HomeMy WebLinkAbout6760 W 30th Avenue� � 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: 14%��
Job Address: i I V) 1•i PINE—
Permit
IUE-Permit Number: '2,011 lD`15 4.5
❑ No one available for inspection: Time J -a = 0 Iv AM PM
Re -Inspection required: Yes No
When corrections have been made, call f "e -inspection at 03-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE TMJ
City of Wheat Ridge
Residential Roofing PERMIT - 201709545
PERMIT NO: 201709545 ISSUED: 12/12/2017
JOB ADDRESS: 6760 W 30th AVE EXPIRES: 12/12/2018
JOB DESCRIPTION: Residential reroof remove and install Owens Corning asphalt shingles with
redecking 16 sq. pitch=4/12.
*** CONTACTS ***
OWNER (303)233-1051 KEITHLEY PATRICIA ANN
SUB (303)431-8972 Ken Penny 019489 Penny Enterprises
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,800.00
FEES
Total Valuation 0.00
Use Tax 142.80
Permit Fee 156.75
** TOTAL ** 299.55
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
0
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201709545
201709545
6760 W 30th AVE
ISSUED: 12/12/2017
EXPIRES: 12/12/2018
Residential reroof remove and install Owens Corning asphalt shingles with
redecking 16 sq. pitch=4/12.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the properly and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O Eer CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original ermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief'Building Official _� Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
YYUYUSAL
Penny Enterprises
ROOFING & CONSTRUCTION
8850 W 50th Avenue, Arvada CO 80002 - Mobile 303-523-4473 - Fax 1-866-329-6489
Email: KTPenny@katewwdb.com
Date:
December 8, 2017
Proposal submitted to:
Work to be performed at:
Name: Patricia Keithley
Street: 6760 W 30'hAvenue
City: Wheat Ridge
Street: 6760 W 30 Avenue
City: Wheat Ridge
E-mail:
Contact Person:
Other:
State: CO Zip: 80214
Telephone: 303-233-1051
Remove roof to deck on Home
Apply new felt, drip -edge, gutter flashing and ice/water shield at eaves
Install pipe jacks, turtle vents and furnace vent cap
Install Owens Corning Tru Definition Duration roof system to Home
Limited Lifetime Warrantv
Color: Antique Silver
Apply 7/16" OSB sheathing
Post Permit*
Cleanup -and haul away all trash created by abovework
Work carries a 5yr workmanship warranty
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for the above work and completed in a substantial workmanlike manner for the sum of:
Dollars ($ 6,800.00
Six Thousand Eight Hundred *Plus cost ofPerrnit
With payments to be made as follows:
Upon completion of above work — K.ev� Pevw,
Respectfully submitted
Any alteration or deviation above specifications involving extra costs will be per
executed only with a written order, and will become an extra charge over and
above the estimate. All agreements are contingent upon strikes, accidents, or Note — this proposal may be withdrawn
delays beyond our control.
by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payments will be made as outlined above.
Signature: �5fPr-4' 't-�— st,1 Lh Pow Date:
Signature: Date:
Lagenia Reimer C� 0 l
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, December 12, 2017 9:50 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 6760 W 30th Avenue
Property Owner Name Patricia Keithley
Property Owner Phone 303-233-1051
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email KTPenny@katewwdb.com
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Keithley cowr.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Penny Enterprises
019489
3035234473
8850 W 50th Avenue
Contractor Email Address KTPenny@katewwdb.com
Retype Contractor Email KTPenny@katewwdb.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 16
the entire scope of wor�--_`��
Project Value (contract 6800 f
value or cost of ALL
materials and labor)
i
Are you re -decking the Yes
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
2
What is the specific pit c 4/12
of the PITCHED root? r
How many squares are 16
part of the PITCHED
roof? "
Describe the roofin9C Owens Corning
materials for the
PITCHED roof:
Type of material fo e Asphalt
PITCHED roof: _
Provide any addition House
detail here on the -
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
9�1
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 Ken Penny
Email not displaying correctly? View it in your browser.
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: 30
Job Address: 6760 tV 34�n
Permit Number: ?-o 170 0/ § L/ ,�
❑ No one available for inspec ' ime T/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1�Inspector: M 7-b
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: CU f=
Job Address: /V
Permit Number: _'),
❑ 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: )Inspector: i° 5
DO NOT REMOVE THIS NOTICE
� I�`U 4v, w J `V� INS�vEI4'tTIt�IV� RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Tyke �
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
3446-/7
P,1
Lath / Wall Tie
Final Plumbing
Rough Electric "
Roof
Rough Plumbing/Gas Line
Final Window/Doors
Rough Mechanical
Final Building
Rough Framing
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.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Y l
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a 666 gficate
of Occupancy is issued. Approval of the Final Building nspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window Requests — Please email insptimerepuestCcDci.wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax° '
INSPECTION NOTICE
Inspection Type: I? O F
Job Address: C i G 0 W 3.0 — A v (=
Permit Number: 417 D 6 3 7 a.
or e
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P
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yy\ i
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❑ 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
% pa
Date: ` 7 ` r" 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: 1141D M' e'Zoe-1(7
Job Address: 6 7&a LV. 30 "" /`t ✓e
Permit Number: 2 o/70a 77Z
i
)4 VU
to�f�
❑ No one available for inspection: Time 2 ' Ar5
Re -Inspection required: Yes I9 �
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 3.Inspector: 4466(1 -
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700372
PERMIT NO: 201700372 ISSUED: 03/14/2017
JOB ADDRESS: 6760 W 30th AVE EXPIRES: 03/14/2018
JOB DESCRIPTION: Reroof 16 sqs with Laminated Dimensional shingles.
