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27 Hillside Drive
City of � Wheat i e ul� Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsOci.v idce.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): "' Phone: Property Owner Email:_!1rr� Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: , State, Zip: Architect/Engineer E-mail: Contractor Name: Phone: City of Wheat Ridge License #: 2,1 o lkrr Phone: �'O — 6 _ Contractor E-mail Address; 4P For Plan Review Questions & Comments (please print): CONTACT NAME (please print): CONTACT EMAIL(please print): Phone: _ 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 9 City License # Complete all highlighted fields. ❑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. u 1Cvif,A d /i?%7t4%/ S} oc /Y#Irrd/d-r2 j;, *' e-� /rt A9/� Com 75/+a� Lrr, Gc��nG S `- %:751;P§ f ? ) SI CHCS 9� 5'/2�/�S �� fioh C'oodell51,.4'r JI ��aD Sq. FULF _. BTUs Gallons A mnt Snuarp For Solar: Kw s 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) OWNEWCONTRACTOR 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: (OWNS �(CONTIRUACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): - f ELATE: i- ) f - x a Z1 Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Rev-... PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: CITY OF WHEAT RIDGE -- Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: -7 4 r_:, Permit Number: Z',r �6, '7 rll� Ll No one available for inspection- Time /Q.' %.'(AWPM Re -inspection required: Yes No, When corrections have been made, schedule for re -inspection online at. http✓/www,ci.wheatridge.co.0 nspection Date: inspector: DO NOT REMOVE THIS NOTICE. i CITY OF WHEAT RIDGE j Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE 2 Inspection Type: F i � Job Address: 1- I } Permit Number: nzjc) C:4z ❑ No one available for inspection: Ti AM/PM Re -Inspection required: Yes No When corrections have been mae, sc ule for re -inspection online at. http✓/www.ci.wheatridge.co.usrns ect n Ins1ector: t �3 ry N V L . , \\; 2 ®. Z \ q \Kz� _ z (3 \ f g? -- C) mE§ gz,mo,'g@��m «gam SawJ / r / /j ]� } \ } } »,iz gw ]� } \ } } TRUSTED ENVIRONMENTAL SPECIALISTS 303-257-8994 AEC@SCO EC.COM WW.SCOREAEC.COM aOAOOOAAE 3/g/AD� LIMITED SCOPE ASBESTOS INSPECTION REPORT Project DeWk Project Location: 27 Hillside Drive in Wheat Ridge, Colorado 80215 Performed By: Christopher Haduck Inspection Date: January 21, 2020 Report Date: January 22, 2020 Presented The Revolve Construction, Inc. 5168 Parfet St Unit I Wheat Ridge, CO 80033 Prepared W. Advanced Environmental Consulting, LLC Colorado Consulting Firm#: 20874 5800 Franklin St. Suite 101 Denver, CO 80216 DEQ W O, 1.0 INTRODUCTION 2.0 EPA LEAD REGULATIONS 3.0 INSPECTION PROTOCOL 4.0 SAMPLING PROCEDURES 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 11.0 OSHA G}UIDELINES 12.0 COLORADO DEMOLITION ACTIVITIES 13.0 LIMITATIONS IM of Awa Attachment A: Pictures Attachment B: Site Map Attachment C. Bulk Sample Log Attachment Er Laboratory Report Attachment R Certifications Asbestos Containing Materials: ......................................................................................................................................... ACM Asbestos Hazard Emergency Response Act: .................................................................................................................... AHERA BelowAnalytical Sensitivity.............................................................................................................................................BAS BelowDetection Level.'........................................................................................................................................................ BDL ColoradoAsbestos Building Inspector............................................................................................................................... CABI Colorado Department of Public Health and Environment: .......................................................................................... CDPUE CubicFeet:............................................................................................................................................................................. CF EnvironmentalProtection Agency................................................................................................................................... EPA HighEfficiency Particulate Air....................................................................................................................................... HEPA LinearFeet:......................................................................................................................................................................... LF National Emissions Standard for Hazardous Air Pollutants: ..................................................................................... NESHAP None Detected: ND Occupational Safety and Health Administration: .......................................................................................................... OSHA PersonalProtective Equipment:....................................................................................................................................... PPE PolarizedLight Microscopy:............................................................................................................................................... PLM Renovation, Repair, and Painting.................................................................................................................................... REP SquareFeet:......................................................................................................................................................................... SF Colorado Regulation Number 8 ` Uger Levels": (1.) Residential - 32 SR, 50 LF., equivalent of a 55 -gallon drum (2) Commercial or DemoK ion - 160 square feet (160 SF), 260 linear feet (260 LF), or the equivalent of a 55 -gallon drum). Damaged Condition (DX 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 (F): Friable materials are materials that can be crumbled, pulverized, or reduced to powder by hand pressure when dry- Good ryGtood Condition (GFS 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 MAX 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 UM. These materials are other suspect materials, including flooring, ceiling tiles, insulation, and finishing materials. Each homogeneous areaA fferent MM material requires a minimum of two (2) samples; or enough samples sufficient to determine the asbestos content. Non -Finable OTI+'Y. 