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2841 Gray Street
Property Information Jeremiah Miller 2841 Gray St. Wheat Ridge CO 80214 Property Type Residential Date of Construction 1951 PH 720-340-6790 Prepared By EnvioCore LLC Asbestos Consulting Finn No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoFnvio 14631 6846 w aoEnvioCore.com info@aoenviocore.com aaaaaaa Conducted By Robert Sharpe Asbestos Building Inspector Cert. No. 26710 Inspection Information Inspection Date 09-14-2021 Anival Time 12:00 PM Report Date 09-16-2021 Inspection # 0921-35 Miller,Jeremiah Protocols Followed Asbestos AHERA aaaaaaa Lab Information CEI Labs 730 SE Maynard Road Carly, NC 919-481-1413 Asbestos NVLAP Cert It 10716M env Core o pl beam Y m B S ti'rna attar Limited Residential Asbestos Renovation Inspection Report 2841 Gray St, envi ,ore ENVIRONMENTAL CINSPECTIONS PAGE OF 21 o p beat Y m Table of Contents eroawa Detinitions....................................................................................................................................................3 LimitedInspection Summary .....................................................................................................................4 Purpose and Scope of Inspection.............................................................................................................4 Background................................................................................................................................................5 Sampling.....................................................................................................................................................5 AsbestosResults Reporting........................................................................................................................6 Asbestos Inspection Conclusion...............................................................................................................6 Closing.........................................................................................................................................................7 InspectionPhotos.......................................................................................................................................8 Lab Results................................................................................................................................................. 12 Inspection Certifications .......................................................................................................................... 20 eny ore PAGE 2OF21 Definitions I. The term "Certified Inspector" shall mean individual who is identiffied on the first page of this Gmifed Inspection Report as conducting the Inspection. 2. the term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the Client. 3. Me term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to the Property. 4. Theterm'4Cvvn " shall mean the ownerof the Property. 5. the term "Placed " shall mean the bulor structure(s) at the address listed under Property Information on the first page of this limited Inspection Report. 6. the terms"Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or otherwork. Key Terms Asbestos I. Asbestos is a naturally occulting mineral, Asbestifprm variefiee include chrysotile, amosite. once dol itor. anthophyllite, tremolite and actinolite. 2. Asbestos abatement is the wrecking or removal of builiding materails that contain triable and non friable asbestos fibers. 3. Asbestos abatement contractor is any person hired to conduct asbestos abatement. 4. Friable material can be crumbled, pulverized, a rendered to powder by hand pressure when dry. 5. A homoaenous area Is an area of surfacing material, thermal system insulation material, or miscellaneous material this is uniform in color, texture, construction, application date, and general appearance. 6. Miscellaneous material is inferior building material on structural components, structural members, or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. 7. Non -friable material cannot be cmmbled, pulvented, or reduced to powder by hand pressure when dry. 8. Paint counting is a secondary analytical technique to verify the presences of asbestos in samples with l 0 or lower asbestos. 9. Surfacing material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 10. Thermal system insulation Oil is material the is applied to pipes, fittings, boilers, breeching, tanks, ducts, or other inferior structural components to prevent heat loss, heat gain, a water condesation, or for other purposes. 