*** CONTACTS ***
OWNER (303)233-1051 KEITHLEY PATRICIA ANN
SUB (303)431-8972 Ken Penny 019489 Penny Enterprises
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,280.00
FEES
Total Valuation 0.00
Use Tax 95.04
Permit Fee 140.90����1����
** TOTAL ** 235.94 a"
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k1 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€TMs installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201700372
PERMIT NO: 201700372 ISSUED: 03/14/2017
JOB ADDRESS: 6760 W 30th AVE EXPIRES: 03/14/2018
JOB DESCRIPTION: Reroof 16 sqs with Laminated Dimensional shingles.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the and
and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am Yegally authorized to include all entities named within this document as parties to the work to be
performed and that work to by Vr ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Crone) Date
I , This peimit was issued based on the information provided in the permit application and accompanying pptans and specifications and is
subaeet to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thus permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, suance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
appli ble cede o�dunance regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
Wheat Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(oki.wheatridge.co.us
FOR OFFICE USE ONLY I
Date:
Plan/Permit # �U (
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: ?60
Property Owner (please print):
0�
L1 _i fl
le -V
Phone: 3
Property Owner Email:
(Nailing Address: (if different than property address)
Address:' `'✓
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Phone:
Contractors City License #: t Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ,RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION it RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FULF
Amps
Btu's
411
Squares
T
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$_ _
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): Z/ DATE:
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
CITY OF WHEP
INSPECTION NO IGt
Inspection Type PUS
Job Address w 3t 9 -
Permit Number // €
❑ No one available for inspection: Time /R
1; Re- Inspection required: Yeslg��
When corrections have been made, call for re -in pection at 303 - 234 - 5933
3 :Date: 2 ld/ Inspector: r'
DO NOT REMOVE THIS NOTICE
E.
e.
" � City of Wheat Ridge
1
Residential Plumbing PERMIT - 110854
PERMIT NO: 110854 ISSUED: 07/21/2011
JOB ADDRESS: 6760 W 30TH AVE EXPIRES: 07/20/2012
DESCRIPTION: Emergency sewer line repair inyard & into street w/ cleanout
* ** CONTACTS * **
owner 303/233 -1051 Pat Keithley
sub 303/215 -1348 Brian Wilkie 06 -0162 Apex Plumbing Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0515 BLOCK /LOT #: 0/
Conditions:
Subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes,,and all applicable municipal codes, policies and procedures, and that I am the
legal owner o havLthis orized by the legal owner of the property and am authorized to obtain this permit and perform
the work de ribed ed in conjunction with this permit. I further attest that I am legally authorized to include all
entities n med wi cument as parties to the work to be performed and that all work to be performed is disclosed in
this do e anying approved plans and specifications.
Si ure OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit .fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal . work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inepecWon.
Signature Af Chtff Building Offical
Date
INSPE&ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
br a A , 7 City of
I leaf RCe Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit # Q ; l . t�
7500 W. 29 Ave., Wheat Ridge, CO 80033 aU
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Applic tion
property Address:; 76 � 7
Property Owner (please print): Ct� Phone: D - j-
Mailing Address: (if different than property address)
Address:
City, State, Zip: tt � / �
Cpntractor: hi`ri G L—n C,
/
Contractors City License #: Phone: /3 Ll
Sub; ContracfoY
Electrical: Plumbing: Mechanical
City License # City License # City License #
besi�nptlonofi works
Co act value:
bccr 7rvn1 J us � / cs�
$ 12
value:
f �� f5o7I C (�LVYI O �S Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR) or THOR.ZEDREPRE NTATIVE) of (O. DER) (CONTRACTOR)
PRINTNAME: . (r f✓ SIGNATURE: ' �' DATE:
E✓ ✓✓ DEPARTINENT IISE'OtJLY ' s f r r
rZON1NG COMMENTS r i, ✓ r r:. Ff s :, zro ✓i � rr ✓�r��r��� -r� �,� ��✓cti
ud � � �Dfllttg ✓ i w `f"' :�✓ S n .r ✓ a A � ,.� "✓ i , ✓ !� ? � 4 Fy� .^,U ""
' ✓ .✓ £ s r >r" ✓ `'.,✓ r � ,fr ✓ � i✓r � "'., y ✓r�. £ T "•'-✓ e r.�`"`.`s y� ✓�f' j1
Reviewer rr r £'. 6 /✓`�' £ ?'.� ✓rz.,� .� �rrTV r✓� a�r< �i� �� �h .�t>� < s s. ,.,
✓ �" -i r�z �r `✓ '. .- r% �^ l ✓ h,:.r x�'� r" G✓'✓� `"� � 11�z ^9+ x"" �✓" Y ✓Y z; r t r f^ r
BUILDINCs DEPgRTMENTCOMMRNTS �'✓ �:, � fi �" -' 37i ✓ .� r � x"�✓'� `"s N r^ �"'. �f r - r
✓ RBVIe1'Her r ✓, f'. J ) f S r" �',t3- rJ '.� y m s` aN rix � � /£ � 1 � x S £ d y N ,_
"iF ✓ J ✓7` T1v' / x r r ✓ 7 ✓^i > s ✓��l �r*✓i,' r x � �r ✓ �
r ,✓s, r .% A y i s ✓ t,: ✓ r ✓j°. Z a 3 s h l r r�HS•v1 ✓"' y .
'f }WORKS ✓ COMMENTS f j r ✓ � a, �, cK ✓i y✓ ?� f �'✓ t-,L��" ✓i `'� ✓ i r <
✓ � Y � , h ✓�� M T 1 ✓✓< ,.� z � h °`-"�� � ;� OCCIIPAhYCY
' Reviewer ✓ c c r t -�. ✓ ?" .z r �� � 3 r �? ? £.> ,
C +' t ✓ r r ✓ ✓ > /Y z / r ✓ y ✓ ' „^ t
- �' FIRE DEPARTMENT ❑ afproY2d men15 ❑ d168 roved ❑ 10 re ✓ Vle� regUlred' BIdQ VelUatlAn $
05/31/2011 TUE 16:10 FAX 303 237 0929 303 Best way. ((7J002/002
�o�►
INSPECTION RECORD OccugancvlTvpe
'p 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.
I
INSPECTOR MUST SIGN ALL SPACES PERTAINING TOT
S .IOB
FOUNDATION INSPECTIONS
DATE
'
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
7 116614
Permit Fee
-
Stemwall / (CEG) Concrete
Encased Ground
AROWT
Mechanical
Service
MPIum bing
Reinforcing or Monolithic
:..,....
Roof -. -' � - �
SI GNED PRIOR TO PRO
CITY OF SHEAT RIDGE
65i31/il 1058 pR cdh8
74e1 Evetsole
-
WeatherproofI French Drain
486743
TOTAL
umbing
Sewer Service Lines
g
Water Service Lines
ABOVE
r V V K NU GUNGHG I G UNTIL ABUV E HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
RECEIPT HO:CD8666E44
ARHT OU
FINALS
Dp5p Replace galvanized w
ll tie
Electrical
7 116614
Permit Fee
-
pAYREHT RECEIVED
AROWT
Mechanical
Service
MPIum bing
188.45
:..,....
