Legal: JOB DESCRIPTION: New 3956 sq. ft. home Address: 11175 W 40th Ave Parcel Cd: 11175UA OWNER: Tim & Karen Johnson Address: 11155 W. 40th Ave. City/St/Zip: Wheat Ridge, Co 80033 DU: 0 Last Zone Dt: Annex Dt: Lot: Block No: 0 SetBacks-Pront: 0.0 Left: 0.0 Right: 0.0 Back: 0.0 FEES QTY DUE PAID: Permit Fee 410,045.83 3,556.03 3,556.03 Plan Review Fee .00 2,141.07 2,141.07 Plan Review Addtiona .00 170.35 170.35 Total Valuation 410,045.83 .00 ,00 Use Tax 410,045.83 7,380.82 7,380.82 13,248.27 13,248.27 CONTACTS: owner Tim & Karen Johnson 11155 W. 40th Ave. Wheat Ridge, CO 80033 3034222059 gc CL3 Catterson Custom Builders Ron Catterson 28577 Buffalo Park Rd. Evergreen, CO 80439 3036791751 sub CL8 Adams Plumbing & Heating Co. Harvey Adams PO Box 3906 Evergreen, CO 80439 3036709171 sub CL9 Adams Plumbing & Heating Co. Harvey Adams PO Box 3908 Evergreen, CO 80439 3036709171 sub CLA Schlichter Electrical Service Werner Schlichter 654 Stagecoach Boulevard Evergreen, CO 80439 3036742938 sub CLA Gill Electric Lawrence Gill 6000 W. 32nd Ave. Wheat Ridge, CO 80033 3032371483 PERMIT CONDITIONS: JS: Approved with red line notes. Must comply with 2003 IRC, IECC, & 2005 NEC. Subject to field inspections. JH: OK per attacehd memo A-1. DPB: Site drainage will be inspected prior to C/0 by Public Works, to ensure no negative impact to neighboring properties. APPROVALS: Reg Apprv11 Date Approver Note _ Building 12/03/08 John Schumacher Approved with red line notes. Must comply with 2003 IRC, IECC, & 2005 NEC. Subject to field inspections. Planning 11/18/08 Jeff Hirt Approved with attached notes Public Works 11/17/08 Dave Brossman Approved with attached notes. REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 06/16/09 Extension approved. New expiration is 11/15/2009 12/03/08 CREATED FROM APPL# 08-0414 11/20/08 GC faxed in colmpleted PH forms given to KS to distribute 11/18/08 JH: OR per attached memo. Community Development is initiating new address notification. 11/18/08 DFB: See attached sheets - site drainage will be inspected prior to C/O by PH, to ensure no negative impact to neighboring properties. INSPECTION INFORMATION: # TYPE bp701-1s CONTR# CALLED CNCL WHO REQ DT INS DT PERMIT INFORMATION - 081392 STATUS 02/08/10 10:15:07 mmackey 1 PUG:Plumbing Underground 06-0049 01/21/09 no. KC 01/23/09 01/23/09 INCOMPLETE 2 PUG:Plumbing underground 06-0049 01/23/09 n0 KC 01/26/09 01/26/09 PARTIAL 3 EMR:Elec Service - EVER 09-0017 02/06/09 no MV 02/09/09 02/09/09 COMPLETE 4 PNG:Plumbing underground 06-0049 02/09/09 no KC 02/10/09 02/10/09 PARTIAL 5 SHE:Sheathing/Sheer Inap 08-0267 03/16/09 no KC 03/17/09 03/17/09 PARTIAL 6 SHE:Sheathing/Sheer Inep 08-0267 04/22/09 n0.. KC 04/23/09 04/23/09 INCOMPLETE 7 SHE:Sheathing/Sheer Inep 04/24/09 no KC 04/24/09 04/24/09 PARTIAL 8 MID:Midroof Inep. 08-0267 05/01/09 no KC 05/04/09 05/04/09 COMPLETE 9 SHE:Sheathing/Sheer Inep 08-0267 05/07/09 no KC 05/08/09 05/08/09 COMPLETE 10 GPT%Gas Pressure Test 06-0049 06/05/09 no MV 06/08/09 06/08/09 COMPLETE 11 PRI:Plumbing Rough Insp. 06-0049 06/12/09 no KC 06/15/09 06/15/09 COMPLETE 12 MRI:Mechanical Rough ins 06-0049 06/12/09 no KC 06/15/09 06/15/09 COMPLETE 13 ERI:Electrical Rough Ins 09-0017 06/12/09 no MV 06/15/09 06/15/09 COMPLETE 14 MRI:Mecbanical Rough Ina 06-0049 06/12/09 no KC 06/15/09 06/15/09 COMPLETE 15 EMR:£lec Service - Emm 09-0017 06115109 no MV 06/15/09 06115109 COMPLETE 16 GMR:Gas Meter Release 06-0049 06116109 no KC 06/15/09 06115109 COMPLETE 17 FRA:FT.ing Inspection 08-0267 06116109 no KC 06/17/09 06/17/09 INCOMPLETE 18 FRA:Framing Inspection 08-0267 06/17/09 no KC 06/18/09 06/18/09 INCOMPLETE 19 FRA:Framing Inspection 08-0267 06/19/09 no KC 06/22/09 06/22/09 COMPLETE 20 ROF:Roof Inspection 08-0267 06/19/09 no KC 06/22/09 06/22/09 'INCOMPLETE 21 ine:Insulation 08-0267 06/26/09 no kc 06/29/09 06/29/09 COMPLETE 22 FRA:Framing Inspection 08-0267 07/02/09 no CCI 07/06/09 07/06/09 PARTIAL 23 DWS:Drywall screw/nail 08-0267 08/07/09 no CCI 08/10/09 08/10/09 COMPLETE 24 PRI:Plumbiag Rough Insp. 06-0049 08/24/09 no KC 08/25/09 08/25/09 COMPLETE 25 ROP:Roof Inspection 08-0267 11/12/09 n0 KC 11/13/09 11/13/09 INCOMPLETE 26 rof:Roof Inspection 08-0267 12/15/09 yes CCI 12/16/09 12/16/09 INCOMPLETE 27 ROF:Roof Inspection 12/17/09 n0 KC 12/17/09 12/17/09 COMPLETE 28 EFI:Electrical Final Ins 09-0017 01/15/10 . rp 01/19/10 01119110 COMPLETE 29 MIS:Miscellaneous 01/15/10 no vA 01/15/10 01/15/10 COMPLETE 30 PFI:Plumbing Final Insp 06-0049 01/28/10 no RP 01/29/10 01/29/10 COMPLETE 31 MFI:Mechanical Final 06-0049 01/28/10 no rp 01/29/10 01/29/10 COMPLETE 32 BPI:Building Final Inep 08-0267 02/02/10 no KC 02/03/10 02/03/10 INCOMPLETE 33 PWF:Public Works Final 02/02/10 no DFB 02/03/10 02/04/10 COMPLETE 34 LPI:Landscaping Final 02/02/10 a0 AT 02/03/10 02/03/10 COMPLETE 36 pwf:Public Works Final 08-0267 02/04/10 no zh 02/04/10 02/04/10 COMPLETE 37 BFI:Building Final Inep 08-0267 02/04/10 no KC 02/05/10 02/05/10 COMPLETE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line I;; J (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: ///7,,:5 4,) dp ;/A i~ Permit Number: / q l ❑ No one available for inspection: Time ~AM//PM Re-Inspection required: Yes When corrections have been made, call for re-inspection at 303-234-5933 Date: t g h Inspector 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: 41 Job Address: 111-76 Y%J,,,,,p Permit Number: Of L Q ❑ 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: l 1 Inspector: 1},,,.L All, , DO NOT REMOVE THIS NOTICE L i CITY OF WHEAT RBI E Building Inspection Ih~is1 n` f (303) 234-5933 Inspe6don' ne (303) 235-2855 Offices (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: AV) v~ Permit Number: O 'i3 (J 7 ❑ No one available for inspection: Time C7 AM/ M Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 803-2343933 Date: / /0 Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 1//75 w flirF/ ld,~ Permit Number: 081.392 Awr/€e_-,~ ° tov ri'e wog g5 Oie 7a OC'G°U~ d ❑ No one available for inspection: Time 7 %-2< AM/PM Re-Inspection required: 'Ye No 'When corrections have been made, call forme-inspection at 303-234-5933 Date: /a Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE ow~ Building Inspection Division 1111(303) 234-5933 Inspection line doo (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address: 17AT: i Em Permit Number: / bra ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, oafi for re-inspection at 303-234-5933 Date: ♦ 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: B3LP~• / s; , Job Address: 1117.5 w ~o7-ri 4xg Permit Number: (987.7 F; 1k0,1)"401Z5 L.2 /via 12 e149 ~-T-P ❑ No one available for inspection: Time 1? SS AMt~)_ Re-Inspection required: Yes *When corrections have been made, call for re-inspection at 303-234-5933 Date: S ~v Inspectors DO NOT REMOVE THIS NOTICE INSPECTION RECORD P.ecupacy/TVpe 'VINSPECTiON 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... Stemwall / (CEG). Concrete Encased Ground oTA--.. Reinforcing or Monolithic Weatherproof I French Drain Sewer Service Lines' Water Service Lines' POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO N OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS'. Sheathing S L'e Lath I Wall tie Mid-Roof S LG': ,riYS" HsrJ , Electrical Service Rough Electric - - Rough Plumbing Gas Piping. - Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING `Framing Insulation Drywall Screw FINALS t r-, 'Electrical [ ! 