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HomeMy WebLinkAbout11605 W. 46th Avenuei CITY OF WHEAT RIDGE 11 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _6061 t Job Address: f 00013 U (tye- Permit Number: 2C)l i5 0l `5 08 ❑ No one available for inspection: Time 9'/U /6—IPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: �' �� ' 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: T_:� ( C( 9 -IF-%. "' Job Address: I i (.a 0 S W q- Lo Permit Number: 7 U I'� y 15 f5 9 one available for inspection: Time e� �C� A Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: `7 I U 1 � Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 11(0051, W LjCcs AV -f Permit Number: t U 1 -Allo one available for inspection: Time A /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Mechanic PERMIT - 201801588 PERMIT NO: 201801588 ISSUED: 05/31/2018 JOB ADDRESS: 11605 W 46th AVE EXPIRES: 05/31/2019 JOB DESCRIPTION: Water heater replacement 40 gallon gas 36,000 BTU&#39;s. *** CONTACTS *** OWNER (720)933-1346 SHOCKLEY THOMAS E & ELIZABETH SUB (303)280-5765 Larry Benavidez 100318 Colorado Heating & Cooling *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,542.00 FEES Total Valuation 0.00 Use Tax 32.38 Permit Fee 63.90 ** TOTAL ** 96.28 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I fwther 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 I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica,;�e code or any tyinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of ChiefBuilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of /^ W heat � e ti1iJNI i Y DI VI-EUI'MENi Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits0ci.wheatridge.cc.us FOR OFFICE U5 ONLY Date. ` 'P�A I // K P►andPermit # Plan Review Fee: Z0 Building Permit Application "* Please complete all highlighted areas on both sides of this form. incomplete applications may not be processed. "* Property Address:'�S _k 16 k &23' Z61 _ j33-l3q Property Owner (please print): Phone: Property Owner Emall. Mailing Address: (if different than property address) Address: IIu61-S U) 4 �( ) City, State, Zip: Architect/Engineer. Architect/Engineer E-mail: Phone: Contractor: Contractors City License #: Contractor E-mail /S Phone: �L '� �fl✓ For Plan Review Questions & Comments �(please print(): CONTACT NAME (please print): ���� CJf � �(�1 it Phone: 36-3 Z�O_S 2� 5 CONTACT EMAIL(please print) Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: 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 Q COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) FL ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT UMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ECTRICAL SYSTEWAPPLIANCE REPAIR or REPLACEMENT 'U OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, induding 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.) ct /J GGC; Sq. FtAF Amps Btu's Squares J Cations �' k Other - L - Project Varus: (Contract value or the cost of ali materials and labor included in the entire project) OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING ANI) 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. C7RCLEO,VE: (OWNER) (COAT R) or ( UlWOR17ED REPRF.SEATATIM- of,(OIffiWR) (.OATRA OR) Signature trust and fust name): 1 DATE: I� ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION - Building Division Valuation: INSPECTION RECORD Inspection online form;,http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business da r PERMIT:F 12DL ADDRESS: �(� L , 4b �y--C iOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. F205 Plumbing Underground Ext. 206 ater Underground n4 Not Co U d I ver n erground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof I 