HomeMy WebLinkAbout2829 Chase StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Monday, January 3, 2022 10:44:55 AM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for
Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or
Residential
Commercial?
Property Address
2829 CHASE ST WHEATRIDGE CO 80214
Property Owner Name
DANE COLLIER
Property Owner Phone
720-630-5630
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
office@plumbpros.comcastbiz.net
Address
Attach City of Wheat
WHFATRIDGF ELECTRONIC PAYMENT FORM Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
PLUMB PROS INC
Name
Contractor's License 021881
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-430-1911
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
office@plumbpros.comcastbiz.net
Address
Retype Contractor
office@plumbpros.comcastbiz.net
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
70 feet
Location of repair
backyard
(backyard, frontyard,
etc)
Provide additional
n/a
details including
installation of clean-
o uts.
Project Value (contract
8000
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
has been issued and
posted on the property.
I certify that I have Yes
been 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 LARRY TRUJILLO
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECT ON NOTICE
Inspection Type:
Job Address:'
S
Permit Number:
❑ No one available for inspection: Ti
Re -Inspection required: Ye C!__
When corrections have been mad schedule
http://www.ci.wheatridge.co.usrns n
Date e Inspector,.
online at:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: '
Permit Number:
t .
'C
❑ No one available for inspection: Timet— c� `i AM/PM
Re -Inspection required: Yes Nod
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co, usrnspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
V,
Homeowner Interior Remodel PERMIT - 201901691
PERMIT NO: 201901691 ISSUED: 08/19/2019
JOB ADDRESS: 2829 Chase St EXPIRES: 08/18/2020
JOB DESCRIPTION: SWO Remodel bathroom with new toilet, vanity, flooring, tub; Remove wall in
living room; cut hole in north east corner of kitchen to remove old chimney
**REVISION: Remove additional 29 in x 55 in, create breakfast bar, create
service center counter, construct 2 ft x 6 wall; Added valuation:
$1,100.00
**REVISION: Adding new service to accommodate new CO 2 alarm and smoke
detectors, adding 3 new receptacles to new breakfast bar and service bar,
installing 3 way switch to living room and kitchen. Added valuation: $4300
*** CONTACTS ***
OWNER (720)630-5630 COLLYER DANE SCOTT
SUB (303)912-8885 JEREMIAH DEBELL 120109 NATURALLY WIRED LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,200.00
FEES
Total Valuation 0.00
Plan Review Fee 122.49
Use Tax 277.20
Permit Fee 267.70
Investigative Fees 172.60
** TOTAL ** 839.99
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
A City of Wheat Ridge
q Homeowner Interior Remodel PERMIT - 201901691
PERMIT NO: 201901691 ISSUED: 08/19/2019
JOB ADDRESS: 2829 Chase St EXPIRES: 08/18/2020
JOB DESCRIPTION: SWO Remodel bathroom with new toilet, vanity, flooring, tub; Remove wall in
living room; cut hole in north east corner of kitchen to remove old chimney
**REVISION: Remove additional 29 in x 55 in, create breakfast bar, create
service center counter, construct 2 ft x 6 wall; Added valuation:
$1,100.00
**REVISION: Adding new service to accommodate new CO 2 alarm and smoke
detectors, adding 3 new receptacles to new breakfast bar and service bar,
installing 3 way switch to living room and kitchen. Added valuation: $4300
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and at all work to b pe formed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signfa'/;V;r6WNER or CONTRACTOR (Circle one) Date
1permit 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 ides 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 Building Offcial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or a rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Oft 0
Signature of Chfef Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of'
W heat Image_
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
1016
Add to Permit #
jo iD�b
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: ' k 0'l j . ( S�
Owner
Property Owner Email:
Mailing Address: (if different than property address)
Phone: 21X '6 36*"6 63
Address: �� ,29 (((tia SSS S fi
City, State, Zip: W 4 C (AT Ll O (o 1? 60 5, eLl
Submitting Company:
Contact Person:
Contractor:
Contractors City License #:
Contractor E-mail Address:
t d�AcL
Phone:
Phone:
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
WORK DESCRIFION
1, PDD NEW SERVICE i0 ACCOMMODATE NEW CO 2 AIAPM d SMOKE DETECTORS
2 ADD 3 NEW RECEPTACLES TO NEW BREAKFAST BAR & SERVICE BAR,
Sq. Ft./LF
Amps
NE All WORK 10 BE OONE BY MY EMU[ 00009 010PU WIPEOI
U0 Z- / t, -.5, /A 0
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ 3 DoeA9
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNS) (CONTRACTOR) or (AUTHORIZED REP SENTATIY) of (OWNER) (CONTRACTOR)
PRINT NAME: I Q }1; L ( SIFi,71SIGNATURE: LDATE: /
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
®� i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: Qjzn 9 " 1"L;'
M
T2-
Re- Inspectio
Re-Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http:Uwww.ci.wheatridge.co.usrnspection �L�.'.--�
Dat Inspector; ---
DO NOT REMOVE THIS NOTICE
o s l i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
ry.r to S r,->
Inspection Type: r"c '- e y,- ,
Job Address: tet.- � Cin. A (�, c. )V -
Permit Number: \3 6 \ U � 1
sa •-
�)�i y,CnI
k / 1. ! 0\ J 1- ( r,,%e,
❑ No one available for inspection: Time 1 `' AM/PM
Re -Inspection required: Yes W.o
When corrections have been made, schedule for re -inspection online at:
http.Ilwww. ci. wheatridge. co. uslinspection
Date: -el-?, r> � e Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201901691
PERMIT NO: 201901691 ISSUED: 08/19/2019
JOB ADDRESS: 2829 Chase St EXPIRES: 08/18/2020
JOB DESCRIPTION: SWO Remodel bathroom with new toilet, vanity, flooring, tub; Remove wall in
living room; cut hole in north east corner of kitchen to remove old chimney
**REVISION: Remove additional 29 in x 55 in, create breakfast bar, create
service center counter, construct 2 ft x 6 wall; Added valuation:
$1,100.00
*** CONTACTS ***
OWNER (720)630-5630 COLLYER DANE SCOTT
SUB (303)912-8885 JEREMIAH DEBELL 120109 NATURALLY WIRED LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,900.00
FEES
Total Valuation 0.00
Plan Review Fee 122.49
Use Tax 186.90
Permit Fee 188.45
Investigative Fees 172.60
** TOTAL ** 670.44
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201901691
PERMIT NO: 201901691 ISSUED: 08/19/2019
JOB ADDRESS: 2829 Chase St EXPIRES: 08/18/2020
JOB DESCRIPTION: SWO Remodel bathroom with new toilet, vanity, flooring, tub; Remove wall in
living room; cut hole in north east corner of kitchen to remove old chimney
**REVISION: Remove additional 29 in x 55 in, create breakfast bar, create
service center counter, construct 2 ft x 6 wall; Added valuation:
$1,100.00
I, by m 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_per n I further attest that I am legall authorized to include all entities named within this document as parties to the work to be
per ormed and that all`wg�rk to be perrd is disclosed in this document and/or its' accompanying approved plans and specifications.
r
"ZI -"
Signature of ER 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 ermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 ape t shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code o y ordinance egulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W h6at�d ge
COMMUNITY DEVELOPMENT
SUB -CONTRACTOR AUTHORIZATION FORM
This form must be signed by each sub -contractor.