1 X 'Plumbing ` Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND. PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "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 CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY .:NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER n ~ ~ C1 C O 0 -0 ® 0 m n ~ z 0 m v Z m CO) r c n M m m t'1 m 0' mn v m d h k ti Z v 0 A 0 c c a Io s o C C m C (o z 56 m w ' O -n c. g CL c a n O ( I { rv. T~5 n -n Q ~ ~ v y g d o T N 3 7 N z ~ n ~ , c w v d FS p n c m . co w v O X m ~ C y CT < y G) z r v D D Cl) CD D r m ~ 8 D m z cn 1 Z 0 O O o a m C- 0 330 Q 27 om (A 0 to O N O n C a m •e 3 c~ c I`\ rt = 0' O (D c 3. ~ Q. R 3 N w Q. 0 o a 10 ~ H 0 'C m N CL 3 O (A 3 Z N a Q 3 W N 4 0) -4 CJj ~J C) W Q. O C) CD CAo ~ 0 Q< 01 O OD CD O ® Cl W W M N CD ` NP2-274 r f17q~11 "JA1,1poiU:,U~/~,' {~t7... {Al elt_j fYC1 FM.2 NP2 231 Blrl, l NP2-013 D.2 1 . Sr ~Qp l)P one layer _3 - 3., x .et wu NP2-012A I £ NP2-29 . P2-;a A 'Ry NP2-286A NP2-271 - 294A x P2-296 P2-298 p U P w o IOq-ers 4(0 K4? NP2-286 s NP2-294 NP2-296 NP2-298 NP2-292 NP2-012 } E } a G Fr i F1, s hNP2 281;; "s £ £ E E.1 - . NP2-291 B _<..<.. _ NP2-291 NP2-241 E.1 NP2 309 L NP2-011 6300 (/t/e 254-Avt rz NP2-293 [ NP2-297 wk 1 n .a- C1 a1 NP2-303 f m u N 011A- - spa y.T9 ~cs~ - e a d s- -av NP2-225A ILL N NP2 312 NP2-311 _,a; s, , 04 w k ti- NP2-225 NP2-221 m } ~s: F a a NP2-224A M 2 z NP2-321 ` NP2-323 m s;F 2r. M til R' A O a r`; a Np2-221 C~ - h, a 1 y NP2-375 H FT #1 fy 5 NP2 325 ,w NP2-224 E5 F.5 P NP2-313 h NP2- z1 5.6 5.7 6 6.4 6.6 6.`/ 6.6 % 71 74 F.8 F 8 STAIR 3. NP2-327 NP2 317;- NP2- 21A s.~-e . G x'. R ~e NP2-230 k e]K M v NP2-229 O f G a f NP2-314 z NP2 311 NP2-010 NP2-009 NP2-008 NP2-007 NP2-0 NP2-319 NP2-216 NP2-229A 3 - NP2-214 NP2-2 8 - w s ELEVATOR H37 NP2-228A 0 ELEVATOR. #32 NP2-211 NP2-211 c $ 2 £ s - ~ ~ NP2-201 City of Wheat Midge COMMUNITY DEVELOPMENT Memorandum TO: Accounting, Address File FROM: Adam Tietz1 DATE: February 3, 2010 SUBJECT: Landscape Escrow 11175 West 40t` Avenue Attached is a copy of an escrow agreement for the property located at 11175 West 40t' Avenue. The escrow is for landscape area improvements that could not be installed prior to the issuance of a Certificate of Occupancy. The landscaping will be required to be completed and is estimated at $200.00. A check for $200.00 ($160.00 X 1.25%) is attached, and shall be held until June 1, 2010 or until the deficient landscaping has been successfully installed. I e:3211756271: L2000309L36421,19291 WIMAGE CHECKS. 1997 FMERICF 1-8906626>6B www.Im ayeclle cks.cO m. City of COMMUNITY Wheat DEVELOPMENTMidge Escrow Transmittal Sheet An escrow has been submitted for the property located at 11175 West 40`h Avenue The escrow is in the amount of Two hundred dollars and Zero cents. 200.00 J. The escrow is submitted for: ® Landscaping: Seeding of front area in the middle of the circle driveway ❑ Public improvements: ❑ Other: The escrow shall be held by the City until June 1, 2010 A bid for the deficient work has been attached from the contractor. Notes: Name Date Y ; ce ;t v \ I xN \ ,-q-, A, \ V 1 fJ , f ` f v \ a , d n -~1 qk; fly m h \ e lit ¢ H am I l I ~a~K I I 9 ,Z. I w B 3W0M1eo3 f O 800335ide,ee l 91m ~CC J ea - 1 7 rb D65 11N ..IN N. SfNL6. 30935 BRYAN M EVERGREEN, CO. 80439 41 ® - City of i( Wheat gge COMMUNITY DEVELOPMENT Landscape Escrow Agreement This agreement made this 3 day of February , 2010 by an d between the City of Wheat Ridge and Tim and Karen Johnson (owners). Escrow in the amount of Two hundred DOLLARS( $200.00 ) is being held until all landscaping improvements are completed at, 11175 West 40t` Avenue In the event that landscaping required by Wheat Ridge Code of Laws, Section 26-502 and/or as shown on an approved landscape plan is not installed by June 1, 2010 , the City of Wheat Ridge or its designee shall have the right to enter upon said property to construct and/or install such improvements or do other such work to accomplish that purpose as may be necessary, provided that the City of Wheat Ridge shall first give notice in writing to the contractor, developer or owner of its intent to do so. If the City of Wheat Ridge exercises its right to perform work of any nature, including labor, materials and use of equipment either by force account or contract, the City shall have the absolute right to withdraw the escrow funds to complete said landscape improvements. The only precondition to the City's right to withdraw the escrow funds for this purpose shall be a letter from the Planning and Development Director, stating that the landscape improvements have not been completed or provided and that the compliance date of June 1, 2010 has expired. Approved and Agreed: d\ i 0W V\ r<.-,- Dat Title ® 1 ✓A CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office " (303) 235-2857 Fax s, INSPECTION NOTICE Inspection Type: Yifya i Job Address/Permit Number: LIL:Zh t. Z a. ❑ No one available for iTes -tion: Time ~ VV AM M < Re-Inspection required: No when corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: P'4 f, ' X C ti DO NOT REMOVE THIS NOTICE r January 14, 2009 Mr. and Mrs. Johnson 11155 W. 401i Ave. Wheatridge, CO 80033 Attention: Mr. Timonthy Johnson Subject: Drilled Pier Installation Inspection 11175 W. 401i Ave Wheatridge, Colorado Terradyne Project No: C083036 Mr. Johnson, TERR~OY/VC Engineers, 6eologists 4 Environmental Scientists Terradyne DEN, Inc. 15403 E. 17th Avenue, Suite E Aurora, Colorado 80011 Phone: 303.463.9317 Fax., 303.463.9321 www.terradyne.com As requested, Terradyne DEN, Inc. ins~ected the installation of drilled piers for the proposed structure at the subject site on January St and 6`s, 2009. The drilled piers which we inspected obtained the minimum specified length and penetration as specified by plans provided. Steel met with plan specifications. If you have questions concerning this project, or if we can be further service, please call. Respectfully submitted, Terradyne DEN, Inc. Reviewed by Environmental Engineering • Geotechnical Engineering • Construction Materials Testing • Civil Site Design 9 Surveying Branch Manager E,grn..m, s.~yratr a e,.r,~m,.,,w sermnm DRILLED SHAFT INSPECTION REPORT PROJECT: 11175 W. 40th Ave PROJECT NO: C083036 CLIENT: Corner Stone Foundations TECHNICIAN: Darren Gallant DATE DRILLING: 1-5-09 1-5-09 1-5-09 1-5-09 1-5-09 1-5-09 SERIAL # 1 2 3 4 5 6 SHAFT DIAMETER (Inches) 12" 12" 12" 12" 12" 12" DEPTH (Feet) 26.4 26.2 26.4 26 26.7 26.3 BELL DIAMETER (Feet) N/A N/A N/A N/A N/A N/A CONDITION OF BOTTOM DRY DRY DRY DRY DRY DRY DEPTH TO BEARING STRATUM 7, 7, 7, 8' 8' 8' PENETRATION DEPTH INTO BEARING STRATUM 19.4' 19.2' 19.4' 19' 18.7' 18.3' BAR SIZE VERTICAL #8 #8 #8 #8 #8 #8 HORIZ. N/A N/A N/A N/A N/A N/A # of BARS VERTICAL 2 2 2 2 2 2 HORIZ. N/A N/A N/A N/A N/A N/A HORIZONTAL BARS OR SPIRAL BARS N/A N/A N/A N/A N/A N/A SHAFT PLUMB Yes Yes Yes Yes Yes Yes LENGTH OF BARS 29' 29' 29' 29' 29 29' TIME DRILLING COMPLETED 4:15 PM 3:45 PM 3:15 PM 2:45 PM 2:25 PM 1:52 PM TIME CONC. PLACED 4:25 PM 4:30 PM 4:35 PM 4:15 PM 4:10 PM 4:05 PM LENGTH OF CASING N/A N/A N/A N/A N/A N/A TCRRAOY/VC En9ineu; 6eologlslf d fnwnmrnm! SNmNStr DRILLED SHAFT INSPECTION REPORT PROJECT: 11175 W. 40th Ave CLIENT: Corner Stone Foundations PROJECT NO: C083036 TECHNICIAN: Darren Gallant DATE DRILLING: 1-5-09 1-5-09 1-5-09 1-5-09 1-5-09 1-5-09 SERIAL # 7 8 9 10 11 12 SHAFT DIAMETER (Inches) 12" 12" 12" 12" 12" 12" DEPTH (Feet) 26.5 26.7 26.7 26.3 26.5 26.5 BELL DIAMETER (Feet) N/A N/A N/A N/A N/A N/A CONDITION OF BOTTOM DRY DRY DRY DRY DRY DRY DEPTH TO BEARING STRATUM 8' 8' 8' 8' 2' 2' PENETRATION DEPTH INTO BEARING STRATUM 18.5' 18.7' 18.7' 18.3' 24.5' 24.5' BAR SIZE VERTICAL #8 #8 #8 #8 #8 #8 HORIZ. N/A N/A N/A N/A N/A N/A # of BARS VERTICAL 2 2 2 2 2 2 HORIZ. N/A N/A N/A N/A N/A N/A HORIZONTAL BARS OR SPIRAL BARS N/A N/A N/A N/A N/A N/A SHAFT PLUMB Yes Yes Yes Yes Yes Yes LENGTH OF BARS 29' 29 29' 29' 29' 29' TIME DRILLING COMPLETED 2:10 PM 2:10 PM NA 12:28 PM 12:45 PM 12:45 PM TIME CONC. PLACED 4:00 PM 2:30 PM 2:35 PM 2:40 PM 2:45 PM 2:50 PM LENGTH OF CASING N/A N/A N/A N/A N/A N/A /2/Z~OYNC T~ i Sctenlim Eny~m DRILLED SHAFT INSPECTION REPORT PROJECT: 11175 W. 40th Ave PROJECT NO: C083036 CLIENT: Corner Stone Foundations TECHNICIAN: Darren Gallant DATE DRILLING: 1-5-09 1-5-09 1-5-09 1-5-09 1-5-09 1-5-09 SERIAL # 13 14 15 16 17 18 SHAFT DIAMETER (Inches) 12" 12" 12" 12" 12" 12" DEPTH (Feet) 26.6 26.1 26 26 26.1 26.1 BELL DIAMETER (Feet) N/A N/A N/A N/A N/A N/A CONDITION OF BOTTOM DRY DRY N/A N/A N/A N/A DEPTH TO BEARING STRATUM 2' 2' 2' 2' 2' 2' PENETRATION DEPTH INTO BEARING STRATUM 24.6' 24.1' 24' 24' 24.1' 24.1' BAR SIZE VERTICAL #8 #8 #8 #8 #8 #8 HORIZ. N/A N/A N/A N/A N/A N/A # of BARS VERTICAL 2 2 2 2 2 2 HORIZ. N/A N/A N/A N/A N/A N/A HORIZONTAL BARS OR SPIRAL BARS N/A N/A N/A N/A N/A N/A SHAFT PLUMB Yes Yes Yes Yes Yes Yes LENGTH OF BARS 29' 29' 29' 29' 29' 29' TIME DRILLING COMPLETED 3:30 PM 3:45 PM 3:35 PM 2:40 PM 2:05 PM 3:05 PM TIME CONC. PLACED 2:09 PM Poured 1/6 @ 10:10 AM 3:40 PM 3:45 PM 3:50 PM 3:55 PM LENGTH OF CASING N/A N/A N/A N/A N/A N/A TG~R~OY/VC fnyinws, cokyrrn a rmwrnunenror setmrrm DRILLED SHAFT INSPECTION REPORT PROJECT: 11175 W. 40th Ave CLIENT: Corner Stone Foundations PROJECT NO: C083036 TECHNICIAN: Darren Gallant DATE DRILLING: 1-6-09 1-6-09 1-6-09 1-6-09 1-6-09 1-6-09 SERIAL # 19 20 21 22 23 24 SHAFT DIAMETER (Inches) 12" 12" 12" 12" 12" 12" DEPTH (Feet) 26.4 26 26 26 26.2 26.2 BELL DIAMETER (Feet) N/A N/A N/A N/A N/A N/A CONDITION OF BOTTOM N/A N/A N/A N/A N/A N/A DEPTH TO BEARING STRATUM 3' 3' 3' 3' 7' 7' PENETRATION DEPTH INTO BEARING STRATUM 23.4' 23' 23' 23' 19.2' 19.6' BAR SIZE VERTICAL #8 #8 #8 #8 #8 #8 HORIZ. N/A N/A N/A N/A N/A N/A # of BARS VERTICAL 2 2 2 2 2 2 HORIZ. N/A N/A N/A N/A N/A N/A HORIZONTAL BARS OR SPIRAL BARS N/A N/A N/A N/A N/A N/A SHAFT PLUMB Yes Yes Yes Yes Yes Yes LENGTH OF BARS 29' 29' 29' 29' 29' 29' TIME DRILLING COMPLETED 8:40 AM 9:53 AM 9:30 AM 9:05 AM 10:37 AM 11:00 AM TIME CONC. PLACED 10:05 AM 10:10 AM 10:13 AM 10:15 AM 1:20 PM 1:25 PM LENGTH OF CASING N/A N/A N/A N/A N/A N/A TC~/ZAOYN~ Eyinsax, 6mlag/s# d EnNnwurwrMl scknfrm DRILLED SHAFT INSPECTION REPORT PROJECT: 11175 W. 40th Ave CLIENT: Corner Stone Foundations PROJECT NO: C083036 TECHNICIAN: Darren Gallant DATE DRILLING: 1-6-09 1-6-09 1-6-09 1-6-09 1-6-09 1-6-09 SERIAL # 25 26 27 28 29 30 SHAFT DIAMETER (Inches) 12" 12" 12" 12" 12" 12" DEPTH (Feet) 26 26.4 26.3 26.5 26 26 BELL DIAMETER (Feet) N/A N/A N/A N/A N/A N/A CONDITION OF BOTTOM N/A N/A N/A N/A N/A N/A DEPTH TO BEARING STRATUM T T T 3' 3' 3' PENETRATION DEPTH INTO BEARING STRATUM 19' 19.4' 19.3' 23.8' 23' 23' BAR SIZE VERTICAL #8 #8 #8 #8 #8 #8 HORIZ. N/A N/A N/A N/A N/A N/A # of BARS VERTICAL 2 2 2 2* 2* 2* HORIZ. N/A N/A N/A N/A N/A N/A HORIZONTAL BARS OR SPIRAL BARS N/A N/A N/A N/A N/A N/A SHAFT PLUMB Yes Yes Yes Yes Yes Yes LENGTH OF BARS 29' 29' 29' 29'* 29'* 29' TIME DRILLING COMPLETED 11:15 AM 11:31 AM 11:45 AM 11:08 AM 11:31 AM 11:45 AM CONC. PLACED 1:30 PM 1:35 PM 1:40 PM 1:50 PM 1:53 PM 1:55 PM F GTH OF CASING N/A N/A N/A N/A N/A N/A * SPLICED WTI'H I-ft. OVERLAP TCRR~O!'VIC fngineen, Gewagrm a fnNronmenmi Sctmlim DRILLED SHAFT INSPECTION REPORT PROJECT: 11175 W. 40th Ave CLIENT: Corner Stone Foundations PROJECT NO: C083036 TECHNICIAN: Darren Gallant DATE DRILLING: 1-6-09 1-6-09 1-6-09 1-6-09 1-6-09 1-6-09 SERIAL # 31 32 33 34 35 36 SHAFT DIAMETER (Inches) 12" 1'2" 12" 12" 12° 12" DEPTH (Feet) 26.4 26.8 26.7 26.1 26.5 26.5 BELL DIAMETER (Feet) N/A N/A N/A N/A N/A N/A CONDITION OF BOTTOM N/A N/A N/A N/A N/A N/A DEPTH TO BEARING STRATUM 8' 8' 8' 8' 8' 3' PENETRATION DEPTH INTO BEARING STRATUM 18.4' 18.8' 18.7' 18.1' 18.5' 23.5' BAR SIZE VERTICAL #8 #8 #8 #8 #8 #8 HORIZ. N/A N/A N/A N/A N/A N/A # of BARS VERTICAL 2 2 2 2 2 2 HORIZ. N/A N/A N/A N/A N/A N/A HORIZONTAL BARS OR SPIRAL BARS N/A N/A N/A N/A N/A N/A SHAFT PLUMB Yes Yes Yes Yes Yes Yes LENGTH OF BARS 29' 29' -29' -29' -29' -29' TIME DRILLING COMPLETED 8.35 AM 8:56 AM 9:10 AM 9:36 AM 9:55 AM 10:45 AM TIME CONC. PLACED 10:20 AM 10:25 AM 10:20 AM 10:25 AM 10:30 AM 1:55 PM LENGTH OF CASING N/A N/A N/A N/A N/A N/A a k• 3 g '`u k V. \ Z-5 v4• a, to 3~ a • . a q 3r Mr 1 all ►-r rr 41 r9yr ►3 3111l 3w 2111l UZ ~ as ,al~.l a1 at r~ I. y a a` 1s a7 b J 4 ► V 23 Soil Test Hole O Percolation Test Hole O Profile Test Hole 0 Compaction Test Hole Terradyne DEN, Inc. Site Map 15403 E 17th Avenue, Suite E Aurora, CO 80011 303-463-9317 Residence at 11175 W. 40th Ave. Wheatridge, CO 80033 Scale: not to scale Prolect No, C083036 S# 0S 1371~ Mr. and Mrs. Johnson 11155 W. 40d' Ave. Wheatridge, CO 80033 Attn: Mr. Timothy Johnson TCRlW~--A DYA/C Engineers, Geologists 8 Environmental Scientists Terradyne DEN, Inc. 15403 E. 17th Avenue, Suite E Aurora, Colorado 80011 February 12, 2009 Phone: 303.463.9317 Fax: 303.463.9321 www.terradyne.com Subject: Construction Materials Testing and Quality Control Testing 11175 W. 40'h Ave Wheatridge, Colorado Terradyne Project No: C083036 Mr. Johnson, As requested, Terradyne DEN, Inc. visited the above referenced site on February 2ed and 3rd, 2009 for the purpose of testing backfill operations. On our visit, our tests indicated compaction results which are shown on the attached report. If you have any questions, or we can be of further assistance on this project, please contact us at 303-463-9317. Respectfully submitted, Terradyne DEN, Inc. Reviewed by Environmental Engineering 0 Geotechnical Engineering • Construction Materials Testing 0 Civil Site Design • Surveying REPORT OF FIELD COMPACTION TESTS Tested For: Tim and Karen Johnson Project:: Residence at 11155 W 40th Ave T~/tRAOY/V~ _ Erginen, 6eobpm e F 'rmmmnel s_ienrim~ PROCTOR SOILTYPE OPTIMUM MOISTURE(%) OPTIMUM DRY DENSITY(PCF) i A-4 11.8% 121 2 3 4 Telradyne Project No: C083036 Technician: Darren Gallant TEST NO. Texl4nmion ELEVATION DE Pncl"NO IN PLACEDRY ' DENSOY(POD INPLACE MOISTORE('nl OPIIMOMDRY DENSnYPCF) OPTMUM MOISTORE('.K PERCENT I COMP I%) COMMENTS 1 10'N of south wall and 10'W of east wall in garage 3' BG 1 112.0 14.9 121.0 11.8 92.90% 2BD 1.1 Retested #1 after scarification and re- compaction 3' BG 1 117.0 12.1 121.0 11.8 96.7% 2AC 2 10'E of east wall and 7' N of south wall in garage drive wa a ron 3' BG 1 117.4 12.3 121.0 11.8 97.4% 2A 3 3' W of east wall and 2' S of north wall in NE corner of ara e 3' BG 1 115.0 10.3 121.0 11.8 95.0% 2A 4 5'S of north wall and 10' W of east wall in are e 2.5' BIG 1 118.1 10.5 121.0 11.8 95.1% 2A 5 6' VV of east wall and 12'N of south wall in are e 2' BG 1 115.7 11.8 121.0 11.8 95.6% 2A 6 &E of east wall and 12' S of north wall in are a drivewa a ron 2' BG 1 115.0 14.9 121.0 11.8 95.0% 2GD 7 12'E of east garage wall on driveway apron 2' BG 1 115.5 14.7 121.0 11.8 95.7% 2GD 8 12' S of north garage wall and 10' E of east garage wall on driveway 1' BG 1 115.0 12.1 121,0 11.6 95.0% 2A hint- DATE: February 2, 2009 TEST DATA BG=Below Gnule SPECS: N=Nodh F'G--FLU1 Gntle Dry pnnilg>951 MDD EEUVI NUIWo Came.: I-1-2W S=Sanh Respectfully submitted by: SW= South West w=wci Darren Gallant, Project Manager Terradyne DEN, Inc. 15403 E. 17th Ave. Ste. E 951 OR G~TDR OMPACT70N W W 7, ASPH~ F. TEST IS ~R WATER.,DDED - PH: (303) 463-9317 FAX: (303) 463-9321 REPORT OF FIELD COMPACTION TESTS Tested For: Tim and Karen Johnson TC/ZR~OYN~ Project: ; Residence at 11155 W 40th Ave Ere; ~.kV a J EmnwvvrePol k;aN , i PROCTOR SOILTYPE OPTIMUM MOISTURE(%) OPTIMUM DRY DENSITY (PCFJ 1 A-4 11.8% 121 2 3 4 DATE: February 3, 2009 Te(mdyne Project No: C083036 TEST DATA Technician: Darren Gallant TESI'NO. Tcm Lemlan ELEVATION DEPTH" Pnv'or N, PLACE DRY DENSIT DENSITY(KFl IN PLACE MOISTURE(^( OPTIMUM DRY DENSITY PCF) CFl OPTIMUM MOISTURE IS[ PERCENT COM1D'(14) COMMENTS 9 3' E of west wall and 12' N of south wall in garage 3.5' BG 1 116.2 10.5 121.0 11.8 96.01/6 2A 10 2'W of east wall and 2'S of North wall in NE corner of garage 1' BG 1 118.8 12.3 121.0 11.8 98.2% 2A 11 12'W of east wall and 12'S of north wall rlara e 1.5' BG 1 116.3 13,0 121.0 11.8 96.1 % 2A 12 