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT�� I�l,h-� ADDRESS: � < � �*,JOB CODE.f"f� Rough Inspection (continued) Date Inspector CommentsInitials 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector CommentsInitials 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE � - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION_NOTI -E Inspection Type: J f� Job Address: r AVC Permit Number: ❑ No one available for inspection: Time Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 1 J ? Date: / ;� � � Inspector: DO NOT REMOVE THIS NOTICE I 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: N I Job Address: W .VL - Permit Number: "20(r%(}� Soo i r ❑ No one available for inspection: Time z` A /PM Re -Inspection required: Yes�No When corrections have been made, Cali -for re -inspection a 3- 4-5933 Date: (aA Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201709300 PERMIT NO: 201709300 ISSUED: 11/28/2017 JOB ADDRESS: 11605 W 46th AVE EXPIRES: 11/28/2018 JOB DESCRIPTION: Reroof with composition architectural shingles;new re -deck. OC Duration asphalt; ice and water barrier at eaves, valleys and penetrations, replace flashings; 22 squares *** CONTACTS *** OWNER (720)933-1346 SHOCKLEY THOMAS E & ELIZABETH SUB (303)204-0408 John Grissom 170128 Grissom Contracting *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,372.75 FEES Total Valuation 0.00 Use Tax 154.83 Permit Fee 172.60 ** TOTAL ** 327.43 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201709300 PERMIT NO: 201709300 ISSUED: 11/28/2017 JOB ADDRESS: 11605 W 46th AVE EXPIRES: 11/28/2018 JOB DESCRIPTION: Reroof with composition architectural shingles;new re -deck. OC Duration asphalt; ice and water barrier at eaves, valleys and penetrations, replace flashings; 22 squares I, by my si applicable l by the legal this_ permit. performed do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized of the and am authorized to obtain this permit and perform the work described and approved in conjunction with ;r attest that �I m le ly authorized to include alI entities named within this document as partes to the work to be all work to Y" med is disclosed in this document and/or its' accompanying approved plans and specifications. natfife of OWNS or CONTAAC OR (Circle one) / Date This permit was issue ed -an tlte-information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 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. 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. 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. 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. 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 ,- e or any ordinance or re�ulatign of this jurisdiction. Approval of work is subject to field inspection. $ y Mpg Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook � I 1 V 7 '� 0 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, November 28, 2017 9:18 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 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 11605 W 46th Ave Elizabeth Shockley 720-933-1346 Field not completed. Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Shockley contract.pdf 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) Grissom Contracting 170128 303-204-0408 10290 S Progress Way #206 - Parker, CO 80134 Contractor Email Address John@GrissomContracting.