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 ` hgger Levels .: 10 SF, 25 SF, or 35 CF; however, OSHA states "no amount of asbestos is safe'. Significantly Damaged Condition (SDX 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 (,M These materials are sprayed or troweled onto structural building member. Materials of up to 1,000 SF of material requires a minimum of three (3) samples; between 1,000 SF and 5,000 SF of material requires a minimum of five (5) samples; over 5,000 SF of material requires a minimum of seven (7) samples; at least one (1) sample of each patch. Thermal Systems Insulation (TSIZ These materials are any type of pipe, boiler, tank, or duct insulation. Each homogeneous area/different TSI 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 T's. LO 4 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 Regulation No. 8 - Part B Section III.A.1, Prior to any renovation or demolition which may disturb greater than the trigger levels of material identified as a suspect ACM pursuant to the EPA, the facility components) to be affected by the renovation or demolition shall be inspected to determine if abatement is required s See below for further information on identifying trigger levels, sampling protocol, and materials classifications per the regulations. If' . . 1 �"EJ. Y fog—.11 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 are done by individuals or firms that do not have proper RRP 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 RRP 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 project clearances, sampling and provide the CDPHE Lead Unit with copies of those reports. Colorado Air Quality Control Commission Regulation 19, Part A, states: ■ Lead-based paint hazard means any condition that causes exposure to lead from lead contaminated dust, lead - contaminated soil, or lead-based paint. Lead-based paint hazard also means hazardous lead-based paint, dust -lead hazard or soil- lead hazard. &0 INSFECIZON PBOTOCOL 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 Rale: Title H 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, • Random sampling patterns determined for each ML 40 SANO?IX4G PBOCHDUFXS Suspect materials alike in appearance and application were sampled as 14 As. Those sampled suspect materials are then subcategorized into one of three classifications: S1K TSIor MW 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 drywallsehoolcom/textures to determine the texture label comparisons. For TSI materials, AEC uses images through Google for comparison when naming material types. MMs 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. 5.0 eaaESB> OF Condition assessments were performed by the accredited AEC inspector(s) at the time of inspection. Condition assessments include ratings of G7, "D", or 'SV 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 (7, Dor SD. All suspect materials were divided into For NFeategories 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 H-% 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 ACM 2.) "D" friable surfacing ACM 3.) "SD friable surfacing ACM 4.) "D or -SD" friable miscellaneous ACM 5.) ACM with potential for 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 assessments are to include specifying. the types of damage, the severity of damage, the extent of the spread of the damage over each material, the materials 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 ACM is SD and greater than Colorado Regulation No. 8 trigger levels, then the area(s) are deemed a major spill. If the materials are less than the trigger levels but greater than 3 SF or 3 LF, then the areas) are deemed a minor spill. See the spill response sections as outlined below (Section 10.0 &0 SITE DESQRI)E"IION AND PBOJEOT DETAIIS The above referenced property is a single-family residential dwelling. AEC research indicates that the building was constructed in 1954. 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 CDPHE and AHERA certified asbestos building inspector. Samples were submitted to Reservoirs Environmental Incorporated laboratory for PLM analysis to identify asbestos content The samples were requested on a rush turnaround time for results. ex I : 1 1 : 't :1 I: W. I Z I 1 3 : � 4� Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of Asbestos in Bulk Building Materials (EPA 600/R/116, July, 1993) and the McCrone Research Institate s The Asbestos Particle Atlas as methods references. Analysis of the bulk samples was performed on the "date reported," as listed in the bulk -sample analysis report Colorado Regulation No. 8 — Part B Seetion IIIAI e, Abatement Renovation and Demolition Prnjeels - of Colorado Regulation 8 ivgaires that all samples of friable asbestos is estimated to be 1% asbestos or les4 but greaser than 0% by a method other than point counting, the determination shall be mpea ted using the point counting technique with PLM. CIIPHEComphanaeBallehnApi712007 7rywallanddrywallmudmaycontainasbest4oas Theperrentofasbestosconhuned in the drywall and its associated materials, including mad and tape, maybe determined based on a representative composite samp]mgpmgram �Ifjointcompound is verified to be applied onlyover drywall seams and/or comers, itmay be composited at a laboratory. OSHA does not warrant composite sample analysis of joint compound, and therefore anymatenal that is above I%ACHmay not be composited at the laboratory, per OSHA guidelines. AEC 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. 8.0 CONCLUSIONS AEC observed three (3) homogeneous areas that would be disturbed during the planned project as outlined above. The suspect asbestos containing building material(s) were sampled in eight (8) locations. Based on the site observations and, bulk sample PLM laboratory analysis results collected by AEC, zero (0) suspect materials contained asbestos. The following sampled materials in red are ABOVE the regulatory limit of 1%. and in bold are asbestos -containing• Material Tyae Location Condition I+ 2 bffi RR Est Quantity Result N/A The following mmtvled materials and areas are NOT asbestos -con Material Tune Location Result SM — Sponge Textured Drywall Master Bathroom ND MM — Joint Compound with Sponge Texture ND SM — Orange Peel Textured Plaster Guest Bathroom ND The CDPHE requires permitting for any removal activities in a commercial or residential building that contains greater than the trigger levels. Colorado Regulation No. 8 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 1,000 LF on pipes or 3,000 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. I : w►1v'rj 1 DIZI 1: Y 1 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 (HEPA 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 be removed from the interior of the building as asbestos waste. AEC also advises that only hard surfaces (plastic, metal, wood, concrete, etc.) are allowed to be left in place before the final visual and final air clearance tests are completed. AEC urges that electronics and appliances (refrigerators, air conditioners, DVD players, microwaves, toasters, etc.) are removed due to the mechanical openings and working parts that make it difficult to clean thoroughly. J OrSWU If ACM is significantly damaged and the total quantity exeeeds 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.1. — Major Asbestos Spills, 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 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 Major 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 fibers to other areas. ■ Immediately contact the Division by telephone, submit a notification in compliance with subsection III.E. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection M.G. (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 H. (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 III.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 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 HLR (Waste Handlingo ■ 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 M.T.La. through M.T.LI above, comply with air monitoring requirements as described in subsection HLP. (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. WnarNpWB Phodaon& If ACM is significantly damaged and the total quantity is less than the regulatory triggerlevels, however, more than three square feet (3 SF) or three linear feet (3 LF), the area is deemed a "Minor Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section IH.T.2. — Minor Asbestos Spills, 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 fibers to other areas. ■ Using certified Supervisors and certified Workers in accordance with section H. (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 IILJ (Air Cleaning and None -detect Pressure Requirement4 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 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 HRR (Waste Handling ■ HEPA vacuum or wet clean all surfaces in the contaminated. area. ■ Discard all materials in accordance with subsection III.R (Waste Handling ■ Following completion of subparagraph BIT. 1.a. through IMT. LL above, comply with air monitoring requirements as described in subsection III.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. -Mr' 110 OSHA GUIODME ES Any samples containing trace amounts of asbestos require following these federal guidelines: federal worker protection regulations (29 CFR 1926.1101 and 40 CFR 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 (Parple Book", EPA 560 / 5-85-04); and the Asbestos Hazard Emergency Response Act (AHERA, 40 CFR 763 Subpart E). (b rhaaw*eon-OWAR%Wa6cs 0QNBIt9l0&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 HI 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): L 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 tie removal work by a competent person: an EPA trained asbestos abatement supervisor. 3. Workers handling ACM shall be properly trainee: training requirements as stipulated in OSHA regulations specify a minimum of eight hours (8 hr.) training of required topics. Material and hands-on training more closely fits the EPA Operations and Maintenance Worker sixteen -hour (16 hr.) class. 4. Exposure monitoring of pemonnel: 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 contoola: 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 HEPA filtered exhausts prohibited use of compressed air on ACMs, prohibited by dry sweeping, shoveling or other dry clean-up methods). 6. Removal of AC>!iG in an intact state to the extent feasible. 7. If using cuing 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 HEPA vacuum 8. Asbestos coniaining 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 wast■ shall be either wrapped andkr placed into a closed receptacle: in such manner so as to preclude the dispersion of dust. 10. H working on a roc` roof level heating and ventilation air intake sources shall be isolated (sealed) or the ventilation system shut down. Other ire0110ke®6a ■ Other appropriate PPE as necessary ■ Implementation of a Respiratory Protection Program (if necessary) ■ Respirator physical exam for personnel (if issued negative pressure respirator) AEC Recommends a final visual and final air clearance monitoring after the material has been removed. 12.0 COLORADO DEMOLITION ACTIVITMS Section HI.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 during demolition exceeds the trigger levels. Per CDPHE Demolition 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 file 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 file or mastic, is not permitted. 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 care 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 clients 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 guaxantee 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, Christopher Haduck CABI - 25262 .1u1D1 so ky, IFA ifil", A �'/ i�11��i i 1 i � (l�� V a m wi+ r 11116 R w "Q aRr C R O r m U C O CII R (A C e _ - R c R a x m CL E R C J >Z v � v Q 1 iIJADI 1 IVIA C/ 1. �.1. Ne rvctrs twrRYIB m, M t I1BCIlV6 APal VC.. [Ulif Reservals Envirormental QA AAarulal Q\QAQC1LabtReservars Envirmme tal QA Manua dx REI LAB WpIr- Reservoirs Environmental, Inc. January 21, 2020 Seth Kisselman Advanced Environmental Consulting (AEC) 5800 Franklin St., Suite 101 Denver CO 80216 Dear Seth, Subcontractor Number: Laboratory Report: Project #/RO. #: Project Description RES 454372-1 Revolve 27 Hillside Dr, Wheat Ridge Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 454372-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. 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Camrlf RgW— � 8 P- R as ry h-1, —-,.J —UM .. lq.61.0 1.4.1 N. E. V- b. 11. C.J..d. -(awed: Lk t" IN, zoi * I - I F'r rk-m1w 11, Im .r}' I __ CNC Wring CHC Nation.de Training & Cerfifitation, Experts CERTIFICATE OF ACHIEVEMENT This certificate is awarded to; CHRISTOPHER HADUCK in mognffiw of satisfactory ampOon of the f PA-approvedimial asbestos trenung course under section 206 of the Toric Substn Coneol Ad (.TSCA), Titie 11 entitled: BUILDIN(i INSPLC , IOR 1— --A M'.9 )AM Y:S 20.9 EXPIR,ro, Rti5 I -L— 5 'Uj 20 CERTIFICATION* Wgia This —fifies Chat Christopher Baduck ASBESTOS LABORATORY AcIvanced Environmental Consulting, LLC by met the rcgimatiw ttlai[.aocros •f 23 -'-NP, C.K.J. and the .1u' I�t'alin tomrc.l tcsriRg "—fi U Jf1d 6y kC"tj 413, Pan 8 In the IfU011ftd, T. T)., .