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HomeMy WebLinkAbout9745 W. 38th Avenuei CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number:�%Jy ❑ No one available for inspection: Timet <DAIX\ M� Re -Inspection required: Yes_ No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. usfinspection Date: Inspector: DO NOT REMOVE THIS NOTICE *** CONDITIONS *** ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must 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 Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an approved mid -roof inspection, conducted when 25-750 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% 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. COMMERCIAL ROOFS: In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 202000436 PERMIT NO: 202000436 ISSUED: 02/27/2020 JOB ADDRESS: 9745 W 38th Ave EXPIRES: 02/26/2021 JOB DESCRIPTION: Re -roof with GAF asphalt shingles. Squares: 16.5; Pitch: 4/12 and 2/12 *** CONTACTS *** OWNER (303)422-3837 WIEBE FRANK W SUB (720)726-5854 CHAD THOMPSON/THOMAS FISHER 202054 FISHER THOMPSON CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,110.00 FEES Total Valuation 0.00 Use Tax 128.31 Permit Fee 156.75 ** TOTAL ** 285.06 *** COMMENTS *** *** CONDITIONS *** ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must 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 Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an approved mid -roof inspection, conducted when 25-750 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% 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. COMMERCIAL ROOFS: In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 202000436 PERMIT NO: 202000436 ISSUED: 02/27/2020 JOB ADDRESS: 9745 W 38th Ave EXPIRES: 02/26/2021 JOB DESCRIPTION. Re -roof with GAF asphalt shingles. Squares: 16.5; Pitch: 4/12 and 2/12 I, by in 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 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 perrmeisdiseIOsed 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. 1 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 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 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 bolder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appl clNe code or any ctlydinance 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. tKi�� 02/27/2O2O OAJ1 CD8B xe-ruof with GAF asp CD8O22626 BPSP 9?45 W J8th Av» AMOUNT 285,06 (PPL/PERMIT NO/ 202809436 PAYMENT RECEIVED PP / q38q o�UV�T 4UTH CODE: '1180272�R5'O6 TOTAL __ Dina From: no-reply@ci.wheatridge.co.us Sent: Wednesday, February 26, 2020 10:53 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dina Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 9745 West 38th Avenue June Wiebe 303-422-3837 junekwiebe@gmail.com Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Fisher Thompson Construction Name Contractor's License 202054 Number Contractor Phone 720-628-7096 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address chad@myftconstruction.com Retype Contractor Email chad@myftconstruction.com Address REQUIRED: Credit Card Wheat Ridge cca form.pdf Authorization Form DESCRIPTION OF WORK TOTAL SQUARES of 16.5 the entire scope of work: Project Value (contract $6,110 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific pitch 4/12 predominant/ small 2/12 of the PITCHED roof? How many squares are 16.5 part of the PITCHED roof? Describe the roofing GAF Armorshield 2 Architecturaal shingles materials for the PITCHED roof: z Type of material for the Asphalt PITCHED roof: Provide any additional House with attached porch 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 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. 3 Person Applying for Chad Thompson Permit 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: S C �j -r- t� Job Address: + ` `� W 3 h "'t c Permit Number: 1 (7 U 2.0 ❑ No one available for inspection: Time '. - r AM/PM Re -Inspection required: Yes -No When corrections have been made, call for re -inspection at 303 -234- Date: - 03 -234 -Date: `-II V" � Inspector: 0 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Sewer Repair PERMIT - 201900720 PERMIT NO: 201900720 ISSUED: 04/18/2019 JOB ADDRESS: 9745 W 38th Ave EXPIRES: 04/17/2020 JOB DESCRIPTION: Residential sewer repair in front yard 6 feet and installing clean outs. *** CONTACTS *** OWNER (303)423-3837 WIEBE FRANK W SUB (720)550-8825 Juana Martinez 170054 Shark Excavation *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00 FEES Total Valuation 0.00 Use Tax 42.00 Permit Fee 77.50 ** TOTAL ** 119.