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HomeMy WebLinkAbout4545 Zephyr Street� ► � i City of Wheat Ridge E -Res. Boiler Replacement PERMIT - 202001801 PERMIT NO: 202001801 ISSUED: 09/09/2020 JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021 JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement. Revision: Relocated and replaced ssu, added control transformer, Gfci outlet and new whip; Added valuation: $350.00 *** CONTACTS *** OWNER (303)424-5385 LANYON DAV I D N SUB (303)407-7967 STEPHEN LANYON 017835 BLUE SKY PLUMBING SUB (303)407-7967 STEPHEN LANYON 017835 BLUE SKY PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,352.57 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 280.40 Permit Fee 26.50 ** TOTAL ** 346.90 *** 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 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 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 shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � � i City of Wheat Ridge �� E -Res. Boiler Replacement PERMIT - 202001801 PERMIT NO: 202001801 ISSUED: 09/09/2020 JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021 JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement. Revision: Relocated and replaced ssu, added control transformer, Gfci outlet and new whip; Added valuation: $350.00 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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Revision to Permit Application Date: Thursday, October 15, 2020 12:43:00 PM Revision to Permit Application Permit Number 202001801 assigned to project PROPERTY INFORMATION Permit Number 202001801 Property Address 4545 Zephyr St Property Owner Name David Lanyon Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 720-539-4977 Property Owner Email davel14@comcast.net Address CONTRACTOR INFORMATION Contact Name Randy Palato Contact Phone Number (enter WITH dashes, eg 303-123-4567) Com@ a FRI91inw-ArGRm 303-407-7967 randyp@blueskyplumbing.com Retype Contact Email randyp@blueskyplumbing.com Address DESCRIPTION OF WORK Detailed Revised Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Per inspector need to add Electrical to to permit for Boiler electrical connections and schedule a re -inspection. Engineer Letter (if Field not completed. applicable) Additional Documents on Letter Size Are plans or documents locked for editing? Construction Plans scanned on 11'x17" or larger Additional Project Value Only add what the revised scope of work is valued at. Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Field not completed. No plans needed Field not completed. 350.00 Wheat Ridae Payment Form .odf 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 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 Yes Yes Yes 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 Submitting Randy Palato Revision Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division 3c) (303) 235-2855 Office INSPECTION NOTICE Inspection Type: f" Job Address: .S S 2 eza\ s Permit Number: I I �< A/EIS2s . P o 4 i G 7S c kl �P to � G-�1 P %� �� � • � ./.�' - � �. IJNo ne available for' ction: Time Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date:/V '9Z' Inspector: Sd DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Boiler Replacement PERMIT - 202001801 PERMIT NO: 202001801 ISSUED: 09/09/2020 JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021 JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement. *** CONTACTS *** OWNER (303)424-5385 LANYON DAVID N SUB (303)407-7967 STEPHEN LANYON 017835 BLUE SKY PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,002.57 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 273.05 ** TOTAL ** 313.05 *** 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 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 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 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 E -Res. Boiler Replacement PERMIT - 202001801 PERMIT NO: 202001801 ISSUED: 09/09/2020 JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021 JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement. I, by my signature, do heattest that the work to be per shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermitfee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 