12'W of east wall and 8' S of north wall in garage 2' BG 1 115.1 12.9 121.0 11.8 95.1% 2A 13 4'W of east wall and 12'N of south wall in are e -FG 1 115.8 9.8 121.0 11.8 95.5% 2A 14 2'W of east wall and 2' S of North wall in NE corner of ara e 6" BIG 1 115.7 11.4 121.0 11.8 95.6% 2A 15 MW of east wall and 15' S of north wall in ara e -FG 1 115.6 10.4 121.0 11.8 95.5 % 2A 16 2' E of west wall and 2'N of south wall in SW corner of garage 2' BG 1 116.5 11.3 121.0 11.8 96.3% 2A 17 2'E of west wall and 12'N of south wall in garage 2' BG 1 116.1 10.6 121.0 11.8 96.0% 2A 18 V E of west wall and 5' S of north wall in NW corner of garage 15BG 1 115.3 11.4 121.0 11.8 95.3% 2A 19 5.5'E of west wall and 4'N of south wall in SW corner of ara e 1' BIG 1 116.3 12.5 121.0 11.8 96.1% 2A 20 10'W of east wall and 12' N of south wall in are e FG 1 121.0 13.1 121.0 11.8 100.0% 2A BG. Below Grede FG=blu Grade Respectfully submitted by: Darren Gallant, Project Manager Terradyne DEN, Inc. 15403 E. 17th Ave. Ste. E SPECS: N=Nodh Dry Ntniy:>9$a. MDD E=E:ur Moin[me C-tem: N-1-2% 5=5wIM1 SW= South West w=wea 70 F- ~ ~ ~ WATER ADDED PH: (303) 463-9317 FAX: (303) 463-9321 ~OYNC . e Emlronmemm/ sclmn'm OPTIMUM DRY DENSITY (PCF) 121 C083036 Darren Gallant TEST NO. ELEVATION Pr'.1,T No ] IN P~CE DRY IN PEACE OPTIMUM DRY OPTIMUM 3E(tU PERCENT Cow (q) COMMENTS 21 2'E of west wall and 10- N of South wall in garage FG 1 119.9 9.9 121.0 8 99.1% 2A 1 22 2'S of north wall and 6- E of west wall in NW comeLof garage FG 1 118.4 10.8 121.0 8 97.9% 2A 23 TS of North Wall and 'O'W ' east wall in NE corner fgam~e FG 1 117.6 11.0 121.0 8 97.2% 2A 24 2'W of east wall and TN of south wall in are a FG 1 115.7 13.3 121.0 9 95.6% 2A PIG= aduw Or.& t'0= nvl Grad. Respectfully submitted -by: /ct / 4 Darren Gallant, Project Manager Terradyne DEN, Inc. 15403. E. 171h Ave. Ste. E SPECS: N=Noah Dry D.mity:>958 A1DD E=Emr M.111- Cll~-U I- 1-2q S=S Ih SW= South West W=W.m 1, U. m. IX 95k OR GREATERCOMEACOON 101R~Cnor CREAMS R11 1,, PH: (303) 463-9317 FAX: (303) 463-9321 TCRR~OYNC Engineers, Seologists 4 Environmental scientists Terradyne DEN, Inc. .efll 15403 E. 17th Avenue, Suite E 002 " February 11 2009 Aurora, Colorado 80011 Phone: 303.463.9317 Q Fax: 303.463.9321 www.terradyne.com Mr. and Mrs. Johnson 11155 W. 40`h Ave. Wheatridge, CO 80033 Attention: Mr. Timothy Johnson Subject: Foundation Drain and Damp Proofing Inspection 11175 W. 40`h Ave Wheatridge, Colorado Terradyne Project No: C083036 Mr. Johnson, As requested, Terradyne DEN, Inc., traveled to the above-referenced site on February 9, 2009 for the purpose of inspecting the foundation perimeter drain and damp proofing. Appropriate damp proofing had been applied to all living areas subject to backfill operations. The drain had been installed per the project plans & specs. We at Terradyne appreciate the opportunity to be of service to you on this project, and we wish to thank you for your business. If we can be of further assistance on this or other projects, please call us at 303-463-9317. Respectfully submitted, Terradyne DEN, Inc. Environmental Engineering 0 Geotechnical Engineering 0 Construction Materials Testing 0 Civil Site Design 0 Surveying Reviewed by enderson ngineering L.L.C. 13485 N. TRAVOIS TRAIL PARKER, COLORADO 80138 (303) 841-0983 FAX (720) 851-8726 P,,, oP1350- January 27, 2009 Advanced Floor Concepts 17 S. Gilbert Suite 103 Castle Rock, CO 80104 Fax: 303-531-4174 Re: 11175 W. 40'" Ave., Wheat Ridge, Structural Basement Floor Inspection, Catterson Custom Builders. I inspected the structural basement floor for the above address on 1-21-09. This letter certifies that the floor framing components (beams, mono-posts, beam saddles, and purlin attachments) were satisfactorily installed and are in general compliance with the approved plans. If you have any questions regarding this letter please contact me at (303) 841-0983 Philip Henderson, PE # 33579 INSPECTION NOTICE Inspection Type: Ohinf Job Address: 1017S ire Vasa Ab/E' Permit Number: _ o F13 9„7 } 5,~.~GAdI~ r- i'~'X .L;;~c` snrfa~• ~"us~,~3Z" i3~azd l ~ d -iS~ffTt.v ..F'-<' ,",~n.~G'1~r9~ mar s~J7J~dz^rJF.~7';dyC1 G/~ C ❑ No one available for inspection: Time ; ,,7;0 AM/PM m` Re-Inspection required: es, No "When corrections have been made, call for re-inspection at 303-234-5933 Date: l fl g .Q!Z Inspector: ;,P DO NOT REMOVE THIS NOTICE -?2 )P1.. &A'w ma V fix/ 4,95- 7,15i/ -®scL`vl't,° 'C 2cas°p r i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line f (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: AR/ Job Address: 1117,5' w, Yo 77-1 4~, Permit Number: G7&s,?9,2 „ ❑ No one available for inspection: Time %So AM/PM G A/A, 61, OW-/X Re-Inspection required: ,Y6s-) No When corrections have been made, call forrr/re-inspection at 303-2345933 Date: 4117ld 9 Inspector: . r_ DO NOT REMOVE THIS NOTICE 127-) 22_,V AV /4®5ieMeR 0c*-,57 Page 1 of 1 Melissa Mackey From: Karen Johnson [karensnowj@hotmail.com] Sent: Tuesday, June 16, 2009 1:41 PM To: Melissa Mackey Subject: building permit number 081392 Hi, I am requesting a 180 day extension for our building permit number 081392. We are building a new home on a vacant lot at 11175 W 40th Ave. in Wheat ridge 80033.This project is very time extensive and we have been working steady on it since January but it won't be done for several months at best even though we are concentrating on it every day. Thank you very much, Karen Johnson. We are hoping to get this extension as soon as possible as the building inspector has a request right now to do our framing inspection and it is ready for that. 303 422-2059 Bing'" brings you maps, menus, and reviews organized in one place. Try it now. 6/16/2009 ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: PR.~ c' P1 .o'er 4"'xs P>F6 Job Address: 11175 Vozn' 419', Permit Number: C? lj~2 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes r o E; When corrections have been made, calf for re-inspection at 303-234-5933 P:? Date: 41IS-/® r' Inspector: DO NOT REMOVE THIS NOTICE r CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: f =°-~~i`11c~1 c_ Job Address: 7_774 11_01,5 Permit Number: 1~kI3 A ~ Z ❑ No one available for Re-inspection required: Yes R *When corraions have been made Date: r ! Inspector: AM/PM at 303-234-5933 NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address: ' Permit Number: ❑ No one available for Re-Inspection required: Yes N "When corrections have been made f~ Date: _=71-,~ Inspector: _ DO NOT REMOVE Time AM/PM for re-inspection at 303-234-5933 ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Far INSPECTION NOTICE Inspection Type: sow a'Vf Job Address: /1/73 e0. Permit Number: 67 ~?13 5P'~? -<MA7F.61 CAL S~ c~ id pia 3 ' i~2oyn d`oer: 5;0e ° e 9~sr✓ a s(r iLS sir! G'ts& fib ~f4T i.rily~ ®.r. ❑ No one available for inspection: Time 3'30 AM/PM Re-Inspection required: Yes X1100 When corrections have been made, call for re-inspection at 303-234-5933 Date: 6 ©49F Inspector: DO NOT REMOVE THIS NOTICE 'r ♦ ♦ CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: FsN<~reaad<mvG F4n~t~ Job Address: ,r/7$7 Permit Number: 679V972 E, i ❑ No one available for inspection: Time /f.•~e~ AM/PM Re-Inspection required: es No m "When corrections have been made, call for re-Inspection at 303-234-5933 F Date: 0,V/_V7 Inspector: r ~ DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: /L =CIJL.~vtl,~e! Job Address: e//-7S w • dr W z& Permit Number: &A1> y &1AP aM.