This form will not be accepted with missing information.
Subcontractor's City of Wheat Ridge License number must be provided in the applicable space.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:,2a, 4 LE_ —1 . Permit #:0_6001 71
General Contractor: Owl Q�.y
Electrical Sub -Contractor
Company Name: JJcuf ui'�11 \/ witeJ hone #: %93 - '71A - 16 8 6 S
State License #: E C 60 o Is l 3 W
Master #:ryl E Q 0:5 0 3 6 1
Wheat Ridge License #: (required field)
ature of Authorized Agent Date
Plumbing Sub -Contractor
Company Name: Phone #:
State License #: Master #:
Wheat Ridge License #: (required field)
Signature of Authorized Agent Date
Company Name: Phone:
Wheat Ridge License #: (required field)
Signature of Authorized Agent Date
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201901691
PERMIT NO: 201901691 ISSUED: 08/19/2019
JOB ADDRESS: 2829 Chase St EXPIRES: 08/18/2020
JOB DESCRIPTION: SWO Remodel bathroom with new toilet, vanity, flooring, tub; Remove wall in
living room; cut hole in north east corner of kitchen to remove old chimney
**REVISION: Remove additional 29 in x 55 in, create breakfast bar, create
service center counter, construct 2 ft x 6 wall; Added valuation:
$1,100.00
*** CONTACTS ***
OWNER (720)630-5630 COLLYER DANE SCOTT
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,900.00
FEES
Total Valuation 0.00
Plan Review Fee 122.49
Use Tax 186.90
Permit Fee 188.45
Investigative Fees 172.60
** TOTAL ** 670.44
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
:r City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201901691
PERMIT NO: 201901691 ISSUED: 08/19/2019
JOB ADDRESS: 2829 Chase St EXPIRES: 08/18/2020
JOB DESCRIPTION: SWO Remodel bathroom with new toilet, vanity, flooring, tub; Remove wall in
living room; cut hole in north east corner of kitchen to remove old chimney
**REVISION: Remove additional 29 in x 55 in, create breakfast bar, create
service center counter, construct 2 ft x 6 wall; Added valuation:
$1,100.00
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 roperty and am authorizes to obtain this permit and perform the work described and approved in conjunction with
thispermit. I further a s that I am ly authorized to include all entities named within this document as parties to the work to be
performed and that w rk to be fed is disclosed in this document and/or its' accompanying approved plans and specifications.
Y r
Signature ofR or RACTOR (Circle one) Date
1. This perm 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 originalermit fee.
3. If this permit expires, anew 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 re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection �ervices
Division.
6. The issuance or granting of a permit s1hall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code orrdinance or lation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Of ficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City CA
W hcat l d
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits[a)@ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
i
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: Q S,2 9 c [A yes Q S T—
Proaerty Owner
Property Owner Email:
Ili
Mailing Address: (if different than property address)
Address:
City, State, Zi
Submitting Company: O w t -j -ca_
Phone:
Contact Person: Phone:7 30 "' �(0
Contractor:
Contractors City License #:
Contractor E-mail Address:
Phone:
G, -5d,
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
1.1 PEVE A 3' N ff" PIECE Of 111E RME WkI. 119T W93 P900BOBBIN OPIGIN91. PRIT
ZI CONROT 4 4f N 60' ROW Of Z" N F OONRUION, RE 10 4CCOMMOR RIFING 1`116H
AIA UN IN ROOP NOT ND NNE i0 ENTING HEANG PRO
3. 9TV COONTEP 10P 10 ME A 6PE9093T 849
4•) 9770H Nli AM 10P 10 11E 41' M 49° PIKE Or OPIGIN91 Ali TO ME SERVICE 0009EPI
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
q
PRINT NAME: br�%L C 4 0L-� V . SIGNATURE: fai DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer. t
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
FROm 0 = ELICTRICAL OUTLET TO
REVISED BUILDING PLAN
comply with the
Work shall —1 f
following codes: 2012 IRC, 2012
IECC &400NEC.
Du kj
Smoke alarms shall be required in
each sleeping room and outside each
sleeping area per 2012 IRC, Section
tt:3�. 3 It.
Carbon InonoxidctOr(s)
required within 15 ft Of all sleeping
areas.
2.) KITCHEN/ LIVING
ROOM WALL
2"X 6"PARCAL WALL FRAMING DETAILS
FROM
TO NEW REVISIONS
135"
135"
paM Date
ALL, WAUMMUMANE FOOM W= WALL
TO 966 WALL.
or aawowl of PI -M 5peafk0ho'n
"W far. or an opploval of, any violotoon to
'Irma""
cadrarolanyCoo,afmaAres. Pemits
recicanceivie povimm ofthe ousav
96
41"
96
J
"LIONca.sn
I j EXISTMKATER
FRONT VIEW
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:'' i �`� `'� ► ! �S �;-�
Job Address:
Permit Number:1,0
iL
❑ No one available for inspection: Time�AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
is
Date: ' Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE �.
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: %. Z �' r l--,
Permit Number:
OIL -
Ll
❑ No one available for inspection: Time s-%` �: AM/PM
Re -Inspection required: Yes 9No_",-
When corrections have been made, call for re -inspection at 303-234-5933
Date: - Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201901691
PERMIT NO: 201901691 ISSUED: 08/19/2019
JOB ADDRESS: 2829 Chase St EXPIRES: 08/18/2020
JOB DESCRIPTION: SWO Remodel bathroom with new toilet, vanity, flooring, tub; Remove wall in
living room; cut hole in north east corner of kitchen to remove old chimney
*** CONTACTS ***
OWNER (720)630-5630 COLLYER DANE SCOTT
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
Total Valuation
Plan Review Fee
Use Tax
Permit Fee
Investigative Fees
** TOTAL **
*** COMMENTS ***
ESTIMATED PROJECT VALUATION
FEES
0.00
112.19
163.80
172.60
172.60
621.19
7,800.00
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
_6�
..........