grant'g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any app ca le code or anfprdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ���t� of Whent Ridqe O9.2O2O 11:1? CDDD CS6U'35)Y AMOUNT �`9' 450 Icphyr St 313.C5 ApPi/'EKM{T N0: 2O2O0l8U1 ``''':�NT R9�IVED AMOUNT �N/' CO0E/ 8U92J83» T8),� 313.O5 Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 9, 2020 7:28 AM To: CommDev Permits Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application 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 Is this Residential or Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** Residential 4545 Zephyr St Dave Lanyon 303-424-5385 davel14@comcast. net scan0046.i)df CONTRACTOR INFORMATION I 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) Blue Sky Plumbing & Heating 017835 303-407-7967 Contractor Email Address randyp@blueskyplumbing.com Retype Contractor Email randyp@blueskyplumbing.com Address DESCRIPTION OF WORK What type of unit is being Boiler installed? Number of BTUs 150k What is the efficiency 95 (%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 13002.57 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. 2 I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jesse Lanyon Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Floodplain Inspection (if applicable) Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Sewer Service 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. Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Mid -Roof —f —I % Floodplain Inspection (if applicable) Lath /Wall Tie Fire Inspection / Fire Protection Dist. 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 Ja-Jz/-J7 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. For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE _ �Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L/ 0 9 - rc ) Job Address: —2 e- y r- 7 Permit Number: c: 17 O (.) 7 a -,?- t � t ct LJ/y No one available for inspection: Time = ; D Ml M Re -Inspection required: Yes (!�D When corrections have been made, call for re -inspection at 103 -234 - Date: I --)� / 4LI //—,—Inspector: TD DO NOT REMOVE THIS NOTICE I, A'i_ CITY OF WHEAT RIDGE 19�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Iii I'D Job Address: Is 45, 2 F Pp 1V ST Permit T - Permit Number: ❑ No one available for inspection: Time , AM/I Re -Inspection required: Yes /No When corrections have been made, cal r re -inspection at 303-234-5933 c Date: �- Inspector: I 7 DO NOT REMOVE THIS NOTICE A City of Wheat Ridge w �- Residential Roofing PERMIT - 201704702 PERMIT NO: 201704702 ISSUED: 07/24/2017 JOB ADDRESS: 4545 Zephyr ST EXPIRES: 07/24/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 24SQ 3/12 PITCH HOUSE *** CONTACTS *** OWNER (303)424-5385 LANYON DAVID N SUB (970)663-3400 Mike O'Brien 170371 Regional Town Centre *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Total Valuation 0.00 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 414.30 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704702 PERMIT NO: 201704702 ISSUED: 07/24/2017 JOB ADDRESS: 4545 Zephyr ST EXPIRES: 07/24/2018 JOB DESCRIPTION: Residential Re—roof to install asphalt shingles with 24SQ 3/12 PITCH HOUSE 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 munici�a'Ode spolicbyhe legal owner of the roperty and am authorizeto obtain thisthisermrtrtherattesthatamlegallyauthorizd toinclude alperformed and thatallwork tobe performed isdisclsed ithisdoc ument and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 originalpermitfee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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, any violation of any provision of any applicable co ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Friday, July 14, 2017 3:11 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 4545 Zephyr St, Wheat Ridge, CO 80033 Property Owner Name Property Owner Phone Number Property Owner Email Address David Lanyon 303-424-5385 Field not completed Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. ,d� - �i7�I�17i ; u _ • Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Regional Town Centre 170371 9706633400 Contractor Email Address niki@regionaltown.com Retype Contractor Email niki@regionaltown.