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HomeMy WebLinkAbout10835 W. 39th PlaceCity of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202000227 PERMIT NO: 202000227 ISSUED: 02/03/2020 JOB ADDRESS: 10835 W 39th P1 EXPIRES: 02/02/2021 JOB DESCRIPTION: Replacing 66k BTU, 80% efficiency gas furnace in crawl space. *** CONTACTS *** OWNER (303)424-4590 SUB (303)421-3572 O'BRIEN DENISE WILLIAM BURAS 017865 LAKESIDE HEATING & A/C *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,900.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 81.90 ** TOTAL ** 121.90 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES City of Wheat Ridge 02/O3/2820 O8:41 CDRA Replacing 66k BTU` 8 0A02225O AMOUNT 8PSP 10835 W 39th F.I. 121.90 APPL/PERMIT NO! 202000227 PAYMENT RECEIVE)), AMOUNT PP / 4975 121.90 AUTH CODE: 70611837 TOTAL 121.90 ____________________ ► 4 r City ®f Wheat Ridge E -Res. Furnace Replacement PERMIT - 202000227 PERMIT NO: 202000227 ISSUED: 02/03/2020 JOB ADDRESS: 10835 W 39th P1 EXPIRES: 02/02/2021 JOB DESCRIPTION: Replacing 66k BTU, 80% efficiency gas furnace in crawl space. I, b 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 further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document andlor 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, po Flans 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 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 Budding 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 gra t' g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any a � ble code or ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. n Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemp From: no -reply@ ci.wheatridge.co.us Sent: Monday, February 3, 2020 7:16 AM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Dina Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 10835 W. 39th PI. Denise O'Brien 303-424-4590 Field not completed. Credit Card Authorization Form .pdf CONTRACTOR INFORMATION Contractor Business Lakeside Heating & A/C Name 1 Contractor's License 017865 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-421-3572 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address becky.b@lakesideheating.com Retype Contractor Email Address DESCRIPTION OF WORK becky.b@lakesideheating.com What type of unit is being Furnace installed? Number of BTUs What is the efficiency (%) of the unit? Is the unit GAS or ELECTRIC? Where is the furnace or boiler located (for example, basement, crawlspace, etc)? 66000 80 gas crawlspace Project Value (contract 3900.00 value or cost of ALL materials and labor) 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 work Yes may not begin on this property until a permit K 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. Person Applying for Rebecca Buras Permit Email not displaying correctly? View it in your browser. /�. 5 --') J Lt -1 3(1W /1 Ll 11?&� 1S //V INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the insnection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter In_--- 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 Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof I �� Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *Fnr IAW Vnlfnnc nnrmi+c — 01---- L... u.-, -.-. !___ ­V­,w1­ aim VVI IIVIGIOU Il VI II LIM rllU ulSlncL ana electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201706879 PERMIT NO: 201706879 ISSUED: 09/03/2017 JOB ADDRESS: 10835 W 39th PL EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield asphalt shingles with 19 sq. Pitch = 4/12 *** CONTACTS *** OWNER (720)234-5858 DAFFERN GERALD D SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,883.00 FEES Total Valuation 0.00 Use Tax 102.54 Permit Fee 125.05 ** TOTAL ** 227.59 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706879 PERMIT NO: 201706879 ISSUED: 09/03/2017 JOB ADDRESS: 10835 W 39th PL EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield asphalt shingles with 19 sq. Pitch = 4/12 *** CONTACTS *** OWNER (720)234-5858 DAFFERN GERALD D SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC *** PARCEL INFO *** ZONE CODE: . UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,883.00 FEES Total Valuation 0.00 Use Tax 102.54' Permit Fee 125.05 ** TOTAL ** 227.59 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge ` Residential Roofing PERMIT - 201706879 PERMIT NO: 201706879 ISSUED: 09/03/2017 JOB ADDRESS: 10835 W 39th PL EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield asphalt shingles with 19 sq. Pitch = 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 perfo ned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of 0" or ?6NTI C (Circle one) Date � 1. This permit was issued ba§einformation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 shall not be construed to be permit for, or an approval of, an violation of any provision of any applicable code or any ordinance ee ul uris o . 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. Dan Schultz CZ( 7616 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 30, 2017 11:24 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 10835 W 39th PI Property Owner Name Virginia Daffern Property Owner Phone 720-234-5858 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address 105 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 Daffern Contract.p df 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) Homeguard Roofing and Restoration 130138 720-708-4126 6850 W 52ND AVE SUITE 106 Contractor Email Address fernl@homeguardroof.com Retype Contractor Email fernl@homeguardroof.com Address DESCRIPTION OF WORK / TOTAL SQUARES of 19 v the entire scope of work: Project Value (contract 3 DO value or cost of ALL materials and labor) Are you re -decking the No roof? Does the scope of the No V/ project include a flat roof (less than 2:12 pitch)? 106 Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof- Provide oof Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes 19 GAF Armorshield II Asphalt We are replacing the roof on the use. OT doing the patio cover (flat roof). The roof pit c is 4/12 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 107 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 Terry Marks Email not displaying correctly? View it in your browser. 