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201901691
201901691 ISSUED:
2829 Chase St EXPIRES:
SWO Remodel bathroom with new toilet, vanity,
living room; cut hole in north east corner of
08/19/2019
08/18/2020
flooring, tub; Remove wall in
kitchen to remove old chimney
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 �ned
e legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thisermiturther attest thatam legally authorized to include alperrand that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in 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 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
sion.
6. The issu c r g anting o . permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applica a de any or ince oar regulatioryof this jurisdiction. Approval of work is subject to field inspection.
I!? -
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�(j�'Wh6atKj'c'ige_
MUNITY DEVELOPMEN
Building & Inspection Services
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 11,5
.11
Plan/Permit # k
Plan Review Fee: I I 1 I
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
C 14/is e
5T"
k) RST 121 P(It
Property Owner (please print):
l� �j i�
l_ C� f`/ V
� Phone: Ido- 4 .Se, --S(o3o
Property Owner
V
Tenant Name (Commercial Projects Only) A/i
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name:
City of Wheat Ridge License M
Contractor E-mail Address: Now -e
Phone:
Phone:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): 12,t22v ir__ &jL(, Phone: �X-63C) 5'i
CONTACT EMAIL(p/ease print):
a
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL ❑ RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
eo&A—K VlCR-q)T2001
T v 6 fE 0vff'P4 - /,tf WeAlPak e -w)": e J ae, »✓
�� n.0 :li ce loy F �1��� C i✓� / Z o-4vv o' Alta S.`i � � �Z
oi• C, (V1n.'(, R wry L sur t' f E'uz wt�Jve s a r°r •— Lva (-(
N19i \ c'��j 9 CG1 -��� cT (<' �:r %� Z-' er`, �r� ,M,s v rL t L? t, r t Wti/ / IiJ A 1/(C.
Sq. FULF BTUs Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTO ) or (AUTHORIZ�EJD REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): Ls1 j DATE:
Printed Name: JrgN zz C-6 (T'+{ 14'i'z
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEP ENT OMME S:
Reviewer:
PUBLIC WORKS COMMENTS:
�7)L 7� � 1/0
Building Division Valuation:
Reviewer:
Randy Slusser
To: parkersignsinc@gmail.com
Subject: Plan review for 2829 Chase Street - 201901691
Good afternoon Dane,
I am reviewing your submitted plans for your remodel and have a quick question on the wall that was
removed.
1. Is this a non-bearing wall? You can send me pictures of which way the rafters are running as long as I
can clearly distinguish which way they are running and the location, OR we can set up a courtesy
inspection for our inspector to take a look.
Please let me know how you would like to proceed.
Thank you,
Randy Slusser, CBO
Chief Building Official
Building Division
7500 W. 29th Avenue
Wheat Ridge, Colorado 80033
Office Phone: 303-235-2803
www.ci.wheatridge.co.us
Wlxati is u•
r
CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are
not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received
this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any
network to which your computer is connected. Thank you.
City of
Wheat I ji, e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s): dprW %T_ L0_ (1yrZ:?'
Project Property: 3 qa (i
Project Type: I1k(W,6X ece 1"6) f
Notarized°sig'nature of Applicant
State of Colorado }
County of } ss
1
T. a forego/ giinstrument was acknowledged by me this day of 20 /�by
��"
QVt
,NODI L IROS
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 201444leM
W COMMIS", EXPIRES MAY K 2022
My Commission Expires P,�/_SJ203�`
NotaryP is
TRUSTED ENVIRONMENTAL SPECIALISTS
303-257-6994
AEC@SCO EC.COM
LIMITED SCOPE ASBESTOS INSPECTION REPORT
Pro;eat Detail
Project Location: 2829 Chase Street in Wheat Ridge, Colorado 80214 ov 710Performed By. Seth Kisselman
Inspection Date: August 12, 2019
Report Date: August 15, 2019 ' `���,
Off
Presented To:
Dane Collyer
Prepared By:
Advanced Environmental Consulting, LLC
Colorado Consulting Firm#: 20874
5800 Franklin St. Suite 101
Denver, CO 80216
TABLE OF CONTENTS
1.0 IN'ITRODUCTION
2.0 EPA LEAD REGULATIONS
3.0 INSPECTION PROTOCOL
E�CW N W M IIII t�1Z iiia l
5.0 ASSESSMENT OF MATERIALS
6.0 SITE DESCRIPTION AND PROJECT DETAILS
7.0 LABORATORY ANALYSIS AND RESULTS
8.0 CONCLUSIONS
9.0 RECOMMENDATIONS
10.0 ASBESTOS SPILL RESPONSES
1.1.0 OSHA GUIDELINES
12.0 COLORADO DEMOLITION ACTIVITIES
13.0 LIMITATIONS
List of Attachments
Attachment A: Pictures
Attachment B: Site Map
Attachment C. Bulk Sample Log
Attachment D: Laboratory Report
Attachment E: Certifications
AsbestosContaining Materials:......................................................................................................................................... ACM
Asbestos Hazard Emergency Response Act:.................................................................................................................... AHEILA-
Below Analytical Sensitivity
BelowDetection Level:........................................................................................................................................................BDL
Colorado Asbestos Building Inspector............................................................................................................................... CABI
Colorado Department of Public Health and Environment:..........................................................................................CDPHE
Cubic, Feet .............................................................................................................................................................................CF
Environmental Protection Agency...................................................................................................................................EPA
HighEfficiency Particulate Air:......................................................................................................................................HE PA
LinearFeet:......................................................................................................................................................................... LF
National Emissions Standard for Hazardous Air Pollutants:........................................................................... SHA]
NoneDetected:.................................................................................................................................................... ......
OccupationalSafety and Health Administration:...................................................................................................
Personal Protective Equipment:.......................................................................................................................... . PE
PolarizedLight Microscopy:........................................................................................................................... ..............
Renovation, Repair, and Painting:...................................................................................................................... 4 .RR
SquareFeet:............................................................................................................................................................ ..........
LA
DEFT MONS
Colorado Regulation Number 8 "Trigger Levels": (1.) Residential - 32 SF., 50 LF., equivalent of a 55 -gallon dram (2)
Cbmmercial or Demolition - 160 square feet (160 SF), 260 linear feet (260 LID, or the equivalent of a 55 -gallon drum).
Damaged Condition (M.' Materials are in damaged condition if they have a surface which is crumbling, blistered, water -
stained, gouged, marred, or otherwise abraded over less than one-tenth of the surface if the damage is evenly distributed or
less than twenty five percent of the surface if the damage is localized.
EPA Lead "Trigger Levels": An inspection must occur if more than 6 SF of interior surfaces; 20 SF of exterior surfaces will
be disturbed; or ANY window is being replaced.