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing asphalt shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 24 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. TOTAL SQUARES of all 24 roofing material for this project Provide additional detail Reroof home 3/12 here on the description of 0) work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 10000 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 this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Josh Vicars Email not displaying correctly? View it in your browser. 3 AUTHORIZATION FOR REPAIRS AND DIRECTION OF PAYMENT CLAIM #: 5m a2 R CQOI tnR —1 —1 _-- nate of Loss: 15 9 _1 INSURED: ADDRESS: g5gss ?-P-nh�lr �Iheraf K?C C.O �� Farmers Insurance Group has made available direct repair services provided by contractors that are members of the CCA Global Partners, Inc, cooperative organization. CCA members are represented the networks of Lionsbridge Contractor Group (LCG), Carpet One Floor & Home and Flooring Ameeiica. For the above noted Insurance claim, I/we have agreed to hire (contractor name): Zeaiono—&- ToL.:J,r"N CeA+m (print cmrmctor name) I understand the use of the repair program and the program contractor is voluntary as i may choose any independent contractor, that using a program contractor for my repairs may provide special labor warranties, and that the program contractor may coordinate other repair vendors including flooring, textile or fUmiture repair vendors to complete my repair process. UWo: • authorize the program contractor to perform covered repairs to be detailed on an estimate which must be approved by Farmers. • understand Farmers will pay for approved repairs subject to any applicable insurance deductible and my policy's terms and conditions. • will timely sign a Certificate of Satisfaction when repairs are satisfactorily completed so that payment can be made directly to the program contractor for covered repairs. • understand that the deductible, if not already satisfied, is my/our responsibility, as are the cost of any upgrades and additional services not covered under my policy, and that the applicable deductible may not yet be calculated by Farmers. Daft: Insured:` - Data Insured: Deductible Amount Applicable for direct repairs: S lam_ (j(matlat4r) ?b be camplWed by program cant wdor - coordinated repairs under this claim nary Include. ucsrtral Ritaits 1:1Flooring Q Textiles,(CiothinglD Roofing Other ftwi r So Date / J Time,, _ am om Ulmated CgII 21!3Ion Date: / 1--- M CCAfavitply 10 Nle - CARPET > LiONSiIAIDG>r QI+W CONTRACTOR rLoon a "C"t ~ E o o ~ o < (D w C ~ N 0 ~ ~ Q O ~ rn N ~ 7 0 O '0° n o o r n m m ~ d o a. ' ~ (D 1 ` Q ~ O a a ~ m N ~ ~ ~ ti ~ Z C 3 ~ m ~ ~ --I ~ Z l?• Z , ¢v p ~ L n m : W N W a A m W 7 ~ ~n a Uc 0 T ~wv`z m 2 •~~m N~o70 ~'O N V .7~ m wn 11 City of Wheat Ridge ~ Residential Roofing PERMIT - 080333 PERMIT NO:080333 ~ . ~ ISSUED: 04/15/2008 ~ ~ JOB ADIIRESS:4545 2EPHYR ST . EXPIRES: 10/12/2006 ~ DfiSCRIFTION:~T/O;~Inetall 30yr Heritage II. 19 sqs . C4NTACTS owner ~ $03/424-5385 Dave Lanyon~ ~ gc~ ~~.303/986-9314 StEVe Carey ~ 02-0082 CAREY CONST . ~ PARCEL~~~ ~INFO . . . . . ~ . . ZONE~.CODS: ~ UA ~ USE: s-3 SUBDYVI$ION:~~. 0311. BLOCK/LOT#: 0/ . . FE$ ZUMMARY ESTIMATED PROJECT VALUATION: 7,303.00 ~ FEES Permit Fee 199~.30 Total valuation .oo iz a Use Ta3c. 131.45 TOTAL'** ~ ~ . . 330.75 ~ Conditione: 6 nail inetallation & mid-roof inspection required. x hereby certifythat the.eetback dietancee proposed by thie permit application are accurate, and do not violate applicable orAlnancea,rulesor zegulatione oE the City of Wheat Ridge or covenante, eaeementa or reetrictiorte of recosd;t➢at..all meaeuremeqie ehowrt,and allegatione made are accurate; that I have read and agree toabide by all Conditione pzinted on thie applica and.that I aeeume full reaponeibiliCy for compliance with the Wheat Rid9e HuildingCOde (I.B.C) and.all bther - applic 1 Wheet Ridge orflinancea, for work under thie permit. Plane eubject to fleld inepection. ~ 1. Ttue ppzfiit wae. ieevedln accordance with the provieions aet forth in yourapplication and iesubject to the lawa.ofthe State ofCOlorado and.to theZOnin9 Regulatione and Building Codee of wheat Rid9e, Colocado or any otherapplicable ordinance9'.oL't2seCity: ~ . . 