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201900720 PERMIT NO: 201900720 ISSUED: 04/18/2019 JOB ADDRESS: 9745 W 38th Ave EXPIRES: 04/17/2020 JOB DESCRIPTION: Residential sewer repair in front yard 6 feet and installing clean outs. 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 authonzed 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 penntt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed a that all work to be perf ned is d�los�din this document and/or its' accompanying approved plans and specifications. Signature of OWNER or `OONTRACTO$._(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 andmay 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 grantinElof a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applior any nance or regulation of this jurisdiction. Approval of work is subject to field inspection. /X"d^ Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat I_dg� COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29t' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)-ci.wheatridge.co.us I FOR OFFICE USE ONLY Date: -11/1s1i5 Plan/Permit # �ol9b� e7 2 b Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner q 7 L( ' CA� � �- wk Property Owner Email: 1) y �e K v Tenant Name (Commercial Projects Only) eA Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Arch itectlEngineer E-mail: Phone: Phone: Contractor Name: �c� r I L' XCca uc.J i D City of Wheat Ridge License #: �l Phone: (zo Contractor E-mail Address: Ic e K(( Cc�o& For Plan Review Questions & Comments (please print): - 3 ?3 1 CONTACT NAME (please print): Phone: S-0 ,�SZS CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL MC RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials/to be used, etc. �� Gt,� � C�0 b �- � �j�l.vUr S��''rv•G'e— /"� ��u"' '� i �t �''�`— i"Y6'L -� (�`.— ��— �2 Sq. Ft./LF BTUs 4 /CGcC-cc. S Gallons - , It S 4�-//"- " — � , Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ Z, Doo OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record. that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) ori (AUTH RIZEDREPRESENTATIVE) bf (OWNER) (CONTRACTOR) _ ____-- -------_.__---- Signature (first and lastcname): _6 DATE: Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: CONSTRUCTION TYPE: Building Division Valuation: Certificate Of Completion Building Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Permit#:201501100 Issued: 08/07/2015 Stipulations: Approximately 12 ft. x 14 ft. deck to replace old deck on back of house. 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 development standards of the zone district in which it is located and may be occupied. All • licensing requirements for the City must be met. Site Address: 9745 W 38th AVE Owner: WIEBE FRANK W 9745 W 38TH AVE WHEAT RIDGE CO 80033-4134 Contractor: James Hoyt 10060 GROVE LOOP #C WESTMINSTER CO 80031 For the Following Purpose: Residential Deck Code Editions No change shall be made in the USE of 2012 ICC/2014 NEC this building without prior notice — 2006 ICC/2011 NEC and a new Certificate of Completion — 2006 ICC/2005 NEC from the City of Wheat Ridge. Other Chef ua 1 1 Inspector --Z—on—i`Hg �Administrator CER IFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES City of Dates � � o +I::� cox" tv4k t i Sf D i t' G NT Plempermit# Building & Inspection Services a /YesDivision �o I Sol c 7500 W. 2e Ave., Wheat Ridge, CO 80033 Plea Review Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Address: -' .. #property Owner please pant}: � � Property Owner Ernest; Mailing Address: if different than property address) Address. Cif ; Mate;` s Arch te+ t ng nser E-mail: Phone: Cant' tor:? �� w Contractors City License #. . Phone'/� Contractor E,niall Address:., Sub Contractors: :lectd is Plumbing: Mechanical: WR, City License # W.R.: City License # WR City License # Other City Licensed Sub; tither City Licensed Sub: City License # City License Complete all information on BOTH sides of this form • wI it,rev RESIDENTIAL0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE STRUCTURE all-. COMMERCIAL . COMMERCIAL ADDITION RESIDENTIAL ROOFING . RESDENTIAL ADDITION REPLACEMENTWINDOW COMMERCIAL y ACCESSORY STRUCTURE M1. (Garage, shed, ...