Roof -. -' � - �
SI GNED PRIOR TO PRO
CITY OF SHEAT RIDGE
65i31/il 1058 pR cdh8
74e1 Evetsole
ctric
Building Final _ ..
486743
TOTAL
umbing
g
Rough Mechanical
ABOVE
INSPECTIONS TO BE
F aming
I
I
Insulation -
Drywall Screw
Fire Department ..
R.O.W & Drainage - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
' NOTE: ALL ITEMS MUST eE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE- OF OCCUPANCY IS($SUED, FINAL INSPECTIONBY THE BUILDING DIVISION DOES NOT CONSTI7U7 ION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
RECEIPT HO:CD8666E44
ARHT OU
FINALS
Dp5p Replace galvanized w
188,45
Electrical
7 116614
Permit Fee
188.45
Plumbing /y f°fs
pAYREHT RECEIVED
AROWT
Mechanical
RC 6253
188.45
:..,....
Roof -. -' � - �
Autls Code
Building Final _ ..
486743
TOTAL
188.45
Fire Department ..
R.O.W & Drainage - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
' NOTE: ALL ITEMS MUST eE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE- OF OCCUPANCY IS($SUED, FINAL INSPECTIONBY THE BUILDING DIVISION DOES NOT CONSTI7U7 ION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
.. r CITY OF WHEAT RIDGE
�
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type ^ PAS. c,7,0 era's -<
Job Address 47 ,
Permit Number tlaes y
r'
r; ❑ No one available for inspection: Time A M
Re- Inspection required: Yeso ?
F *When corrections have been made, call for re-inspection at 303 - 234 -5933
Date: Inspecto
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Faxed Plumb. Permit PERMIT - 110614
PERMIT NO: 110614 ISSUED: 05/31/2011
JOB ADDRESS: 6760 W 30TH AVE EXPIRES: 05/30/2012
DESCRIPTION: Replace galvanized water pipeswith copper
* ** CONTACTS * **
owner 303/233 -1051 Pat Keithley
sub 303/450 -4148 01 -7569 Brothers Plumbing & Heating, I
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0515 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT V: 8, 010.00
FEES
Permit Fee 188.45 D '
Total Valuation .00
** TOTAL ** 188.45
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. Subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit.. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provisio o any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to f 1 ction.
Signs I e olVChief Building Offical Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
0��
INSPECTION RECORD Occupancy /Type
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
7W1 /I I/1Tal' 210w
INSPECTOR MUST SIGN ALL SPACES PERTAINING TOT IS .JOB
FOUND MGround PECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footin
StemwConcrete
EncasReinfornolithic
Electrical Service
INSPECTIONS TO BE SIGNED PRIOR TO PRO
CITY OF WHEAT RIDGE
65/31/11 1:58 PM cdhb
;Del Eversole
Rough Electric
Weathnch Drain
Rough Plumbing
Gas Piping
Sew er Service Lines
Rough Mechanical
ABOVE
Water Service Lines
nsulation
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating
ROUGHS
Sheathing -
Lath / Wall tie
Mid -Roof
Electrical Service
INSPECTIONS TO BE SIGNED PRIOR TO PRO
CITY OF WHEAT RIDGE
65/31/11 1:58 PM cdhb
;Del Eversole
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE
Framing
nsulation
Drywall Screw
FINALS RECEIPT NO :CDE006244 AMOUNT
HPSP Replace galvanized w 188.45
Electrical 11 @614 188.45
PerBit Fee
Plumbing PAYMENT RECEIVED AMOUNT
Mechanical MC 0253 188.45
Roo f_ Auth Code:
486743 108445
Building_FlnaI - - TOTAL
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping 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
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
FROM
(TUE)MAY 31 2011 10:34/3T.10:33/No.6800852955 P 2
♦��♦
City of
Wh eatP oats:
CO MMUN I7Y DEVELOPMENT Permit #:
Building Division
7500 W, 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection lane: 303 - 234 -5933
Facsimile Building Permit Application
Property.:Addreaa: / /"",j
Property Owner (please print): 6 f�
Mailing Address: (d different than property address)
Address: om ._
Use of space (description):
Description'ofwork: on Value �o
rc9 /�G �y�vwyli Y.sy� LNr�v �7��.� vi ✓�l Pian Ravlew (due at time Ofsubmittal):5
9
Sq. Ft. /L.Ft added: Squares BTU's Gallons Amps
OWNERMONTRACTOR 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 (1 -64) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plana subject to Wald Inspection,
CIRLOE ONE;; (OWNER) (C / R) or PERSONAL REPRESENTAT (OWNER) (CONTRATOR)
PRINT NAME: G,�l yj/�c ilr.✓ SIGNATUR Dale:.�d
Credit Card Payment: Use credit card listed on file.
Print name: Signature. �
♦ 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: f -t-, 4)&
Job Address: 4/"%,°of /6~: .ark
Permit Number: 4227ZZ
f° ❑ No one available for ihspectio ime AM/PM
Re-Inspection required: Yes ' V
When corrections have been mad ,o l re action at 303-234-5933
Date: Inspector: t
I
DO NOT REMOVE THIS NOTICE
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CITY GF WHEAT RIDGe' _
97/67109 08 PM edba
Brian Colasuorne _......J
RECEIPT 96;CDA061716
-AMOUNT
SPSP..Install 40 gallon ga 91.48
696797
Permit Fes 66 28
"Use Tax
. 25 20
pAYMEHT RECEIVED AMOUNT
nAuth code.-
774252.. - TGTAt - 9L48
V 1
l< OC3T.ETTFiIS4I2[}OIU4f11L1GiEk )a
Ai
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COMMUNITI( UiEwLopmENT 'le it #:OVW
Building Division
7500 W. 29ih Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 a Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
PrepelctY~v►ttdiSesg= / //B /~e.,J. Zo N^ .4vcnve _
Property Owner (please pdnf): k pl }h Icy/ Phone: ~U~ S S /L7S~
Mailing Address: (if different than property address)
Address:
city, State, zp; C ~
Cdri 'Alutor:
Contractor License - Phone: :3D3 Zj. M 4)1
y
Use of sppace ((description):
Ueticrlptlon r-oTdw,'
fIeetk--
to
Plan view (due at time of submittal): $
OWNERlCONTRACTOR SIGNATURE Of UNDERSYANOING AND AGREEMENT
I hereby cerlly that the setbadt dietenpgg proposed by this permit appllcatlon ere eccurnte, and do not violate appllcablo ordinances, 5 or IllegaGOncgmed nave BtOaNate: Natiilneve ~rdead and ag ree to abide byyna/l condltlogopnnted onrthis applicatlonsand that I assume iul
rasvonsiblllty for wmpllanco with the Wheat Ridgge Building Code (I.B.C) antl ell other applicable Wheal Ridge Ordinances, for work
under cols permit, Plana aubtact to netd Inapectlon.