~ A,/ Ad-lr ra..up rg dam ,7 ~Jc'r~i7 1.s".d~7 9~`" ScsS• s~,~s;2 AIZ7 fszi. y ti ❑ No one available for inspection: Time =<I 3® AM/PM Re-Inspection required: es No When corrections have been made, call for re-inspection at 303-234-5933 Date: a 2 122 Inspector: t DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE ,-00- Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: _~rsv''~"~~ / - ,7741 -ird i ~vl Job Address: IIt 7< rv . vow rif Permit Number: r?5?73~9 ❑ No one available for inspection: Time %t® AM/PM Re-Inspection required: Yes No "When corrections have been made, call for re-inspection at 303-234-5933 Date: 747A!;? Inspector: 4 DO NOT REMOVE THIS NOTICE ♦~~4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: ///7<,,v, &1vV1,€vLG ❑ 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: ZLI~1~22: Inspect DO NOT REMOVE THIS NOTICE 1 I CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office " (303) 235-2857 Fax INSPECTION NOTICE InspectionType:,,'~T~-rj2l,_ -~/3T? Job Address/Permit Number:///%~ ~J-DGk z ❑ No one available for i Re-Inspection required: "Yes .When corrections have been Date: 9 D~ Inspector: ie AM/PM re-inspection at 303-234-5933 'S NOTICE I 4' CITY OF WHEAT RIDGE Building inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type:tiz~r bc~ff~.r Job Address/Permit Number. ! t t 4 , , 4% r FJS_ f>szr~' t<. ' ❑ No one available for inspection: Time, ; t4 AM/PM Re-Inspection required:. es No = When corrections have been made, call for re-inspection at 303-2345933 Date: Inspector: Al DO NOT REMOVE THIS NOTICE s.. r. City of Wheat Ridge Res. New SFR PERMIT - 081392 r4000r- PERMIT NO: 081392 ISSUED: 12/03/2008 JOB ADDRESS: 11175 W 40th Ave EXPIRES: 06/01/2009 DESCRIPTION: New 3956 sq. ft. home CONTACTS owner 303/422-2059 Tim & Karen Johnson gc 303/679-1751 Ron Catterson 08-0267 Catterson Custom Builders sub -303/670-9171 Harvey Adams 06-0049 Adams Plumbing& Heating Co. sub 303/670-9171 Harvey Adams 06-0049 Adams Plumbing & Heating Co. PARCEL INFO ZONE CODE: UA USE: ua SUBDIVISION: us BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 410,045.83 FEES Permit Fee 3,556.03 1, ~1,,,ry Plan Review Fee 2,141.07 .(;V/~(ltnr( Plan Review Addtiona 170.35 Total Valuation .00 Use Tax. 7,380.82 TOTAL 13,248.27 V Conditions: JS: Approved with red line notes. Must comply with 2003 IRC, IECC, & 2005 NEC. Subject..to field inspections. JH:OK per attacehd memo A-1. DFB: Site drainage will be inspected prior to C/O by Public Works, to ensure no negative impact to neighboring properties. 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 as ut~ responsibility for compliance with th _the Wheat Ridge Building Code (I.B.C) and all other app is ble Wheat Ri or for der this ' permit. Plans / 7ect to field inspection. t"'~iSign&ture of contractor/q4er I dat 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3, If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violatr$gn of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review to field inspections. Signature of Chief urzrcrai aace INSPECTION REVEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE. MADE BY 3PM ANY BUSINESS; DAY: FOR INSPECTION THE FOLLOWING. BUSINESS DAY. of ""~rR City of Whet Ridge Building Ctivisio,,' °m 7500 W. 29th Ave., Wheat Ridge, CO 80°, ~3 Office: 303-235-2855 * Fax: 303-235-2851 o Inspection Line: 303-234-5933 OCORA~ Building Permit Application ~d 33 Property Address: it f 5 wje,5 1~ t~', AL) R- Property Owner (please print):: T_L)~-L9 T©h )1 -DO P, Phone: 3-9) 7 z-1 26-~-7 Mailing Address: (if different than property address) Address: 1::4 /4 L) le City, State, Zip: Contractor: U 0)l LOr )E5C`A Contractor License Phone: d3 r'-~ ~S~ Sub Contractors: Electrical City License Company: Exp. Date: Use of space (description): Description of work: Plumbing City License O(e' 6Y~l Company hcb-kn4 p(Ltmbirl. Exp. Date: Date: ' l - O Plan #:0, Permit 09 Mechanical City License it, OL nw Company:A646U s P(L'1Y)hP62Q Exp. Date: qI LT I Construction Valm (as calculated per the ! / e ( . ' Plan Review (due at time ofsubmittao: Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY BUILDING DEPARTMENT C MENTS: lfPJU V~~ Wr/rt R"°~'r ~~~UOCCUPANCY: RevieweI[ 11 A 19 1 FIRE DEPARTMENT:: proved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $ ♦~dd City of WheatPjdge PUBLIC WORKS Date: l t i17 Lb $ SINGLE FAMILYIDUPLEX BUILDING PERMIT APPLICA TION RE VIE W Location: l 11-75 &d. 410 4, 4L .4Ll Us ATTENTION: BUILDING DEPARTMENT I have reviewed the submitted application documents to construct a J F_?1 to be located at the above referenced address. Please note the summary comments below. 1. _Z Drainage a. Proposed Grading/Drainage Letter & Plan required: _Yes No b. Lot drainage/grading to be reviewed by Building Division: c. Site drainage/grading plan have been reviewed and are: OK _ NOT OK; refer to stipulations. 2. ✓ Public Improvements to be completed: a. street paving/patching: _ Yes _AZ No b. curb & gutter: - Yes L,-No c. sidewalk: Yes _L,-No If not, the amount of escrow taken: $ ::L 1!f_- Items escrowed for: AI ~4= The Planner informed of the Escrow Agreement: AX 3. j// Does all existing roadway/alley R.O.W. meet the standards of the City: ✓Yes No If not, what is required? s¢ If R.O.W. is required, has the deed been received: Yes No 4. APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the above and/or attached stipulations. Signature David F. Brossman, P.L.S. Date 5. U 14 NOT APPROVED: The Public Works Department has reviewed the submitted material and does not approve this Permit Application for the reason(s) stated: Signature David F. Brossman, P.L.S. Date 6. ✓ Stipulations: 2A v vA~ E w t t~ t3 E !iu s eoEG aV P44.)- Pe,c~2 3O C 0 A/D &C-7 IAe,4ATiT TD SU--&6GPV7- PAOF~T/6 . 7. A111- A Drainage Certification Letter accompanied by As-Built plans shall be required prior to the issuance of the Certificate of Occupancy. 8. NOTE: ANY DAMAGE TO THE EXISTING PUBLIC IMPROVEMENTS AS A RESULT OF THIS CONSTRUCTION IS TO BE REPAIRED TO MEET CITY STANDARDS BY THE PERMIT APPLICANT PRIOR TO THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. oars City of WheatP, dge PUBLIC WORKS City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 Date: Applicant: Phone # Location of Construction: 111-7S [j • y0 Purpose of Construction: 5 ti&44E i,4~ticc~ .~E57T~CA~ Single Family _)w_1 Commercial Multi-Family Development Review Processing Fee: $100.00 D $ L0010 (For document processing) Single Family Residence/Duplex Review Fee: $50.00 $ $O • OO Commercial/Multi-Family Review Fees: • Review of existing technical documents: $100.00 $ • Initial review' of technical civil engineering documents (Fee includes reviews of the 1 ' and 2nd submittals): $500.00 $ • Traffic Impact Study Review Fee: (Fee includes reviews of the 1" and 2"d submittals): $400.00 $ • Trip Generation Study Review Fee: $200.00 $ 'Each Application will be reviewed by staff once and returned for chan ges. If after review of the second submittal changes have not been made to the civil documents or the Traffic Study as requested by stall, further reviews of the Application will be subject to the following Resubmittal Fees: • Resubmittal Fees: 3`d submittal (%z initial review fee): $250.00 $ 4u' submittal (full initial review fee): $500.00 $ All subsequent submittals: $500.00 $ (Full initial review fee) TOTAL REVIEW FEES (due at time of Building Permit issuance): $ /so-06 PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE ADDITIONAL LICENSING AND PERMITTING FEES REQUIRED FOR CONSTRUCTION OF IMPROVEMENTS WITHIN PUBLIC RIGHT-OF-WAY. Signature of Applicant erwlbl-~ Date Q~ www.d.wheatridge.co.us Rev 2/08 Nov 20 08 08:56a Ron Catterson 303.679.3035 p.1 11/18/2008 11:45 FAX 8032352857 rrnn^... City of Wheatpic~e J PUBLIC WORKS City of Wheat Ridp Municipal Building 7500W.29e'Ave. WhestRidMCO 8003 400 P:303.23SM61 F:303235.2557 Date: j f 1 jJ1 11qj- 4C 3N , ?3 v 11 ~ r y Applicant L'j~7 Phone 9 3 t5j °ic~'1 157 Location of Construction: I llIS LJ !V-64-4- Purpose of Construction: 5i NGtc FiFsYssc ROE-,-r. ac----~ Single Family X_ Commercial Multi-Family DeveloomentReviewprocmineFete _.........................,.