108 yr 10— It 1.3:43 rKIAVI— UNLV no Ito surcni r r+ivt COldnylnsUr Contact: GIA . HOMEGU:ARM 6850W.52nc 288FINS & RESTORATION Office: 720.71 Project Address: W different from above] Home#: Cellfi: Insurance Compdny: Sales Representative. Name: ProJact Nlsnagert, Name: 702-633-1158 Alai r IM IJIM;1i INPORMArION Poticy Number Olt21366 Management, 13031623=0162, ext. 136 T-546 P0001/0002 F-231 ACCREDITED �,� BU5lN[SS Address: -- Ito g35 w 9 4-g P/ Zip: O STRUCTURR�ES INCLUDED '(,' Main. []Detached Garage � (]ether Type- fwtolSlt." p -i t -i [U Ridge MateriaS l: 74- ®Undertoyment: ' a o-0 Leak Barrier (] leaves IN Valley 'Drip Edge Eaves Rakes Plashing ❑ Sidewall [k] Chimney Ventilation ® Turtle Ridge Plumbing Boots 9 Paint All. Roof Acceiaories 0 Remove trash from roof gutters & yard EM Roti lawn & drive with magnetic sweeper Q Furftish permit 0 M'iscettaneous: LOW SLOPE AREAS Material Type:. Color: IR Per Codst� [O Penetrations ❑ Color --.1.-- Q Edge ❑pther_. Alf additional areas of construction will be repaired or re Q Gutters ❑ Paint/Stain © Siding ❑ Windows Nates; 'Scope of Restoration Services Provided $hall include any additlonal This Agreement does No7 obtfgaie the Customer nor Company in arc` restoration services to be provhled by Customers insurance compan, Agreement, inetuding all term's on the reverse side hereof. Customol Customer Painent is due upon Completion of each trade, Company manufacturer s tnstaftation inslrvctions & the local building codes, A 4dcd3'Nler401�D00 OD shalt be the total ar autnonzeo insurance supplements eras set forth on the reverse side F ¢Tutee, Substantial commencement of work sl subject to any permissible delays as per provision (6) on the reverse $11 By signing this Agraament you agree that yo veal^been provided man,"'""' ► abov3rt6rMs of his Conti Approved and accepted ICnsto� l Approved and Accepted tCustomer ATTACHED NOTICE OF CANCELLATION FORM FOR SERVICES TO BE PROVIDED UNDER THIS ACRE THIS RIGHT. Company shat! hold in trust any payment from Customer until Email: Claim No; Deductible: Phone: Phone: 05'7,o SERVICE AGREEMENTS GAF ROOFING SYSTEMS ty ra maauazevtrorraoty maufactu rwarrany ,eaautxh...mm�b StToAWNuD RD policy 'r26-yearsenieePatvytoY#r6ervlca a,aeW.nunrrrnaab s-rerrerNapoucy z.yy!!aarr Nan -prorated Non -Prorated ""*°'"Y"4 Translerratite iransferraWe Man-PruratM yf05md . tro�ele..atk ROOF SYSTEM t Material - Material Manufacture standard Manufacture Standard Workmanship S yrs Workmanship 2 yrs Out-of-pocket upgrade costs Customer Initials with h grade materials of like kind and quality SERVICE A REEibII:NT Interior ❑ Skylight Q Other Mater4l'- ManuNdure Standard Workmanship ' Repair I yr Felt Replacement 2yrs vents and services approved by Customer's insurance company and accepted by Company. .. ....... . r ftifill,�'te��'itiri�l�1�"!YK°4�ii�F::G►'�.wF,:wail:t'-W:;,t�..nsn..<,,r,•,,;.•..-Y_ .....--..---_ -- a utile" the insurance claiM ie a1;,r m _-.....•....., , ...t -„ r..r•<:� r ::a;.w�:.� �::.t �„ xSl'b1: pproved for repaire or replscerrierit to the above mentioned/wr item stripe tri n axeapled try Company„ Customer's ata below signifies acceptance Drell terms and con8itiohs of this totat'oIt of poeket expenses ere not to ekeoed insurance deductible plu t upgrades for non -insurance items, +d its authorized reproseotatfves are NGT acting as pubtfe insurance adjust4as Atl +cork is inslatled Def (tie unit due to Comps +W under this Agreement, which is subject to any dditions and/or deductions pursuant to eof. Total estimate cost of any non,insurance upgrades shalt be: $ 1 mean either the Physical daliv$ry of materials onto the premises or the performance of any tabor and shall be Approxlmale Start Date: Approximate Completion !Yate. lice of this right to cancel orally in addition to the writingWnlained herein. This Contraet is subject to Company :t and authorize Company to proceed. Date Approved and Accepted ICompanyl Date I have rocaivad the 'Things to Remember' document initials 11 %J1 tv. S AI. -3-40 t YOU, THE BUYER, MAY CANCEL T OF THE THIRD BUSINESS DAY AFTER TH DATE OF THIS TRANSACTION, SEE EXPLANATION OF THIS RIGHT, L• $ 6-22-.f 04: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME THAT YOURJNSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND � SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF I has dethtered the materials 110 your property or bag performed 6 majority of the work on the property. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Offic f• (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f 7 Job Address: Permit Number: ❑ No one available for inspection: Time AM/P,-M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 z Date: j.' / �✓� Ins ector: 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: ✓1 Job Address:" Permit Number: r / c 1 y`. ❑ No one available for inspection: Time�.'_:�/PM Re -Inspection required: Yes ".No When corrections have been made, call for re -inspection at 303-234-5933 Date:-/(-..) ! Z L /) Inspeblo�f // �/ DO NOT REMOVE THIS NOTICE F 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: "3 C & - /) 1, 1 Job Address: / o R-3 S W Permit Number: Q p t -7 0 1. 9- pi r ❑ No one available for inspection: Time t 1= s--fM! M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: g a s 1 Inspector: Tb DO NOT REMOVE THIS NOTICE ~n.•..': .:'•/'.1'.4\:. n.V~ .'~'./`~1' 11^.'~.n.•..\M!'~n!`.'V'\'J l Da#e: ; A Certificate of Occupa»cy ~ l~n: .'W ~Nli`.n.~i`✓~'~~~n~i:n.MJ~'JW`l~W:~J~/\ ~ < I Completion 4 y has been requested for: y i ( c ADDf2ESS' D'2l l T i ~ < PURPOSE OF STRUCTUI2E: ~ < < `t < ~ i ~ ? > ~ j ~ ~ ? < : ~ ~ ~ Building DepartmentApproval: Remarks: Zoning Approval: Remarks: Public Works Approyal: Remarks: Fire Marshali Approval: (!f Applicable) - tn,u-- • q--j -6~O ; ; Sanitafion District Appraval: ~ (If Applicabie) ` Remarks: : s Wa#erDisfTictApproval: ; (If Applicable) ~ Remarks: s ? < < < S S GEITIlC;4~ ©I UGC WHEAL RED "d "T 77 Perhlit N jmber 060012 ~ 75Qa;aN 2~tii'f\wenu GVheat Rs;g~ Cgorado,$C "§tIouldtions This certificate venfies Thal: ~Fie~hUllig cotructed and,/dr tlla Gse~firopo~e er...