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) John@GrissomContracting.com 22 75 5500 No Pitched roof (2:12 pitch or greater) z What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 4:12 22 Composition Architectural Shingle - Owens Corning Duration Asphalt Ice and Water Barrier at eaves, valleys and penetrations - Replace flashings SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 3 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 John Grissom Email not displaying correctly? View it in your browser. Restoration Contract Grissom Contracting 10290 S Progress Way 1 #206 1 Parker, CO 80134 (303) 204-0408 Office 1 (303) 595-5279 Fax Claims@GrissomContracting.com : OF N� IN- GRISSOM CONTRACTING PROPERTY OWNER PROPERTY ADDRESS� 0 CITY, ATEy�IP� e mow, 9�vcl�6,Loi" 't o{���7�� PHONE EMAC DESCRIPTION OF PROJECT: General contractor will furnish all labor, materials and equipment to construct in a good workmanlike manner all work associated with the insurance claim unless otherwise specified in writing. All products will be installed in accordance with manufacturer's specifications and in accordance with the 2012 International Building Code requirements. Company will obtain building permit and schedule necessary inspections through the building department of the applicable jurisdiction. The price of the restoration shall be the amount on the estimate specified as RCV "replacement cost value" plus all approved insurance supplements. Supplements may include, but are not limited to: overhead, profit, taxes, license and permit fees, adjustments to measurements, undiscovered damages, omitted items, and correction of product selection. Grissom Contracting is insured with Moody Insurance Agency Inc. (303)824-6600 • General Liability - Mesa Underwriting Specialty - Policy #MP0005003001654 Workers Compensation — Pinnacol Assurance — Policy # 4158431 • Automobile Liability — Continental WesteM Ins Co — Policy # CPA307091422 SCOP F WORK AND PRODUCT SPECIFICATIONS Tear Off and Disposal of Existing Roofing System Install 2"x4" Gutter Apron at Eaves Install ice & Water Barrier at Eaves & Valleys Install Synthetic Undedayment install 2"x2" Drip Edgeat Gables install Pipe Jacks and Flashings Remove/Replace Detach/Reset Venting Paint Pipe Jacks and Vents Shin : 0-C. Diuye -{-i off '3 ^ s:k_W Install Step Flashing and/or counter -flashing Install Asphalt Starter at Rakes and Eaves Install Laminated High Grade Shingles Install Ridge tap at Hips and Ridges Gutters, Aluminum, S" Color: Downspouts, 2"x3" Color: Additional ope of Work -See alta ed form / 41110 (ijo RCV: $_ V Contract Amount Excluding Supplements $ GV due upon delivery $ Depreciation + Supplements due upon Completion Estimated Dates of Service: ! I — 7-8 —1-2-1 Claim #: )L Date: TERMS AND CONDITIONS: The Terms and Conditions attached are expressly incorporated into this agreement. All contracts must be approved by company officer. ELLER ATURE DATE OWNER/BUYER AUTHORIZED G�{ T E DATE�1 ELLER PRINTED OWNER/BUYE AUTHORIZE PRINTED NOTICE OF CANCELLATION —YOU MAY CANCEL THIS PURCHASE iN WRITING ANYTIME PRIOR TO72 HOURS AFTER THE EXECUTION DATE%OFTHIS CONTRACT WITHOUT A CANCELLATION FEE OR PENALTY AND RECEIVE A FULL REFUND OF ANY DEPOSIT MADE, YOU MAY ALSO CANCEL ANY SCOPE OF WORK DENIED BY YOUR INSURANCE COMPANY BY PROVIDING PROPER WRITTEN NOTICE WITHIN 72 HOURS AFTER RECEIPT OF WRITTEN NOTICE FROM YOUR INSURANCE COMPANY THAT YOUR CLAIM HAS BEEN DENIED AS DEFINED IN SECTION 3 BELOW. CUSTOMER MUST PAY FOR ANY AND ALL WORK COMPLETED AND/ OR MATERIALS PURCHASED AND DELIVERED TO CUSTOMER'S PROPERTY ATTHE TIME OF CANCELLATION. I hereby give written notice that i, the buyer, "customer", wish to cancel my contract. I further verify that I have executed said cancellation within the three day period allotted as stated in this contract CANCELLATION SIGNATURE CANCELLATION DATE GRISSOM CONTRACTING SHALL HOLD iN TRUST ANY PAYMENT FROM THE PROPERTYOWNER UNTIL ROOFING MATERIALS ARE DELIVERED OR UNTIL A MAJORITY OF THE ROOFING WORK HAS BEEN PERFORMED ON THE RESIDENTIAL PROPERTY. THIS