• deck, vn RESIDENTIAL ACCESSORY iIIY STRUCTURE YF s. w. shed, . xr, ECHANICAL SYSTE"PPLIANCE REPAIR Ar wA• or REPLACEMENT r • ; PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT • •- _'.,_..,.„,...®. �...,..„ ..x —...... .d. _ r —w v v'Fw 'pw itrpvY GLti iLAiCtLR9lr a (,T},dflasnow bf4w difu iifulem'-y' lype a 7o amount of materials to be used, etc,) lvgro a .M Sq� FULF Btu's Gallons Amps Squares Other ` MMMMMM Address: W R3 e -, Zoning: S>- // Lot Size: /0 sq. ft. Lot Width: ft. Property in the flood plain? If yes, add surveying condition FLI).. Type of project (applicable survey conditions in, parenthesis): cesso�y ISP, ILC or site plan none c if in floodplain (FLD) U Addition ILC and site plan if w/in 2' of setback or in floodplain (FND) if in floodplain {FFD) C) New ILC and site plan yes (FND) if w/in 2' of setback (NRS) if in fl Maximum Lot Coverage: VO % Y 3 3 9 sq. Existing Improvements: Proposed Improvements: House: it -z, (4 sq. ft. House/addition: sq. Shed: sq. ft. Shed: sq. ft Detached garage: sq ft. Detached Garage: -_ sq. ft. Other. -,,pLja�, �� sq. ft. Other: sq. ft, Total Existing sq, ft -Proposed+Existingsq. ft Lot Coverage % Lot Coverage _ZY0- % Required Setbacks: FR S S R 14 Provided Setbacks: FR S S R For additions or new construction, is tile structure within 2 feet of minimum setbacks? If yes, add surveying condition FND' Maximum Height: ft. Maximum Size: sq. ft. Proposed Height: ft. Proposed Size: sq. ft. Parkland: If the permit is for new construction, have parkland dedication fees been paid? If no, add condition PFEE, notify owner, and notify building division. Streetscape: Does the permit result in any of the following conditions? U Construction of new roads U Platting of new lots LJ New development Ll Additions that increase floor area by 60% or more (see formula) (proposed floor area ---- - existing floor area ) / existing floor area -I----- = If any box is checked... SF/DUPLEX—Is there existing U Curb Ll Gutter L35 -foot sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. P'ees-in-lieu qI'dedication or construction are due at the time the permit is issued, NIM -1111, �gjtlmjll GENERAL INFORMATION Schedule: 048112 Parcel ID: 39-223-00-029 Print Hjep Status: Active Property Type: Residential Property Address: 09745 W 38TH AVE Owner-Narne(s) WHEAT RIDGE CO 80033 4134 Owner FRANK W Mailing Address, SAME ADDRESS AS PROPERTY � (I WIEBE JUNE K ? M-# 11070MATMOIN PROPERTY DESCRIPTION Subdivision Narne- - I PROPERTYINVENTORY Property Type RESID Year • Built: 1951 Adjusted Year Built: 19SI Emmaim flat .. ... ...... I I ETIMMS TAX INFORMATION T-rourgr lofqrms 1ligo i Mill Levy Detail For Year 5 Mill Levy Information SJ61 U#&JW--V2 Document utast be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more infortxtation or to print copies of filed documents, visit www.sos.state,co.us, Colorado Secretary of State Date and Time: 07%10/2014 04:24 PM ID Number: 20061489182 Document number: 20141419912 Amount Paid: $60.00 ABOVE SPACE FOR OFFICE USE ONLY Periodic Report filed pursuant to -90-301, et seq. and §7-90-501 of the Colorado Revised Statutes (C.R. ) 1f; number: 20081480182 Entity name B JO, LL :.__ Jurisdiction under the law of which the entity was formed or registered: Colorado I. Principal office street address: 8780 Green Oaks Chive (Street name and number) Greenwood Village CO 80121 rt} n. State) (Povaf "rrat ) nited States (Province - a{ccrpphcable) (Counter _... ff not t ,, ) 2. Principal office mailing address: „8780 Green Oak Drive cif dit{erent from above) (� rLt*t naarnc mast naxrnher° or Post Qfte Box injarnacaion) treenwoo Village CO 80121 _ 'trzae) uSnited States (Province -.- #'capphcaxhle) (Countty -- tf hart (tS) 3. Registered went name: (if an individua)) Jackson Amanda ..._...._._ _.__.. Mmm _ 31 st) (X'irst) IiIT"itte) (5'404) or (if a business organization) 4. The person identified above as registered agent has consented to being so appointed. 5. Registered agent street address. 6. Registered agent mailing address; (if di trent from above) 5780 Green i (Street natne and nuinbee) Greenwood Village Co 80121 _ irkGreen . Greenwood Village CO 8012:1 taatO (Pa sutkbp Code) _ United States /Pr tanc:cx aitP�liccrlalet mm dC treatrrt r1 not (is) REPORT Pae I ol'2 Rev, 12101:a2()12 Notice: Causing this document to be delivered to the secretary of state for filing shall constitute the afnnation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 ) of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state, whether or not such individual is named in the document as one who has caused it to be delivered. 