$]00.00 $ ~QO.00 (For document processing) Single Family Residence/Dnolex Review Fee• $50.00 fommueiaUMultl•FamLro Review Fees, • Review ofe%istlog technical documents: $190.00 . Initial review' of technical civil engineering documents (Fee includes reviews of the I' and 2"4 submittals): 5500.00 . Traffic impact Study Review Fee: (Fee includes reviews of the In and 2"e stftnittals) 5400.00 • Trip Generatica Study Review Fee: 5200.00 g~a.oD S S S Each Application will be reviewed by staff once and resumed for changes. Ifa9er review of the second submittal clraages have not been made to the civil documents or this Traffic Study ae requested by staff, further reviews afthe Application wil3 be subject to the following Resubmitted Peer: • Resubmittal Fees' . Ta submittal CA initial review fee) 525400 $ 0 submittal (fail initial review fee) $500.00 $ Allsnbsegttentsubmittals:....................... ._...._...._.$500.00 $ (Full initial review fee) TOTAL REVILW FEl✓' S (due at time of Building Permit issuance): PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE ADDITIONAL LICENSINO AND PERblIT17NG FEES REQUIRED FOR RIGHT-OF-WAY. Signature of Applicant Date www.d.*hestridge co.us Rev V08 City of W heat Wdge PUBLIC WORKS APPLICATION FOR MINOR GRADING/FILL PERMIT APPLICANTS NAME: I'tT I- ) lC rf I- ~ ns0n APPLICANT'S ADDRESS: (Include City, State, Zip) 9 r d ADDRESS OF FILL: bV Yot-h ,4 U ~ w n C4 t DATE OF APPLICATION: 08 All permits shall be applied for through the Public Works Department. An approved permit is effective for a period of one (1) year from date of issue and may be renewed. All fees shall be in accordance with those fees established by the Uniform Building Code or other applicable City adopted Resolutions or Ordinances. Note: All public improvements, when constructed, shall be maintained (by the respective individual(s) and/or company responsible for the construction of that public and/or private improvement in the respective development) on a daily basis, or as needed, such that they are free of mud and other construction debris tracking from the site. Failure to comply with this requirement will result in the enforcement of Article III, Specified Nuisances, Section 15-16 (4) of the City of Wheat Ridge Code of Laws. MINOR GRADING, EXCAVATION, AND FILL PERMITS 1-50 Cubic Yards: No permit is required for dumping or excavation of earth materials, which do not exceed 50 cubic yards, provided, however, that any fill deposited is on natural terrain of less than three (3) horizontal to one (1) vertical slope, or such fill is less than three (3) feet in depth and is not intended to support permanent structures, and in addition, such fill or excavation does not obstruct or otherwise adversely affect any drainageway. Should any of the above standards be exceeded, or a drainage way be affected, a permit shall be required under the guidelines for No. 2. 2. 51-500 Cubic Yards: Dumping or excavation of earth materials not exceeding 500 cubic yards may be allowed with a permit approved by the City Engineer. All applications are to be submitted on the appropriate completed application form and shall be accompanied by the appropriate fee and sketch plan indicating the following information before the permit will be issued. A. Location and dimensions of all property boundaries and structures on the site. B. Location and extent of areas to be filled and/or excavated. C. Location of existing and proposed drainageways, irrigation ditches, etc., and indication of how and where historic run-off will be maintained on and through the site. D. Cross-section area to be filled and/or excavated indicating original slope, new slope and depth of fill. E. Statement that indicates the proposed use or purpose for said fill or excavation. F. Relative elevation of adjacent properties. G. Erosion control plan showing placement of control devices such as hay bales, etc. 5. Permit Fees* 50 cubic yards or less 51 to 100 cubic yards 101to 1000 cubic yards for the first 100 cy $23.50 $37.00 $37.00 plus for each additional 100 cy or ~z ~n fraction thereof -cy X $17.50/100cy 1001 to 10,000 cubic yards for the first 1000 cubic yards $194.50 plus, for each additional 1000 cy or fraction thereof cy X $14.50/l K cy Total Cubic Yards = *Wheat Ridge Code of Laws Section 5-76. TOTAL Amount = $ ZLLa V All permits shall be applied for prior to fill deposition or excavation operations begin. Any permit applied for after cutting or filling operations on site are in progress shall be subject to a double fee and other penalties as prescribed by Wheat Ridge Code of Laws, Section 26-1004. Any fill requested under this permit within the 100 year flood zone MUST COMPLY WITH WHEAT RIDGE CODE OF LAWS, SECTION 26-801, FLOOD PLAIN ZONING ORDINANCE. I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT AND UNDERSTAND THAT I CANNOT START THIS PROJECT UNTIL THIS APPLICATION IS APPROVED. I SHALL COMPLY WITH THE LAWS OF THE STATE OF COLORADO AND WITH THE ZONING REGULATIONS AND BUILDING CODE OF THE CITY OF WHEAT RIDGE. ANY VIOLATION OF THE ABOVE TERMS WILL CAUSE 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: AG c5 ~ A licant's Signature 101- - Ow Br's Signature (if d Brent than above) CITY OF WHEAT RIDGE: City Engi 67 neer 54 1~1 r- Appr laov Date 1\FORMS&LEITERS\"Ps&PERAgiS\Minor Grading&Fill Pe.. icdoc 3 Rev 03/08 City of " N Wheat~dge /COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29'" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 Plan Review Calculation Sheet Review Date: Project Address Project Description: jVEQ s1nf rq)~ i:n- m/ty 6~ lC'- Gen. Occ. TypT _3 Occ Tyne/Item Sq. Ft./Unit 015AIez) offq t t q-SD Cost per SF/Unit 13,43 3cma 9'Z, 4-b 00 ~Sq `7 17 Total Valuation $ 15, D31, ZPo $ `1, 31q, 35- $ 3)un $ [55 432- $ ? Z~, SZ $ Total Project Valuation = Review Notes: 11'C w.ei.AN hi lo'idge.mu' $ $ DDS. 003 M„9 ZUON ,OV'00z N a N a Z 1-7 „8/£ Y C 00 co m ~ O ~ ,~0 ,et'eeZ °wc3 m z AD~~ N -1 O N ~7 Z 0 ~ 0 CT1 M (D M D Cn <0 Omm O z 0 m V yC ) D zm SN 7 inn 40, Nee°22'46" W - * le 11 City of ]�qrWh6atl) ie COMMUNin DEVELOPMENT mlam it'll 111 ''ll � "I'll Iiii'lliflumlalm mrsinm I AUTHORIZED BY: 4LI DATE: It I- SEM!�� I www.ei.wheatridge.co.us ' City of A Wheatj~dge ComMUNITY DEVELOPMENT Memorandum TO: Building Permit File FROM: Jeff Hirt, Planner DATE: November 18, 2008 SUBJECT: 11175 West 40`x' Avenue The new single family dwelling at the above address is approved with the following comments and conditions: 1. As this is currently a vacant lot without an address, an official address notification for the above address will be done by the Community Development Department. 2. Access into the subject lot is acceptable per the access easement shown on the survey submitted. 3. The driveway and parking areas are not required to be paved as this lot is zoned Agricultural One (A-1) per Sec. 26-501.D.1 of the Code of Laws. 4. The project is subject to the landscaping requirements set forth in Sec. 26-502 of the Code of Laws for single family dwellings. This includes 1 street tree per 70 feet of lot frontage (165' of lot width = 2 trees), 100% of the front yard to be landscaped exclusive of drive and walkways, and 25% of the overall lot must be landscaped. J ft Address: 11l7S W ' ofq Ave, Residential Worksheet Zoning: A-[ Property in the flood plain? N0 Lot Size: 301W-3, 87 sq. ft. ok 1044 ZG - Ito. Maximum Lot Coverage: I r Proposed Improvements: House: 39 rlo Addition to House: Shed: Detached Garage: sq. ft. sq. ft. sq. ft. sq. ft. Proposed Lot Coverage: (Total) 13 % 7 Ca sq. ft. Existing Improvement(s): 6Vc4Cc4tf) House: sq. ft. Shed: sq. ft. Detached Garage: Other: sq. ft. -31 grfo sq. ft. sq. ft. Required Setbacks: FR 30 S S ~f- R f l' Provided Setbacks: FR 14. (o S 3h• f S ?I.