2. Thia:peYmit ehall eYCpire180 daya from the ieeue date. Requeete for an exteneion muet be reeeived prior toexpiraCion datc. Aneztenslonmay'6e.yaanted at the diacretion of the Huilding Official. - 3. IEthie permit expinee,a new permit may be acquired for a Eee of one-halE the amount noimally requireA,proviCed no changee have been or. wS11Ee made in the Orlginal plana and specificatione and any auapeneion or abandonment haenot exceede4Dne`(1)pear. If changee have been.or if auepeneion or abandonment exceeda one (1) year,full feee ehall 6e paidfor.a new permi0. . . . 4. No work Of anymanner shall.De done that will change the natural flow of water caueing a drainage problem.5. Contractor s11a11 notiEy the Building Inspector twen[y-EOUr (24) houre ia advance for all inapec[iona and eGall receive writtert-appro4alon inapection cazd before proCeeding with eucceeeive phaaea of the job. 6. The iaeuance of.apeimit.or the approval of drawinga and apecificationa ehall not be conatruedto be a permit Eoa; nor anappspvSl oE„-a violation of the prwiaione of the building codee or any o[hez ordimnce, law, rule orregulaeion.. all plan.vsubject .to fleld inepections. . Signature o I 8uiiding Official . date . ' , INSPBCT~. N~RSQii83TLINis~(3:03)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTSM[JST BE MADE BY 3PM ANY.BUSINESS DAY FOR INSPECTION THE FOLIAWING BUSINEBSDAY. e"'"Eqr City of Wheat Ridge Building Division 7500 W. 29`" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 ' Inspection Line: 303-234-5933 C~LORP~~ Property Address: Property Owner (ples Mailing Address: (if different than property address) Address: City, State, Zip Coniractor. eoa~ Contractor License Sub Contractors: Electrical City License # Company. rf)ate: an rmit Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: qPProval: Approval: Approval: Construction Value: S ~ 3~ ~ Use of SpaCe (descrlption)'. (as calculated per the Building Valuation Data sheep Description of wo~k ,,g~ ~D fX ~Pian Review (due aI fime of submiffaq: S~ `~f- K. /C~ d7 / Sq. Ft./LFt added'. Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are acarate, and do not violale applicable ortlinances, covenants 9 fao u alte; iha`t I~have I ead and agree to ab de hy easementsl conditons psmtedeon~ hishapplicaUOnsand~lhatsl assumeafu~ll shown, responsibiliry for compliance with the Wheat Ridge 8uilding Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work allegations made are under this permil Plans subJect to field inspection. J CIRLCE ONE:: PRINT NAME: or PERSONAL REF Q (,4✓I.t;~~VL SIGNATURE: DEPARTMENT USE ONLY ZONING COMMENTS'. Zoning: Reviewer. PUBLIC WORKS COMMENTS'. Reviewer. of (OWN ) (CONTRATOR) Dale: PI BUILDING DEPARTMENT COMMENTS'. Reviewer' FIRE DEPARTMEM'.: 0 appoVed w/ commenls ❑ disappmved ❑ no review required Bldg Valuation: OCCUPANCY: Building Permit Application i:. r 1 .i~l ~ a o g o y ~ o r ~ ~Z = c ) ~O ' e m c m m 9 O y O a m om 0 m n ° ~ 3 . G a N ~ a m rt 0 H. o ~ 0 3 0 m 3 . 3 3 ~ 0 ~ p D m 0~ ry 3 a y ~ m O H (D W ~ C ~ C J ~ w H ° ~ c ° m M a m ro O m f N ~ (D O » i v 0 ~ 0 m ~ m F ►EPMRMUYlEP B94#4892 a °v r m o m ~ 9 0 ~ D my Z fn A ~ A ~ M H (D N c'f 80 Z Z ~ m a n O IL 9 F+ x o w ~ E w ~ K co n r• w ~ w ~ rr N A a, cn r x ~ D O ~ O 33 ti N w N t" N N• ~ m rr o cn (D o rt Go 0 ~ N J m ~ n f ? mm3w o C 0 ~Dmq} m ag- mm ~ ti mm~y ~ n - m sm 3a~~ M ~mm; m ~ o° 3 e y ~ m m~ ~ 0' a o m F~ o m ma3Q '°g m v~ m ~ ~ m = m ~ mm 9 O 71 - ~ v~a2 y m' ? ln ~ N m 'f. O ~ $v a 0 ot -i < n;L 6-7 m o O m m 0 ~ m 9i m n ~c ~ n O m ci O dD m<mo 'a IWO o° o`°u > 3 f $ n ^ o ~ m m Er 0 m m lJ ~ A 0 J • Q .0 o r~ ° - ~ m f m C N n>j ~ ~c a omo tD r ID ~ A i~l , 3 y:5 7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 EXT. 255 P.O. BOX 638 BUILDING INSPECTION DIVISION PERMIT N0. B94#4892 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEf BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION ~ TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCAMPANY THIS APPLICATION BUSINESS COPY OF DEED 30VEMENT SURVEY a LIIVG ~ SPECIFV NORTH PROPERTY STREET NAME (CIRCLE FRONT) N E S W SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH; SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MA7(IMUM