CONTRACT AND ANY AGREEMENT MADE PURSUANT BETWEEN GRISSOM CONTRACTING "COMPANY"ANDTHE PROPERTY OWN ERS) 'CUSTOM ER"WILL BE SUBJECT TO ALL APPROPRIATE LAWS, REGULATIONS AND ORDINANCES AND TOTHE FOLLOWING SPECIAL TERMS AND CONDITIONS. The final contract price shall be equal to the "Contract Amount" fisted on this contract plus anyapproved insurance supplements orthe final revised replacement cost value as stated on the Property Owner's final insurance loss sheet or claim settlement form, whichever is greater plus costs associated with upgrades selected by customer that are not covered by insurance funds, plus unforeseen costs. The replacement cost value listed on the original insurance company scope of loss represents only the value acknowledged by the insurance carrier at time of original estimate and is generally not equal to the contract amount or the final total amount to be paid. Customer is to provide all insurance paperwork related to this claim to Company including but not limited to the Property Owners/Homeowners Insurance Loss Sheet. Failure of Customer to provide this information in a timely manner and/or allow Company access to this information does not affect the Total Amount to be paid by customer as specified on the front ofthis contract and in section 1. Refusal of customer to provide this information is a default of this contract on their part. ♦ 1 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line _ 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: A/% Ilfl A Rw/ Job Address: Permit Number: d9f S I ❑ No one available for inspection: Time S AM1.EML Re- Inspection required: es No "When corrections have been made, call for re-Inspection at 303 -234 -5933 Date: 71f 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 / J Inspection Type: ~~r/ z Job Address: Permit Number: ) J. ❑ 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 1 Date: l;~.~/f Inspector: /!1%ra~f DO NOT REMOVE THIS NOTICE r' FEE SUMMARY ESTIMATED PROJECT VALUATION: 11,035.58` FEES Permit Fee 272.10 F Total Valuation .00 t F, Use Tax 198.64 ~,1!(~~~~ ✓ ✓J TOTAL 470.74 i ` Conditions: 6 nail installation & mid roof inspection required. . Board'sheathing spaced more ,REQUESTS iUST_BE MADE BY 3PM ANY BUSINESS DAY FOR <TM.gPFrTTOTT ~ TTTF T.'0r.T.0WTTTr_' FTTeTNFQC nnv!` 09/19/2009 15:44 a 3034503140 INSURANCE ROOFERS City of Wheat Ridge Building Division 7500 W. 29g' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application PAGE 02102 Date. Plan Permit Al tropeliy i4jddNiis; I~QrJ l y IA l l~~i Property Owner (please phrlo hoMasg r`jZ0.~2jIn hpG~le~l Phone•720-933-I LI4 Mailing Address: (if different than property address) Address: City, State, Zip: Cpntri.ictor: -i--f `Sll-rarlcG 12no-eers Contractor License 0: 0-^Q1 20 Phone: 3Q 4'50- I~lI Siid:Co'ntractois: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Mechanical City License Company: Exp, Date: Use of space (description): AAagidwj& construction Value: 3 $ De.4eiiptiOn:O'f' WO'If: (as circulated per the Building valuation Data sheer) Re-~,o I compiet-,-, tmp- olf,~ Plan Review(dueatt)moOfsubMJW):a r{~pr¢c¢, w w , 3~cza r ckmet tsjd ,~t i 5h i VJ9t L Sq. Ft./L.Ft added: Squares ZQ.3 BTU's Gallons Amps OMERICONTRACTOR SIGNATURE OF UNDER: I hereby certify that the setback distances proposed rules or regulations of the City of Wheat Ridge or c allegations made are accurate; that I have read and responsibility for compliance with the Wheat Ridge under this permit. Plans subject to field inspect-ion CIRLCE ONE.:`~('`O'W~,N PRINT NAME: W application are accurate, and do not violate applicable Ofdlnances. rments or restrictions of record; that all measurements shown, and t by all conditions printed on this