- Nrh'. rkumbtrt to. 20`0 (,O'= =71 ASBESTOS CERTIFICATION* This —fifies Chat Christopher Baduck It Cortifleation N.: 25262 has met the requirements of 25-7-507, CRS. and Air Quality Control Commission Regulation No. Part B, and in hereby certified by the :�Y6 state F(W.rd. i.th. fbl1.w4igdi.ipfi_: Building Inspector* I—ed: J.. -,y 23, 2019 9.0—; January 23, 2020 -r :lu 1 � . i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 3 /2/ &ALFR /-30-S %SUJ.ArT /1 / l 1114 l'1. Job Address: 27 Ag,_5j—oE Q8, Permit Number: 20 Z oa 2 p*1 �L✓ �=/1 - 'i TThs' .h � d -r' � hl .•�c i• l"'�1 ' � ta','!-,'�'e�• e � 0 4 1_1421w., k-i/`-,L'� L. ` �� -s�3 x �� :..: •�lr� -'"!' 4 ❑ No one available for inspection: Time AM),PM Re -Inspection required No When corrections have been axle, schedule for re -inspection online at: h ttp ✓/www. ci. wheatridge. co. usrnspection Date: -2-J2- �?o Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number:`-1�` ❑ No one available for inspection: Tirrral, - WPM Re -Inspection required: YesCJN.o When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.usr.nspe _ 7 De:- IE�_2;'dZ6 Inspector: C DO NOT REVE THIS NOTICE i CITY OF WHEAT RIDGE t� Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: A/ X'i'� T Job Address: 1 2 Permit Number: cc20 0OO, 0�a"00 /" nECA - 2AAA&S? Fes, 94 a"T 641,q 0.Y , 46 '/x iZo i P% / ej&,,CT ZZ AaR 4:M9 fir," C�4IlaGt/� /-0&C:, t) ArrTc F �.rr► R z�tni ❑ No one availablefor ins ection: Time /U� A M Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co, uslinspection 1 a Date:` ' Inspector: "moi"r'7 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 202000228 PERMIT NO: 202000228 ISSUED: 02/06/2020 JOB ADDRESS: 27 Hillside Dr EXPIRES: 02/05/2021 JOB DESCRIPTION: Remodel two bathrooms to include: install two vanities in upstairs bathroom, replace toilet and bath in guest bathroom, new shower valves, lighting, add lighting, add receptacles, new tile in bathroom *** CONTACTS *** OWNER (703)489-1445 BALLS BRADY GC (303)981-2568 BRYAN BUSHAW 202029 SEXTANT DESIGNS INC SUB (303)522-3872 LUIS MORGAN 110057 PROLINE PLUMBING LLC SUB (303)289-2070 LLOYD LADD MATTHEW ROBLEDO 090062 ULTIMATE HEATING & COOLING LLC SUB (720)260-1366 RICHARD VASQUEZ 120042 RICHIE RICH ELECTRIC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 30,000.00 FEES Total Valuation 0.00 Pian Review Fee 324.71 Use Tax 630.00 Permit Fee 499.55 ** TOTAL ** 1,454.26 *** COMMENTS *** *** CONDITIONS *** 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 Residential Remodel PERMIT - 202000228 PERMIT NO: 202000228 ISSUED: 02/06/2020 JOB ADDRESS: 27 Hillside Dr EXPIRES: 02/05/2021 JOB DESCRIPTION: Remodel two bathrooms to include: install two vanities in upstairs bathroom, replace toilet and bath in guest bathroom, new shower valves, lighting, add lighting, add receptacles, new tile in bathroom 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 pertormed and that a 1 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Z c Signa a'. f OM R or CONTRACTOR (Circle one) ate I. his,oermit as issued based on the information provided in the permit application and accompanying plans and specifications and is subiect to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or grantitoance a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica)b`Ceode or any 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. City of rWh6atRA,e- MUNiTy DEVELOPMENT Building & Inspection Services 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855' Fax: 303-237-8929 Inspection Line: 303-2345933 Email: permitsO-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: �/3 pcP Plan/Permn # O n O /lon �( Plan Review Fee: 2A q. Building Permit Application Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: a•'4 M i k k' civ- a c Property Owner (please print): �(L, pO �1� LLS Phonek-703) Property Owner Email: LJ Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Phone: Contractor Name: 'Se -Y -TAUT S.NL City of Wheat Ridge License #: Phone: 3 a3 Contractor E-mail Address:)DOD 0 s\ a wt� a www �' • c o %.^ For Plan Review Questions & Comments (please print): CONTACT NAME (please CONTACT EMAIL(please 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. ❑COMMERCIAL NRESIDENTIAL Provide descriation 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. e s . Re"ovs rte.�e Aa�;�t� r-,.� ce�ee����•es Sq. FUJLF q L'(02- 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) E= 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, riles or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record. that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE. (OWNER) NTRACt��L,=(ACTTHORIZEDREFAESENTAME) of (OWNER) (CONTRACTOR) Sizratom (first and last nam),. ames DATE: 3 D 2V Printed Name: �S ZONING COMMME14TS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer Q / PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCYCLASSIFICATION:� CONSTRUCTION TYPE: h H' d4)2, 6NC %0 -- IBuilding Division Valuation: , CA-) U I City of Wh6atpNi dge COMMI'i UNY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This term must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: s General Contractor: Szx�-c;,ts+ FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: J,01n,,4t. "tokoc, 4' (;,cJ*0ckontact Phone #: Wheat Ridge Contractor License #: (30 �d Printed Name df Authorized Agent Signature of Authorized Agent required field) 1131(3a Date j41 City of W h6, at�idge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: General Contractor: —sa—x7 a q i FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: c li,ri? c> ZLIL; c Contact Phone #: Wheat Ridge Contractor License #:l U el`- Z (required field) State License #:� 5 ,� Master License #: C �G1 Printed Name of Autho zed Agent Signature of Authorizi6d Date City of W heat I dge COMMUNITY DEVELOPMENT F— —7 1 Plumbing Subcontractor I This lorm must be completed & signed by the PLUMBING SUBCONTRACTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: � General Contractor: -IS e?c Company Name: i lir Contact Phone 4: 3o3 - 52-2 - -3&Z2. Wheat Ridge Contractor License 41: iJO55'-+ (required field) State License #- 6221-7� Master License #: / vlL� N a�, LULQ A� Printed Name-&( Authorized Agent / ,A -r 9-4 7- / 5 /z,* Zo Signature of Authorized Agent Dati ' ■ ■M0\ T Work shall comply with the following codes: 2012 IRC, 2012 IECC & 2017 NEC, Colorado plumbing Code Vk Statist) 5 Area: 4158 sq ft 2 Floors 5 Bedrooms 4 Bathrooms CEJ Comb° "Ve" X0010 to 14\7 "~" -r Ground Floor Statistics Area: 4158 sq ft 2 Floors 5 Bedrooms 4 Bathrooms .1— T v%.- C., Statistics Area: 4158 sq ft 2 Floors 5 Bedrooms 4 Bathrooms 1' 56'6 �i z z 0 u � r- M Statistics Area: 4158 sq ft 2 Floors S Bedrooms 4 Bathrooms 5 UP 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: ;� 5 - Job Address: ;2--) 5o . Permit Number: ❑ No one available for inspection: e/ --1 4--� AMi!