CIRLCC ONE:: (OWNER) CY or PERSONAL REPRESEN TIVE of WNER) NTRATOR)
PRINT NAME: r, SIGNATURE: ^'r`~_ Dato:
ZONIN6'COMMENTi
Zon n®:
'Ravlewer"
PUBLIC WORKS,COMMENTS:
Reviewer.
BUDDING DEPARTMENT COMMENTS:
'.Reviewer.
ME' DEPARTMeRr.; 0 approVed;wl MMMOnIS 0
Credit Card Payment: Use credit card listed on file.
Print name
1 d 0£1Z980089'~P!/8£ ll'1S/6£:ll 6002 L l(lf(3111) HE
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 8984
- BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 5/28/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 6760 W. 30th Ave
Contractor License No. : 17202
Phone: 303233-1051
Company : Stahl, Inc. Phone : 469-1917
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restrictions of recOtritRidft ; that all measurements shown, and allegations
made are accurate; that I have read and m abide by all conditions printed on this
application, and that I assume full resporysifor compliance with the Wheat Ridge Building
cnde n1eC1 and all other aoolicable ddkinances, for work under this permit.
~Q
(OWNER)(CONTR4CTOR)SIGNED~ DAT~ ~ /
Description : Reroof
Construction Value :
$2,283.60
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$34.25
Total:
$117.50
Use : klis_~ ,
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This pertnit was issued in accordance with Ihe provisions set forth in yopur application antl is subject to the laws oF the State of Colorado antl to the Zoning
Regulations and Builtling Cotle of Wheat Ridge, Colorado or any other applicable ordinances of ihe Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commencetl within sixly (60) days from issue date or (B) the building authorized is suspended or
abandoned for a penotl of 720 tlays.
(3) If this pertnit ezpires, a new permM1 may be acquired tor a fee of one-haltthe amount normally required, Drovitled no changes have Oeen or will be matle in the
onginal plans and specifcations and any suspension or abandonment has noi ezceedetl one (1) year. If changes are made or if suspension or abandonment
exceetls one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenry-four (24) hours in atlvance for all inspections and shall receive written approvai on inspection card before
proceetliing with successive phases of the job.
(6) The issuance of a permit or the approval of tlrawings and speciFlCalions shall not be construetl to be a permil (or, nor an approval of, any violation of the provisions
of the bui ' g codes anyvother ordinance, law, rule or regulation.
Chief Bu
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
~ BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date
co :
7500 WEST 29TH AVENUE
~q WHEAT RIDGE, CO 80215
Property Owner : ~N V_6+~~e-\4
Property Address : tOuo w. ,30~ Hw . Phone : ~3~ -lC>S~
Contractor License No.
company :'j~~,hl , .~1C • Phone :[36,3)qCeq -lc(l7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value
I hereby certify that the setback distances proposed by this permR application are accurete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
cavenants, easements or restrictions of r cord; at all measurements shown, and allegations
made are accurate; that I have read an gre abide by a0 conditions printed on this
appliwtion, and that I assume full respibil for m ance wilh the Wheat Ridge Building
Code (U.B.C.) and all other applicable ~he i nces, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED,~ DATE~ 27 qe
7 USE :
Permit Fee :
Use Tax :
Total: $0.00
Description : 1e(,~Y ~ ~v ~~K ~ 1 ~~a a3°~1II$q
p S~ Gd9 F 3 +a►~~
SIC
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning :
Approval:
Approval:
Occupancy : Walls
Electrical License No :
Company :
Expiration Date :
Approval:
Roof
Plumbing License No :
Company :
Expiration Date :
Approval:
Sq. Ft. :
Stories : Residential Units :
Mechanical License No :
Company:
Expiration Date :
Approval :
(t) This permd was issuetl in accardance wiN the provisions set foM in yopur applioa6on antl is subjecl to the laws ol the SWte N Cobrada and to the Zoning
Regulations and Building Cotle of Wheat Ridge, Coloratlo or any other applicable ordinances o/ the Cily.
(2) This permit shall expire il (A) the vrork authonzeA is rrot commenced within sizry (60) tlays hom Issue Oate or (B) the buildinq auNOrized is suspendetl or
abandoned br a period of 720 days.
(3) If this pertnit ezplres, a new permil may be acQUired for a fea of one-half the amount nortnally requlred, provided no changes have been or will be made in the
original plans anE spec111wUana and atry suspension a abandonment has not acceeded one (1) year. If Uarpes are ma0e w il suspansion or abantlonment
exceeds one (1) year, lu0 fees shall be pald br a new partnil (4) No work of any manner ahall ba Oone that will change the nalu2l tlow ot water wusing a d2inage problem.
(5) Contraclor shalt rwtiy the Builtling Inapecror hvenly-lour (24) hours In atlvance for all Inspections antl shall receive written aDProval on Inspedion cartl Defore
Croceetliing wkh succeulve phases of theI'ob.