application and that I assume full (1.6.C) and all other applicable Wheat Ridge Ordinances, for work PERSONAL SIGNATURE: .9 - 19 -01 O Bldg Valuation: $ COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number: 15404 Date : 4/28/2003 Property Owner: THOMAS E. & ELIZABETH B. SHOCKLEY Property Address : 11605 W 46TH AVE Contractor License No. Phone : 422-5398 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 Wheat Ridge ordinances, for work under this permit. (OWN ER)(CONTRACTOR) Construction Value Permit Fee Plan Review Fee : $0.00 Use Tax : Total: $0.00 Use: Description : 8'X 12' STORAGE SHED (NO FEE PERMIT) BUILDING DEPARTMENT Zoping Comments' Approval : MA 4/28/03 Zoning : R-2 _ Approval: BG Approval: Occupancy: Electrical License No Company: Expiration Date Approval : Please Note: ihiff*d constructing improvements according to to approved*Un and requiref %ictoprNrt standards. The City is not responsible for inaccurate informatia submitted within the plan set and any construction errors resulting from inaccurate information. 4/28/03. MUST BE PROPERLY ANCHORED Walls: Roof 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 to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes 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 natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a rmit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of th ilding co es,pr ther ordinance, law, rule or regulation. Chief Buildi g Inspec Stories : Residential Units : Storage Shed Placement Permit (for storage shed that DO NOT exceed 120 sq ft in floor area) Department of Plaltltlon and Development City of Wheat Didpe NO FEE PERMIT 7500 West 29111 Avenue Wheat Ridge, eo 80215 - 303-235-2855 Property Owner.--'V-lr1p0-.' G,S C, Property Address: m~obS- w Phone: 30"3 40-~-S S ~ Contractor: 44 511a 4 (0-r" jp~v4z~ Phone: 363 oy`' gk~ I hereby certify that the setback distances prop ordinances, rules or regulations of the City of measurements shown, and allegations made this application, and that I assume full res onsi other applicable Wheat Ridge orc inq c~,s, for y (OWNER/CONTRACTOR) ' 1003 sect for this permit application are accurate, and do not violate applicable Vhe o covenants, easements or restrictions of record; that all 'accurate; atr I have read and agree to abide by all conditions printed on ility for omplian ith the W eat Ridge Building Cdde (U.B.C.). and all )rk der it. °J pate: < L/ Description: ?x1754%1~ SkD-J Use: Zoning: Building Setbacks - Side: S Rear: S ' Front: ~a Sq. Ft.: Zoning Corriments~; Approval `'~V\ Building Comments,;; Approval: c rjl/~ 5 2 '1 ~1~?^<:OCr~ c, h~:iP 0) No work of any manner shall be done that will change the natural flow of storm water causing a drainage problem. (2) Owner/ contractor shall notify the building department twenty-four (24) hours in advance for all inspections, and shall receive written approval an inspection. (3) The issuance of a permit or approval of drawings shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any ordinance, law, rule or regulation. (4) Sheds must be properly and securely anchored at all corners. PLEASE 80iE:Owner/ contractor is responsible for locating property lines and constructing improvements according to the approved plan and required developmentstandards,ihe Oityls not responsible for inaccurate information subminedwithin the plan set and any construction errors resulting from inaccurate information. Codes Administrator 51- ryV-0L-~ -..