�M Re -Inspection required: Yes '� No. When corrections have been made;' -call for re -inspection at 303-234-5933 Date:yn� - 1' f Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 201902033 PERMIT NO: 201902033 ISSUED: 09/25/2019 JOB ADDRESS: 27 Hillside Dr EXPIRES: 09/24/2020 JOB DESCRIPTION: Repairing 3 feet of sewer line/water line in backyard. *** CONTACTS *** OWNER (720)371-6653 CAVARRA MARY SUB (720)319-4501 IAN BROWN 180100 SEWER LINES ONLY *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00 FEES Total Valuation 0.00 Use Tax 42.00 Permit Fee 77.50 ** TOTAL ** 119.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 201902033 PERMIT N0: 201902033 ISSUED: 09/25/2019 JOB ADDRESS: 27 Hillside Dr EXPIRES: 09/24/2020 JOB DESCRIPTION: Repairing 3 feet of sewer line/water line in backyard. 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 thispennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original permit fee. 1 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 perforned 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 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. Sy of Wheat Ridge » —231=85@«@04 09/25/2019 S; 92 Repairing 3 y 9 eg021020 AMOUNT BF7 S R1yGeDr R%m +RegST NO; 201902033 Wiz+# RECEIVED AMOUNT +x2775 RRm A#H OUR: 647957 TOTAL 11%50 -------------------�-- Dina Kemp / L From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 25, 2019 1:08 PM To: CommDev Permits Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application Residential Sewer or Water Line Repair Permit Application This application is exclusively for RESIDENTIAL SEWER OR WATER LINE REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes residential sewer line or water line repair - in yard only? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 27 Hillside Dr Mary Cavarra 720-371-6653 mjcavarra@aol.com Credit Card Authorization Form .pdf CONTRACTOR INFORMATION Contractor Business Sewer Lines Only Name 1 Contractor's License 180100 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-562-9800 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address info@sewerlinesonly.com Retype Contractor Email info@sewerlinesonly.com Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line, Water Line water line repair? Length of repair 3' Location of repair Backyard (backyard, frontyard, etc) Provide additional details N/A including installation of clean -outs. Project Value (contract 2000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes 2 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Lisa Miller Permit Email not displaying correctly? View it in your browser. RCTIO'N RE CORD OccuuancvlTvpe rrINSPFrTInN I INF• 11n1l 93d_ Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSRECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .106 FOUNDATION INSPECTIONS DATE INSPECTOR LS I NITIA COMMENTS: - Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain �� sf3 Aee Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underaroundl Heating (U DO,NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing ; Lath / Wall tie Mid -Roof Electrical Service Rough Electric ,� Rough Plumbing Gas Piping Rough Mechanical Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final �� sf3 Aee Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS'MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ A i CITY OF WHEAT RIDGE �� or Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: .6 O - 33 usi ar Job Address: Y7 alz61.srl wf 02 Permit Number: ld2SS9 ❑ No one available for inspection: Time 2 AM Re- Inspection required: Yes "When corrections have been made, call � for rr re- inspection at 303 - 234 -5933 Date: AF v Inspector DO NOT REMOVE THIS NOTICE order • ' of Wheat Ridge •: i • Departmeril for the following reasons: You are hereby ordered to stop work located at: .� City of Wheat Ridge Resid. Windows /Doors PERMIT - 102559 PERMIT NO: 102559 ISSUED: 11/10/2010 JOB ADDRESS: 27 HILLSIDE DR EXPIRES: 11/10/2011 DESCRIPTION: Replace 33 windows like for like size * ** CONTACTS * ** owner 303/232 -6417 sub 303/898 -9178 Madeline Hamilton Robert Walsh 10 -0340 Lone Wolves Construction LLC ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0676 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,900.00 FEES Permit Fee 50.00 }'d Total Valuation .00 Use Tax 178.20 ** TOTAL ** 228.20 Conditions: Tempered glazing is required within 24 inches of doors, in tub enclosures, and as required by code. Replacement windows shall have a U- factor of .35 or less. Inspection prior to covering is required. Subject to field inspections. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicaabbll %g /y /Jheat Ridge Or innaan�ces, or work under this permit. Plans subject to field inspection. Sig6ature of contractor /owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan r vi - 'a subject to field inspections. Signatur o of Building Official date INS P TION 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. Ct f iY0 hc¢at g� y Date: MUNny DEVELOPMENT j - Plan # Building & Inspection Services Division permit # 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Ofoperty Addves's, 2-7 /! / «si a8 noel v s 8om is Property Owner (please print): HAfsitToN, aNNailiavE Phone3o3'X32 6yrl Mailing Address: (if different than property address) Address: City, State, Zip: 1:00aC'*: .COME WOf..VA:F COw'f'Y.c✓aYioK A A &- Contractors City License #: Phone: 8'g — / yg Stib lec Contractor§;: - Etrical: plumbing: Mechanical: City License # City License # City License # besan�ri W-WPOw R�Frs 6mr+w. 3rzr�tG Contract Value: $ ddOn. oa v�A'\ Amos, Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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; than 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 lega owner of any entity included on this application to list that entity . on this application. CIRCLEONE: (�O N'6 TRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER). (CONTRACTOR) PRINT NAME: SIGNATDR DATE: II O MAP w MY FIIjE OEPA`RTI�IENT D apprpYedw/ CemmelltS 8 dlSapprOYed ❑110 reyle�l fequtred Bldg V81UattOD $ Fax: II�1DSOR WINDOWS & DOORS A Woodgmin Millwork Company Customer Information: Phone: Quote Comments: Dealer: FRONT RANGE WINDOW & DOORS INC. LITTLETON CO 80125 Phone: 303 - 471 -5788 Fax: 1- 303 - 471 -9166 Delivery Information: Phone: Fax: Customer Quote QUOTE # STATUS CUSTOMER PO# DATE PRINTED 136479 None 8 /15/2010 JOB NAME ' TERMS QUOTE NAME PROJECT NAME Madeline Hamilton 27 Hillsidedr Lineiiem s I I Description / Notes Price Extended 100 -1 Pinnacle Clad Bronze Casement Picture XXXX -2 $741.91 $741.91 Qty: 1 Complete Unit SS Dual Low E IG 4 -9/16 Jamb Ext Overall RO: (Room ID: garage)(FD: 23.875 x 47)(Painted 48 1 /2" X 47 1/2" White)(Tubes)(No Brickmould) Room ID: Performance Info: (U- Value: 0.27)(SHGC: 0.21) garage (VT: 0.48)(CR: 37)(AL: 0.1) s 23.675 7 -. 