(e) The issuance of a permit or ihe approval of drawings and specificatlons shall not be wnstruetl to be a pertnit for, nor an approval ol, any vblation of the provisione
o/ the buildinp codes or any other ortlinance, law, rule or repulation.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF GOMMUNITY DEVELOPMENT pERM1T NO.M91~E17339
z36 944 EXT?255v PNO BOX 638 BCITY~I OF WHEAT R DGE, ICOLO.N
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
US PERMIT PAr
5-~-'~-
~~~0~
JOBADDRESS 5~~ ~ ~6
A AV~ICATION FOR MISCE oLNMP'0~.Cfmq
CONTRACTOR ~U FF ~ S ) ZIP CODE $UZ~ 4
9 J~ ADDRESS ~'7~'7~3 $ CITY
ZIPCODE -.~----LICENSE NO. PHONE
Woll❑ S a D Fat~
I. TYPE GrounE ❑ Tofal Squon FNt
2. MATERIAL El~cf. Pamit N
SIGNS 3. ILLUMINATION Yaa❑ NoO Typ°
Zons ADDrm , 2ona Ins otor
E_- W
4. SET BACK FROM PROPERTY LINE N--- S a a ❑ iaa~p,e
(Spacify whicn ie fronl) ❑
I. TVPE Solid~ More Than 90% ODanO 1eaS TAon 80% OM^
Hoipht
MATERIAL Zone_ ADOraW,2ons ImOSeta
FENCES 3. SET BACK FROM PROPERTY LINE N_-.- S- E-- W
~ ~ ~ ~ DisoDProved
(SOetifY whia~ ie }roM)
I. ~
OTHER 2
3.
DR SETBACKS OR PRO E C ~ONS INCLUDED)E,SIGN,OR OTHER STRUCTURE, GIVIti"v DISTANCES FROM PROPER?Y LINES.
REAR PROPERTY UNE ~
T =
k /
Y
J
~ SPECIFV NORTN
a
¢
a ~
w
STREET NAME
SHpW DISTANCES FROM THE MAIN BUIIDING TQADJOINING HOUSES, STREETS, ANO PROPERTY LINES; ON IRREGUTAR LATS, SFIOW l FAye_T
DISTANCE TO PROPERTY UNES, NOT MA%IMUM OR AVERAGE DISTANCE.
ppPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT INDICAT
BYTHE
VALI
LDING THIS APPLICATIONP RMIT WIOLME PIHE MBO DAYS R RFORM OM THE DATE OF ESDSUANCEOIF WOR ~IS NOT STARTED WITHIN TIHAT TIME INSPECTION DIVISION.
- MECHANICAL PERMIT
ELECTRICAL PERMIT
STATE UCENSE N0.
1M~NU~A VARE UNDER SIZE 8 ILLEG
TEMPORARY METER _
NEW SERVICE - QMPS
CHANGE SERVICE-AMFS
LI6HTIN~
HEATING
pOWER SUB-CIFCUI?S
UTIUTY(RANGE,DISPOSER,E
FIXTURES
WIRIN6 MOTOFtS 9 CONTROLS
SIGNS
TRANSFORMERS B REGTFIER
ADD~TION TO OLD N~ORK
..nrnaS OVER I HP
I hereby ucknowled9e thot thia o00II00"
tion ie Corrett ond undeistond t~at I
oonnot start thie pralncf until this opD„"
cotion is opOroveA. I sholl comDly
fAe lowa of the S1ate of Colorado and 10
}hs Zoninp Redulations and BwldinQ
Code oft~e Lity af Wheai Ridqe, Any
violotion of tne above terme will cause
immedjal'p ~evocotion of tnie Dermii
PLUMBING PERMIT
STATE UCENSE N0.
WASH BOWL
DISH WASMEH
FLppp pRqIN
URINIIL
SEWERS
OTHER
TOTAL FI%Tl
PERM
USE TAX
TOTA
APE
CHIEF BUILD'
1-12,
,City of Wheat Ridqe
V
Date Issued
ED AIR -
WATER -
w -
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION
237-6944 Ex7. 255 P.o. BOX 63e CITY OF WHEAT RIDGE, COLO.
TMIS PFRMIT VALID ONLY WHEN $IGNED BY THE CMIEF
JOB ADDRESS V 7161a
CONTRACTOR CLw _
ADDRESS
CITY ZIP CODE r~"O" 2 z
~g,r---~~~5 ~ LICENSE NO.
PLUMBING PERMIT
PHONE -
Woll❑ Praectinp❑ 01hsr SorDFOu
FE Ground ❑ Tatal SQupn Faaf
L
SIGNS TION Y~s❑ No❑ TY7e El~et. Ptfmil No.
FROM PROPERTY LME N- S Q E a W Zone_,_ ADDroved,Zans InapOCtor
❑ DiaoDDrwed
(Spxily whic~ ia f ront ) ❑
Solido Mon Than 80% OOSn~ Leu Than 80% OpOn
HeipM
L
FENCES K ROPERTY UNE N_. S__ E-`' Zp~t_ AOVrwW.DieaDO~ovedZons IesDecta
FROM P
(SOeci}y whieA is front) G e
"7OTHER DRAW SNETCH OFt SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GNIhG DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJFCTIONS INCLUDED)
~
$PECIFV NORTM
STREET NP.ME
SHOW OISTANCES FROM THE MAIN BUIIDING TPADJOINING HOUSES, STREETS, AND PROPERTY IINES;ON IRREGULAR lATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAl(IMUM OP _ DIS?ANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILI EXPIflE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. T
ELECTRICAL PERMIT
STATE LICENSE N0.
UMINUM VARE UNDER S12E 8 ILLEI
TEMPORARY METER
NEW SERVICE - AMPS
CHANGE SERVICE-AMPS
LIGHTIN6
HEATING
pOWER SUB-CIFCUI7S
UTILITY (RANGE, DISPOSER, E
FIXTURES
WIRING MOTOf25 9 CONTROL`.
SIGNS
TRANSFORMER$ 9 RECTFIEf
ADDITION TO O~D WORK
unTl1AC nVFR I HP
I hsreby acknowledQe that this ovo"ca-
ti0n i6 COrretf ond undlrstand thot I
connot starr fhis projbtt until thie aDDli-
cotion is oDOroved. I snall comply with
fMe lowf 0} Ihe $tate of Colorodo ond 10
the Zoninp Repulalions and BuildinQ
Code ofthe Ci1y ol Wheat Ridpe. AnY
violation of tl+e above terme wdl couse
immediote revocotion ol tnls permli
A ofieanb eianaiu.
ANC RECEIPTED
PERMIT NO.M911117156
OWNER
ADDRESS
PHONE ZIP CODE
CONTRACT PRICE $
DATE
STP.TE LICENSE N0.