~wuw~ ~rnu~o. L/1'7 5~2oc`T Date: 7 Phone: WIC I-IM Ol Pa er/Cell Po?47 go /c_3 Invoice m: Customer will be home? Is site level? is th ere 18" on all four sides of building? Is there clear access to shed site? A How close to shed site can a vehicle be arked? Is there 110 volt owerwithin 100 ft? sN Balance Due: Pa ment8 : Credit Cad Check j Directions to Site ` % end Le~~ ©n /7/6,714 . a Ob/a~l~s ort,~/i-cam Building Features: Special Instructions: , Date 0 100 Feet 11605 W 46th Ave DEPARTMENT OF COMMUNITY DEVELOPMENT M93#18867 7500 WEST29thAVENUE BUILDING IPISPECTION DIVISION PERMIT N0. 234•5915: P.O. eoX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONI.Y WHEN SIGNED BY T1iE CHIEF BUILOING INSPECTOR AND RECEIPTED BELOW. _ JOB ADDRESS CONTRACTOR ADDRESS CITY _ auntiF ZIP CODE - LICENSE NO OWNER ADDRESS PHONE ~ DATE ZIP CODE CONTRACT PRICE m0 7YPE Ground❑ 1 Woll❑ Proieetinp❑ Othar SaDFOaa $IGNS . 2. MATERIAL WMINATION Y ❑ N I ❑ T e Total Squors Faet Permit No Eleet sa o 3. L 4 SET BACK FROM PROPERTY LINE N (Speci}y whichiefront) yp - ❑ S_ E ❑ _ W ❑ ❑ . Zone_ . ApDrmed,Zons Inspattor Disapproved 1. TYPE Solid❑ More Than 80% OpenO MATERIAL Lass Thon 80% Opsn Heipht . FENCES 3 SET BACK FROM PROPERTY LINE N (Specify whieh ia front) _ ❑ S_ E ❑ _ W Q ❑ Zane_ Appraed,Zons Impector Diaapproved I . 2 OTHER 3 . DRAW SNETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIViNu DISTANCES FROM PROPERTY LINES. (SETBACNS OR PROJECTIONS INCLUDED) /y R PROPERTY IINE W~ z ? ~ 5h J > > K 17 ~ N 3l~ea~~S 33~5'~ ~ FRONT VROPERTY LINE STREET NAME !9 ~ SPECIFV NORTH SHOW DISTANCES FROM THE MAIN BUILDING T6ADJOINING HOUSES,STREET$,AND PROPERTY LINES{ON IRREGUI.AR IATS,SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMlT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 780 OAYS FfiOM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUAIINUh1WIREUNDERSIZE81Ll.EGAL FLOOR BSM I5T 2ND 3RD 4TH N0. FUEUC'rcc460neGa6011Rnponef.oolElxSolor Np, WATER CIASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TU8 STEAM - BTU CHAN6E SERVICE-AMPS SHOWER AIR CONDITIONING-BTU IIGHTING SINK OTHER HEATING GARBAGE DISF REFItIGERAT10N SYSTEM POWER SUB-CIFCW7S UTILITY(RANGE,DISPOSER,ETC) - FIXTURES WA7ER HEATER AUTO. WASHER DISH WASHER Betri aranf Group PourMs CAm e AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS BiCONTROLS FL.OOR DRAIN EIEVATOR SIGNS URINAL -TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hereby acknowledqe that this ap0lica- tion u eorrect ond understond thot I e0nnof atarf fhie project until this oppli- tation ie opOroved. I shall comply with the lows of the Sfate o( Colorodo and to the 2oninQ ReQulations and Buildinp Code of the Cify of Wheat RidQe. Any viololion ol the above ferma will touse immediate revocation of ihis permit 111LV 11661.AL 40p1icante 9i9reture PERMIT FEE USE TAX TOTAL FEE CHIEF BUILDINf~/NSPECTOR,City of Wheat Ridqe Date IssuPd :2:2~--3 T NOT VAIID N IPTEO 'i - l~ -~3 oq CALL2345933 24 HOURS IN ADVANCE FOR INSPECTIONS jCE !I, dl4 E LEGR- DESCRIPTIOn/ COLUMBINE SUAVE1/IIVCi, 3867 Wqt Hempden Avanw Englewood, Coto. 80190 761-2962 SVSSEcT PRoPEi27-( IS iN /A ZontE (3FLoCrO HAZARD A~EA AS PEK CI't`I oF wHEAT.RtD(,E_PANE.LO56 pa,-rE 0 i/3. j 83 /37 7' v, ~ _ ~ •1 ir <owc, I~ Js_ e, 3J 00 V vi o~ S 1 N~RMs , M ~sraey~j y y ~ ohKAb6 In FRAM6 r 8° 29s Z4? 3e o i I ♦ ~ ~ ~ J J ~ Li~ 30 N 90' c=/ P114/cAP /D7• 7' wcsT 46T~AvE 60' rJ S E c02 $LK., IS PnJ CO ~ NOTICE: Accortling [o Coloratlo law you must wmmence NI` . any le9al actlon basatl upOn any tleteCl In thls Improvement - locatlon ceRlficate wlthln siz yeari after you fVSt tllscover such tlefecL 10 ho evant, may a0y dGdon basetl upon any . a1CA L6 . tlefect In lnls Improvement location cartlfltate be commencetl ~ . more tlian ten years from the tlate o/ the certlflcatlon shown . hareon. . IMPROVEMENT LOCATION CERTIFICATE I her¢bY certify that this improvement location certificate was prepared for SKOI'ED Mort-Me_ that