Friable (l Friable materials are materials that can be crumbled, pulverized, or reduced to powder by hand pressure when
dry.
Good Condition M. Materials are in good condition if they have a surface with no visible damage or deterioration; or
showing only very limited damage or deterioration.
Homogeneous Area (HA. Materials can be classified as the same HA if they exhibit similar physical characteristics; and
the application of the sampled material can be correlated to the application of un. -sampled materials.
Miscellaneous Materials QM' These materials are other suspect materials, including flooring, ceiling tiles, insulation,
and finishing materials. Each homogeneous area/different MM material requires a minimum of two (2) samples; or enough
samples sufficient to determine the asbestos content
Non -Friable (M. Non -Friable materials are materials that cannot be crumbled, pulverized, or reduced to powder by hand
pressure when dry. A NF material may become F if its condition had deteriorated or if it had been impacted by forces that
have rendered it F.
OSHA "Trigger Levels": 10 SF, 25 SF, or 35 CP, however, OSHA states "no amount of asbestos is safe".
Significantly Damaged Condition (SD): Materials are in significantly damaged condition if they have a surface that is
crumbling, blistered, water -stained, gouged, marred, or otherwise abraded over at least one-tenth of the surface if the damage
is evenly distributed or twenty five percent of the surface if the damage is localized; or a surface that is hanging from the
end, deteriorated, or showing adhesive failure.
Surfacing Materials (SM): These materials are sprayed or troweled onto structural building member. Materials of lip to
1,0(1() SF of material requires a minimum of three (3) samples; between 1,000 SF and 5,(X1) SF of material requires a
minimum of five (5) samples; over 5,000 SIP of material requires a minimum of seven (7) samples; at least one (1) sample of
each patch.
Thermal Systems Insulation (TSD: These materials are any type of pipe, boiler, tank, or duct insulation. Each homogeneous
areaAifferent TISI material requires a minimum of three (3) samples, at least one (1) sample must be collected from each
patch; and collect enough samples sufficient to adequately assess the material and determine the asbestos content for TSI
fittings such as pipe elbows or Ts.
at
WiftftRidge
LO INTRODUCTION
Advanced Environmental Consulting, LLC (AEC) was retained to collect samples of suspect asbestos -containing
material(s) (ACM) that would be disturbed at the above -referenced property on the above referenced date(s); and
provide an asbestos building inspection report including laboratory analysis.
Colorado Redulation No. 8 - Part B Section III.AJ, "Prior to any renovation or demolition wbicll may disturb
greater than the tridhder levels of material identified as a suspect ACM pursuant, to the EPA, the facility
component(s) to be affected by the renovation or demolition shall be inspected to determine if abatement, is
required, See below for further information on identifying trigger levels, sampling protocol, and materials
classifications per the regulations.
2.0 EPA LEAD REGULATIONS
As of April 22, 2010, the EPA instituted guidelines and regulations for the renovation and/or remodel of homes built prior
to 1978, the year that the manufacturing of lead-based paint was prohibited. If lead is present within paint on building
components above the action level, any activity impacting these components must be conducted using "lead safe" work
practices and RRP Certified contractors.
As of March 26, 2014, the EPA has instituted new guidelines and regulations for the failure of firms to follow RRP
engineering controls, or when remodeling projects ase done by individuals or firms that do not have proper ERP training
and certification.
When it is suspected that a lead hazard has been created, EPA will require an inspection, including wipe samples. If the
results of the inspection determine that a lead hazard has been created the follow steps will be conducted:
■ The site will be considered lead -contaminated and REP standards and practices will no longer apply,
■ Both the EPA and the CDPHE Lead Unit have determined that clean-up is now defined as a lead abatement project;
■ Regulation 19 standards will be required to be followed in order to properly clean-up the lead hazards:
- A state certified abatement firm and individuals will be required to conduct the clean-up
- The firm will need to apply for a permit and follow all requirements of Regulation No. 19, Part A, Section V,
Abatement
- A state -certified firm and individual will be required to conduct prnject clearances, sampling and provide the
CDPHE Lead Unit with copies of those reports.
Colorado Air Qhiality Control Commission Regulation 19, Part, A, states.
■ Lead-based paint hazard means any condition that causes exposure to lead from lead -contaminated dusty lead -
contaminated soil, or lead-based paint Lead-based paint hazard also means hazardous lead-based paint, dust -lead
hazard or soil -lead hazard.
30 INSPECTION PROTOCOL
The inspection and assessment were performed in accordance with EPA/AHERA procedures. These procedures call for the
visual inspection of all areas of concern including collection and analysis of representative bulk samples of suspect material.
Random bulk samples, representative of the suspect ACM of each HA, were collected according to the guidelines published
as EPA Final Rule: Title II of the Toxic Substances Control Act, 15 USC, Sections 2641 through 2654 and in compliance
with 40 CFR, Part 763.
Representative sampling is based on the following criteria:
• The distribution of the suspect material throughout the HA,
• The suspect material's physical characteristics and application, %at
• Random sampling patterns determined for each HA
Wheat Rid)ire
40 SAMPLING PROCEDURES „ mo
Suspect materials alike in appearance and application were sampled as HAs. Those sampled suspect m then
subcategorized into one of three classifications: 53l, YFIor ALM
UN
AEC collected surfacing materials by types of texture. Not every room with each texture may have been tested; however, it
is assumed to be positive if it has the same texture as the above referenced types. AEC uses drywallschool.comftextures to
determine the texture label comparisons. I -W TSI materials, AEC uses images through. Google for comparison when naming
material. types. MDZs are named based on the material they are as seen by the accredited inspector during the. on-site,
inspection.
AEC collected at .least the minimum number of samples from each. HA necessary to meet all regulatory requirements for the
quantity of material to be disturbed. The quantities listed in this report are approximate and on-site verification of the exact
quantity of each material is required.
Condition assessments were performed by the accredited AEC inspector(s) at the time of inspection. Condition assessments
include ratings of "G", "D", or "SD" per each. HA and are meant to indicate the overall condition of each material.
Accumulation of powder, dust or debris similar in appearance to the suspect material on surfaces beneath the material can
be used as confirmatory evidence when determining the material condition assessments of G, D or SD.
All suspect materials were divided into For ATeategories at time of sampling as conducted by hand touch and feel when
performed by the inspector(s) during the on-site inspection.