FLOOR BSM1
WASH BOWL
DISH WASHER
FIDOR DRAIN
SEWERS
OTHER
PERMIT FEE
USE TAX
TOTAL FEE
APPROVED
DISAPPROVEO
CHIEF BUILDIJ
as- . A-6
$ :'J L1. G
INSPECTOR,City of Wheat Ridge
MECHANICAL PERMI
ueL i.IGoelalIproaareIG
FORCED AIR - BTU
HOT WATER - BTU
STEAM - BTU
AIF CONDITIONING-BTU
Date Issued ^cl
tID UNLES RECt~r~~
'S -1 /
~ 5 Z
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
750a WEST 29tn AVENUE DEPARTMENT pF COMMUNITY DEVELOPMENT
237-6944 Exr. 255 P.O. BOX 838 BUILDING INSPECTION DIVISION PERMiT N0.
CITY OF WHEAT RIDGE, COLO. M914/17118
TNIS PERMIT VAI,ID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
L~.I'J~(l I~TION FOR MISCELLANEOUS PERMI7
JOBADDRESS ~ OWNER
CONTRACTOR ADDRESS 1~/0
ADDRESS PHONE G1~.3.~ - l4 S/
CITY ZIPCODfi~va/y
ZIP CODE CONTRACT PRICE $ PHONE UCENSE NO. DATE
I. TYPE GrounE❑
Woll❑
ProieotinaO
Oth
2. MATERIAL
tr
S or D Fooe
SIGNS
3. ILLUMINATION Yes❑ No❑
T s
y~
Total Squon FaH
4 SET BACK FRpM pROPERTY {
INE N
5
Eloet. Pqmi} No.
.
_
(Spetify whi[h is fronf )
❑
E
❑
,y
❑ Q
Zone_
_ Apprwod,ZMe Inap~etOr
1. TYPE Solid Mon TAan 80% ODan❑
Leu Thon BO% O
m
DiaoDDroved
FENCES
? MATERIAL 1!26~
p
3. SET BACH FROM pROPERTY LINE N
SE
H~
(Spaeify whieh it front)
❑
❑
W
❑ ❑
Z
DMOwd,Zone Inspecta
1.
psopOrovad
OTHER
2
DRAW SKETCH OR SHOW BELOW, THE FENCE,SI6N,OR OTHER STRUCTURE,GIV{NG DISTANCES FROM %tQpEp7y LINES.
(SETBACKS OR PROJELTqNS INCLUOEA)
T
~
IE
rji,'6, /
'V a,9
STFEET NAME -36 ~h .1 v
~
N
SPECIFY NORTN
SHOW DISTANCES fROM THE M41N BUILDING TPADJOINING HOUSES, STREETS, AND PftOPERTY LINESi ON IRREGULAR LpTS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR ffivr'RAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WOflK ONIY l1PON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EJ(PIflE 180 DAVS FpOM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
rLuroitilNG PERMIT MECHANICAL PERMIT
STATE LICENSE N0. STATE UCENSE N0.
ALUMIMJM WIRE UNOEFSIZE 8 ILLEGAL FLOOR
BSM
~
IST
2ND
3RD
4TH
NQ
FLEL:CiNsOne Go~q1 E Sd
' WATER CIDSET
or
TEMPORARY METER WASH BOWL
FOpCED AIR - BTU
NEW SERVICE - AMPS BATH TUB
HpT WATER - BTU
CHAN6E SERVICE-AMPS SHOWER
STEAM - BTU
IIGHTIN6
AIR CONDITIONING-BTU
SINK
HEATING GARBAGE DISP
OTHER
POWER SUB-GFCUITS WATER HEATER
REFRIGERATION SVSTEM
UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER
Refri sronf Group
FIXTURES DISH WASHER
Cho---
WIRING MOTORS 9 CONTR0L5 FIDOR DRAIN
AUTOM4TIC SPRINKLER $YSTEM
SIGNS URINAL
ELEVATOR
TRANSFORMER$ 9 RECTFIERS SEWERS
ADDITION TO OLD WORK OTHER
MOTORS OVER I HP TOTAL FI%TURES
1 hsreby ocknowledqe that thia applica-
fion u correct and undentand fhot I
COnnof ftorf this piojtlCt unfil this o001i-
eofion is opproved. I shall tomply with
fAe lowf of the Stafe of Colorado and fo
the Zoninq Requlationa ond 8utldinq
LoCe oftAe Gfy of Wheaf RiCpe. Any
violation of ihe above ferme will couse
immediote revocolion of inla permil
~HLeenb ~qnai r ~
PERMIT FEE
NOT VAUD UNLESS RECEIPTE[
USE TAX
#
i6 Z
`l o~
TOTAL FEE
$
~9
i
DISAPP OV D
~
E4 i v
CHIEF BUILDING INSPECTOR,Cifyof W
at Ridge
CALL 237-8944 EXT. 255
/
24 HOURS IN ADVANCE
Dafe Issued_
FOR INSPECTIONS
q
INSPECTION TICKET
JOB
DDRESS 04 0 W' -?Q-?~~
JOB ~~,0,
ADDRESS ` ~ Lt-r-^
DATE:\ z ! BIDG. PERMIT#
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
r
DATE INSP. REQ.
^ ?
TYPE OF INSP.. -'ar' °:~".a~i%'-,"":.'' ~`:x✓,yN
INSPECTION MADE S/Z
REMARKS e61..
(0
INSPECTION TICKET
JOB
ADDRESS 6 76O (,Uj/) Ly~4,
DATE: C2 BLDG. PERMIT# 6-2Z4Y
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
Y
REMARKS f UG_~
~
W.R. PORM &79
V
,e,;, /
DATE: BLDO. PERMIT# Y`3 -~'V
PERMIT#
BLDO. CONTR.
SUBCONTRACTOR
DATE IN3P. REQ.
INSPECTION tICKET
TYPE OF INSP.