OR AVERAGE DISTANCE. OWNERS NAME ~J~YVI f cO wS~Y' LEGAL DESCRIPTION CONTRACTOR S'KL II ' S ~]1~L,IC. N0. METES AND BOUNDS DESCRIPTION ATTACHED ADDRESS *S L S. ' pHONE q 7Z-Z33Z ADDRESS_ ~ys ZeR~'IyE+~' SF~v`fC+ CITY "Q / ~ l.e~ ZIP CODE $J'Z-l i0T N0 Zg 3 BLOCK N0. LOTWIDTH DEPTH AREA SUBDIVISION IItV ~~1 ~~L""" PS~FILING INDICA7E THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTINGCurbBGutter=StraetPovinq-WOter-Sewer=StamDroinaqs' HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES-NO_ ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NO_ UNITS REMARKS V OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify thaf fhe obove setback distances shown on this permit opplication are accurate, and do not violate applicable ordinances, rules or regulafions of ihe City of Wheat Ridge or covenonis, easemenis w resfrictions of re- cord; ihot oll measurements shown, and allegations mode ore accurafa; fhat I hove read and agree to abide by all condifi0ns Drinted an fhis application, and 1 1 I ssu e full responsibilify for compliance with the Wheat RidQe Buildinq Code (U.BC) and all ofher opDlicable 1 Ri~ge ordito c(s, for work undar ihis permit. (OWNER)(CONTRACTOR) BASEMENT-FINISHED GROUND FLOOR SECOND FLOOR GARAGE ROOF 7i4a7 PERMIT FEE a 0 7,p-tJ USE TAX ~ qm .D-rJ TOTAL FEE $ 44 7, j1- DATE c~~s =y BUILDINC, DEPARTMENT USE ONLY SO.FT COST /THE PROPERTY LOCATED AT ~7/Y/W/t ,~w, IS PRESENTLY ZONED.~- COIAIVENTSELECTRICAL PERMIT BUILDING COST $1 PLUMBING PERMIT MECHANICAL PERMIT PLANS REVIEWED (_OK)(-NOT OK) I PLANS REVIEWED (-OK)(-NOT OK) I PLANS REVIEWED-(_OK)(-NOT OK) NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT „ PERMIT ISSUED TO r461 /+~-~7.!-F Cl-eC~ PER REOUEST AS PER PLANS NO AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CIEARED BY CHIEF BUILDING INSPECTOR NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLUMBING PERMIT r ~ } YERMIT ISSUED TO 1~ S~-~/ PER REQUEST AS PER PI.ANS NO. AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR DATE CLEARED_. 6Y NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF MECHANICAL PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR CHIEF BUILDING BY. (1) THIS PERMIT WAS ISSUED IN PCCOHDANCE WITH THE GROVISIONS SET FeRTH IN VWR APPLICATION AND IS SUBJECT TO THE LAW$ OF THE STATE OF COLOflADO AND TO iHE ZONING flEGULAT10N5 AND BWLDING CODE OF WHEAT RIDGE, COLONADO OR ANY OTHER GPPLICABLE ORDINANCES OF THE CITY. (2) THIS PERMIT SHALL EXiIAE IF (A) TME WORN AUTHORiZED IS NOT COMMENCED WITHIN 31%TY (60)DAYS FROM ISSUE DATE OR (B) TNE BUIIDiNG AUTHORIZED IS SUSVENDED OR AB4NDONED FOR F VERIOD OF 120 DAVS. (3) IF TMIS VERMIT E%PIRES, A NEW PERMIT MAV BE ACOUIRED FOR A FEE OF ONE-HALF THE AMOUNT NORMFLLY REOUINED, PROVIDEO NO CHANOES NAVE BEEN OR WILL BE M40E IN THE ORIGINAL VLANS AND SPECiFIGATI0N5 PND ANY SUSGENSION OR ABANDONMENT Hp5 NOT E%CEEDED ONEIIIYEAN. IF CHANGES ARE MADE ON IF SUSVENSION OR ABANDONMENT E%CEEDS ONE (I)YEAR, FULL FEES SHALL BE PAID FOR A NEW YENMIT (4) NO WORN OF qNY N F SHALL E ~ONE THAT WILL OBSTRUCT TME NATIIRAL FLOW 0 TEfl CAU A DRAINAGE PR M. (5) CONTRPCTO HALL 1 TIFY TN BUILDING INSVECTOR TWENTY-FOUR (29) HOUFS IN DV FORA I PECTIDNSDISH CEIVE WRITTEN PPPROVAL ON INSPE ION CAR BEFOR ?E OCEEDMG WrtH SUGCESSrvF PNqSES OF THE JOB. . ' / ~ V ~ ~ ) R1 0 b k~ I-~'y o ul ,i - ~~~Q~ ~ ~ , `1 (•d1-a-J , ~ ,ic,~~a ~oat+'N t . U~ ~ O I ~ U.j ~~-~.~I~✓'o ~~a - i ~ .3L^i24 2 ~ ~2 -tlb .►~,~ba2 Sh5 h cl-D 1i Zo4-1 ---d _ ~ ^ ~ ~ 1 oQ ~ ? w UQi v d~ ~ 3N I? y~ ~ ~ p, J r 0 . - ~ 9 ~ ~ , ~ ~ ~ r -o ~ ~ _ _ ~ ~ ~ s ~ ~ L~ ~ ~ ~ 0 ~ ~ IL ki;~ 1 v' ~J•~~FLp~b , y l~ ~ o 1 , ! o . i e I I r~ I~ I L~II~. . ` ' •7 ~ ~ 1 t--- - ` ~ ~ L k \ N ~ -3^ ~ ~a v iI , J n~ 4 ~ ~ Y L~ 1) ~ ~ k` cf o,~'~ ~ G- ~ - Fla.1 wLoi,l..tc _ e. ~ 5I r \ ~ ~'J I TG~-I „ o.'t1 P~¢ri6.. ~I F'I.'s NtA~si-1 .nSu•+ DL.lr2~r~5 coi-l5-r-• _ 9 ~ 'TD 6 Ll-a5~ I -I 1,.16 LLai . . ; 'U 'L L;rDy' . ~ ~ ~,~P e1.1 Gal n'• ~ , i ~ ~ ' ~ , w , ~ ~ . ` ~ • ~ S , / 1: _ ~ ~,.,V_ ~E All , _ - , - A L °n. it Go~,f. ~Q..~ p r :&A, Q -n4IG~t~7-~~W~} _ _ ~ - lZ`l J ~X4 . . . [ t a • ' LP -l _ • ' ~ . . . ~ _ . _ . _ _ ~ . . . - p{-____14,,.1. i.. . . rl ~7 1 IqFZ°~ ~ I _ . ~ Fw..nt nirr, 4 So~ ( g) z q ~ -o ~ A F-LE4\7I0I V A12pt-n6H ~jeww- ~ r Sl ,~d er L- - - L--- ~ - - ~ - tr-7 o~ ? rbrE; ec FW= 10 Ja sT Y8 c X-1031Vt_'XiAILb irlSTDw, t2/ II'/d" oe < 31 q %s ` rI!