7. Namets) and address(es) of the individual(s) causing the document to be delivered for filing: Oriol Mark Vincent 5780 Green Oaks Drive (Street name and nionber or Post Ogice Box filformation) Greenwood Village CO 81021 (Cit)) State) (Postal`. ip Code) Unifed States (Tr-11"Ince ij'applicable) (C,o-fts, - rift US) (The docionent need not state the tare name and athiress of more than one individuat However, ?fyou wish io state the matte and address of arty additional individuals causing the docutnent to be delivere,4(forfiling, mark this box 1:1 and include an attachment siating the naine and address oj'surh individuals) Disclaimer: This forin, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this lono. Questions should be addressed to the user's attorney. REPORT Page 2 of'2 Rev, 12/01,12012 I , \ -,- e, - , , — � I I I 41) 1 Carbon Monoxide detector(s) required within 15 fit of all sleeping areas. Snioke alarnis shall be required ill eachsleeping roolT, and Outside each sleeping area per 2012 1 R('-', Section 311 APPROVED &*)W to FW Intpwbm WhW RkIp Bu#dhV Dog Signed—�-,, Checker Single Family Residentialcover cc s and orc e Deck Section, 1,14 2)f sow Wadft k 19 Single a ily Residential 'Uncovered Decks and Porches Stai Mindritil SpetifiLations Unacceptable Handrails Acceptable Handrail Detailsm F." 14MVING a DECK DESIGNER oly lechnoiagic"s v ,� I �L.1 Correction Notice ti Job Located at I have this day inspected this structure and these premises and ' have found the following violations of City and/or State laws gov- erning same• You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. ' DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 9632 10/13/99 Property Owner : Property Address : 9745 W 38TH AVE Contractor License No. : 17865 Phone: 422-3837 Company : Lakeside Heating Co. Phone : 421-3572 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : New boiler installation Construction Value : $4,600.00 Permit Fee : $111.25 Plan Review Fee : $0.00 Use Tax : $69.00 Total: $180.25 Use: Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject fo the laws of the Stale of Colorado antl to the Zoning Regulations and Builtling Code of Wheat Rid D7df rado or ny other applicable ordinances of the City. (2) This permit shall expire if (A) the work author~ed otomm aenc ed within siaty (60) days 6om issue date or (B) the building authorized is suspended or abantlonetl for a period of 120 days(3) f this permit expires, a nepertnit may be cquror a fee oF one-half the amount normally required, provided no changes have been or will be matle in the ginal plans nd peafcations and any usocabantlonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceetls one (7) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that will change the natural flow oFwater causing a drainage problem. (5) Contrec[or shall notiry the Building inspeclor tweniy-four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before proceediing wiih successive phases of the job. (6) The issuance of a permit or the approval of drewings antl specifcations shail-aot be construed to be a permit for, nor an approval of, any violalion of the provisions \ of the building codes or any other ordinance, law, rule or regulation. Zka Chi ',dip s`e~`/~'+"'~ 303 235 2857 N.UL Sep-1,6-99 02:36P DEVREVFAX DEPARTMENT OF PLANNING AND DEVELOPMEh i Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CI"fY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE ` WHEAT RIDGE, CO 80215 APP_ICATIoN Property Owner : Ra-n ~ PropertyAddress: G)?L,-) 8&33 Phone: 3&,3 Contractor License No. 7~ 105- Phone: (,C2!-,3572 Company: hecx OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEt rENT Construction Value : y~0 O I hereby certify that the setback distances proposed by this pertnit application are acew ate, . permit FEB ',;i S- and do not violaro applicable orCinances, rules or regulations of the Ciry of Wheat Ridgt or covenants, easements or restrietiens of reeord: that aii measuroments shown, and allec 7tions p~ made are accurete; that I have read and a4ree to abide by all conditions printetl on thi. Use Tax : aDPiication, and that I assume full responsibiiity for compliance with the Wheat Ridge E3 ilding Cotle (U.B.C.) and all other applieable Wheat Ridge ordinanus, forwork underthis per nit. Total : (OWNER)(CONTRACTOR) SIGNED DATESe : Descriptiod: BUILDING DEPARTMENT ll 3E ONLY o SIC : Sq. Ft. : ~ Approvai: w Zoning : Approva( _ , _ , „ . . e- . ~ : . . ~ ~ . . ~ . . . . . . . . Approvat Occupancy : Walls : Roof : Sic fies : Residential Units : Electrical License No : Company Expiration Date : Approvai: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company: Expiretion Date : Approval: (t) This Oertnit was iesueC in aaortlanca vriN the p'ovisions set foM in yo0ut ap0liwtion antl i- suEject to the laws af the State o( Colorado anC to Na 2aninq Regulatioro anC BuilOing CoEe of Wheat Ridge, ColomCO or any oNer applieabla ortlinanoe a( the Ciry. (2) Th is pertn¢ e~all expiro A(A) the woec aufhonzeC ia not eommeneed wiNin aixry (80) days It m isaue Cate or (8) the buiiCing auNOnzetl is suspendeE or aEantlonetl (pr a penotl of 120 Oiys. (3) If this pertnit expircs, a new pennR m2y Ee acquiretl (or a fee of onthalt the amount nomwll required, provieetl no atunges have Eeen or will be maCe in the onginal plans ana speciBntlons and any swpenslon or a6anCOnment has not axeeaCed ont (1) year. II Uianges am maOe or if suspenelon or a0andonment ezceetls one (1) year. NII lees afull be paiC for a new permlt (a) No work of any manner fnall be tlone Mat will ehange tha namnl llow of wster musing a Gi: nage problem. ,(5) . Convaeror snall neGy the Builtling InspeROr nranH•Mur (24) houn in atlvanee ror all inspec ons antl et+all receive wften approval on inspMion aN Delore prxaaaiing witn suassaive pnaaes of tM'ee. - (6) Tne issuanee of a permd or Me ap0~'sl Varawinqs anG speeifi,m0ans shall not ba mnslnu 4 ro be a pertntt kr, nor an approval 0f. any violanon of Ihe provisions . o! Ne Duiltling COtles or any oNV ortliNnte. IrN, fuk or fGqulahon. ' Chief Building Inspactor c U'" E HEATING COMPANY Arvada, CO 8000X (30 421-35 2 • (303) 657-9915 Proposal Name: Address: O/S~ JIi3C: Installed Ar. Name: Address: City/State(Zip: Phone: SpeCiflCations: We propose to fumish and install the equipment listed in accordance with the following conditions and ; specifica[ions. i Noee: Installed to exisitng ductwork and eleccrical, unless nored ocherwise. (ini[ial) e,cce Heating Equipment: ~ TY ~ ~ Cooling Equipment: Additional Specifications: Warranties: From Manufacturer: years on (circle on , Heac xc gger/C~mpressor. From Lakeside ~ Years on all pares, years on s`eevtce zfn2laboc ' Accessory Items: Thermostat Model Air Cleaner Model Warranty Subt~ $ ~ Pr' e 7fIT i Humidifier Model Hot water He er Model _ Permit: ~ Yes [ ] No City/County Date Prepared: < / L Prepared By: ~ - "Equipment M st Be Inscalled by: To Receive Quoced Price Install Date:_~~ Tank & 1 Year Parrs & Labor Permit Fee Non-Refundable i $ i Proposal 6t Terms We propose to fumish materials and labor in accordance with the above specifications for a coial installed price of (includes recommended optional quipmenx.) ~ Total Installed Price~ ° - Check # Down Payment 6, 0 Balance Due~ p~s a Equipmenr~4vill be r dy for installation in approximately _ days from the date of our approval of this contr~. Payment to be as follows: Paymenc in full upon installation; unless Noted Belo~w Financial wich Approved Credir, Terms: Noce: This proposal may be withdrawn by us if not accepted within 30 days. Accepted Proposal The above prices, specifications and conditions are satisfactory. You are hereby authorized to do the work as specified. Payment will be made as noxed. Proposal is NO LID uncil Acceptance is signed. is ~eement SHALL Become Effective only when Accepted by customer as Evide ed by ignature below. ~ ~ Proposal Accepted By: Date See backside for Terms 6i. Conditions BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at '?7 q 5 ~j a4-,j~Y< I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: o ~ You are hereby notified to correct the foregoing When corrections have been made, call for inspection. Date FOFiM WRB-22 ~ Inspector for Building Dept. r/ DO NOT REMOVE THIS TAG Correction Notice Job Located at `F 7`/57 W. 3,0 I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: ; ,o, c ° IAI,< 1ev lrc~a 4 e, v,o 1 Po P 1 + Lf/ A~1~ r ~ t'~.,Q /'P-ro. ~ Iu P ~ rA S N Pc 9 ~~c-j '~~oi.~ You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date 5' ~ Inspector r Building Dept. DO NOT REMOVE THIS TAG PORM WB6-22 . . Correction Notice Job Located at lit/. 