(t mk/ hmnartv HPCrenhari h nw driPa chmnlv'wiihA,eV117a€ Code'Editiom X003 IC6) 2002'NEE - 0 1997 UPC % 2002,NE( Certifi b: comrite i pZrig" ed' eS' 10 I Inspections will not be made unless this card is. posted on the building site 24 Hours notice required for inspections Job Address j o Building Permit No. Owner kAssa- Contractor Contractor Address Type I Occupancy INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS'J'OB FOUNDATION INSPECTIONS DATE APPROVAL DISAPPROVAL INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall Reinforcing or Monolithic Weatherproof / French Drain Water/Sewer Service Lines VVr~ I NW V V IY VRC I C WIN I IL ! D V V C I Via UCCIY JIV IVC V CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) 10 171 nno 1 Ihm i ADmia Electrical Service Rough Electric - _ - Z, X, e Rough Plumbing Air Test Gas Piping Rough Mechanical S v fm Framing Roofing Insulation Lr Drywall Screw I-' /A/ FINALS Electrical Plumbing Mechanical 4 c,3 •r r~ L r' Frame / Interior Finish a4 Q n G R.O.W & Drainage Fie Department Parking & Landscaping **NOTE. ADDITIONAL. INSPECTIONS / COMMENTS ON BACK OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER Agesidential ty of Wheat Ridge Remodel PERMIT - 060012 PERMIT NO: 060012 ISSIIED: 02/14/2006 JOB ADDRESS: 10835 39TH EXPIRES: 08/14/2007 DESCRIPTION: Fire damage epair. CONTACTS gc 303/426-4200 owner 720/422-4162 Chuck Borden; S.Jack 02-2016 Colorado Fire & Flood Melissa Kinder PARCEL INFO ZONE CODE: UA USE: R-3 SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 14,582.00 FEES Permit Fee 326.70 , Total Valuation .00C~~ Use Tax - 262.48 P~ TOTAL 589.18 Comments: - must meet 2003 IRC and 2002 NEC. Subject to field inspections. I hereby certify that the eetback distances proposed by this pesmit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.H.C) and all other applicable wheat,,Ridge, Oy3inancea, for work under this permit. Plans subject to field inspection. ~gnature of contractor/owner date 1. This permit was issued in accordance with the proviaions set forth in your application and is subject to the laws of the ' State of Colorado and to the Zoning Regulationa and Huilding Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2.. Thia permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date.or (H) the building authorized is suspended or abandoned for a period of 180 days. 3. If Chis 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. IE changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid £or anew pesmit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall noCify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases o£ the job. 6. The issuance of a permit or the approval of drawinga and specifications shall not be construed to be a permit for, nor an approv° any„vioTation he prwisions of the building codes or any other ordinance, law, rule or regulation.All p}a<}~o'iew,.ig'subject inspections. Signature of Chief Huilding 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. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: oF wHEqrR BUILDWG INSPECTION LINE - 303-234-5933 Date: 0 ~ CITY OF WHEAT RIDGE " m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-2354855) ~~GORPO~ AFFLIeATION Property Owner: gt;55 a K-'^ er- Property Address: ]DS3 S w, 3R tL" A-VE-. Phone:7alc~qa-a-y llok Contractor License No.: IeZO f (o ComPanY: Co10 raAo `i:ir2!' Floo[~ Phone(303)uO'61"14)-bO OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT guildinqDept.ValuationFigure: $ I hereby certity thal the setback distances proposed by this permit application are accurate, and do nof 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 condifions printed on lhis application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all otherapplicable Wheat Ridge Ordinances, forwork under fhis permit. Plapssubject to field inspection. (0 W NER)(CONTRACTOR): Electrical License No~,~,q ~ 3 ~ Company:':YeloGo I 4-o6 Plumbing License No: Company: Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax: Total:$ Mechanical License No: 1-7 7&7 Company: Z"2,10cp Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval (1) This permitwas issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheal Ridge, Colorado or any other applicable ordinances of ihe Cily. (2) This permit shall expire if (A) the work authorized is not commenced within siuty (90) days from issue date or (B) the building authorized is suspended or abandoned for a periotl of 180 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 orwill be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shall be done thal will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection cartl before proceetling with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. . Chief Building Official Use of Space (description):1~ ~ Desc iption of work: > > . {~eQ~ace aA ar y wa~\ ~ C:Iec-Fr`~ ce~~ ~ e i v. S c~.~c~,+i dD v~ t~u,C. 'I-o o. ~ i ~e. Y Sq. Ft. added Incident Report wHEAT RIncE FIRE DEPARTMENT 2005-0002401 -000 Basic Alarm Date and Time 19:56:00 Wednesday, November 9, 2005 Arrival Tune 19:58:00 Conlrolled Time 20:10:00 Last Unit Cleazed Date and Time 01:43:00 Thursday, November 10, 2005 Response Tune 0:02:00 Completed Yes Reviewed Yes Release to Public Yes Shift B Incident Type 111 - Building fire Aid Given or Received N- None Alarms 1 Action Taken 1 11 - Eztinguish Action Taken 2 12 - Salvage & overhaul Action Taken 3 86 - Investigate Appazatus - Suppression 7 Personnel- Suppression Personnel 17 Properry Loss $0.00 Contents Loss $0.00 Property Value $0.00 Contents Value $0.00 Detector Alerted occupants U Property Use 419 - 1 or 2 family dwelling Location Type Address Address 10835 W 39thAVE City, State Zip WI-IEAT RIDGE, CO 80033 Fire Slructure Type 1- Enclosed building Number of Residential 1 Area of Origin W- Undetermined Heat Source W - Undetermined Item First Ignited LJIJ - Undetermined Type of Material UU - Undeternilned Cause of Ignition U- Cause undetermined after investigation Contribution To Ignition 1 W- Undetermined Human Factors None Structure Status 2- Occupied and operating Floor of Origin 1 Building Width 10 Total Square Feet 300 Fire Spread 3- Confined to floor of origin No Flame Spread 1 Detector Presence 3 AES Presence 2 Page: 1 Printed: 01/13/2006 09:52:39 Incident Report 2005-0002401 -000 Apparatus - 23 Apparatus ID Response Tune Appazatus Dispatch Date and Time En route to scene date and time Apparatus Arrival Date and Time Appazatus priority response Number of People Apparatus Use Apparatus Action Taken 1 Appazatus Action Taken 2 Apparatus Action Taken 3 Apparatus Type Personnel 1 Personnel2 Personnel3 Personnel4 Personnel5 WIIEAT RIDGE FIRE DEPARTMENT 23 0:02:00 19:56:00 Wednesday, November 9, 2005 19:56:00 Wednesday, November 9, 2005 19:58:00 Wednesday, November 9, 2005 Yes 5 1 11 - Extinguish 12 - Salvage & overhaul 86 - Investigate 111 - Engine 2 60 - DOWLING, BOB Position: AC 278 - SMISCIINY, JEFF Position: FF 288 - JONES, JEREMY Position: FF 317 - IIARP, BRANDON Position: FF 338 - ORNONG, JOSH Position: FF Apparatus - 6 Appazatus ID Response Tune Apparatus Dispatch Date and Time En route to scene date and time Appazatus