(- R )3-57' Maximum Height: 3 ' ft. Maximum Size: Armt -71 V sq. ft. Proposed Height: < 7,2,' ft. Proposed Size: 3/ 956 sq. ft. Access Notes For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. V%Df 5(4)ecf tO SJc A-1~ f*t 2, G" ~a~ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. For all uses, one access point per property is permitted. Landscapine Notes For one-and two-family dwellings, one tree for every 70 feet of street frontage is required. 100% of the front yard an % of the entire lot must be landscaped prior to issuance of C.O. Street trees required: 2 Street trees provided: Lot Width: 1 ~0S' 16 ft. FROM :WESTRIDGE SANITATION FAX NO. :303 424 2628 Dec. 17 2008 09:19AM P1 12/1WQQQ9 09-53 0004242200 WHEATRIDGESANITATION 12i16/ZUUN tb;34 ra.r dv44 PAGE 01 L Z CITY OF WHEAT RIDGE CERTIFICATE OF WATER AND SEWER SERVICE AVAILABILITY - -r-- SEWER Name of District: Individual Septic Permit No. (y-6ewer Service Available ,ea bak1u.J Comments or Signatura ofAuthotimted Agcat Sewer Service Not Available is as Jefterson County Health Department (1IF SEPT*.C) Autbotized Signature Date- Name of District; WATER Water Servi-eAva0able Colorado Well Permit No. Water Service Not Available Comments or Conditions: I hereby certify that availability of service is as indicated above 4igaaturo of Authorized Agent Date Jefferson County Ileailb Department (IF WELL) Authntized 3igoatute Date :Note to Applicant: A building permit will not be issued without this Certificate signed by the District of Agency supplying Services. This CUM= expires ps:gye@t;from date Qf up-royal by authorizing agent. 12.-16/2008 16:35 FAX 3032352857 PLANNING 3032352846 11001 **~$**~a*e*s:s*x*ss*~* * * TX REPORT *:*s TRANSMISSION Oft TX/RX NO 0760 DESTINATION TEL # 93034242280 DESTINATION ID ST. TIME 12/16 16:34 TIME USE 01'03 PAGES SENT 1 RESULT OR 22 CITY OF WHEAT RIDGE CERTIFICATE OF WATER AND SEWER SERVICE AVAILABILITY Note to Applicant: A building permit will not be issued without this Certificate signed by the District or Agency supplying services. This Certificate expires one year from date of approval by authorizing agent. Job Address Legal Description Owner Telephone 8 SEWER . Name of District Individual Septic Permit No. ( ) Sewer Service Available Sewer Service Not Available Comments or I hereby certify that availability of service is as indicated above. Signature of Authorized Agent Date Jefferson County Health Department (117 SEPTIC) Authorized Signature Date WATER Name of District: Colorado Well Permit No. Z2~ CITY OF WHEAT RIDGE CERTIFICATE OF WATER AND SEWER SERVICE AVAILABILITY Note to Applicant: A building permit will not be issued without this Certificate signed by the District or Agency supplying services. This Certificate expires one year from date of approval by authorizing gent. c~ Job Address Individual Septic Permit Sewer Service Not Available SEWER Name of District: ( ) Sewer Service Available Comments or Conditions: I hereby certify that availability of service is as indicated above. Signature of Authorized Agent Jefferson County Health Department (IF SEPTIC) Authorized Signature Date WATER Name of District: O Water Service Available Comments or Conditions: I I hereby certify that availability of service is as indicated above. Signature of Authorized Agent Date Jefferson County Health Department (IF WELL) Authorized Signature Date. 11',, /0 8 Date Colorado Well Permit Water Service Not Available Owner Address Telephone -to y r Y U C J®° its] ~ mw a m0 m•O~'aN+q~ abo 41 no WW T S o 5 W OC ° a o a ai § bp 5°CB .S E3 0 5 ° y7 y 'g am a sr ~r ~7 00 en w a 5 Q ~a ~r 40 U'~ Y d 17 •y 'O 0 .p~ Q 0. ,,,a QG• 7 «cc°y W N d F 'OW 1 b W"jlHC ° Cad 3 ~ ° p ~ y ~ W .5 ~ W y TJ y~ y ,gyp rn L 4s A Its 12 -s °w`g040.°'e>'GOi'T~d a0offi uE" 300«~ a 100~. ~ II1 1. C 9 dQm •g d bb ~«:o „~80 01I .0 y $ ; WO-00t b +ogee d bi °0YJa ~ « U8 in 4 11 1.0's cs 9-04 ` Sa e 1,90 1 aa ~ S~ E€ w M an 8 o~v o$-5PG d ba 0'ww° ao m «tr' 9 `4 b -,02 g= x ~'o a B'o O 3 r3$ °oO « y ° eD aai it w ~ is U u = y o 'm 5 `rd a°~ o pp~~ ueS v~OO5O0 O o aS O'm m,~ o ,fl a q (/l m o O '°d y p 5 y H •ffi 3 0 19 e no y eC e e p o o p ~''qd y e 03 C~ d s a O Y~ > A ag) ~ G Z e' 0 W ~E W{ 5~ CC d' ~ y~ M Y O 00 ^ m 5 8 m a o a"S A o y 9 0-0 .a O v s d A .0 1a 4 a3 as~1 CFJ4niY. m RU.3 6as~. '3F ~A•a aF.ea a W h O 2; O O UD O Zr~Q y O Y rC O a I I ~*c ~0+ v e N y '4 B Y l. E A S « 3 p N N ~ ° o N ° v F 3 d A O d~ 3 Exhibit A The North 200.4 feet of the West one-half of Tract 4, Brookside, according to the recorded Plat thereof, County of Jefferson, State of Colorado. Together with: That portion of Plot 4, Brookside Subdivision, City of Wheat Ridge, Jefferson County, Colorado, described as follows: Beginning at the Southwest comer of the North 200.40 feet of said Plot 4, which point lies 1127.62 feet Northerly of the South line ofthe Southwest one-quarter of Section 21, Township 3 South, Range 69 West ofthe 6'" P.M.; thence S.0°23'21"E. along the West line of said Plot 4 (based on the assumption that the South line of the Southwest one-quarter of said Section 21 bears S.89°13'01"W.) a distance of43.63 feet; thence N.57°09'26"E. a distance of 81.77 feet to a point on the South line of the North 200.40 feet of said Plot 4; thence S.89°24'06"W. along said South line a distance of 69.00 feet to the point of beginning. Also known as Tract B, Applewood Village Estates Subdivision, City of Wheat Ridge, County of Jefferson, State of Colorado. Ca) C- 0 0 -4. CS) m CYI M: Cn ND E9'£V 200.40' I O 500°23'21" o N 7[J ~ Z ~ c/I O -4. co m D Cn m C D O m m O o z 1 - ~ m m 0 z ~f p Z o \ er 1 .D 94.6 % S J ~ i %i C Y IT ~ / I UD n -tom Z h7n \ bK / V i (D < \ 33 5' . Es! / 2 A i % T J ~ V) 200.40' '46"W ° 22 NO0 D --A m z W ~ = L CL) r l 0 z p> U) N -1 O N ~ ~ z 0 ~ 0 cs,Osm co m D Cn n <0 O m m z 0 m U) D zm J ~D w C WIn 4CY NO0°22'46"W T -r 4 S S S S S Cpl CA) C- co z (31 O Cz N --i o N z 0 cs,O~m co m D Cl) <0 n m m O z (7 m V U) ) V D ~ zm w n An, NOU Ld'4b"W (4co rCity of Wheat Ridge Building Division Date: I l~° m 7500 W29thAve., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 Plan Inspection Line: 303-234-5933 Permit Building Permit Application Property Address: r f 1 tJ ✓Vje-5r Q ~FU Cj Property Owner (please print)::Tj M I h!l rP f) 7©~ V~) 50 1-1 Phone: 330, Mailing Address: (if different than property addre(ss) Address: b5 Wes y C Q t A u t City, State, Zip: i, AJ n (q f" lick-e I v ~f0i) j Contractor: U L) b Contractor License Phone: 3'Idv 3 - ~ ~ ) PJ9) ors: -~1' ~L~O Sub Contract 4 Electrical City License Company: Exp. Date: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Approval: h Construction Value: $ ir, 1R!(R (as calculated per the Suilding Valuain Data sheet) Plan Review (due at time of submittal): t~ ~~i0.rL [n Use of space (description): `\fcl T 1 W Description of work: Sq. Ft./L.Ft added-.3q k-7 Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: ZONING COMMENTS: Zoning: Reviewer: DEPARTMENT USE ONLY -SSE fF7T/~~ SLf~Tc75 - PUBLIC WORKS COMMENTS : S!Tsr )?Illf~l N.¢G~ W/K ~E .4.USPEt.71Eb ?R-la/p- ';ro Reviewer. G.C. By !-W Tc J .AJSW2E AJ.0 /~EG• /a,P.acr7a A14-461 11/17/69 • NE?lshF'~6~2,d N6 OACIP409,7-7es . BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: O approved w/ comments O disapproved D no review required City of t~ Wheat -Midge COMMUNITY DEVELOPMENT Memorandum TO: Building Permit File FROM: Jeff Hirt, Planner DATE: November 18, 2008 SUBJECT: 11175 West 40`x' Avenue The new single family dwelling at the above address is approved with the following comments and conditions: 1. As this is currently a vacant lot without an address, an official address notification for the above address will be done by the Community Development Department. 2. Access into the subject lot is acceptable per the access easement shown on the survey submitted. 