After classifying each F ACM(s), the AEC inspector(s) gives each HA material a hazard rating (HR). There are seven (7)
different HRs that each material is subcategorized into if the material is deemed F. The following seven (7) numbers are
associated with each HR:
1.) "D" or "SD" thermal systems insulation ACNI
2.) "D" friable surfacing ACM
3.) "SD" friable surfacing ACM
4.) "D" or "SD" friable miscellaneous ACM
5.) ACM with potential for "D
6.) ACM with potential for "SD"
7.) Any :remaining friable ACM or friable suspect ACM
The certified asbestos inspector(s) must provide a written assessment of the condition of all known or assumed ACM. These
asssessments are to include specifying: the types of damage, the severity of damage, the extent of the spread of the damage
over each material, the material's potential for disturbance, the known or suspected causes of the damage, any preventive
measures that may eliminate the likelihood of the damaged material. from becoming a significantly damaged material, and
whether the material is accessible; all over the HA.
If an A('T4 is SD and greater than Colorado Regulation No. S trigger levels, then the areas) are deemed a major spill. If
the materials are less than the trigger levels but greater than 3 SF or 3 LF, then the area(,,) are deemed a minor spill. See
the spill response sections as outlined below (Section 10.0).
6.0 SHE DESCRIMON AND FROM"
The above referenced property is a singlefamily residential dwelling. AEC research indicates that the building was
constructed in 1925. Destructive sampling was conducted on the materials planned to be disturbed at the above referenced
property. The asbestos survey was conducted by the above referenced CD13HE and A IERA certified asbestos building
inspector.
Samples were submitted to Aerobiology & Associates laboratory for PLM analysis to identify asbestos conte samples
were requested on a rush turnaround time for results.
ah► a
7.0 LABORATORY ANALYSIS AND RESULTS wheat Ridge
Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of Ashes t Buil '
Materials (EPA 600/R/116, July, 1993) and the McU-one Research Institute's The Asbestos Pasticl : tris as ode
references. Analysis of the bulk samples was performed on the "date reported," as listed in the bulk -sample s report.
Colorado Regulation Na 8 — Pari B Section LILA. Lc, Abatement Renovation and Demolition Projects - of Colorado
Reg'akition 8 requires that all samples of friable asbestos is estimated to be 1'G asbestos or less, but greater than O', by a
method other than point conndBg Me determination shall he repeated using the point counting technique urith PLM "
(DPI ECompbance Bullet✓n ,4pri.l M- Urfuvall and drr-wall mud mayconlun asbestos ne pelrent ofasbestos eont<zined
m the dz7rwall and its assoc ated materials, Includingf mad and tape, maybe determined based on a representative composite
sampliIIgpmgram. "If jozIIt, command is verified to be applied only over dry wall .seams and/or corners, rt maybe oonpoSlted
at a laboratory.
OSLfA des not warrant composite sample anahvdq o. ;Join t compotin cl and therefore ani -material that is abore IX ACMmay
not be composited at, the laboratory, per OSHA gaidelines.
AFC may be able to request that the laboratory point -count trace material sample(s) and/or composite joint compound
sample(s) for an additional fee.
Please find attached the laboratory report of PLM results.
&0 CONCLUSIONS
AEC observed one (1) homogeneous areas that would be disturbed during the planned project as outlined above. The suspect
asbestos containing building material(s) were sampled in three (3) locations.
Based on the site observations and, bulk sample PL1VI laboratory analysis results collected by AEC, one (1) suspect materials
contained asbestos.
The following sampled materials in. red are ABOVE the r .gurlatory limit of 1% and shall be removed under Colorado
Regulation No. 8. Samples in bold -axe asbestos -containing and should be removed under OSHA guidelines'
Material Tree Location Condition niabilitt, My Est, Quantity Result
SM — Smooth Plaster Debris Hitchen SD F 3 40 SF 0.50%
The following sampled materials and aivas are NOT asbestos- containing;
Material Trzae
N/A
LocWOR
Result
The CDPHE requires permitting for any removal activities in a commercial or residential building that contains greater
than the trigger levels. Colorado Regulation No. S requires a project design in with the amount of ACM to be abated exceeds
1,000 LF on pipes, or 3,000 SF on other surfaces and an asbestos project manager if the amount of F ACM to be abated
exceeds 1,(X O LF on pipes or 3,(NX) SF on other surfaces.
AEC is able to develop a project design and/or perform project manager services for this project for an additional fee.
AEC recommends that when ACM is removed/abated, that only a licensed asbestos abatement contractor using personnel
trained in the handling of ACM be allowed to conduct such activities using appropriate methods (NEPA-filtered vacuuming,
wet cleaning methods, respiratory protection, protective clothing, personnel decontamination, negative -air enclosures, air
monitoring, etc.).
For all spills, AEC recommends that all soft goods (carpet, pad, clothes, couches, etc.) and any ceiling and/or wall surfacing
restoration activities he removed from the interior of the, building as asbestos waste. AEC also advises th d surfaces
(plastic, metal, wood, concrete, etc.) are allowed to be left in place before the final visual and final r c T&nee sts are
completed. AEC urges that electronics and appliances (refrigerators, air conditioners, DVD playe6hIVUW"#J*iefnA
microwaves,stens,
etc.) are removed due to the mechanical openings and working parts that make it difficult to clean
10.0 ASBESTOS SPILL RESPONSES
Major,8pzll F.eflpoiwPmtociols
If ACM is significantly damaged and the total quantity exceeds the regulatory trigger levels, the area is deemed a "Major
Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section HI.T.I — MajorAs1vstos Spzlls, as
outlined below.
Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly impacted by the
Major Asbestos Spill to determine if asbestos -containing dust/debris haps spread to adjacent areas. If asbestos fibers are found
within any other areas or on building contents, they should be included in the scope of professional abatement and
decontamination.
The following response actions must be followed per Colorado Reg. 8 when a Major Asbestos Spill occiur:
■ Restrict access to the area and post warning signs to prevent entry to the area by persons other than those necessary to
respond to the incident.
■ Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas.
■ Immediately contact the Division by telephone, submit a notification in compliance with subsection M.E.
(Notifications) and, if in an area of public access, apply for a permit in accordance with subsection 1I1G. (Permits).
■ Be exempted from the requirements to have a certified Supervisor on-site at all times, until such time as the immediate
danger has passed. Any cleanup or asbestos abatement that must occur after the immediate danger has passed shall be
supervised by a person certified by the Division.
■ Using certified Supervisors and certified Workers in accordance with section IL (Certification Requirements) of this
Regulation, seal all openings between the contaminated and uncontaminated areas and establish none -detect air pressure
within the contaminated area in accordance with paragraph I.H.J. (Air Cleaning and None -detect Pressure
Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator
openings, corridor entrances, grills, drains, grates, diffusers and. skylights.
■ HEPA vacuum or steam clean all carl)ets, drapes, upholstery, and other non -clothing fabrics in the contaminated area,
or discard these materials.
■ Launder or discard contaminated clothing in accordance with subsection HLR. (Waste Handling).
■ HE PA vacuuln or wet clean all surfaces in the contaminated area.