it is not a land survey plat or improvement survey plat, and that it is not to ba relied upon for the ettablishment of fsncs, . building, or other future improveMent lines. ' I further cerdfy that the improvemente on the ebove described parcel on this dete, _A8ri1 25, 1984 except utilitY connectlons, are entlrely within the boundaries of the parcel, excspt ai shown, chat thne an no onoraohmaMs upon the descri6ed premises by improvements on any adioining premises, except as indicated, end that there Is no eppaflnt evidence or sign of any easement crossing or burdening any part of said parcel, except aa noted. , BUYER: SIIOCKLI?Y ADDRESS: 1L605 West 4601 Avenue " 4E TITLE CO: ~CASE NO: RURV~/OR; e ORDER NO: 044-427 •-.*.,..F ~ :PAICE: 50 ~ . u irvarct, i ivrv uiviaivrv - CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Date : 5/26/98 Property Owner : Property Address : 11605 W. 46th Ave Phone : 422-5398 Contractor License No. : Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UND ERSTANDING AND AGREEMENT Construction Value : $80.00 I hereby ceAify that the setback distances proposed b is permit application are accurate, P21'fTlit F2B : $22.00 and do not violate applicable ordinances, rules or covenants, easements or restrictions of recor at tions of the City of Wheat Ridge or I measurements shown, and allegations . Plan Review Fee : $0.00 made are accurate; that I have read and ee to ide by all conditions printed on this application, and that I assume full res sibili y r co I' ncew' - the Wheat Ridge Building USe T8X : $2.00 Code (U.B.C J and all other applic W dge ' an or work under this permit. ~ Total : .00 $24 OWNER)(CONTRACTOR) ED DAT ( Use : Description : 8' X 12' storage shed BUILDING DEPARTMENT USE ONLY Approval : MLC Zoning : R-2 ERMEMM Approval: BG Approval: Occupancy : Walis SIC : Sq, Ft. : Skids must be pressure treated lumber. Shed must be properly anchored Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to [he laws of the State of Colorado antl to the Zoning Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable oNinances of ihe Ciry. (2) This permit shall expire if (A) the work authonzed is not commencetl wiihin sixry (60) days from issue date or (B) the building authorized is suspentled or abandoned for a period of 120 days. (3) If [his permit expires, a new pertnrt may be acquiretl for a fee of one-half the amoun[ normalty required, provitled no changes have been or will be made in the original plans antl speaFlCations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done thatwill change the natural ilow of water causing a drainage problem. (5) Contractor shall notiy ihe euilding Inspectortwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection rartl before proceediing with successive phases of the job. (6) The issuance of a permit or the approval of drawings and speciFlCations shall not be cons[rued to be a permit for, nor an approval of, any violation of the provisions of the buildin9 codes opany other oMinance, law, rule or re8ulation. Chief Building Ir$ector THIS 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 Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: Property Address : 11z1,0,5W4 Phone : Contractor License No. : Company: Phone: OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value I hereby certi(y that the setback distances proposed by this pertnR application are accurate, Peffl'llt F00 : . W and do not violate appUcable ordinances, rules or regulations of the Ciry ot Wheat Ridge or covenants, easements or restrictions of rewrdII measurements shown, and allegations made are accurate; that I have read and a lo a de by all conditions printed on this Use Tax : a,o 0 appliwtion, and that I assume