Arrival Date and Time Apparatus priority response Number of People Apparatus Use Apparatus Action Taken 1 Appazatus Action Taken 2 Apparatus Action Taken 3 Appazatus Type Personnell Personnel2 Personnel3 6 0:02:00 19:56:00 Wednesday, November 9, 2005 19:56:00 Wednesday, November 9, 2005 19:58:00 Wednesday, November 9, 2005 Yes 3 1 11 - Extinguish 12 - Salvage & overhaul 86 - Investigate 116 - Engine 6 242 - GRAMSAS, MICIiAEL Position: LT Personnel Action Taken 1: 81 - Incident command 303 - HEBENSTREIT, AARON Position: FF 240 - GARNER, ARON Position: FF Apparatus - 14 Apparatus ID Response Time Appazatus Dispatch Date and Time 14 0:02:00 19:56:00 Wednesday, November 9, 2005 Page: 2 Printed: 01/13/2006 09:52:39 Incident Report WIIEAT ffiDGE FIRE DEPARTMENT 2005-0002401 -000 Apparatus -14 En route to scene date and time 19:56:00 Wednesday, November 9, 2005 Apparatus Arrival Date and Time 19:58:00 Wednesday, November 9, 2005 Apparatus priority response Yes Number of People 1 Apparatus Use I Appazatus Action Taken 1 11 - Eactinguish Appazatus Action Taken 2 12 - Salvage & overhaul Apparatus Action Taken 3 86 - Investigate Apparatus Type 164 - Brush lruck 8 Personnel 1 289 - LANGAN, DANIEL Position: FF Appazatus - 20 Appazatus ID 20 Response Time 0:02:00 Apparatus Dispatch Date and Time 19:56:00 Wednesday, November 9, 2005 En route to scene date and time 19:56:00 Wednesday, November 9, 2005 Apparatus Arrival Date and Time 19:58:00 Wednesday, November 9, 2005 Apparatus priority response Yes Number of People 3 Appazatus Use 1 Apparatus Action Taken 1 11 - Extinguish Apparatus Action Taken 2 12 - Salvage & overhaul Appazatus Action Taken 3 86 - Investigate Appazatus Type 140 - Tower 4 Personnel 1 175 - CARMOSINO, ANTHONY Position: LT Personnel2 287 - HARMS, DAVID Position: FF Personnel3 298 - BONINO, CHRISTOPHER J Position: FF Apparatus -19 Appazatus ID 19 Response Time 0:02:00 Apparatus Dispatch Date and Time 19:56:00 Wednesday, November 9, 2005 En route to scene date and time 19:56:00 Wednesday, November 9, 2005 Apparatus Arrival Date and Time 19:58:00 Wednesday, November 9, 2005 Appazatus priority response Yes Number of People 3 Appazatus Use I Appazatus Action Taken 1 ll- Extinguish Apparatus Action Taken 2 12 - Salvage & overhaul Apparatus Action Taken 3 86 - Investigate Apparatus Type 149 - Tower 5 Personnel 1 177 - COOPER, DAVID Position: FF Personnel2 184 - MC ADAM, JOHN Page: 3 Printed: 01/13/2006 09:52:39 Incident Report 2005-0002401 -000 Apparatus -19 WIIEAT RIDGE FIItE DEPARTMENT Position: LT Personnel 3 49 - HERMAN, MIKE Position: AC Apparatus -11 Apparatus ID Response Time Appazatus Dispatch Date and Time En route to scene date and tune Appazatus Arrival Date and Time Appazatus priority response Number of People Apparatus Use Apparatus Action Taken 1 Appazatus Action Taken 2 Apparatus Action Taken 3 Apparatus Type Personnel 1 11 0:02:00 19:56:00 Wednesday, November 9, 2005 19:56:00 Wednesday, November 9, 2005 19:58:00 Wednesday, November 9, 2005 Yes 1 1 11 - Extinguish 12 - Salvage & overhaul 86 - Investigate 924 - Chief 3 92 - RAUB, TIM Position: CAPT Apparatus - 99 Apparatus ID Response Tune Apparatus Dispatch Date and Time En route to scene date and time Apparatus Arrival Date and Tune Apparatus prioriry response Number of People Appazatus Use Appazatus Action Taken 1 Appazatus Action Taken 2 Apparatus Action Taken 3 Apparatus Type Personnell 99 0:02:00 19:56:00 Wednesday, November 9, 2005 19:56:00 Wednesday, November 9, 2005 19:58:00 Wednesday, November 9, 2005 Yes 1 1 11 - Extinguish 12 - Salvage & overhaul 86 - Investigate 99 - Privately owned vehicle 10 - WATSON, WARD Position: TRNG Authority Reported By Officer In Chazge Reviewer 60 - DOWLING, BOB 01:48:35 Thursday, November 10, 2005 242 - GRAMSAS, MICHAEL 01:48:42 T'hursday, November 10, 2005 60 - DOWLING, BOB 07:05.25 Thursday, November 10, 2005 Narratives Narrative Name Narrative Type Narrative Date New Narrative Incident 0927:35 Friday, January 13, 2006 Page: 4 Printed: 01/13/2006 09:52.39 Incident Report 2005-0002401 -ooo WFIEAT RIDGE FIRE DEPARTMENT Narratives Author 1004 - POUDER, CATHY Author Rank AA Author Assignment 0 Narrative Text At 1956 hours on Wednesday November 9, 2005 we were dispatched to a building fue. Seven units were assigned to this incident. Seventeen personnel responded. We arrived on scene at 1958 hours and cleared at 0143 hours. The incident occurred at 10835 W 39th Ave, WHEAT RIDGE. The general description of this property is 1 or 2 family dwelling. The primary task(s) performed at the scene by responding personnel was extinguislunent. No mutuaUautomatic aid was given or received. The involved structure is described as an enclosed building. The building was occupied and operating. The fire occurred on the first floor. The fire was confined to the floor of origin. The cause of ignition is undetermined after investigation. Alarm number 0002401 has been assigned to this incident. End of Report Page: 5 Printed: 01/13/2006 09:52:39 Jao.13, 2006 11:11AM WHEAT RIDGE FIRE DISTRICT Incident Report 2006-0002401 -000 No.1193 P. 2 WHEAT RIDGE FIRE DEPARTMENT Basic Alarm Date aud'1'ime 19:56:00 Wednesday, November 9, 2005 Arrival T7me 19:58:00 Camolled'firae 20:10:00 Last Unit Cleared Date and Time 01:43:00 Thursday, November 10, 2005 Response Time 0:02:00 Completed yes Reviewed yes Release to Public Yes S1dft B Incideeott Type i l l- Building 5re Aid Given or Received N- None Almats 1 Action Talcen 1 71 - Extingvigh Ac+ion Taken 2 12 - Salvsge & overhaul Acrion Takaa 3 86 - Iaves6gate Apperetus - Suppression 7 Personnel - Suppression Personnel 17 Property Loss $0.00 Cornenm Loss $0.00 Pmperiy Value $0.00 Contents Va1ue $0.00 Detector Alerted neuupants T.1 Roper(y Use 419 -1 or 2 family dwelling Iacation 7we Address Address 10835 W 39th AVE City, State Zip WHEAT RIDQE, CO 80033 ~ Fire Stucture Type 1- Enclosed building Number Of Residential I .4rea of Origin W - Undetermined Heat Soiuce W - Undetermiaed Item Fust Ignited W- Uadetermined Type ofMaterial W - Undetetmined Cause of Ignition U- Cause undeteimined after investigation Contnbutioa To lpi4on 1 W- Undetermined Human Factors None StrucEure Status 2- Occupied and operatiqg Floor of Origin I s,,uain$wiath io Totat Square Feet 300 Fire Spread 3- Coafuied to floor of origin No Flame Spread 1 I Detector Poesence 3 AES Presence 2 Page: 1 Primted: Oll13/2006 09:5239 Jan.13. 