-. C31~1 FLtJ5N [3r1. aP~ Ezie:110~ ~ ' a-PDi -rlc~l . 2 I ~P ~ ~~H~ ~ H~ ~N 2'~= ~ af. i ~ I-~'(1~f~ ~ Fb1E; ~crt'L-~h~ ?d.~ IG tG{- F~t1 6exi~a7 , t~r~ rW.~l i I t~i~. M~N~i~' • - - - _ l_.. - - _ - . - - ~ -~.6 ~_r r , `..c~.~ ~k: pe'n-~bL~ i'fR 2K I O JO If7f°J G ~(o O_~. ~ V6~IZ F3e-KV~I~~ (OP'C1A-It~L) _~p ~ g FZi~l n. 1_WA, or! I ~ xj r~rqr • _ . / 1 -0~1. _ HC.Y~Y1 Z L+0 - d C7ILLAN'S F,NGINBERING, INC. 8471 Turnpike Drive, Suite 200 • WestminsteL CO 80030' 13031 <261731 ~ IMPROVEMENT LOCATION CERTIFICATE Addreas: 4545 ZEPHVER ST Borrowar(s): COWSAR Title BbePCh by: Commitment no. : Lsga1 Desarlption: PER CL1EN7 ' Lot 28, Block 3, HILLCRE6T HEI6H7S, County ot JEFfER80N, 3tete ot COLORADO, ~yJl..~- ~,ob ~ - ~ ~ ~ ~ vewC s~+G4 ~ ON DiRT cRqdL_ , LSM7. r 7 ~ 1-STORy N~ aftl C I~ K~i~!9 luAe Ft ky-C PpopFJtTy ~ I'.. OT R7uN0 i R86~R tLfi. ccaMR oF !oY IS 6utx~ Z.EPH Y2 Sr. z. IlilWfibletpllNiopNNIAe aMVeda,RiEed p~penY IoeMadwiWz a IWy~vllmdwwdha~eArY ip ~ecadaen with ue cumr HUD Federd AAmu~nliee vrE mn day my+, MyDnd N/H . MapNe. NI4 , 7ene AfiA' Oe the buia of my knowled6e, infmnuiao ad beUe( I heteby celity 1htl Ihil Imptmemenl Mxrbn enifrcua wu pepvedle' BKYLITE BPECIALISTS ender mY+upervi,bn and tMt it Is oa . Lud SweY Fi+a lpoemeM Survey flu, eed tFU it ii ea io be nlled upaa fa Ihe mabliiMiem of ~~_.n..~.i.,.~...,.....~i~.... tlunMrcati(vNnNe inorovemsne mNeSerodndbdParceIwiAiw dYa,etuPulilily ennnediem and fenma and bM,upnp ve enimlr danibed rremlre, by impavameni on my d'pioiv eiouin` a buvbnin6 anY Mn of.uid pusl. exttp I anr dehat in N4 eurver wiWin inree reul tller rou ~pnmeneW maa Ihm ien Ya~e hom Ihe dne ot Yle "y JOD No.: 2757-94 Fee; $90.00 CENSU8 TRACT NO.! 108.04 HFR.-ci&- L'z54 Lt8: 4-- HTTOF'hJE'r"=~' T I TLE P. 02 i 78018514 ;?i1f: DEED 4F TRUST THIS OE[O OF TRCSY is ms Ic In+. 23rd . . .dny nf FCbFFAtY. 19 ZP, amnnp ih<Grnmer..JAHES. 4~LTCR. FGMSAR ~AV 1RiMA8RIED P.ER59N a"in RCSE.AI.I.6N. ~ . Ut~YPN... AH Ud±LNAiE4 P~SAN , _ 1 hncin' BnrroWei'1, ihv Publlc Tn++me ol .1¢.Efenson C~~un,y (Meuln Twmiea'), end ihe Penendary, '4ESTFRY FEGERAL 51 5 & LRA` ASSMATI9ti OF bENV[R,COLURA00, a FtdetallY chvlemd vualnl:on, ~ eX'atinP undet 'he laws of Ih< ilneeC Sna"s uf Tmu.cn. whufe aAd:ns if 7P0 I;m 5irce1. Denrer.l:olo,edo 8020: (herein 13naaowen, in cnnnfderar-- „f ihe inJeh~aJn.s. h'r,~.., rc:LeJ und ihc imni hu"n frcaicd. irtmxuhly gnnf rnd convclR In Tmun. in tout l'i;h ^o~°cr of snIa ` - inllnwing Jc•uih~•J propctl5 1,,,s¢d in thi~ Cnunty o . ..Sef fcrsnn . . . . . Sis, a. t'nb'reJO'Iqt 78. aloek 3. Ni:'-r-REST NEICHTS, ]ef..e"On County, Calce.,o uhlch hnx i 454@ .4eP1FYx. S.tccci... . . _ . , . --......'~'he1+.u.Ldge....... . hc addrn• nl . . . . . . . . . . 1~ ~:~nl (hcrcm"PrnpttlcAddr,r"1. • sud me i:a ~~1 . ' Ms. i Prnl'cny. i Taarrxea wth al! ihc imPru°crt.n:x na~v m n:..vr~~r .r:emJ nn ih.nd nn ra.cmvmv. n _ -ch appurtenn~tt5. mnl~ f~ub~ut h v-r ihu nph I' u h- ji. , LI. M r~n I~m ~~~Jck, ond I1 (In~di •c rnow ur renr ro:oli es, mincia!, nll md c+. ri.ht . anJ pr I l.~ al. r w- 1 r R' hcrc~hcr :dtachird+o Iha Pmpcr.y, uu n' ahich, ir•c1oJ-np 11p1,11 cm. u, nnJ Ad'ni ~h rd~, +h.in hc d.imP~w hv . for, f,,in,. I~~p~ihcr wi~h viJ NY pnol thc Pr~~p:l\Y •mcvJ hy tfil, Uccd of l nni, -nJ III n! iH i pnd evmeln a a inr!h[ Im~avM1old 15,11:'If ihi. DesJ ~+1 I'rw', I. on a lea.d..dd ~.~rc Iprain n.!ca.J io a. he Prop.rh Tn S~cvvt m Lx Itt 1 It r p, )~~1i ( Ih IJ -hmd - .d ad h~ r ~ I~ J i J erY-27.197E (xrri--`'oi 1 IiI-pi~plim rTPRTYTNOlSo'DAW.NO/iPP.,. . fehC4 -.Urllu : 'th i~ Ih i1. f,r mo thly u C;n1. l- nn i pnyahlc on t'. ,i.tlmcrr. n1 prin.ipul anJ -t"e'i..tiih inh I .`ihc 'v u ~ d all ~~ih um . 1th int ih.renn. ed, mtd ] 300E . , . ' . : f tn anJ A5 'n ~~:dmcc h=rcwl!h In p l ci thf INi1-.J 1 j 1 p,frm 11 - ih rwn . noJ[ BA ~ m.-nsnfBarrowcrM1~rcnc 'hlth y,y i 1. J ~na. ,w~ h i w Iturrowar by L:ndcr pu, ant io p rvg, aph -I hn If iF r-, I mu:c AJ an ci'1. t~ eonn.c~ cavcnnm.