■ Discard all materials in accordance with subsection IIZR. (Waste Handling).
• Following completion of subparagraph IILT.l.a through III.T.11 above, comply with air monitoring requirements as
described in subsection III.P. (Gearing Abatement Projects); air samples shall be collected aggressively as described in
40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be
directed at any friable AC that remains in the area and
■ Comply with any other measures deemed necessary by the Division to protect public health.
Minor Spill Bwpones J%A"Is
If ACM is significantly damaged and the total quantity is less than the regulatory trigger levels, however, more than three
square feet (3 SF) or three linear feet (3 LF), the area is deemed a "1Vlinor Asbestos Spill" The area is COnseglrP.ntly sub]P,Ct
to the requirements in Reg. 8, Section IILT.2. —1 irrorA.sbestos bpillg as outlined below.
Additional asbestos air or dust sampling should also be conducted within the remaining areas not (directly impacted by the
Minor Asbestos Spill to determine if asbestos -containing dust/debris has spread to adjacent areas. If asbestos fibers are found
within any other areas or on building contents, they should be included in the scope of professional abatement and
decontamination.
The following response actions must be followed per Colorado Reg. 8 when a Minor Asbestos Spill occurs:
Restrict access to the area and post warning signs to prevent entry to the area by persons other than those necessary
to respond to the incident
Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fi s tc cher as.
Using certified Supervisors and certified Workers in accordance with section II. (Celtificati0 Requirements) f
this Regulation, seal all openings between the contaminated and uncontaminated areas and tdftjjb�p��}}�-de t
air pressure within the contaminated area in accordance with paragraph IT -LJ. (Air Cleani g and None% t
Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover are, S,
s,
windows, elevator openings, corridor entrances, grills, drains, grates, diffusers and skylights.
n1 ---I
■ HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated
area, or discard these materials.
■ Launder or discard contaminated clothing in accordance with subsection 1111. R. (Waste Handling).
■ HEPA vacuum or wet clean all surfaces in the contaminated area.
■ Discard all materials in accordance with subsection M.R. (Waste Handling).
■ Following completion of subparagraph IILT. U through IILT.I.L above, comply with air monitoring requirements
as described in subsection M.P. (Clearing Abatement Projects); air samples shall be collected aggressively as
described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower
shall not be directed at any friable ACM that remains in the area and
■ Comply with any other measures deemed necessary by the Division to protect public health.
1.:: X111 1
Any samples containing trace amounts of asbestos require following these federal guidelines: federal worker protection
regulations (29 CFR. 1926.1101 and 40 C17R 763); the National. Emissions Standards for Hazardous Air Pollutants
(NESHAP, 40 CFR 61 Subpart M); the U.S. Environmental Protection Agency (EPA) Guidance for Controlling Asbestos -
Containing Materials in Buildings ("Purple Book", EPA 560 / 5-85-04); and the Asbestos Hazard Emergency Response Act
(AHERA, 40 CFR. 763 Subpart E).
Cbmpbanc+e S, pea&es — olBA RWalaiions .89 CFR 19.20.1101
Class I asbestos work — defined by OSHA as activities involving the removal of Asbestos Containing Materials which are
TSI or surfacing material Class H asbestos work — defined by OSHA as activities involving the removal of ACM which is
not TSI or SM. Class III asbestos work. — defined by OSHA as repair and maintenance operations, where ACM TSI or SM
is likely to be disturbed.
OSHA. requires the following (at a minimum, the contractor should thoroughly review regulation):
1. Establishment of a regulated -work area: minimizes access to unauthorized personnel, protects persons outside from
airborne asbestos exposure and requires the use of respirators inside of the regulated area (essentially a HEPA
filtered negative air pressure containment area).
2. Supervision of the removal work by a competent person: an EPA trained asbestos abatement supervisor.
3. Workers handling ACM shall be properly trained: training requirements as stipulated in OSHA regulations specify
a minimnm of eight hours (8 hr.) training of required topics. Material and Bands -on training more closely fits the
EPA Operations and Maintenance Worker sixteen -hour (16 hr.) class.
4. Exposure monitoring of personnel' both eight-hour (8 hr.) TWA (time weighted average) and STEL (short term
exposure limit). This monitoring will ensure that personnel are wearing adequate respiratory protection.
5. Proper use of engineering controls namely, wet methods to control airborne asbestos filters, prompt clean up and
disposal of debris in leak tight containers, removal of material in an intact state (prohibited use of high speed
abrasive disc saws without NEPA filtered exhaust, prohibited use of compressed air on AC)Ms, prohibited by dry
sweeping, shoveling or other dry clean-up methods).
6. Removal of ACM: in an intact state to the extent feasible.
7. If using cutting machines, they shall be continuously misted: during use, unless a competent person determines that
misting decreases worker safety. Dust generated by a power cutter shall be collected by a HEI? k vacuum.
8. Asbestos containing material from a roof must be either hand carried: or lowered to the ground by crane, hoist or
in a dust - tight chute.
9. All waste shall be either wrapped and/or placed into a closed receptacle: in such manner so as to preclude the
dispersion of dust
10. If working on a roof: roof level heating and ventilation air intake sources shall be isolated (sealed) or the ventilation.
system shut down.
Other Requirements
■ Other appropriate PPE as necessary City of
■ Implementation of a Respiratory Protection Program (if necessary)
■ ResI)irator physical exam for personnel (if issued negative pressure respirator) Wheat Ridge
AEC Recommends a final visual and final air clearance monitoring after the material has been removed
11 ti /•• 1/ 1 1 1 �Mlll_�_,
Section III.A.3 — Any asbestos -containing material that is friable or will be made friable during demolition activities in
any area, of public access or non-public access area must be removed prior to demolition. Removal, in accordance with
Regulation No. 8, is required if the amount of asbestos -containing material that is friable or will become friable dining
demolition exceeds the trigger levels.
Per CDPFIE I)emolition Permit: Demolition of a building that has non -friable asbestos -containing materials remaining
must be completed without causing the asbestos -containing materials to become friable. Burning a building with any
asbestos -containing materials is prohibited. Concrete floors covered with floor tile shall be removed in as large sections as
possible. Operations such as crushing, pneumatic jacking, etc. of materials containing asbestos are not permitted.
Recycling of materials, such as concrete or wood, that are bonded or contaminated with asbestos -containing materials such
as floor tile or mastic, is not permitted.
130 1.TM7TATIONS
This report describes the data collected and observations made by AEC during the visual inspection and bulk sampling in
the above referenced building. AEC represents that its services were performed within the limits prescribed by applicable
regulations, within scope of work as approved by the EPA and the State of Colorado and in a manner consistent with the
level of caxe and skill ordinarily exercised by other professional consultants under similar circumstances.