2006 11:11AM WHEAT RIDGE FIRE DISTRICT Incldent Report 2005-0002401 -000 Apparatus ID Response'l5me Appatams Dispatch Dabe and Time En route W scene dete an8 rime Apparatus Arrival Date and Time Apparetus priority response Numher ofPeople Appaiaws Use Apparatus Acrion Taken 1 Apparatus Action Taken 2 Apparatus Action Takea 3 Apparatus Type Peisonael 1 Persoffie12 Personnel3 Petssannel4 Persoimel5 Apparatus ID Response 15me Apparatus Dispateh Date and 1hne En rovte to scenc dste and time Apparatus Arrival Date end Time Apparatus ptiority response Number ofPeople Apparatus Use Apparatus Action Tsken 1 Apparatus Action Taken 2 Apparatus Aotion Tekea 3 Apparatus Type Personnel 1 Pecsonnel 2 Personnel3 No. 7193 P. 3 WHEAT RIDGE FIRE DEPARTMENT Apparatus - 23 23 0:02:00 19:56:00 Wedaesday, November 9, 2005 19:56:00 Wednesday, November 9, 2005 19:58:00 WediLesday, November 9, 2005 Yes 5 1 11- Extinguish 12 - Salvage 8t werhaul 86 - [nvestigate 111- Engiue 2 60 - DOWLING, BOH Position: AC 278 - SMI3C14NY, 7EFF Posilion: FF 288 - 701VES, JERENfY Position: FF 317 - HARP, HRANDON 1'osition: FF 338 - ORNONG, JOSH Position: FF Apparatus - b 6 0:02:00 19:56:00 Wedaesday, November 9, 2005 19:56:00 Wednesday, November 9, 2005 19:58:00 We.dnesday, November 9, 2005 Yes 3 1 l I -F,xtinguish 12 - Salvage & overliaul 86 - Invesdgate 116 - Engine 6 242 - GRAMSAS, MICHAEL Position: LT Peisoffiel Aetion Taken 1: 81 - incident command 303 -HEBENSTR&IT, AARON Position: FF 240 - GARNER, qRQN Posilion: FF Apparatus -14 Apparatus ID 14 Response Time 0:02:00 Apparatus Dispatch Date and Time 19:56:00 Weduesday, November 9, 2005 Page: 2 Priated: 01/73/2006 09:52:39 Jan.13. 2006 11:12AM WHEAT RIDGE FIRE DISTRICT ineidertt ReporE 2005-0002407 -000 Ezt route to scene datz aud time APpetatus Aaival Daze and Time Appamtus priority response Number of Peopie Appaiatus Use Apparatus Acrion Takea 1 Apparatus Action Taken 2 Apparatus Acrion Taken 3 Apparahu Type Pezsoanel l No. 1193 P. 4 WHEAT RIDGE FIRE AEPARTMENT Apparatus -14 19:56:00 Wednesday, Novetnbcr 9, 2005 19:58:00 Wednesday, November 9, 2005 Xes I 1 11 - Extinguisfi 12 -Salvage & overhaul 86 - Investigate 164 - Brvsh uuck 8 289 - LANGAN, D1tNIEL Pasiiion: FF Apparatus .20 Appazatus ID Respwnse 17me Apparatus Dispatch Date and 17me En mirte m scene dste and time Apparatus Arrivel Date and Time Apparatus priority response Number ofPeopie Apparatus Use Apparatus Action Taken 1 ApparaYus Action Iakea 2 Appamtus Action Taken 3 Appa[atus Type Peisoffiel 1 Personnel2 Peisoanel3 20 0:02:00 19:56:00 Wednesday, November 9, 2005 19:56:00 VJednesday, Novemba 9, 2005 19:58:00 Wednesday, November 9, 2005 Yes 3 1 11- Rdinguish 12 - Salvage & overhaul 86 - Iavestigate 140 - Tower 4 175 - CARMOSINO, ANTHONY Position: LT 287 - HARMS, DAVID Posiflon: FF 298 - BONIlVO, CHItISTOPHER J Position: FF Apparatus -19 Apparatus ID Responsc Time Apparatus Dispetch Date and Timc En mute to scene date and fime Apparatus Artivat Dafe and Time APPamtm PnoritY respong° Number of People Apparatus Use Appatatus Action Taken 1 Apparatus Action Taken 2 Apparatus Action Taken 3 Appacatus Type Personnel 1 PeASOmiet 2 19 0:02:D0 19:56:00 Wednesday, Novem6er 9, 2005 19:56:00 Wedttesday, November 9, 2005 19:58:00 Wednesday, Novemlxr 9, 2005 Yes 3 1 11 - Extiqguish 12 - Sslvage & overhaul 86 - Investigate 149-TowerS 177 - COOPER, DAVID Position: FF 184 - MC ADAM, JOFIN Page: 3 Printed: 01/13/2006 09:52:39 Jan,13. 2006 11:12AM WHEAT RIDGE FIRE DISTRICT Incident Report 2005-0002401 -000 Apparatus -19 No. 1193 P. 5 WfPAT RIDGB FIl2E DEPARTMENT Posfion: LT ~ Personnel3 49 - HERMAN, bIIIM Positlon: AC Apparatus -11 Apparatus ID Response'lime Appaisn,s Dispazch Date and'ffme En mute to scene date and time Appacatus Arrival Date and 17me Apparatus priozzty response Number of People AgparnWs Use Apparatus ACtlOA TSISC41 Appazatus Aation Taken 2 Apparatus Action Taken 3 APpmtus TyAe Pe2sonnell 11 o:oa:oo 19:56:00 Wednesday, November 9, 2005 19:56:00 Weduesday, November 9, 2005 19:58:00 Wednesday, November 9, 2005 Yes 1 i 11- F.xtinguish 12 - Salvege & overheul 86 - Investigate 924 - Chief 3 92 - RAU9, TIM Pasitinn: CAPT Apparatus - 99 Apparatus ID Response Time Apparatus Dispatch Dete and Time Ea route to scene date and time Apparatus rkrival Date an8 Time Appazatus priority response Nimmbu of People Apparatus Use Apparaws Acrion Talcea 1 APPazatus Action Taken 2 Appacslus Action Taken 3 Appamws'Iype Personnel l Officer In Charge Reviewer D:02:00 19:56:00 Wednesday, Novemher 9, 2005 19:56:00 Wednesday, Navemher 9, 2005 19:58:00 Wednesday, November 9, 2005 Yes 1 1 11- Exeqguish 12 - Salvage & werhau! 86 - Imestigate 99 - P[ivazely ouned vehicle 10 - WATSON, WARD ' Posirion: TRNG Authority 60 -DOWLING, BOB 01:48;35 Thursday, November 10, 2005 242 - GRAMSAS, MICUAFr" 01:48:42 Thissday, November 10, 2005 60 - DOWLING, BOB 07:0525 Thursday, November 10, 2005 Narratives Nanative Type Naztative Date New Nmrarive Incident 09:27:35 Friday, 7mmuazy 13, 2006 Page: 4 Printed: 01l13/2006 09:52:39 I Jao.13, 2006 11:12AM WHEAT RIDGE FIRE DISTRICT Incident Report 2005-0002401 A00 No. 7193 P. 6 WHEAT RAJGE FITtE DEPARTMIIdT Narratives AuEhor 1004 - POUDER, CATHY Airthor Rank Ap Author Assipment 0 Narrative Tcxt At 1956 hours on Wednesday November 9, 2005 we were dispstched to a building fae. Seven wnits were assigaed to thSs incident Seventeen persomnel:esponded We arrived on seene at 1958 houcs and cleared at 0143 hours. The incidem occwzed az 10835 W 39th Ave, VJfEAT RID('E. The general desctiprion nf r]vs properiy is 1 or 2 family dwelling. The primary task(s) perfarmed at the scene by responding personmel was extiqguishuteztt. No mutuallautomatic aid was given or receive3 The invo]ved saucnxe is desonbed as an enclosed building. The building was occupied end operating. The fire occuired on the 5xst floor. The £Qe was confittad to the flonr of origin. The caase of igaition is undetermined after iavestlgetioa. Alarm aimber 0002401 has been assigued to tUis mcideut End ofRepart Page: 5 Ptinted: 01/13/2006 09:52:39 COMMUNITY DEVELOPMENT DEPARTMENT ' Building Permit Number : 18285 BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE Date : 1/24/2005 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 -(303-235-2855) Property Owner. GERALD DAFFERN Property Atldress : 10835 W 39TH PL Phone : 421-4887 Contractor License No. : 17174 Company : Bell Plumbing & Heating Phone : 757-5661 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Valuation : $622.00 I hereby certify that the set6ack dislances proposed by this permit application are accurate; and PerrrjltFee : . . $38.49 do not violate applicable ortlinances, rules or regulations of the City of W heat Ridge or . . covenants; easements or restrictions of record; tBat all measurements shown, and allegations, PI8f1 RBVIEW FBB :.