23.875 ?7.75 Line Subtotal: $741.91 $741.91 Line 1VumbeY 200 Line Items below matching Line Number are included I Windsor Windows and Doors — 2 w Quote#. 136479 Page 1 Of 1 21 Line Items below matching Line Number are included �-- 21 -.- 21 -i--. 21 -. W Qty: I Overall RO: 63 3/4" X 47 3/8" Room ID: bsmt kit Pinnacle Clad Bronze Casement XXXX -3 Complete Unit LHSS Dual Low -E IG 4 -9/16 Jamb Ext (Room ID: bsmt kit)(FD: 21 x 46.875)(Painted White)(Tubes)(White Hardware)(No Brickmould) Performance Info: (U- Value: 0.3)(SHGC: 0.19) (VT: 0.42)(CR: 38)(AL: 0.1) L # Description /Notes Price Extended 1700 -2 Pinnacle Clad Casement XXXX White Screen $0.00 $0.00 Qty: I Only (Room ID: bsmt kit)(21 x 46.875)(BetterVue) Overall RO: 63 3/4" X 47 3/8" Room ID: bsmt kit Line Subtotal: $1,202.44 $1,202.44 Line Items below matching Line Number are included $1,202.44 $1,202.44 r r- 2t 21 -y-- 21 -� —� 63 Windsor Windows and Doors Quote #: 136479 Page 15 Of 21 " 1 City of Wheat Ridge .� Residential Mechanic PERMIT - 092369 PERMIT NO: 092369 ISSUED: 09/14/2009 JOB ADDRESS: 27 HILLSIDE DR EXPIRES: 12/31/2010 DESCRIPTION: Replace 185,000 btu furnace * ** CONTACTS * ** owner Madeline Hamilton sub 303/955 -7940 Rick Philbrick 08 -0210 R &L Heating & A/C ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0676 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,120.00 FEES Permit Fee 204.30 Total Valuation .00 mn Use Tax 164.16 ** TOTAL ** 368.46 Conditions: Must comply w/ 2003 IRC & 2005 NEC. Subject to field inspections. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code U .B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor /owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally requ provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan revi i s ject to field inspections. Signature o hr uilding Official _ date INSPEC ON 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. LAW OFFICES OF GARY T. POTTER September 8, 2010 John C. Schumacher, Jr., CBO Chief Building Official 7500 W. 29 Avenue Wheat Ridge, CO 80033 RE: 27 Hillside Drive /Boiler Permit Dear Mr. Schumacher: ATTORNEYS AT LAW Suite 206 288 Clayton Street Denver, CO 80206 Telephone (303) 832 -0852 E -mail gpotter @mho.com Gary Potter asked me to forward to you the enclosed check in the amount of $368.46 payable to the City of Wheat Ridge for the permit fees. Please let us know if you have any questions. Yours very truly, S Sherill L. Mullins Paralegal for Gary T. Potter Gnotterlaw .mh o.com /slm Enclosure —check numbered 1694 cc: Madeline Hamilton City of Wheat Ridge r 4 000or- Residential Mechanic PERMIT - 092369 PERMIT NO: 092369 ISSUED: .09/14/2009 JOB :ADDRESS: 27 HILLSIDE DR EXPIRES: 03/13/2010 DESCRIPTION: Replace 185,000 btu furnace * ** CONTACTS * ** owner Madeline Hamilton sub 303/955 -7940 Rick.. Philbrick 08- 0210.R &L Heating .& A/C * *:.. PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0676 BLOCK /LOT #: 0/ * *'FEE SUMMARY ** ESTIMATED 'PROJECT VALUATION: 9,120..00 FEES Permit Fee 471.40 L E - µ Total Valuation .00 Use Tax 328.32 * *.TOTAL ** ..799.72., Conditions :` Fees doubled for , doing work without permit. Must comply w/ 2003 -IRC &2005 NEC. Subject to field inspections. 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 T have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.a) and all .other applicable Wheat .Ridge Ordinances,: for work under this permit.. Plans subject to field.. inspection. Signature of contractor /owner '.date - 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning. Regulations and Building. Codes of Wheat Ridge,: Colorado or any other :applicable - ordinances of the City. 2 This permit shall expire 180 days from the 'issue Hate. Requests for an extension must be received prior to _expiration date. An extension may -be the discretion o£ -the Building Official. 3 If this permit expires, ' new permit may be acquired for a fee of one half the amount normally required, provided no changes have been or will be made in the '.original plans . and specifications and any .suspension or abandonment has not exceeded one (1) year.` If changes have been or if suspension or abandonment 'exceeds one (1) year, full fees shall be :paid for anew permit. 4 No work of any manner shall be done that will change the natural flow of water causing a drainage problem 5. Contractor shall notify the Building Inspector twenty- four (24). :hours in advance for all inspections and shall receive written approval on :inspection bard before proceeding ,.with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications .shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, . rule or regulation. All .plan rev' . Object to field inspections. Signature ;r.16/Building . Official ': date INS REQUEST LINE: (303)234 -5933 BUILDING OFFICE:: (303)235 -2855 REQUESTS MUST BE MADE BY 3 PM. ANY iBUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY... y oF" " City of Wheat Ridge Building Division m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 -237 -8929 °OCORno° Inspection Line: 303 - 234 -5933 Property Address: Property Owner (p/es Mailing Address: (if different than property address) Address Date: Plan #: I l t Permit #: U�4�lll� City, State, Zip: Contractor: / aylc� L �s t(/C, r4� Contractor License #: Phone: Sub Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ L I1 ZD CI49 Description of work: (as calcula per the Buildinq Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft. /L.Ft added: Squares BTU's O �� 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 responsibility for .compliance with the Wheat Ridne Rulidinn (`.nda n R c) �„d �u .,rr,e� vvhmi Ridnn nmi-- f— •. —. C/RLCE ONE: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNA Date: Building Permit Application STs��� �yDZ/ 1 1101z , �e- 1� 81417046R2 -7/03 EQUIPMENT LIST Series 2B Gas Boiler 1. Boiler Model 2 B: O Natural Gas O LP Gas 2. Parts Bag: O Intermittent Ignition (HSP) O 24V Standing Pilot O Intermittent Circulation 11 Continuous Circulation O Gravity Circulation Relief Valve, Conbraco #10- 408 -05, 3/4" NPT, Set at 30 PSI Drain Valve, Conbraco #31- 606 -2, 3/4" NPT Tee, 1-1/4"x 3/4" x 1 -114" NPT (Intermittent/Continuous Circulation Only) Nipple, 1 -1/4" NPT x 3" Lg. (Intermittent/Continuous Circulation Only) Nipple, 1 -1/4" NPT x 4" Lg. (Intermittent(Continuous Circulation Only) Circulator Hardware Bag 3. Instructions Envelope: Equipment List, P/N 81417046 (This form) Installation, Operating, and