AEC accepts no responsibility for data collected, the recommendations made or expressed to the client, and/or other
commitments made by persons or firms other than AEC. No other representation is made to the client, expressed or implied,
and no warranty or guarantee is included or intended.
Thank you for the opportunity to provide industrial hygiene services. If there are any questions on this .limited scope asbestos
building inspection, please contact AEC by phone or email.
Respectfully Submitted,
ADVANCED ENMONI$NTAL CONSULTING
Seth Kisselman
CABI - 21329
c" of
Wheat Ridge
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CERTIF=ICATE OF ACI-IFEVEMMT
This certificate is awarded to:
SETH KISSELMAN
232x5
In recognition of satisfactory compietlon of the EPA-appmved annual asbestos
tetresFler trauvng course unier secdnn 2(k Of the Toxic Substance Control AL't fISCA).
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BUILDING INSPFC."IDR
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ASHER& DR)YER HOOK-UPS
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COMMUNY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
pen-nitsgci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension: 1r6
�0
7 ,
Permit # Property Address:
p.
Phone # 30. ?��1 Email Address:
t
Reason for extension request: 11S1W11PeI1Xe z &��
Number of days requested: `��CQ
Printed Name: 9,r_z Signature:aeldYDate:zQG
For office use only
This request has been:
Approved by:
Denied
www.ci.wheatridge.co.us
Extended until: 12- 13 //
Date: 10131r O
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: Aum
Job Address: �2 6i2 � (f A-, r S t
Permit Number: 01DI-�b5/L12
❑ No one available for inspection: Time % (A /PM
Re -Inspection required: � s No
When corrections have been made, call for re -inspection at 303-234-5933
- 4
Date: '/� Inspector:��o
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:
Job Address: 2 t Fist
Permit Number: 0
❑ No one available for inspection: Time
Re -Inspection required: Yes bNo
When corrections have been made, call for re -inspection at 303-234-5933
✓ �� f 1
Date: /,2> inspector: �• /-/"�
DO NOT REMOVE THIS NOTICE
\� City of Wheat Ridge
Residential Roofing PERMIT - 201703640
10\
PERMIT NO: 201703640 ISSUED: 07/10/2017
JOB ADDRESS: 2829 Chase ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -Roof to install COMPOSITION asphalt shingle with 19 SQ
HOUSE AND GARAGE RE -ROOF 5/12 PITCH
*** CONTACTS ***
OWNER (303)748-6207 COLLYER DANE SCOTT
SUB (303)791-2223 Eileen R. Ponzio 018699 RTP Roofing Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,692.00
FEES
Total Valuation 0.00
Use Tax 140.53
Permit Fee 156.75
** TOTAL ** 297.28
*** 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.
ZV'�( C�ajc� 5�l
'01;?0;6�C.
INSPECTION
RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
a
�*
Lath / Wall Tie
Final Window/Doors
Rough Electric'
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.
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
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
L ., . City of Wheat Ridge
Residential Roofing PERMIT - 201703640
PERMIT NO: 201703640 ISSUED: 07/10/2017
JOB ADDRESS: 2829 Chase ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -Roof to install COMPOSITION asphalt shingle with 19 SQ
HOUSE AND GARAGE RE -ROOF 5/12 PITCH
*** CONTACTS ***
OWNER (303)748-6207 COLLYER DANE SCOTT
SUB (303)791-2223 Eileen R. Ponzio 018699 RTP Roofing Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,692.00
FEES
Total Valuation 0.00
Use Tax 140.53
Permit Fee 156.75
** TOTAL ** 297.28
*** 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 - 201703640
PERMIT NO: 201703640 ISSUED: 07/10/2017
JOB ADDRESS: 2829 Chase ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re—Roof to install COMPOSITION asphalt shingle with 19 SQ
HOUSE AND GARAGE RE—ROOF 5/12 PITCH
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its',accompanying approved plans and specifications.
At
4
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original 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 border 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
applL 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dane Lovett A I,// / /)
From: no -reply@ ci.wheatridge.co.us
Sent: Tuesday, June 27, 2017 9:44 AM
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
Property Owner Name
2829 Chase Street
J
Dane Collyer
f
Property Owner Phone 303-748-6207
Number � I I ck)
--o
Property Owner Email barbara@rtproofingco.com
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
RTP Roofing Company
018699
303-791-2223
Contractor Email Address barbara@rtproofingco.com
Retype Contractor Email barbara@rtproofingco.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
No
Composition
Asphalt X,
Field not completed.
How many squares of the9
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.
i
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
CIJ9
House and garage re -roof --5/12 pitch
6692.00
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 Barbara L Neil
Email not displaying correctly? View it in your browser.
3
R.'I'P ROOFING CO.
iR00F1:1T,G AND GUTTER
SPECIALIST
Customer Info:
Job #: 3533
Collyer, Dane
2829 Chase Street,
Wheat Ridge, CO, 80214
(303) 748 -6207 -home
RTP Roifing Co.
4011 S.Federal Blvd. Sheridan, Co. 80110
Phone: 303) 791-2223
Fax: (30:.) 7.91-3534
Companl Representptive:
Scott Pon:io
(303) 791.2223
scott@rtprc.ofingco.co m
Sob INumba : 3533
Description -
Quantity
Udlt
Price
Total
Permit Fez To Be Determined Upon Purchase. --City of Wheat Ridge
1
�A
$0.00
$0.00
Remove Tear off - 1 layer, haul and dispose of shingles - Laminated or
13.8
SQ
$51.30
$707.94
equivalent
5.1
SQ
$33.39
$170.29
Remove No Dump Access Charge
13.8
SQ
$15.00
$207.00
Replace Roofing felt - 30 Ib.
13.8
SQ
$33.39
$460.78
R & R Drip edge / Gutter Apron
97
LF
$2.39
$231.83
R & R Rake Edge
58
LF
$2.26
$131.08
Replace Ice & Water Shield - Along Eaves
582
SF
$1.65
$960.30
R & R Flashing - pipe jack
2
EA
$40.15
$80.30
R & R Roof vent, Slant Back, Metal
4
EA
$57.85
$231.40
R & R Install additional Roof vent, Slant Back to meet building code
2
EA
$50.17
$100.34
R & R Furnace vent, rain cap and storm collar, 6"
1
EA
$82.13
$82.13
Replace Prime and Paint roof Penitrations
9
EA
$27.33
$245.97
Install Hand load Charge
15.33
SQ
$15.00
$229.95
Replace Shingle- Laminated- Standard without felt 3-4/olds
15.33
SQ
$200.00
$3,066.00
Replace Ridge cap - dimensional shingles
49
LF
$6.01
$294,49
R & R Remove & Replace New 5" Alum, seamless gutters, end caps,
157
LF
$5.79
$909.03
outlets, Downspouts and Elbows --
& Gutters total: 17.935.54
Detacheds
Description-
Quantity
Unit
Price
Total
Remove Tear off - 1 layer, haul and dispose of shingles - Laminated or
5.1
SQ
$51.30
$261.63
equivalent
Replace Roofing felt - 30 lb.