INSPECTION MADE ~-cl,
REMARKS C)/<,~
W.R. FORM &19
7500 VVEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT pERM1T N0. `J 2_1
237-5944 EXT. 255 P.O. BOX 638 BCITY OF WHEAT RIDGE,ICOLON
TNIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING MSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATION
vic {~y~ ~-j 1~
BUSINESS NAME ~'o '~'w7v~~~~ ADDRESS J ~ ~ U~~
('nPY (1F DEED ANO IMPROVEMENT SURVEY REDUIRED dl'
~ gW,,~i.clni61
>~I
BUILDIf
SO.FT LOST
OWNERS NAME
CONTRACTOR ~K16C. N0._3si'sIz~-i--
(+DDRESS ~~l7 C-~~jTK~U~JfTffPHONE ~~-`1DL
Ill`~i AAA~~I4~
CI7Y ZIP CODE
~c.u-~--------
~DEPTH FREA-
I I FRONT PROPERTY LINE (CIRCLE FRON~E S
STREET NAME W ) ~
SHOW DISTANCES FROM TNE MAIN BUILDING TO ADJOINING HOUSES, STREETS, P.ND PROPERTY LINES ON ABOVE SKETCH;
cunw i FnS7 DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
W
LEGAL DESLRIPTION
METES AND BOUNDS DESCRIPTJON A~ A`CH~ED
1 n i~n Ull,
ppDRESS
LOT N0. ~ BLOCK NO
LOT WIDTH
INDILA7E THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING7 CurbdGUttar_StreetFEvinQ-`Na4sr-SSwer-S1wmDralmpa-
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR TMOSE NOT NOW E%ISTING-- YES-NO-
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST 7HI5 PROPERTY; YES_NO- '
SPEGFY NORTH
ROOF / '
~
OCCUPANGY 2-
E%TERIOR MATERIALS'STORIES UNITS_ REMP.RKS~ Ti` - . -
_
OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity ihat the above setback distances shown on fhis peimit aODlication are accurate, and do noi violots
aDDlicable ordinonces, rules or regulations of the City of Wheat Ri]pe or covenanis, eoaemenis or restrictions ot re-
cord; ihat all meosurements shown, and allepalions mode are occurata; that I have read and a9ree to abide by all
conditions printed on this ap0lication, and tttai 1 assume full res0an%ibility for compliance with the Wheat Ridpe
Code (UBC) and all ot~er aD ble Whea~t Rid~onances, for wor unEer this permH
Building .
(OWNER) (CONTRACTOR) SIGNED--v'--_ DATE ~ ~
v t--~
BpSEMENT-RWGH
GROUND FLOOR
SECOND FLOOR
cnRncE
O:nER
pTHER
PERMIT FEE
USE TAX
TOTAL FEE $ I / a
THE PROPERTY IS PRE,ffNiLY GVntu -
THE PROPOSED USE (A/15) (-IS NOT) ALLOWED UNDER THE ZONING ORDINNICE.
GOMMENTS:
2q
~L 10?-
BUILDING COST $ 2
STATE NO. CITY NO.
NOT OK)
(
A
~
V
PL~1NS REVIEWED (_OK)(-NOT OK)
-
-
PLANS REVIEWED
~
EEDED `
PLPNS
NO PLPNS NEEDED
NO PL.ANS NEEDED
NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR 70 I U CE OF
PLANS
MECHANICAL PERMIT
PLUMBING PERMIT
ELECTRICIIL PERMIT_
pEpM~7 ISSUED TO
PERMdT ISSUED TO
PERMIT ISSUED TO -
NO
PER REOUEST AS PER PLANS NQ-
ST FS PER PLANS NO
PER REQUE
.
PER REOUEST AS PER PLANS
AS APPROVED AND ON FILE IN MY OFFICE
AS APPROVED AND ON FILE IN MY OFFICE
AS APPROVED AND ON FILE IN MY OFFICE
CLEARED BY
PERMIT
DO NOT ISSUE PERMI7 UNTIL CLEARED BY
~
U L
~I
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DING Il1SpECTpq
H
EF B
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
nerF CLEARED BY
BY
HEMAPKS.
BY
GONDITIONS_ HIS l' AND TO iME ZONING UNEGULATCONS AND BUIL~ING LO~E OFI WMERTTRIDGE COLORPDO OR IRNY IOTMEF APGS GABLE OWD MANCES Of T E CTp TE OF COIOF~W
(2) TNIS PERMIT SNPLL E%PBE IF (A) TME WORK HUTHORIZED IS NOT LOMMENCED WITNIN 51%TT (607 ~AVS fHOM ISSUE ~TE ~ OVIDEO NO CHANfiE3 W1V ~E BEEN,OfI WILL
5115GENDED OR ABNNDONED FOR A GERIOD OF 120 DfYS.
{31 Ii TMIS FENMIT E%GIRES, P NEW PEFMIT MAY BE PCOWRED FOR N FEE OF ONE-HPLP TME AMOUNt NOXMPLLY AEOUIRED,
BE MAOE IN THE OFiGINPI PLANS 4ND SPEQFiCpTI0N5 PNO ANY SUSPENSION OH ABANDONMENT NPS NOT E%GEEDED ONE IIIYEIIX, IF CMtN6E5 >RE MADE OM IF
SUSFENSION OR AB4NOONMENT E%CEE05 ONf (1) YEPR, FULL FEES SMALL BE ID FOR G NEW
NE ATU PERM .
FLOW OF WATEF C NG P AAINRGE PNOBLEN.
I41 NO WORK OF ANY MANNER SNALL BE DONE THPT WILL OBSTRULT T N I
f5) LONTRPCTOF SHALL NOTIFY THE BUfLDirvG IuSPECtOF TWENTY-FOUX (24 IIRS N NDVANLE F LL T IONS AND SMAIL IiECEIVE WFITTEN PPMWAI.
oN itis/PFpjAfo e^ oac vr+ocEG ~rH succ sivE PN4sES oF y~~^_ ~ - ROVED
/ DISAP
~J ~
~ • 1 ~ ~
i CRA SURVEYING INC.
h N
j •
C.• . For..vo ,/(I~~
P/NI<AP % I I `
, :v
iMPROVc:d7E1:T LOCATION CERT1riCA'fE
LOT 9
COFFEY SUSDIVISION
COUNTY OF JEFFERSON
STATE OF COLORADO
3p X~ A
b
Y
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zz.a
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~ 7'R/-CEV64 ORicK ~
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-4e 6760
, I NI
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CoivC. PAO{''
~o~ I S' UT/G/TY c.LN> ' ~S•
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9
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~
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F`.O T
inz lagal description and
easements-snown were provided
by °irst American Heritage
Title Commitment No. H8406oC-2.