Service Instructions, P/N 81417032 1 =B =R Pamphlet (Hydronics Institute), P/N 81460061 Lifetime Limited Warranty Mailer, P/N 81460135 4. Circulator Carton (Intermittent/Continuous Circulation Only) with Gaskets: • Taco 007 • Taco 0010 O B &G NRF -22 O Grundfos UP15 -42F O Other 5. Vent Damper Carton (Per Size): O Effikal • Honeywell • Johnson • None (Export Only) 6. Draft Hood Carton (Per Size) 7. User's Information Manual, P/N 81417029 Packed By Material in this shipment has been checked at the factory. Claims for error, shortages or damaged material MUST be accompanied by this sheet. �� rAtu1 .r✓iF�r:' �� /1, v s2il 1Jaac� '�G a { •' ••6 A C P AUTHORIZED SIGNATURE — Adams NC2817 i MADE IN MEXICO - f You are hereby ordered to stop work located at the City of Wheat Rid uildin ®apartment! Date: Yµ.. B uilding Inspect � � - ♦ i CITY OF WHEAT RIDGE Building Inspection Division I (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE n Inspection Type: K r"f7� Job Address:. _ - 2 7 qi 1e' tP' A'. Permit Number: F)ef 30SeD fin -(-- e2 k ❑ No one available for inspection: Time A /PM Re- Inspection required: Yes n "When corrections have been made, call for re in r s � pec / t i ion a 303 Date: i7 - Lf Inspector: lr; S' C DO NOT REMOVE THIS NOTICE PERMIT NO: 093930 - ISSUED: 11/09/2009 JOB ADDRESS: 27 HILLSIDE DR EXPIRES: 05/08/2010 DESCRIPTION: Reroof 32 sqs * ** CONTACTS * ** Dwller 303/232 -6417 Madeline Hamilton Sub 303/296 -8551 01 -9898 AVI,. Inc. PARCEL INFO ** E CODE: UA DIVISION: 0676 FEE SUMMARY ** .Permit Fee Total Valuation Use Tax ** TOTAL ** USE: UA BLOCK /LOT #: 0/ ESTIMATED PROJECT VALUATION: FEES 199.30 .00 130.86 330.16 7,270.00 IT I I �q F :onditions: > nail installation & mid -roof inspection required. Board sheathing spaced more :han a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and shield required from save edge to 2' inside exterior walls. ntractor /Property owner shall provide ladder(s) secured in place for inpsections. Subject to field inspection. I 1 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor /owner date .. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review,i,s subject to field inspections. E: 11 i ture f'C 1ef Building Official date ECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 ZEQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ♦ CITY OF WHEAT RIDGE Building inspection Division r' (303) 234-5933 inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: kyf((,j `rBt Job Address/Permit Number: ,7 Hi 15je F' P42 ❑ No one available for inspection: Time AM/M J f. Re-inspection required: Yes INo / ction at 303-234-5933 `When corrections have been made, , ca call for re- sp Date. J [`°I Inspector. c 20 NOT REMOVE THIS NOTICE A 4' City of Wheat Ridge r4000'r Residential Roofing PERMIT - 093930 PERMIT NO: 093930 ISSUED:) 11/09/2009 JOB ADDRESS: 27 HILLSIDE DR* EXPIRES: 05/08/2010 DESCRIPTION::. Reroof 32 sqs CONTACTS owner 303/232-6417 Madeline Hamilton sub 303/296-8551 01-9898 AVI Inc. PARCEL INFO ZONE CODE: UA `USE: UA SUBDIVISION:: 0676 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,270.00 FEES Permit Fee 199.30 Total Valuation .00 -'jc --5-j[ Use Tax 130.86 TOTAL .330.16 Conditions: 6 nail installation& mid roof inspection required. Board sheathing spaced more thanSa 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior. walls.`. ***Contractor/Property owner shall provide' ladder(s) secured in place for inpsections. Subject to field inspection. 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 measbrem , s sho , and allegations made are accurate; that I have read and agree to abide by all conditions printed on this applic io and hat I assume full responsibility for compliance with. the Wheat Ridge Building Code (I.B.C) and all other appl' ab Whea Ridge ances, for work under this permit. Plans :subject to `field inspection. sa a re of c tr ctor/owner -date - - pF WHEAT.pi City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan A ~otoaro° Inspection Line: 303-234-5933 Permit M, Building Permit Application Property Address: C9-4 f-Ois l d e Dr Property Owner (please print):/ J& 04,ni phone: ~j-a3~ ' (Ql ~l Mailing Address: (if different than property address) Address: Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Mechanical City License* Company: Exp. Date: Use of space (description): KP!/001::~ Description of work: re,+rnl0Ve 1 I J'a.ei lffnrts' a of Sq. Ft./L. Ft added: Squares o2 BTU's Construction Value: $ ff aL f U (as calculated per the Building ValuaSon Oh e ' Plan Review (due at time of submittal): $ -77R'P "r 50 y2. Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (C RATO PRINT NAME: 1.6yyl 12o r 64-d SIGNATURE:. C/ Date: I I_5 ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT.: 0 approved w/ comments ❑ disapproved ❑ no review required Contractor License J q N 6 Phone: °-a94E, -FSYI ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type:. rid®W A,,: ` Job Address: X277 l it/Sfi~g ~2. Permit Number: 0?y7poy rfo ✓E1~ ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes "When corrections have been made, call forge/-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE INSPECTION R 11111,11, w w w Call by 3:00 PM to receive inspection the following business day. INSPECT OR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons `Stemwall:/: (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof /.French Drain Sewer Service Lines Water Service Lines I VI.I.VF'HIVV T IVV 1 I'CKIVII II CU UN I IL VCK 111'11 H1 C V PROTECT THIS CARD FROM THE WEAL ONSTITUTE AUTHORIZATION 'ANCY IS ISSUED CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: 97 2DL Oq39,30 ❑ No one available for inspection: Time 1'G-/S /PM Re-Inspection required: 'Yes Not When corrections have been made, call for re-inspection at 303-234-5933 Date: k2J / d~ Inspector: ~O NOT REMOVE THIS NOTICE a.fay-ffrynrrcat rcruyC-nuuuuryf~.rwrarr hare:-~- 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan Inspection Line: 303-2345933 permit Building Permit Property Owner (please print): Phone: Mailing Address: (!f different than property address) Address: Now O `fi r z Contractor License Phone: / <ooC •y5~ NIONNEW Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: dnnrnv~F Annrnvsl• Annrnval- Use of space (description): Construction Value: $ (as ,~ll ~/gyp C/ Review (due at fime jr of submiida S Data sheet) Plan ww~? V7J /Y`~. ~E-'crK~ .~itr"~.G/ mod-<✓ o-) ;Nr.~ lid ✓L4.