full respo i iI'ity fo compliance wRh the Wheat Ridge Building Code (U.B.CJ and all other appliwbl eat F.2'i e ordinan er work2nd~r this permit. % / . ~,w Total :~4 p°-$0.00 . (OWNER)(CONTRACTOR) SI~~~I 'W Ai t iUse: ~ -~'~✓z Description BUILDING DEPARTMENT USE ONLY ~ L _ fSq.tFk;,~ Q lD ~ ~v AZo~ g: ~ z- ) CRECEIVED v~ .bG~ ~ f8SKrofS rti PP ~hc~ re~l,eev'~sf ,ic~ pre~' "y 19y~ ~ rovai: P_ms~ [~nrApproval: Occupancy : Walls : Roof Stories : r~it~ : Electricai License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (7) This permR was luued In aaortlance vriN the provlsions set lohh In yopur applica6on anE is subject to the laws ol Ure Stale ol Colo2do aM lo the Zoning Regulauons and Builtlirg Code of Vvheat Ritlye, Colorodo w any oNer applicable ordinances o( the Ciry. (2) This permil stwll expire if (A) the work authonzetl is not CommenceE within siMy (60) tlays hom issue Oate w(B) the buildinp aulhaized is suspended ar abarbonetl for a peAOd a(120 days. (3) Il lhis pertnH expires, a new permrt may he atquireE fw a lee of one-half the amount normally required, proviCed no changes have been w will be made in the . original plans and specifintions and eny suspension or abandonment has nol excceded one (7) year. 11 changes are made a if suspension ot aDandonment exceeds orie (1) year, (uU (ees shall be pald (or a new pertnit. (4) No work of any manner shall be done Ihat wilt Uiange the naturel Ilow of water wusing a drainage problem. (5) ConVacla shall noUN the Builtling Insoector twenry•(our (24) hours in aEvance lor all inspecGOns and shail receive written approval on InspecUOn pN belwe prxeeCiing wilh successive phases at the lob. (e) The issuance of a pertnil w the epprovel oldawings end specifcaions shall not De consWeE lo be a permit fw, nor an approral of, arry Nolation of the proWslons . of the buildinp todes /or any othef ordmance, law, Nle or regulafioa Chief Buil'ding Inspec r For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION S CE f~-r~-,~cFr-1 Ep Fo2 LEGAL DESCRIP-'IOnf COLIJMBINE SUAVEYING, 3267 Weae Hsmpd een Avenua En9lewood, Colo. 8 O110 761 •2962 SVP.SE"c 1 PRoPErz'c1( I5 IN A ZoNE L FLOOD HAZARD f' E K C I-T`I O F \NH EAT RIOGE PANEL U56 oA-I ro i/3183 /37 7 ' Z6°-± 24Z ~ W N FgcME N ilo ~ 6'ARAQ6 ~ rr 04? ~ m Pin1/cAP /D7• 7' Z6 f J d. wEST 46T-~AvE NOTICE: Acwralny to Colorado law you must commence dny IBgal dctlOn baSBtl upon any tlelett In fn15 ImOroVemBnt iocatlon certlilcatc wlthln slz years after you Ilrst tllscover sucli aefect. In no euent, may any actlon basatl upon any Uolnct In tbls ImDrovement locatlon certNlcate be commencetl more Ihan ton yuars tfom the tlate ol tha wrtl/lcatloh Shown Itereon. IMPROVEMENT LOCATION CERTIFICATE o~ V vi z9=± I i I . 30 dc cj0' L =47131 Pold CO ~ 30 h 60' ~ SE NO TM $Lk, IS 8C A L■ ~ I herebY certify that this improvement location certificate was prepared for _SKOFED Mortgage_ that it is not a land survey plat or improvement survey plat, and that it is not to he relied upon for the establishment of fence, -building, or other future improvement lines. I further certify that the improvements on the above described pareel on thie date, Anril 25. 1984 except utility connections, are entirely within the bounderies of the parcel, except et shown, thet thaea ere no eneroechmants upon the describcd prr.mises by improvements on any adjoininQ premises, except as indiceted, and that there Is no apperent evidence or sign of unY ,~asement crossing or burdening any part of said parcel, except as ooted. BUYER: SUO(.:KLI?Y . ADDRESS: I'-,Oi IJ~sL 46Lh Avenue TITL[ CO: CASE NO: ORDER N0: 0~, .'42 1 f'AICE: Sp v, ~ ~ ~ F o 4. GONL, I~ /5e It 3/ 1" m /Sro,e y S'~ FitAAu6 ~ 3e /4~6- F LJ'` ~ ~ ; ~ i ~