~
I HEREBY CERTIFY THAT THIS IMPHOVEMENT LOCATIOV CER?:FICATE WAS PREFnF°D FOR !
MARGARETTEN & COMPANY THAT IT IS NOT .a LAND SURVEY PLAT OR IN.PROVEMENT ;
SURVEY PLAT, AND THAT IT IS NOT TO BE REiI£D UPON FOR ESTABLISHMENT OF FENCE, BUILDING, OR
OTH::R FUTURE IMPROVEMENT LINES. I FURTHER CERTIFY THAT THE IivIPROVEMENTS ON THE 4BOVE
DESCRIBED PARCEL ON THIS DATE 6/6/Q, Q-,EXCEPTUTI:.:TPCONATECTIONS,ARE S\'TIRELYWI:H?N
THE BOUNDARIES OF THE PARCEL, EXCEPT AS SHOWN, THATTHERE ARE NO ENCROACH:4ENTS UFON TH?
DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJOINIATG PREMISLS, EXCLPT AS 1NDICATED, AND ~
THAT THERE IS NO APPARENT EVIDENCE OR SIGN OF ANY EAS°N.GNT C40SSING OR SURDcNS?iG ANY '
PART OF SAID PARCEL, EXCEPT AS NOTED. This property is not located within a designated :
flood hazard arda according to HUD Flood Map No. 085079, 2/4/68.
ORA SURVEYtNG INC. WHEAT RtCGE, COLORADO '
7
OWNER: Keithley
~
ADDRESS: 6760 West 3Cth Avenue
' NOTICE: According to Colorado law you MUST commence
I ar,y Izgal action based upon any defect in this I.L.C. within
~ thr.sa years after you first discover such defect. In no event
~ mzy any action based upon any defect in this I.L.C. 6a
' c.^,r..ra,nced more than tan years fmm the date of the
cec;5ca:io^ snown hereon.
YCtJR N0:
DRTE 6/10/89 SU3VE'f N y.
Scole: 1 "-20'
0 20'
~~i
, y.r .:,__,:,<<...,,,,.~
-
- JF:4 INi- Ug
PATtO ENCLOSURES, INC.
1805 E. 53t.^. qve. Unit H
DENVER, COLORADO 50215
(303) 293•9707
~.-one•a~'.`..'~l3~~n.oa...a«ro.., •..-i.ncr.ev.ner~+ir.:w
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DENV
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cnLcuLnreo ev
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(303) 293-9707
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9 gg. m,«'n DONAI.D C. WARDMAN AND GLA
Hin, 'cuanil or ,7CFCCRSON
bwraJo.srmor.unJ PATRICIA ANN KEITIILEY
6760 WEST 30TH AVENUC,
I»
foumf'urt dEFFEftSON aiWSiwc I. I Columdo.fmm.vII
,r m.
\\TfNF55E111. Tlwi dhc Fmmoar lur anJ in ann.iJaunon ul ~hc .wn oI §87 r 000. 00 UOLLANS.
EIGHTY SEVEN THOUSAND DOLLARS AND NO/100 .................I' tI ....iLll. F k
, n F .ull, III
~he~nl'JIf') 1 I'II ~1 iJ II.E JI -Ed IJ~J -.J J. ~ .~~Jbe ~nN ' ihc I'mnvcv I<unlrm.ui~,~h F' .c 1-.1 o nJu.: Fn.lo.,.r.vllch.rt'Ip 1p.pi EtI x'Ih - p u. ' I n. ' IY F li
c: roi JEFFERSON ds:u.,nc i,d., a-rrn.a..ftdiw,.
LO'L 9, I
COFFEY SUBDIVISION, COUNTY OF JCFFCRSON, I
STATE OF COLORADO
azkn.nbysv..iandnumtu,ra.: 6760 W. 30TN AVENUE,'
ToceTUeH wue au and .meui a, ns, nourdu,ynerd> iai r r , d n n.i E. . rrv ~v and ~4.~ inu and
ves en J md i' I" rc ~ i. s Jp li il I d'lltl ri I. tl i.. hJJ r J il iuc'I fd II
grani eoI - h. y up I' - J u ~I bk E. l p . 'iM1 ih 1 J u' ' u d i l l' ,
TU IIA\L ANU IO iIULII 1 . J p . . F A k J J❑. bJ -oI I'pf . ..ui il 1-.I J...q I
i.. h E' m 1- I J
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un E Ik 1 1 i f J f V d J I e 1 i h. p i. h'. 101 . . J nh p. ~ ,L h ~ J i I~ I ~ i
anJ' 1 f -bl .1 i f dsllft' i I I pl dl . E J -EIufIlp ' JI, 1 I I 1 i 'n .b k.
mm er form a d h sanic . ( J1I unto Illmmaendu 1 F e. AeEin., li f n.:- ..c.enen..
mcun~ nnaaunenei iwn<fxhm. Gndwwma.~K..o..«M GCNCRAL TARES RESTRICTIONS SUB~EQUENT
yEARS; EXCEPT EASEMIdNTS, RIGH T S- OF-IJAY. RESERVATIONS,
COVENANTS APPARENT OR OF RECORD, IP ANY; I
The gmnmr shall and will WARRANT AND W REVER DEP[NU ihe ahuveburguined prt^"x'' m ihe yuiei and pceeeaFle rya»essian of ihe gmniec,
his hein and avsiFns, agains aI I and avery perzun or persons luwfully cluiming ihe wlole or any pari ihercaL I'he sinlulur number snull InaluJe iLe plunl,
the piural thv sin6ulur, and the me of+n) Fe^dcr ahall h applicahlv lu all f~nJcn.
IN W PfNFSti N'li[NEOF. ihe Fremu, lu. exacweJ iM1i> JmG on i0< Ja,c ai IbnA nlx,e.
SIATf OI' COLORnUO
G1u1ry of JEPFEftSON
I The fortgaing Imwmrnt wm xknuwledpcA befort me in Orc
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DONALU C. WA20MAN
CLADYS A. A
Couniy uf ,1 EFFERSON . Sne nf
,1989 by DONALD C. WAP.DMAN AND CLAllYS A. WARL
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