~~~~ .r/z n~Z l/ DG ld~ C~trS .r4 ~ Y~ ~L%) v ~~_5~ / Sq. Ft./L.Ft added: Squares s°i- BTU's Gallons Amps yjJ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby caddy that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application. and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat 'nances, for work under this permit. Plans subject to field inspection. NR) . CIRLCEONE:: (OWNE/R) ( NTRACTOR) or PERSONAL REPRESE TIVE of(O E k;; PRINT NAME: 1NSIGNATURE: : ICJ / r )V ZONING: COMMENTS: Zoning: Reviewer. PUBLIC WORKS COMMENTS Reviewer.:. DEPARTMENT USE ONLY OCCUPANCY: Bldg Valuation: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Per it Number: 6194 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 11/6/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 27 HILLSIDE DR Contractor License No.: 18141 Company: Denver Burglar Alarm Co. Phone: Phone: 292 2222 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 aU conditions printed on this application, and that J assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work. under this permit. (OWNER)(CONTRACTOR)SIGNEff-;:?~ ~ DATE/,t/f"17 Description: ALARM Total: $150.00 $25.00 $0.00 $0.00 $25.00 Constru ion Value: ermit Fee: Plan R view Fee: Use Tax: BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval: Zoning: Approval: Approval: Occupancy: Walls: Roof: Stories: Re dential Units: Electrical License No : Company: Plumbing License No : Company: Mecha ical License No : Compa y: Expiration Date: Approval: II Expiration Date: Approval: II Expirat n Date: Approv I: II (1) (2) (3) This permit was issued in accordance with the provisions set forth in yapur application and is subject to the laws of the tate of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire If (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the biding authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no ch ges have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are ade or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem" Contractor shall no" the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive wri n approval on inspection card before proceediing wi cessive phases of the,"Ob. The issuance perm" or the approval 0 drawings and specifications shall not be construed to be a permit for, nor a approval of, any violation of the provisions of the buildi anCU law, rule or regulation. Chi THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSP TOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (4) (5) (6) 1 ~ NNING AND DEVELOPMENT Building Peit Number: 3541 TION DIVISiON - 235-2855 F WHEAT RIDGE Date: 8/1/96 ST 29TH AVENUE RIDGE, CO 80215 PhonEr: 232-6417 Phone: 722 0528 OWNERlCONTRACTO SIGNA URE OF UNDERSTANDING AND AGREEMENT Cons n Value: itFee: iew Fee : UseTax: I ~y certlfylhal u.. anddoMl.viofl!l8 appllCl covenants, easements Of m_ .... accurall;.lhat I appllcallQn, and thltlaaa fuR ftI8 Ccxle (U.B.C.) and an other appl bl (OWNER)(CONTRACTOR . SIGN Description: prQpQSecI by this pennil appllca\tQn ere accurall, , rule$ or regulatlOna of the Clty of Wheat Ridge or reccJnI; that au meaaurementa ahClWn, and allegatiQllS to abide by an condIllona printed on this for ,lIance with the Wheat Ridge Building inancea, fo under this permft. DATEr;:...I,.~ Total: $1,500.00 $35.00 $0.00 $18.00 $53.00 OTH SIDES OF HOME; APPROXIMA EL Y 27" HIGH BUILDING DEPARTMENT USE ONLY SIC: Sq. Fl : Apptoval : Occupancy : lis: Roof: Stories: Eleclrical License No Company: Plumbing License No : Company: Mecha I License No : Compa y: Expiration Date : Approval: . Expiration Date: Approval: . (1) (2) (3) 0/ COIorodo and to the l<ln/fIg lnuaull10riZed IallUlfl8l1ded or __orwllbe_lnthe or n ~ or .ba>o<b'\"'~ l:l (6) ONLY WHEN SIGNED BY THE CHIEF BUILDING INSP TOR AND MAYOR CALL: 234-51133 24 HOURS PRIOR TO INSPECnON [1 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Per it Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No. : / .Ier ..$' H""Ifl/IL-..?,otJ J--7 /-I( t'ls,ej Q ,2/::z, /7//'1 Company :J3"lA.. hi.e i s.-1-R....... Phone: .? 3 :l. ~ 'f (7 Phone: J.2;< - J 5' :z. 8 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Constru ion Value: ermit Fee: Plan R view Fee: ! 1 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 aU conditions printed on this application, and that I assume full responsibility for compliance w' h the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe Rdge or 'nan or work "der this permit. (OWNER)(CONTRACTOR) SIGNE /. TE 7- 31~ :t-c Descriptf~~(l.{{ ~\ et~ ~ /,j-<-v->,-<-- Use Tax: Total: :3- ( " BUILDING DEPARTMENT USE ONLY ZoniftlfCcfmmentS:] 7/?i Jq k Approval: ') (h Zoning: ~l ~(jilajng'Col!l(i1ents=1 Approval: Ptlblic:WorkS'oCC)mmelits:j Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Res ential Units: Electrical license No : Company: Plumbing License No : Company: Mecha cal License No : Compa y: Expiration Date: Approval: ~ ~Plan~Reql!ir.e~~ Expiration Date: Approval: ~ lP'la~~eCfI1!tell.!'ii!1 Expirati n Date: Approv I: !jJ ~p n~-~equ!fell (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the tate of Colorado and to the Zoning Re,9ulations and Building Code of Wheat Ridge. Colorado or any other applicable ordinances of the City. This permit shall expire if (Al the work authonzed is not commenced within SIXty (60) days from issue date or (8) the bu; ing authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no Cha ges have been or will be made in the ongmal plans and specifications and any suspensIon or abandonment has not exceeded one (1) year. It changes are ade or If suspenSIon or abandonment exceeds one (1) year, full fees shall be paid for a new permit. NO work of any manner shall be done that will change the natural now of water causing a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive writt n approval on inspedion card before proceediing with successive phases of the job The issuance of a permit or the approval of drawings and speCifications shall not be construed to be a permit for. nor an approval of. any violation of the provisions of the building codes or any other ordinance. law. rule or regulation. (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPE TOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION ~ 7 ~ --} 3Dl ~b ~I . u0!<.. , 1-10 f'e.v\ u. lM~ ~ 'tf> \1 ------'7'<<,' ~ J.QevJ~ ~ 30' ~ Cv\~J- ~. , (p .-i ------ -"30' '4~(1 sr _.~-- --.- "~ N~ /~ . /- -.j ------~ I .I-v t S/d.-?cc.... 1, ~ .iJ '" S')..,=> " lJ~ I ~ ~ _~~m ., -::7~-:3=-'-- _______--- >'./ (; ,,2-'Ac 5 '7 G.r.<.c't 5'>' .- iif7T__nn 01; ------_..~--- - ~ ' (C.j<!.. c:;.~ --- 8t?IC/t L0,;fu..- r - ~~'- \ C.<.-~ l L -. - I-f( IIS;rd ~ D~ 1/ J-.7 f;J1t \ ;K �1 i ..CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: "0i R611 -?20 Job Address: Z7 Permit Number: �p Z d pa 2? ❑ No one available for inspection: Time S ; AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usrnspection Date: 2.17 -VU Inspector: /<. %'''). DO NOT REMOVE THIS NOTICE R