~ WhIn A"'owcr I.!ouqul~y aci~cJ ihi~ c,~,e~ hvrahy cnmcy.W anJ hn, iSc nght m Er9nl onJ ~ w' n ~ nJ Jr, .ii Y•ncrollY ~he ada anv~Y fihc PrnNriv TM1Vi thc Prc pc ry y~~nc 'n r J anJ hni ❑Jerltv, . rI~. . ~ in inc ?rnp~rty agn n.! ull c v . ond dcmnnJ' . hj..t 1~ 1)nsur nf.nLcrJir ,imirtst io dhe P~~~ny IincJ In n . t~jdWc of exIp'lam ro cn •veg~ neny iiile n.oran p,~;: ~L2ioRr,oo-~,o,r.m, ~ ,MwIMMt UM'Fo.M M.UMEN, ~...aw ~ RPF'-l~t= 1~~3 L~~':•~? t ( ~k7;ij` HTTiJRFIE'r'S' TITLE t I~I~~ I ~ 7e0 18512 ?Et_2?^t~t9~a i' ~ 1'Egqf11ALRE1'RESEI`1'TA17IVE'SbEF.P ITEFTATF F.tiTATEI THIS DEED im mAdc 'h Rcprc=entnti,en(Lhcli of ~~p~(•.decenncd.C..nmlur$tu f Cw+siY ' IZI nrdree:t. 4 545 ZeP.hYT. Cl.:=.,___ - . I I.. N'IIEREAP.i.henv,•'e.nnm±ddern'n~t°!^.w'Nll~~~dulyudniit[eAm~MM.t~(inr"rrn»1) ' Tcxi'mrcnt~lated-~3IL1~-.-- blf~flCt.._- C~~uM1i~nndfnr[he Ma 2S 1977. .Gythe...__.. ---15592. er•sori ,xndgtnte~~fC..Iari~qn~PmhntrSu. inuntyof~ ~ R'HEREAF. Grn"'enr wne drd>• nPf~+~n[rd P.re~nnl Hrprc~~'n!ati~e n( snid F:.tute on i~ . M~y 2 077., inAienn~q If .I m.lne i ~ . Ira1 ~c~ ♦(W TIIF.REFOItE.Vu~nwmtt~l.hrt a~'~ ~P:r~ 1 i n<rimt- I~th lr,b.niil {mLnle u, ( f G nu r dnc• h, rehv nall. "^IR ~el~ ht ThUUSaad 6~ND/IQ(~II~ ~ f' t•tmI Svl" trnnn~~"lf,rmdimm"ni Th dp~ntiinnf Y . hrtei0mu1R~~1~P~~~`~rm1%T.MMnwnIC.KYNY. .hl F 11nw'n¢ I. riBwl ,M=tekIDWM t'n~mtp,~f )effer5on . .Fi.olrnl'i',d .noiq-i: il. reninn+i•.ri.sit.v.tclrthe Lat 28, Blac'•: 3, HILL GHEG't IfElGHTS, i,. Caunty oi jefferson, StaCC nf Coloraca nl~nkrnw.atrcetW.dnuinb..r 45452ephyr5tfcet I. l1'i!h nll ~y,PUHennn[er, h'e.• rv+d vlenruCiSem: ~wd o-nnun`ir~mree.~,~rrp~: . TaxnS for yeai contiL F1[eC DCed nI Trust 4roR )a}^°s tWala=C COw tarand . tern Federal 6avings and Lnan A5QOC1a on af nnrJCd, lf anyr and h se Allen Lbnyon for the use of We3 Ro I co s~cure S30,00c.00 dao;a , pF wed herein. the eIn¢ulnr inatudcx tl_ plarnl ur.d tht. m:cc011nr w,nder t6e fnm+nfne and neute, Qendern u•1 (h° "'ntext may reqw«•E.:ecuced~-1:~... _..q ~ . _~J..,. - vv mnl !tc~~ r.,.ent f the h;.tni~tJ GCgrge.,Hem'Y__-_-_ v,wxe~xwwa~bar• na~.,~*~•a STATEOFCOLUBAL'O ` I i ._COUNTYI)F lefferson I••.. . ~ . 2 trd. '_-dip•ot I i nc . TYx ILreROing in*trumwn ,1876. 6v Ceor Her-Y pi,~S~, xtBca•Y~<nr¢t~Weotchr ~ ~n~ .i . . a`-. 1Q1:AM'~bec~ ..i . 'c:µAR~~p~epnni~yFnndnnd~ff~~.~~c~`~E.~s~w.~7,1~t I w' y ~ •Strike ne mnuired _ ~'..h~ri~~tn 5tnu~ten rrk~.rd'mR finme~.e~.A ` ~ m m'rird. If .d,i'k' "titrlkc il' drr~•da~nt ~'nx _ _ T . ment fu II'..w ui u,~•m i , ~I. - . . i-,. II IF.Pnm~m 1X 3 f~dh'~ ,;,V „ n. I'errnnel pyWt1HHBNM+RR~ I T C:rnntedl wYmne ~ F.0.= HFF-06-1:~94 03:47 aTTnRHEVS^ TirLE ,",,t , a° 30- 2970929 78D18513 '`l it nl.. :i . ~.:l.,._,.....~ nm :..t~al: I'•c.~.i 5I. inU In'I'IIP: UISTHIC:'P . . 0)F1O I-. FILED IN 7N6 I I11P; rv nr:n 1:111; DISTRICT COURT I idAY ZG 1977 I nr rri< ur a~u m:wn JEFFERSON C6UNTY, 15 21 I ~ COLORAbO n. ~nYC Nn'I'I'P:tt rn°rr11I.I;sT:~~:' ut~ • iCCRGF. lILhRY, ~.Kfff1/5 n) iar.n ~i I c<Y.emisx ~c n~ ~ ~Np%k:ucaN~.'wtxxw.~. Tllh: PF:oI't.f: nF SIIii tifCfli oF (:uLC*Wf) Tn.~ll in..hu.n dho,pr.~.eni, ~L.iII ounr'_ (:IIECI'iSC'~: M nenr ns. u, t i,.• . Rose,S.anvon_---_- w.~&d.:q,p,.u. n-Jxxmc.hfixklaC a. PerSOnaL Feprc=cntative______.__ % d Ohl t'.eeo ~,i tLr al.,,r nimed Joccdr10'.:plexxxxk-,Wx4' `JexSQi~:xle+.r.ximmeelf:+!~'~xRx~max'd+fx~x' Lr ,hi. 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M S1ICI2MT~r01 yi!mpZ 6,v~TnO~ 01 in9N0~? 6 be r y N P ~ O 1 00 O ; ~M ~ O ~ ~C M O 2T vl h1 ~ 1 1 i 1 1 1 NI NI wl il I ; vM i ~ ~ i nz+M 3g;;Y h W e~ o~ e~n o w P n~s~~ if. w+ nLOd +e0~ ~n$i T~ ~v~M iaf O~~wO~uti ; 2 rpuANO iO~n~nr~^ ~ vo$- ov4ae. oooca~c o c~oe~ ~N O~ ~ T ~ ~M ~ N4 1 Y T ~ Oc 1 1 ) r~ ~ v n~ ' I na: d~ y O s ~ iGn ~ N r .°=.~n.r. O V w ~y •p i SgOV~a,° Qo~a~ N t T 9 9 6 ^ T 1 a~ Q I ] i v ~ i wl ~ N 1 ~ a N ~ ni tl~ KQ~tgm! , A T Y Y Z ~ G O C~ ~ A > ON s e da oreavn~ 1QA0~0 a - 4` e ro~ 00 O MN H 1 ooonn ~ 3 _ _ ~ 9 x ' $ r _ • l^- l C i~'. . 