3. The driveway and parking areas are not required to be paved as this lot is zoned Agricultural One (A-1) per Sec. 26-501.D.1 of the Code of Laws. 4. The project is subject to the landscaping requirements set forth in Sec. 26-502 of the Code of Laws for single family dwellings. This includes 1 street tree per 70 feet of lot frontage (165' of lot width = 2 trees), 100% of the front yard to be landscaped exclusive of drive and walkways, and 25% of the overall lot must be landscaped. J Fh Address: 11(7S vv ~011 Ave Residential Worksheet Zoning: A-1 Property in the flood plain? U0 Lot size: 30/W-J, 67 sq. ft. ok 104A 2- 6 -1Lo,9 Maximum Lot Coverage: Z S_ Proposed Improvements: House: 3' Addition to House: Shed: Detached Garage: sq. ft. sq. ft. sq. ft. sq. ft. Proposed Lot Coverage: (Total) 13 % 7 (D Co sq. ft. Existing Improvement(s): (VdCcWf ) House: _ sq. ft. Shed: sq. ft. Detached Garage: sq. ft. Other: sq. ft. 9t(p sq. ft I f I Required Setbacks: FR 30 S 1 S (F R (r Provided Setbacks: FR 9 4• Co S 1 (o• l S 3;. r R )3-S t Maximum Height: 3 S ft. Maximum Size: 0,)MW7f lfS6 sq. ft. Proposed Height: 22 ' ft. Proposed Size: 34 75& sq. ft. Access Notes For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A f 5t4)C1+ J-b X C A - 11 PK 2l0- Safi J For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. For all uses, one access point per property is permitted. Landscaping Notes For one-and two-family dwellings, one tree for every 70 feet of street frontage is required. 100% of the front yard an % of the entire lot must be landscaped prior to issuance of C.O. Street trees required: Street trees provided: Lot Width: IBS' I6 ft. of ""`qTq City "heat Ridge Building Division °m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-235-2857 0 o Inspection Line: 303-234-5933 O~ORPO Building Permit Application Property Address: i tj W O ALA 2 Property Owner (please print): 0 3; Z2, Mailing Address: (if different than property address) L Address: ) F5 Q ~H A use r~ City, State, Zip: I. A,/ A e 9 I (~~G Q l T C) Contractor: Cq Contractor License Phone: 3 d3 ` / q✓ Sub Contractors: Electrical City License Company: Exp. Date: Use of space (description): [W~KP C h 7"f `i Description of work: 1'ye Wrne~~> Sq. Ft./L.Ft added:l Squares Plumbing City License Company Exp. Date: Date: l/ d Plan ~C Permit Phone: Mechanical City License Company: Exp. Date: Construction Value: $ ICJ' (as calculated per the Building Valuat on Data sheet) I Plan Review (due at time of submittal): $ of (=,t-1 I -h IC? ° flan BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer., OL fe, a+.(-,4chcd mewty I (r (B (Od PUBLIC WORKS COMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $ R&D PIPELINE CONSTRUCTION.INC. 10200 W. 26TH AVENUE LAKEWOOD, CO 80215 (303) 237-9974 Sold Ship to to Tim Johnson 11175 West 40th Avenue Wheat Ridge, CO 80033 Invoice: 08-26-1 Water Service 11175 W. 40th Avenue Wheat Ridge, CO 80033 Invoice Account P.O. Num_ ShiD Via Shio Date Terms Date _ _ Paae -TIM08-26 08-26 Net 10 8/5/08 1 Unit Extended Item uanti Description Price Price 1 Excavate Water Main, Install Water Service at 11175 West 40th Avenue 2950.00 2,950.00` i _ t ~J . means item is non-taxable Subtotal 2,950.00 Total $2,950.00 -fit Sch edJe ~ap cA U 33 -to.) F l w ^'.i.:.. i Ali s.. i. . r~ i.. .'F 1: ~.vei a ' ?i ~ ',.P i 4 i _iC t.' i. ,.I• ` 1 !r'._, s.. r ` 1 . WESTRIDGE SANITATION DISTRICT 3705 Kipling Street - Suite 101 Wheat Ridge, Colorado 80033 Phone (303) 424-9467 Fax (303) 424-2628 November 7, 2008 Ms. Karen Johnson 11155 W. 40th Avenue Wheat Ridge, CO 80033 RE: 11175 W. 40th Avenue, Wheat Ridge, CO 80033 Dear Ms. Johnson: Reference is made to your request regarding proposed building of a single-family residence at the above address, which is currently undeveloped. The referenced address is within the boundaries of the Westridge Sanitation District. The Westridge Sanitation District can serve the proposed development of this site subject to compliance with all applicable District Rules and Regulations and subject to availability of downstream capacity at the time of actual formal application for sewer connection permit. Before a permit will be issued, the District must complete a "Certficate of Water and Sewer Availability" for the City. Several items from the drain layer doing the work must also be on file in the District office before a permit will be issued. I am enclosing a sheet with information on what is required. Please note that District tap fees will increase January 1, 2009. If you have any questions regarding this matter, please contact meat the number above. Note that office hours are 8:00 a.m. - noon. Sincerely, Kim Dahlin Office Manager enc: Information sheet ~F WHEgT P 7500 West 29th Avenue The City of m Wheat Ridge, Colorado 80033 Wheat Ridge 303/235-2846 Fax: 303/2355-285 -2857 ~ocoRnoo November 20, 2007 To Whom It May Concern: This letter is in regard to the addressing of vacant property owned by Karen and Tim Johnson located within the City of Wheat Ridge. A building permit will be issued for the land described in the attached legal description as 11175 W. 40°i Avenue. Notification to the Jefferson County Assessor's office and pertinent service agencies will occur when the building permit is issued. If you have questions or need clarification, do not hesitate to contact me at 303-235-2848. incerely, Meredith Reckert, AICP Senior Planner 08/29/2005 12:13:42 PM bm YV Exhibit A File No.: 232-H0072530-050-JUD, Amendment No. 1 The North 200.4 feet of the West one-half of Tract 4, Brookside, according to the recorded Plat thereof, County of Jefferson, State of Colorado. Together with: That portion of Plot 4, Brookside Subdivision, City of Wheat Ridge, Jefferson County, Colorado, described as follows: Beginning at the Southwest comer of the North 200.40 feet of said Plot 4, which point lies 1127.62 feet Northerly of the South line of the Southwest one-quarter of Section 21, Township 3 South, Range 69 West of the 60' P.M.; thence S.0°23'21"E. along the West line of said Plot 4 (based on the assumption that the South line of the Southwest one-quarter of said Section 21 bears 5.89°13'01"W.) a distance of 43.63 feet; thence N.57°09'26"E. a distance of 81.77 feet to a point on the South line of the North 200.40 feet of said Plot 4; thence S.89°24'06"W. along said South line a distance of 69.00 feet to the point of beginning. Also known as Tract B, Applewood Village Estates Subdivision, City of Wheat Ridge, County of Jefferson, State of Colorado. `11~ 1 CIty Of "~Wheat -~idge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.2352846 F: 303.2352857 November 18, 2008 OFFICIAL ADDRESS NOTIFICATION NOTIFICATION is hereby given that the following address has been assigned to the property/propeRies as indicated below: PROPERTY OWNER(S): Timothy & Kazen Johnson 11155 W 40`h Ave Wheat Ridge CO 80033 OLD ADDRESS: Vacant land NEW ADDRESS: 11175 West 40`h Avenue Wheat Ridee CO 80033 (sinele-family residence) SUBDIVISION: Brookside LOT(s) BLOCK 4 KEY E PARCEL NO(S): 39-213-03-053 NOTES: AUTHORTZED BY:~ti /I / rM ll DATE: DISTRIBUTION: l. Property Owner 2. Jefferson County Assessor, ATTN: Data Control, 100 Jefferson County Parkway, Golden, 80419 3. Jefferson County Mapping, ATTN: Addressing, 100 Jefferson County Parkway, Golden, 80419 4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, 80033 5. Xcel Energy, ATTN: Correspondence, P.O. Box 840, Denver, 80201 6. Qwest Communications, Attn: Shirley Campbell, 12121 Grant Street, Room 601, Thornton, CO 80241 7. Comcast, Attn: Jon Alvino, 6793 W. Canyon Ave., #13C, Littleton, CO 80128 8. Water District: Consolidated Mutual 9. Sanitation District: Westridge 10. Fire District: Wheat Rid¢e 11. Wheat Ridge Planning Division 12. Wheat Ridge Building Division 13. Wheat Ridge Police Department 14. Log File 15. Other: NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: DATE www.ci.w h eatrid ge.co. u s