11, The terms "Asbestos Contain na Material" or "ACW'shall mean surfacing. thermal system insulation, or miscellaneous materials that contain 1%or more of asbestos. 12. The terms "Asbestos Containina Buildina Material" or "A.CBM" shall mean Asbestos Containnig Materials that has been used for construction or improvement of a building or other structure. eny ore PAGE 3OF21 oSµneargo a m 13. The term "Certified Asbestos Consulting Finn" shall mean any person licensed with the State of Colorado animj{,�,;e`°` EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Pad B, in the State of Colorado: asbeas building inspection and bulk sampling: development of asbestos management plans: air monitoring for asbestos fibers: development of asbestos project designs: and , project management, as specified in Section II.J. 14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the Nati anal Voluntary Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy PLM). 15, The terms "Damoaed ACM" and "Sianificantly Damaged ACM" shall mean triable or non -friable ACM that has deteriorated or delaminated to the point that it has lost in bond to the substrate or has otherwise suffered crumbling, blistering, nonadbesiveness, gouging, wafer staining, or marring. The term "Damaged ACM" applies when I /10 of the entire surface has suffer damage (1 /4 if the damage is localized). The terms "Significantly Damaged ACM" shall apply when more than I/10 of the solace has suffered damage. 16. The term "Limited Asbestos Inspection" shall mean an abbreviated inspecfion by the Inspector of the components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence of ACBM and shall comply with all stale and federal laws. rules, and regulations. Limited Inspection Summary General The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of inspecting the Property and all of its building materials and components. The Inspector only inspected specific areas that may be subject to Work Activity and that are visually and physically accessible, The Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of Me Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other than the Client is not authorized without the written mutual consent of the Client and envioCore LLC. Asbestos The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity. The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and federal lows at the time of inspection. Purpose and Scope of Inspection General The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject properly for visible suspect ACBM and/or Lead Based Paint. This does not include any materials that were covered or hidden by walls, structures, carpefing, wood flooring, multiple layers, wallpaper, texturing, etc. However, the Certified Inspector made every reasonable effort to access and identify all suspect ACM and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is solely a record of activities, observations, analytical results, and recommendations performed to date. Asbestos Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified Inspector. If the color, texture, construction, application date, or general appearance differs between materials or if for any reason the Certified Inspector suspects that the materials might differ in any respect, the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took QnV Core PAGE 4OF21 a beatR .i Y o representative bulk samples were similar materials, but this does not guarantee Lha}materials of similar "ban, prtson appearance are of the same composition. Even similar materials are subject to uneven mixing and distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its professional judgment consistent with industry standards in order to identify all suspect AC BM. Bulk samples were analyzed by Certified Asbestos Laboratory. Background The inspector was called to the subject property by Jeremiah Miller, Contractor. Mr. Miller was concerned about asbestos containing building materials in the affected areas of the building. Per Mr. Miller, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: -Insulation -Drywall -Texture -Plaster -Joint Compound The affected areas include - BeEroom -Hallway - Bedroom The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall include only the above -referenced potentially affected areas. If the Work Activity later includes other areas or materials that may contain ACBM, the Client understands that the Certified Inspector will only perforin a Limited Asbestos Inspection of these areas upon a subsequent engagement. Sampling Using methods that are generally accepted in the industry, the Certified Inspector determined that it was necessary to collect 10 bulk samples from the various homogenous areas (see the Asbestos Sampling below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results are incorporated into this report. Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable in any manner for erroneous laboratory results or other errors with the laboratory testing process. See poll Table 1 11 Reelow for Tabulated Results along with Affacheat Pholoa Mauna 1 etc. eny �;ore PAGE 5OF21 Asbestos Results Reporting Table 1: Table of asbestos samples taken during Inspection with lab results. ND w Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the friability can change Rom Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrancedoer opening is located for aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection Conclusion Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. eny ore PAGE 6OF21 I 71*Cstulaffene MISC - Loose Fill GootlInrvLOD laS ND N/A N/A Plable WntllXon10 loose fill lnsddlon -1 SM-Drywallw/ Non. GoodPlaOatB Roll is re ND N/A N/AhaN9 ContllXonTS Plasler Sklm Coal Nm- Good ND N/A N/A Mable Condition 75 Plaster Base Coat No N/A N/A Non. Coed 75 Disown Friable Condition W3142 SM Drywallw/ Goad to BR -2 Smooth lexure ND N/A N/A Fdade Condition Smooth Texture =144 ND N/A N/A Flade CGoodn correct Gwct 31145 MDC -Drywall w/ Good 70 BR -3 JdM Compound ND N/A N/A Fdade Condition M Joint Compound 31145 Na N/A N/A "kna" 25 JWMCompountl Conaner Table 1: Table of asbestos samples taken during Inspection with lab results. ND w Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the friability can change Rom Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrancedoer opening is located for aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection Conclusion Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. eny ore PAGE 6OF21 o pl beam Y m Closing ` ssgUttar EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use or reliance on this report or the opinions expressed herein. EnvioCore makes no risk assessment, warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken and locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or provided by EnvioCore. Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas inside the subject property. This report was prepared pursuant to the contract EnvioCore has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between EnvioCore and its client, reliance or any use of this report by anyone other than the client, for whom it was prepared, is prohibited and therefore not foreseeable to EnvioCore. No won anty is made. EnvioCore's liability and that of contractors and subcontractors arising from any service rendered here under shall not exceed the total fee paid by the client to EnvioCore. Thank you for the opportunity to work with you on this project. Please call at j303j GOEnvio j463j 6846 with any questions or concerns. Thank you. Sincerely, r9.sd..f�Gd�_ Robert Sharpe Carl Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert. No. 26710 eny �;ore PAGE 7OF21 Inspection Photos o p beat Y m B S 'bing pNa Figure 3- Overview of Bedroom - 1 Closet Figure 4 -Overview of Bedroom- I Closet Figure 5- Overview of Bedroom - 1 Closet Figure b -Sample location #303137 eny ore PAGE 8OF21 Figure 7 -Sample location #303138 Figure 8 -Overview of Hallway Figure 11 -Sample location #3031 , - 12 -Overview of Bedroom 2 env Core PAGE 9 O 21 oiµneargo a m Figure 13 -Sample location #303142 Figure 14 -Sample location #303143 Figure 15 -Sample location #303145 Figure 17 -Overview of Bedroom 2 env Core PAGE 10 OF 21 Figure 18- Overview of Sample Location env Core PAGE11OF21 Lab Results tiff eurofins CEI September 16. 2021 EnvloCore 1685 S. Colorado BMd. Ste. 5151 Denver. CO 80222 CLIENT PROJECT: 0921-05281 Gray St CEI LAB CODE: B216621 Enclosed arc asbestos analyse, results W PLM Bulk samples mourned! at our IaMatory on September 15. 