5.1
SQ
$33.39
$170.29
R & R Drip edge / Gutter Apron
51
LF
$2.39
$121.89
R & R Rake Edge
40
LF
$2.26
$90.40
R & R Roof vent, Slant Back, Metal
2
EA
$57.85
$115.70
Replace Prime and Paint roof Penitrations
2
EA
$27.33
$54.66
Replace Shingle- Laminated- Standard without felt 3-4/olds
5.67
SQ
$200.00
$1,134.00
Replace Ridge cap - dimensional shingles
25
LF
$6.01
$150.25
R & R Install New 5" Alum. seamless gutters and re -use existing
83
LF
$5.79
$480.57
downspouts
_
�'j,,� d
�Jft,�"i�13�*`
Detached Garage total: $2,579.39
Total for
all sections:
$10,517.93
Notal:
$10,517.93
FROM THE DATE OFCOMPLETION, RTP ROOFING COMPANY HAS ATEN YEAR LABOR AND WORKMANSHIP WARRANTY ON
THE WORK PERFORMED.
COLORADO RIGHTS:
PER COLORADO LAW (SB -38) YOU HAVE A 72- HOUR RIGHT OF RECISSION AFTER SIGNING A CONTRACT OR AFTER
RECEIVING NOTICE lNWRITING THAT YOUR INSURANCE CLAIM HAS BEEN DENIED. YOUR ROOFING CONTRACTOR
CANNOT PAY OR WAIVE YOUR INSURANCE DEDUCTIBLE,
SEE ADDITIONAL TERMS AND CONDITIONS - SEE ATTACHED FORM.
RTP ROOFING COMPANY'S INSURER IS PINNACOL ASSURANCE FOR ALL OUR EMPLOYEES.
Date
Company Authorized Signat-ure Date Cu er ignature
t6stomer Signature
Date
This estimate was last edited by Scott Pondo ((303) 791'2223,scmt @rtproofingco.conn) on June 05, 2017. The
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 2 t Fist
Permit Number: 0
❑ No one available for inspection: Time
Re -Inspection required: Yes bNo
When corrections have been made, call for re -inspection at 303-234-5933
✓ �� f 1
Date: /,2> inspector: �• /-/"�
DO NOT REMOVE THIS NOTICE
L �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:
Job Address:^
Permit Number: 2,0 `? Q -Z) 6146
❑ No one available for inspection: Time A'
Re -Inspection required: Yeso�
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: = lr)
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234 -5933
° ° ° °nanw /Tvne
Inspector
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector
omments
Comments
Monolithic Slab Reinforcement
Water Service (Underground)
Caissons
Plumbing (Below/ In -slab)
Concrete Encased Ground (CEG)
Inspector
Initials
Comments
Heating (Below/ In -slab)
Footing /Stemwall P.E. Letter
-
Rough Mechanical
wo Not tour Concrete Prinr I n Annrnvni (It The Ahnvc Incncr#innc
Underground /Slab Inspections
Date
Inspector
Comments
omments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below/ In -slab)
Date
Inspector
Initials
Comments
Heating (Below/ In -slab)
-
vV IVV6 %,VVer Unuerarouno or 13elowiin -Sian WorK Prior 10 Annrovni rnt The Ahnvc Incnnrfinnc
Rough Inspections
Date
Inspector
Comments
omments
Wall Sheathing -
Roof Sheathing
Lath / Wall Tie
Rough Electric
Date
Inspector
Initials
Comments
Rough Plumbing
-
Rough Mechanical
Gas Piping
nA
4elurs) ed Jr T@TazF# AIU/H iTomiV1t'T.7T. FI Eel irl.T.w7mrr.17T.17 lT T.T-TS
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
-
Final Plumbing
Final Mechanical
nA
Roof
_ a7
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303 - 235 -2846. For ROW and drainage
inspections call 303 - 235 -2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
* *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.
occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
♦��4'
V CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type r'€, T
Job Address z c 0111
Permit Number ff)
o No one available for inspection: Time r '��"�) AIIPM;
Re- Inspection required: Yes , No I
'
When corrections have been made, call f j c t#7 at 303 234 -5933
Date:Inspector: Ff�
t .
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
1�
Residential Roofing PERMIT - 110855
PERMIT NO: 110855 ISSUED: 07/21/2011'
JOB ADDRESS: 2829 CHASE ST EXPIRES: 07/20/2012
DESCRIPTION: Reroof 13.82 sqs with 30 yr Tamko shingles
* ** CONTACTS * **
owner 303/239 -9750 Carol Collyer
sub 303/791 -2223 Eileen R. Ponzio 01 -8699 R T P Roofing Co.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0527
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED,.PROJECT VALUATION: 3,969.00
FEES.
Permit Fee 109.20
Total Valuation .00
Use Tax 71.44
** TOTAL ** 180.64 '
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
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 c junco on with this permit. I further attest that I am legally authorized to include all
enti named ycgthin this docurry as pyr es to the work to be performed an that all work to be performed is disclosed in
x is docu and /�r s'�ac 0 ying p roved plans and specificatio/. �
9gnatur� of OWNER orb �.Circle one) Date 1
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.
S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field'ns ion.
Signatu — ief Building Offical Date
INS CTION 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.
M
p
City of Wheat Ridge Building Division
m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
inspection Line: 303 - 234 -5933
Property Address::
Property Owner (please print):
Mailing Address: (if different tt,
Address: �
State, Zip:
Building
0
property address)
Date:
Plan #:
Permit #:
Phoneme — p 9�
Contractor:
Contractor License #: 0� Phone: . 7
Sub Contractors -
Electrical City License #: Plumbing City License #: Mechanical City License*
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
A..... - 1.
Use of
K-6 - -�-Lns7u_
Sq. Ft. /L.Ft added: Squares BTU's
Application
Construction Value: $ /'
(as calculated per the Building - Valuation Data sheet)
Plan Review (due at time of submittal): $
Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
res onsibili force with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this pes sub) t to field' ction.
i
CIRLCE ONE:\ (OWNER) ONTRAC ) r PERSONAL REPRESENTA IV (O R) (CONTRATOR)
PRINT NAME: ,IV / SIGNATURE: (j - � -��" Date:
i
qutsd Bldg Valuation: $ 1