3 f~'- ~ I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: AL- 0/;nI0:' „,;0 21 You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date I ;LLl 'F /o b Inspector f Bullding Dept. DO NOT REMOVE THIS TAG . FORM WR6•22 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 3115 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 5/20196 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : WIEBE FRANK W Property Address: 9745 38TH AV Phone: 422-3837 Contractor License No. : Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable heat Ridge ordinances, for rk under th~Permit. (OWNER)(CONTRACTOR) SIGNED Description : APPROX 10 OF FENCE - 4' TALL Construction Value : $250.00 Permit Fee : $15.00 Plan Review Fee : $0.00 Use Tax : $5.00 Total: $20.00 BUILDING DEPARTMENT USE ONLY Approval : SM 5120196 Zoning : R-2 ingemmmmm Approval : Approval: Occupancy : Walls SIC APPROVAL OF CHAIN LINK FEN¢E Roof : Stories Sq. Ft. : Residential Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : mm (1) This permit was issuetl in accordance with the provisions set forth in yopur application and is subject to ihe laws of the Siate of Coloratlo antl to the Zoning Regulations and Buildin9 Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authorizetl is not commencetl within siMy (60) tlays from issue date or (B) the 6uilding aufhorizetl is suspended or abandoned for a period of 120 days. (3) IFthis 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 onginal plans and speafcations and any suspension or abantlonment has not exceeded one (i) year. If changes are made 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 naturel Flow of water causing a draina9e problem. (5) Contractor shall notiry the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspectlon card 6efore proceedi~ g with successive phases of thejob. (6) The issyaMce pf a permit or the appr _ al of drdwinqs antl specifcations shall not be construetl to he a permit for, nor an approval of, any violation of the provisions of ihe Muil}ling}~.odes or,any other oJaance,1law, rule or regulation. iilding Inspector PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date : PropertyOwner: "CL/?Kyh/C¢/7', LC/le,62 Property Address Phone . ~J 7 Contractor License No. : Company Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurete, 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 (U.B.C.) and all other applicable Whe~t Ridge ordinances, fqr)work under thogrmit.. (OWNER)(CONTRACTOR) SIGNED "e w "'-Y!~ DATE" ' Description: ~ Construction Value : 2.S-0, ocD Permit Fee : Plan Review Fee : Use Tax : Total : L.oss -7~e,,'~ / oo F~ BUILDING DEPARTMENT USE ONLY Zonmr :Comme°nts r,~7A~Q~y Approval : twK Zoning : tz2 Bwfding.p, oC';mmin`e'o#s~ Approval : Approval: Occupancy : Walis dPen,ovk-L oF cAa,r! L,,.lv- ~ycE Roof: Stories SIC : Sq. FC : Residential Units Electrical License No : Plumbing License No : Mechanical License No : Company: Company:• Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approvai : Approval : ~~Plans~-Re ~ iredl,,:: Plaas Re uiretl_, J ~ ~ _ H..9 ~1 ~,PfansR.equiretl~{ (1) This permit was issued in accortlance with ihe provisions set foRh in yopur application antl is subject to the laws of the State ot Colorado and to the Zoning Regulations and Buitding Code o( Wheat Ridge, Colorado or any other appticable ordinances of the City. (2) This permit shall expire if (A) the work authonzed is nol wmmenced within sixry (60) days trom issue date or (B) the building authorized is suspentled or abandonetl for a period ot 120 tlays. (3) It thi5 permit expife5, a new pefmit may be aCquiretl For a tee of one-half the amount normally required, provided no Change5 have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (7) year. It changes are matle or if suspension or abantlonment exceetls one (1) year, full fees shall 6e paitl for a new permil (4) No work of any manner shall be done that will change the natural Flow of water Causing a tlrainage problem. (5) Contractor shall noti(y the Building Inspector hvenry-tour (24) hours in advance for all inspections and shall receive written approval on inspection card before pmceediing with successive phases ot thejo6. (b) The issuance of a permit or the approval of drawings and specifications shall not he wnstrued to be a permit for, nor an approval of, any violation of the provisions of the builtling codes or any other ortlinance, law, rule or regulation. Chief Building inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION > ~J ~