$0.00 made are accurate;Yhat I have read and agree toabide by all conditions printed on this application, and thatl -assume full responsibility for compliance witfi the Wheat Rid9e Building USB T8X $11.20 . Cotle (U.B.C.)antl all other applicableWheat Ridge ordinances; fot work under thispermif. - (OWNER)(CONTRACTOR) SIGNED - DATE TOtBI: $49.69 - Use : bescription : WATER NEATER REPLACEMENT. W:O.#345847 ` BUILDING DEPARTMENT USE ONLY ( SIC : APProval: Zoning : Approval : . u`'blicilNgrks Co,,,,~m~,_, APProval: f Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No :17174 Mechanicat LicenseNo : ' Company: Company`.BellPlumbing&Heating Company: Expitation Date : 12/22/2004 " Expiration Date : Approval : Expiration Date : Approval : APProval : . (1) This permit was issuedidaccoNance with the provisions set foAh in yopur application and is subject to the laws of the State of Colorodo and to tfie ZoningRegulations and BuildingCode of Wheat Ridge, Coloretlo or any other applicable ortlinances of tFeDiry. ~(2) This permit shall expire if (A) ttie work authorized is not commencedwithidsinty (60) daysfrom issue date or(B) the builtling authorized issuspended or abandoned for a period of 720 days. ,(3) Ifthis permit expire5, a new pertnit may be acquired for a fee of one-half the amouni normally required provided no changes have been orwill be made.in the "briginal plans and specifcations andany suspension or abandonment has not exceeded one.(1) yeac If cFanges are made or if suspension or abandonment ' exceeds one.(1) year, fuil faes shali be paid for a newpermit ' . - (4) No work of any manner sFall be done that will change the natural Flow of watercausing a drainage problem. 'y .(5) ContractorshallnotifythaBuildinglnspectoriwenty-four(24)hours.in.advance.forallinspectionsandshallreceivewnttenapprovaloninspectioncardbefore - - . proceediing with successive phases of the job. . . (6). Theissuance of a permit or the approval of drawings and specifications sfiall not be construetlto be a.pertnitfor, nor an approval of, anyviolahon of the provisions o 6s ilding coatLxother ordinance, law, rule or regulation: '~ChiefBdi cring I G'C's'r'_~ Please sign Terms and Contlitionson reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: ;oF wNE'°TR gUILDINGINSPECTIONLINE-303-234-5933 . Date: CITY OF WHEAT RIDGE " m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) CO(ORPOO APPLICATION Property Owner: GERALD DAFFERN PropertyAddress: IOHj$ W. 39TH PL. Phone: 303/421-4887 Conuacror License No.: 17174 Company: BELL PLUM67iF]G& HEATING Phone: 303/7$7-5661 OWNER/CONTR4CTOR SIGNATURE OF UNDERSTANOING AND AGREEMENT I hereby certify that Ihe setback distances proposed by this permif application are accurete, antl do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or resVictions of record; that all measurements shown, and allegations made are accurate; Ihat I have read and agree to abide by all conditions printed on Ihis application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for wrork underkhis permit Description; WATER HEATER REPLACEMENT Sq.PL added Construction Value:$ 622.00 Permit Fee:$ Plan Review Fee:$ Use Tax:$ ~ Total:$ W.O. #345847 Expiration Date: Expiration Date: Explration Date: Approval: Approval: Approval: (1) This permit was issued in accordance with the pmvisions set forth in your applica6on and is subject to the laws of the State of Cobrado and to the Zoning Reguiations and Building Codes of Wheat Ridge, Colorado or any other appiicable ordinances of the City. (2) This pemit shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issue date or (6) the building authorized is suspended or abandoned for a period o( 120 days. (3) If this pemit expires, a new pertnit may be acquired for a fee of one-haif the amount normally required, provided no changes . have been orwiil be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the naNrel flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenry-four (24) hours in advance for all inspections and shail receive wntten approval on inspection card before proceeding with successive phases of Ihe job. (6) The issuance of a pemit or Ne approvai of drawings and specificafions shall not be construed to be a permit for, nor an approval ot, any violation of the provisions of the building codes or any other ordinance, law, rule or regutation. Chief Building Officiai -Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: .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 8237 12/4/98 Property Owner : Property Address : 10835 W 39th PI Contractor License No. : 17590 Phone : 421-4887 Company : C J Roofing Co. Phone : 394-2802 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiy 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 abi all conditions printed on this application, and that I assume full responsibility for ompli nce w' the Wheat Ridge Building Code (U.B.C.) and all other applicable Maaj~idge(ordli ce or work under this p mit. (OWNER)(CONTRACTOR) SIGNED ( DATE ~ L( 461 Description : complete tear off and re-roof Construction Value : $3,339.00 Permit Fee : $88.00 Plan Review Fee : $0.00 Use Tax : $50.09 Total: $138.09 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 appliration and is subjec[ to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Whea[ Ridge, Colorado or any other applicable ortlinances oFthe Ciry. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue tlate or (B) the building authorized is suspended or abandonetl for a penod 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 antl any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment exceetls one (1) year, full fees shall be paitl for a new pertni[. (4) No work of any manner shall be done that will change the naturel Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspec[or hventy-four (24) hours in advance for all inspections and shall receive written appmval on inspection cartl heFore proceediing with successive phases of thejob. (6) The issuance~fa permit or the approval of drewings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the buil .cJxf,9 c¢des or any oiher ordinance, law, rule or regulation. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AIVD DEVELOPMENT " BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Perm,t Number Date / Y~/ ~ ~ Property Owner : PropertyAddress: l(~~6?j'~jW. -Sctlik RL-~ Phone: Contractor License No. 7 rjcr v Company: 5 1 R-OOF 10 --4 Cp Phone: `C OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : 3 i 3~> . e0 I hereby certify that the setback distances proposed by this pertnit application are accurate. : ~ and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or Peffl'1if FBB C/ covenants, easements or restrictions of record: that all measurements shown, and allega6ons made are accurate; that I have read and agree to abide by all conditions printetl on this Use Tax : jd0 9 application, antl that I assume tull responsi ility for compliance with the Wheat Ridge Building Code (U.B.C.) and all olher applicable Wh t Ridge ordinan s, tor work untler this permit. ~ Total : 13,7 d q (OWNER)(CONTRACTOR) SIGNED ~ DATE 1 C( 2az~ ~er~c~ 3 ~v~ iz.Pi~rC1~ f]ascrin}inn • (l~- 2LAqE~~ IAST.ck[.L '7"A~kO 3W '-l7&4eS p?Qc 8/ZPf BUILDING DEPARTMENT USE ONLY ~ Approval : Zoning : qwwI~~'as~ii»i~iSlffll Approval: Approval: Occupancy : Wails : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechamcal License No : Company : Expiration Date : Approvai: ~ „IaS~s Reiquli Company : Expiration Date : Approval: _I-, PlLhs'Required J Company: Expiration Date : Approval : _J. P,fans R'bquiretl j (7) This permit was issuetl m accortlanCe wilh the Orovisions set fohh in yopur appl¢alion and is subject to the laws o( the State of Coloratlo antl lo the Zoning Regulations antl BuilEing CoOe ol VYneat Ritl9e. Coloratlo or any other aOPi'~bie ortlinances ol the Ciry. (2) This permit shall e:pire R(A) the woB authorizetl is not commencetl wilhin s~xry (60) days Irom issue date or (B) the builtling authorizetl rs suspende0 or abandonetl lor a periotl of 120 days. (3) If Ihis permit ezpires, a new permil may be acquiretlior a lee of one-hall the amount normally requiretl, provi0ed no changes have been or will De maae in the onginal plans antl specifications and any suspension or abantlonment has not exceetletl one (7) year. II changes are made or if suspension or abandonmem ezceetls one (1) year, full fees shall be paiE lor a new permit. (a) No worK ol any manner shall De tlone that will change the naWral flow of waler causing a Oraina9e proDlem. (5) COnVyCbl5h311 no6/y the Builtling Inspecfof Iwenty.tour (24) houf5 in atlvanCe lor all mspecbons antl Shall reCerve wntlen approval on in50etbOn <artl betore pmceetlung with successive phases ol the job. (6) The issuance ol a permit or the appmval ol tlrawings antl speci/ica(ions snail not be constmetl lo De a permil lor. nor an aDProval o( any violabon oi the provisions of tne buAtling cotles or any other ortlinance. law. rule or regulalion. Chief Building Inspector For Mayor rcN 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 : 5055 BUILDING INSPECTION DIVISION - 235-2855 ' CITY OF WHEAT RIDGE Date : 5/7/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 10835 39TH AV Contractor License No. : Company : 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 atl measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and ihat I assume full responsibility for ompliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Rid,ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATEOS OZ'`Z Description : 6' PRIVACY FENCE IN REAR YARD BUILDING DEPARTMENT USE ONLY sic : sq. Ft. : Approval : Zoning : Bu11~c~~i~g fff#Wt&-1 Approval: ~`~~~~N ~~`s'~~~M Approval: Occupancy : Walls : Roof : Stories : Residential Units : Phone: 421-8969 Phone : Construction Value : $500.00 Permit Fee : $22.00 Plan Review Fee : $0.00 Use Tax : $10.00 Total: $32.00 Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: M swft~~;ri~i~°e~i Expiration Date : Approval: 0-4 Expiration Date : Approval: (1) This permit was issued in acwrdance with the provisions se[ foAh in yopur application andis subject to the laws of the State of Colorado antl to the Zoning Regufa[ions and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shail expire if (A) the work authorized is not commenced wM1hin sixty (60) tlays from issue date or (B) the building authorized is suspended or abandoned for a penod of 120 days. (3) If this permit expires, a new permit may be acquired for a fee oF one-half Ihe amount normaliy required, provided no changes have been or wili be made in the original plans and speafications and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonmenl exceeds one (7) year, fuli fees shall be paid for a new permit. (4) No work oF any manner shall be done that will change Ihe naturel Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and shall receive written approvai on inspection card before proceediing with successive phases of the job. (6) The issuance oF a permit or the approval of drawings and specifcations shali not be construed to be a permit for, nor an approval of, any violation of the provisions Af the,puilding codes or any Qther ordjnance, law, rWe or regulatioa iief Build'ing Inspector 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 INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date : os (3.7 a,~ I~Property Owner: r✓Inrk Z, Q, Kafen I-, ~aNNtS{~'r ~ PropertyAddress: tosas W- 3 rEl, Aa,~Up Contractor License No. : Company: Phone:Pc;J )'vai 3 k64 Phone: OWNER/CONTRAC70R SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value !i 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 PBffT11I Fe@ : Plan Review Fee : made are accurate; that I have read and agree to abide by all conditions printed on this appiication, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordmances, for work under this permd. Use Tax : (OWNER)(CONTR4CTOR) SIGNED DATE Total : ~escription: L• Hu6H PRIU73C`( t.loo'D fiekE", FCNCC / 4"%N° weoi) Pi;gu$,LW'TW PWE P%CKCT~ To GLSnK GCOUwO CowTOUp' (wV" €1(YC6 W+'R7 RuN Acoa[G aPC1< yj~RVS FRoN76 64CK BOL BUILDING DEPARTMENT USE ONLY Zonmg= ommen Approval Zoning : Approval: PYRiICc11KoF Approval: Occupancy : Walls : (L I Cu„-,~ ~ 1/4Lt1 fj~.Le J ~i Roof : Stories SIC : Sq. Ft. : W 45I" ZE U4+ Residential Units : Electrical License No : Company: Expiration Date : Approval: ~Pian . ~ted~fr..e IN - Plumbing License No : Company : Expiration Date : Approval: m IN~Reytiftetl Mechanical License No : Company : Expiration Date : Approval: lm (t) This pertnil was is Regulations and E (2) This permit shall e abandoned for a p (3) IHhispertnitexpir original plans and exceeds one (t) y (4) No work of any m; (5) Cont2ctor shall m praceediing with s (6) The issuance of a of the building coc ~d in accordance