3~ a I 2 ~ i 4 1^ 1• n P r Tl1?i _'.S1,3hIdLillHc INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE INSPECTION RECORD IOBADDRESS 4545 Zephyr Street BUILDING PERMIT N0. B94#4892 DATE ISSUED 4/14/94 7ypE oCCUPANCv OWNER Jim $ Rose Cowsar CONTRACTOR Skylight Specialistt, 4655 S. Lakehurst Way, Littleton CO 80127 SETBACKS FROM PROPERTY IINES: NORTN SOUTH Epg7 YYest T'u rr;;5 JC)B INSPECTION DATE INSPECTOR Footfn s Caissons Reinforcin or Monolithic + Weather roofin Electrical Ground Work Plumbin Ground Work Heatin Ground Work ~ ~ . . _ Rou h Electrical Rou h Plumbin • AirTest Gas Pi in Rou h Heatin 8, Ventilation Framin Insulation ; D wall nailin Roofin , Refri eration Electrical under round Electrical Fixtures Plumbin Fixtures Heatin & Ventilation Landsca e 8 Parkin R.O.W. & Draina e Fire De artment Job Com leted OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED ~ r~~y 71 INSPECTION TICKET INSPECTION TICKET 1 T JOB Jpg ADDRESS _`t S (F,~ ~ ADDRESS rIH y~~~ rL- I DATE: BLDG. "PE MITM ~ DATE: BLDG. PERMITM ~ PERMITM PERMIT# r BLDG. CONTR. BLDG. CONTR. -T- U SUBCONTRACTOR SUBCONTRACTOR /I DATE INSP. REQ. ~ DATE INSP. REQ. ~ Z -CL 1 ~ TYPE OF INSP. ~ TYPE OF INSP. (~(3U / M INSPECTION MqDE //J -6-v v INSPECTION MADE_ ` REMARKS /"GLGSc-. REMARKS a /7 7- W.R. FORM 619 ~ INSPECTION TICKET INSPECTION TICKET c, JOB JOB ADDRESS Pi{yP ADDfiESS DATE: BLDG !ePEM TN u~/`a_ DATE: Sy BLDG. PERM X PERMITM PERMIT# BLDG. CONTR._di~ ~ BLDG. CONTR. ~~C<N`•~4iLV"~o___ 0 SUBCONTRACTOR SUBCONTRACTOR DATE INSP. REQ. DATE INSP. REQ. TYPE OF INSP. 7YPE OF INSP. INSPECTION MADE R•~I,~,~ U ~ INSPECTION MADE 1 ` ~F I REMARKS REMARKS ~ W.R. FORM 6.19 W.R. fOFM 6.19 ~ / , INSPECTION TICKET ,I INSPECTION TICKET JOB ADDRESS DATE: -I ;2 -~I y gLDG. PERMITB ~a PERMITN BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. S D 'q Y TYPE OF INSP. ~ / INSPECTION MADE REMARKS ~ INSPECTION TiCKET JOB ADDRESS DATE: BLDG. PERMITN C~ PERMITM BLDG. CONTR.- alx SUBCONTRACTOR p r ~ DATE INSP. REQ. TYPE OF II INSPECTIO REMARKS JOB ^ ADDRESS DATE: BLDG. PEHMITM ~~--~Z- PERM ITN c BLDG. CONTR. H u-'J SUBCONTRACTOR DATE INSP. REQ. J ~ -J TYPE OF INSP. _ V~t INSPECTION M DE REMARKS ~ W.R. FORM &18 l W.R. FORM 619 j DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911116878 237-8944ExT. 255 P.o. eox Bse CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND RELEIPTED BELOW. APPLICATION FOR MISCELLANEOUS PERMIT JOBADDRESS ` ly~ ~ `ez- - OWNER G,,~~g CawS~i' . / CONTRACTOR 4 ADDRESS AODRESS PHONE ZIP CODE GTY ~20 2e1° ZIP CODE ~U2 ( % CONTRACT PRICE $ PHONE C-;'> "F°ll S LICENSE NO. 1. TYPE Ground❑ 2. MATERIAL SIGNS 3. ILLUMINATION Yea❑ No❑ Typs FENCES OTHER 4. SET BACK FROM PROPERTY LINE N_ 5_ E- (Soatifvwhichisfront) ❑ ❑ ❑ piMr S or D Foee Tofal Squan Fad Eleel. Parmit No. Zon*_ ADWmed,ZMe Inapector 1. TYPE SolidU Mon Thon 80% ODSnU Leu Thon 80% Open 4. MATERIAL Heipht 3. SET BACN FROM PROPERTY LINE N_ (Soeaitv whien iefront) ❑ E_ W Zons_ Apprasd,ZoneImDeeta 0 ❑ DiaapOrowd DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVihG DISTANCES FROM PROPERTY LINES. (SETBACNS OR PROJECTIONS INCLUDED) ~ SPECIFV NORTN 2. STREET N4ME SHOW DISTANCES FROM THE MAIN BUILDING TUAWOININC NOUSES, STREETS, ANO PROPERTY LINESiON IRREGULAR IOTS, SMOW LEAST DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE. _ APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATIONWIR~I BE ` COME E%PIRE M 60 DAYS FROM R DATE OF ~SSUACEOF WORK Y IS NO STAIRTED WTH n{p7 TDIM INSPECTION DIVISION. MELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE N0. STA7E UCENSE N0. ALUMINUM WIRE UNDER SIZE B ILLEGAL FLOOR BSM I ST 2N0 3RD 4TH N0. Ropane E Solar NEL:CirclsOn§ Gat 1011] NO WATER CIASET FORCED AIR - BTU TEMPORARY METER WASH 80WL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTMER HEATING GARBAGE DISP REFRI6ERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER Refri eront Grap UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER Pounds Clror e AUTOMATIC SPRINKI.ER SYSTEM FIxTURES DISH WASHER WIRING MOTORS d CONTROLS FLDOR DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES li a' hi PERMIT FEE 3'j , p..t} NOT VALID UNLESS RECEIPTED a V177 S s aDD c I hereby ocknowlad9a that t fion ie corroct ond understand thot I USE TAX _;L O- q O tonnof stort this projstt until this oOPli- $ s-a V-ri, cotion is approved. I shall comply with TOTAL FEE vQ Me laws oi Ihe Stote oi Colorodo and to ufations ond Buildinp Re in h Z R D AP n Q p on t s ~ Code offhe Cify of Wheai Ridqe. Any violotion ot the above terma will cause CHIEF BUILDIN SPECTOR,City of Wheat Ridqe immediate revocation of this permit. CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS Date Issu