with the provisions set forth in yopur application and is subject to the laws of the Stale of Colorado and to the Zoning iiny Code of Wheat Ridge, Cobrado or any other apDlica6le ortlinances of ihe Ciry. re d(A) the work authonzed is not commenced wiNin sinty (60) days from issue date or (B) the 6uilding authorized is susDended or od of 120 days a new pertnit may be acquired !or a fee ot onc half the amount normally required, providetl no changes have been or will be made in ihe =.cifications antl any suspension or abandonment has not exceedetl one (1) year. I( changes are made or it suspension or abantlonment , tull fees shall be paid for a new permit. er shall be done that will change the natural 9ow of water causing a tlreinage problem. / the Buitding Inspeclor Rventy-four (24) hours in advance tor all inspections and shall receive written approval on inspection cartl before :essive phasesofihe1'ob. rmit or ihe approval of drawings antl specifications shall not he construed to be a permit tor, nor an approval oC any violation otthe provisions 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 IMPROVEMENT LOCATION CERTIFICATE •AN ACTUAL LAND SURVEY MAY YIELD DIFFERENT VALUE(S) ' xon¢: ac~.roanNc ro rouaeno u* roo rosr ~WYI~lCd INI' L6GIL ICIlON Bl~ U➢ON tM" DDELT M TIDS ffi~ lOGIION ~f~fGSB tas~.~. aa xo avrntr, rar ~arnaN HA.~o mrox INY DSPdCl A' = LfPR09IDIW.T LNYIION corrmurs sa co~m roi¢ ~ lo nevs lBJY T~ SYR OP T86 ~ClRON $8011N H8860N. Q9 ADDRESS: 10835 ff'E'ST 39TH AVENUE, WHEATRIDGE, COLORADD 10 80033 n DESCRIPTION PER LENDER: LOT 39, WHEATRIDGE MANOR, COUNTY OF .10 JEFFERSON, STATE OF COLORADO. ; 0 Cfl TITLE COMMITMENT NOT PROVIDED se• ~ q , FRM RES. • #10835 ~ U~ ~ PORCH * W o ~ c~ o d' LOCATION OF THE TMPHOVEMENTS ~ - -IS BASED UPON ~ ANALYTICAL 5 Q 7 CORRELA770N OF (J OCCUPATION O LINES AND W. 3 9 TH ~l VE. ~~EE. ti 30 D 30 SO 90 GRAPHIC SCALE - FEET BOUNDARIES PROFESSIONAL LAND SURVEYORS 3300 S. PARKER RD., #110, AURORA, CO 80014 BUS: (303) 696-9133 FAX: (303) 696-9189 JOB N0: 39-10835 BORROyYER: BANMISTER CERTIFICATION I HEREBY CERTIFI' THAT TffiS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED FOP.: CHERRY CREEK MORTGAGE CO., INC. THAT TT IS NOT A SURVEY PLAT OR IMPROVEMENT SURVEY PLAT AND TAAT Tl IS NOT TO BE RELIED UPON FOR THE ESTABLTSHMENT OF FENCE,. BUILDING OR OTFIER FUTURE IMPROVEMENT LINES. 1 FIEREBY CERTIFY THAT THE dMPROVEMENTS ON THE ABOVE DESCRIBED PARCEL ON 311011996 EXCEPT UTILITY CONNECTIONS ARE ENT7RELY WTlHIN THE BOUNDARIES OF THE PAftCEL, EXCEPT AS SHOT9N, THAT THERE ARE NO VISIBLE ENCROACHMENTS ON THE DESCRIBED PREMISE, EXCEPT AS INDICATED, AND THERE IS NOAPPARENT EVIDENCE OR SIGN OF ANY EASEMENT CROSSRJG OR BURDENING ANY PART OF SAID PARCEL, EXCEPT AS NOTED. TSIS CERTIFICATE DOES NOT CONSTTTUTE A TTTLE SEARCH TO DETERMINE OWNE125HIP OR EASEMENTS OF RECORD NOT CLEARLY SHOWN ON THE RECORDED PLAT. ALL EASEMENTS SHOS9N ARE PER THE RECORDED PLAT UNLESS OTHEHWISE STATED.,THE PROPERTY DESCRIBED HEREON O IS (X) IS NOT WITHINA SPECIAL FLDOD HAZARD BOUNDARY IN ACCORDANCE WTlS TSE MOST CURRENT AND AVAIIdiBLE FLOOD INSURANCE RATE MAP DATED 210411988 BEARING COMMUNITY PANEL NUMBER 085079 0005 C TFIE ACCURACY OF TSE FLDOD MAP IS NOT A PART OF THE CERTIFICATION. AREA 79ITFIIN ZONE B LEGEND RES RESIDENCE' S SfOOP dPT APARTdfEM CH CHLfNEY GAR GARdGS B1/ BAY/BO% IIIIPDOA yZg srpays os ovExaaxc Sf0 SfORAGE AC 6II2 CONDlffONIIt ~ FRM fRAME ASP ASPHALT . y BRK BffiC% CON CONCRElE A[[y G9L yMrAL G%VEL G E T E CAS EA561UN'f TELEPHONE EASEdEN'f ~ FLG FLdCSfONE D E DRAA'AGE EASEMENT ° TVD T.P. DTSH U E UTII.[77' EASfiMENT D7Y DRI9EIIdY PLUS OR dQNUS PAT PATTO ~ FOUND PIN, REBAR OP. PIPE ~I P PORCE + FOUND CHIS&LED CROSS ` , cs cxairt saece ° Fornm Tac MARK ~ I.i• S PeL:6 e.`' < e` ~ ~ N ~ ~ ~ °z H ~ ~ W a F Z W a Z w O O >u o nOU W ~-O0 ~ U cr ~aa MW O U) 3 0 Z U. 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O LL O U w W a a } N ~ ? a N W Z ¢ Q N N ~ O a S ~ i Q 2 so 0~ ~ a z a X ~ z2 W 1 -o m Z N N ? Q Z ~ j S Y r~ oa LL ~ a ~o f U N 2 O F N S ~ N Y 6 Q f W ¢ Q M3 ~ 3 W ~ U 2 w J Q~ W U~ (J Z LL Z W O ~ Ff Q ~ ~ w & p w4 ~ aY O Q 6 0 r$ U m4+ a~ a aw a J g O ; m r J ~ J ~ 3 ~ O Q U a a N S r W ~ ~ W ( w ~ ~ N Y w J i y 2 i Q 0- ° y o U i ' Q 41 t•J ~ e r c a ~ o O Q > • I = O LL w T ~ K' S H a W w o : ~ ¢ ¢ 3 < d N N Z O Z m ~ m m x ~ U Q K N K W J N a y j W K 2 ~ W S ~ m w yaj N S a X m F = 3 Q ~ N LL N p ~ Q Q Q W Y Z Q 3 y ~ Q W W W J j ~ 3 3 m x u> m Q c~ 3 ~ ao K w F o O r Q ~ W 2 F- W f!~ O LL ~ - N N y W Np Q Z W K d J W 2 a 2 F- a O x O a y W F ~ i W j U U 0 W' M- N m x O O Z 2 ir N p ? } V w ( 'm J a2 ~ w Q j U 2 W W a W N y N ` O Z o l J J ~ a N W 2 2 1- W ~ 2 N z 2 O F O ~ f 3 a = a o3 ~ ¢ a o Q ~ r f Z U J i a li 3 iN F m N ~ J Q p 2 a w a u W ~ rc N ~ z~ D Q~ 2 o~ V Y~ P (9 ~ ~ C~ o m ~ O U W W ~ ~ W i ~ a F- J 0 r' a ~ ~ N U N z X j O W O 1- Q U °a Z y ~ - N y n ¢ ? N O Q J=O a N U ~ m L~ w U ~ T O O - G r C E p^ W T 0'O O a o_ E o m o 3° « p'~ O. O K~u m ~ ~ = U o « v° o c°N o~ t o e m°• m p 3 > c p~ O- O.~ 4 O O 3 b a> o p^ m o c u nQF2 m„ A Q O O O~«~ O op«e;ooo, O 0 ~ ~ N C C O O p V c ~ e o 0 o E U ~ O ~ 61 N 0 O 3 COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: /04: F, 35 ~ &/y i~/.~ 1~ 303-234-5933. f /~flt ,~L/OGOoNC> / ' /r'~"i'~a~Ti~ci.~ l~lT1~l' /i✓ When corrections have been made, call for re-inspection at COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: ~oe-g~5-- r When corrections have been made, call for re-inspection at 303-: Date COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice JobAddress: f` ~ fO~OT /~.um✓~L's2 ~ GL/~.t'~7'~-r ~ ~ t. 4z;~ When corrections have been made, call for re-inspection at 303-234-5933. Date: [ //7-Zz5; 'elr,- COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: 2 When corrections have been made, call for re-inspection at 303-234-5933. ~ 1 Inspector DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: ~✓h ~.~~1~ /c~~1[J~y1 When corrections have been made; call for re-inspection at COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: F-9A.F ' > f~r'iJ~~T Cd.~,«~ ~ Tl/~P,~/ fs/✓/S When corrections have been made, call for re-inspection at - 1f14_74A_G044 COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: "ff When corrections have been made, cal re-inspection at 303-234-5933. 107 Date: Inspector COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice o ~ Job Address: p When corrections have been made, call for re-inspection at 303-234-5933. n I f^ Inspector DO NOT REMOVE THIS NOTICE