2021. The samples were alayzed far asbesbs using polaounip fight mlcrvacopy (PLM) per the EPA 600 Method. Sample results contalmng >1% asbestos am considered asxstos-contalmrlg materials (ACMs) Par EPA regulatory requirements. The selection limit for the EPA 600 Method Is <1% asbestos by weight as determines by visual estimation. Thank you for your business and we look forward to continuing good relations Kind Regards, T('anbao Bai, Ph.D., CIH Laboratory Director NVLAfd 730 BE Maynard Road • Cary, NC 27311 • 919A81.1413 env Core PAGE 12 OF 21 lip 111 IIIc ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for EnvioCore CLIENT PROJECT: 0921415 2811 Gray St LAB CODE: 8218921 TEST METHOD: EPA 8001 R931116 add EPA 0001 M9b21020 REPORT DATE: 00110121 TOTAL SAMPLES ANALYZED: 10 a SAMPLES >1% ASBESTOS env Core PAGE 13 OF 21 tiff Asbestos Report Summary eurofins By POLARmHG LIGHT MICROSCOPY CLI PROJECT: 0921-35 2041 Gray 51 LAB CODE. 8216421 METHOD: EPA 600 ! R931116 and EPA 6001 MI 1020 I.ler: awaslaa Beg, PIeSwBr DMI Moro0ewelee ABBFi p{ diem ID Layw W O GBI01 BempM De¢npvon % ".". ".I'° v IVG BI06® Koen Lww Fi m... c. Nona bWbE 30313a mle 13I061109 Boom Lobe Fill lm W4on Ebro Drl lE 303139 Iwarl Blmum MaroplllryC NowDeYlC --------------------------------------------------------------- Iger2 811 Sep BW Sew Cow XwwpWbE BI0MI5 Mte BI®116 WIMe&owl Dryer Moro Owebe Nam II IIII wnne s1.M.rmw 1bro OSwYa BIMB1e I.1e.2 BIMe11A R,N, IrrBew D� 1bro BBebC env Core PAGE 14 OF 21 I.ler: awaslaa Beg, PIeSwBr DMI Moro0ewelee B111M126 wna.Bm.n BYeV Rww DSO MK42 Igen BIOMI3 v IVG INwaliTw NwIeBWfE --------------------------------------------------------------- Iwlw2 BI®13 mle ByeV Xwle WeiE 303143 Igvl RIOM14 Ml, & Ty--------------------------------------------------------------- MaroplllryC Iger2 SIM614 Wnne pryer Xww 11Ym& 303141 Iger) BI0MI5 Mte lbwen Tw Nwlepr fE --------------------------------------------------------------- Iryw2 BIOM15 Wnna BryeV Xww WwYE 363145 Iwer1 BIMB1e Wnne--------------------------------------------------------------- JMCSBuetl Nerop6sY0 Iw3w2 BIM16 Dryer NoroptlE 3oHb Igwl BIM61T MIN)--------------------------------------------------------------- laifapoeY NoropWbE Iryw2 SUMMIT Ml, Bytl NoroDYwAO env Core PAGE 14 OF 21 ASBESTOS BULK ANALYSIS yh eurofins By POLARIZING LIGHT MICROSCOPY CEI Client E11rIOCOre Lae Code: 32e1?1 1685 S.Colorado BNd. Ste .S151 Gate Received 'JS -1521 Denver. GO 80222 Gate a ayaed_ ce-1&zI ASBESTOS Date Reported. oe-1F21 Project 0921-35 28,11 Gray SI ASBESTOS BULK PLM, EPA W METHOD Climate Lab W IKIBASBESTOS COYPoBEWS ASBESTOS LabY Or utdow, MMY EYus Bervfiemin % 30137 Foll mdeaoo, Honn9.,.o® I0, canwoor None Ceaea�l StmeO 8,0411 Fe,00e Lome 3013 Lie Fnl loFuoa, Honn9rnu. I001L Cellb< eco,.Detaeld BlO BaAwl Ft.a Lave 3W1M Fl:urStinCm Halwcgw®m Met BYWr Nora CwsLN Later mmne 33tL Bl -.Ar 13108100 xaa.wr. sec Fawn LiA Nrw: Na ladue prem. er a Lgs3 Hw5IrBw Leel n 5% G\il 98% Sb -.Abs Morc Omebd BIroB1M SegBRIEle a Fbwe SAL BYtli Bound BlOB81LB pywell Himm.P. wn ZB% Le\hw BBK GKaun Non OemelE FbBabiesm a fiaaat 3031M I1rNrStinfM Helrtpwmn Wt, BYYw Nore0.lda Lgarl Abb m Sbrr BlMallA tl,wr. Sec Beat lb Nm.: xol.mi. peaeoL m.n LeI�2 RMBeeCml mn SA GbAec B01L SiW Hone Mxld 6105311A Plaits Plaitsp Fbos [loved 3596 seder env Core PAGE15OF21 ti+eurofins ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY CEI Clknt EnvloCore Lab Code: 5218121 1555 S. Colon do BNd. Ste, S151 Date Received: G'9 15-21 Denver. GO ROM Date Analyzed: 'J5-16-21 Iabm date Reported'. ✓5 1 21 Project 0921-35 2811 Gray SI ASBESTOS BULK PLM. EPA 600 METHOD Client lab ASBESTOS Iabm Oaauipbn AdibW, Filomm IbiKigvua % B:6 itl Orynall Hewa , __ =!alas .:. Gapsm None petattd moe &awn Felon Buu4 261113 RaW 54in f<at Nabeegwwou 65% Batlw None GY[W lalwl 1Mbe BIMUA Xorv6om M Pall Iib lbw: Ib YWO Pwem. Good Leyte2 PbMBme Den Hell yaww M cow CO% SHee Nmn0.Rbd BIMIM Baps Rll Bae Fbule Baart 61060/2/3 dyne!! BI% Gpeun Nona Dwk,amtl mee Wine, Fours bond 20!112 Sn¢Xb Tmtmw Heertga�sors M% B.dar Nona Deeded layerI Mee 30% Get CSO SIM13 Noa9aors BwY 10% Punt ---------------------------------------------------------------- Lap2 p l IMwdlpeon A% GIYMw Bo% Opwo Now OwaYd Simla wow Fbon BaaN 101115 SnoM Tawe W% Btbr Nm Dessoad L I mee 30% CeleG SIM14 Nonboli S"d 10% Pad env [Eire PAGE 16OF21 ASBESTOS BULK ANALYSIS yh eurofins By POLARIZING LIGHT MICROSCOPY CEI Client Erlvloco.e Lae Code: 32:e1?1 1385 S.ColpredD BNB. Ste .S151 Date Received 'JS -1521 Denver. GO 80222 Date AtIaNaed: ce-1&zI MOKrbBEBIOI COYIONEBIB Date Reported. oe-1F21 Project 0921-35 2811 Gray SI ASBESTOS BULK PLM, EPA 608 METHOD cManlp LJ Lilt, MOKrbBEBIOI COYIONEBIB ABBE6T0,11 IaLBI OeuailBor AdrYUM EHy MenFBmu % Vol 0.}nali uws 444 Ceihilwe Wk Grys:m Nom lbRW Blb 11 Mite B ikoau„A ]0)144 SnuoOTawea IYwiopusaz roti Bacw Nom Oelred Lelwl MY 30% GkLeB 0104413 NomnLroe Somali 10A Pfd LAW Iee O11e00e vi C;” IBA (]Keen wr;cee[e! 11141111115 H1Y fI Bowel 30145 JtiMCorpouM IMMtywaom ®F Bete Hom CeY[W L,ywi me, 1n fI�Ca4 0101 NonBiam SoeY 5x Pfd ----------------------------------------------------------------- Laew2 Drywall He M GBi Idea Gypsum Nora0.lrJ•d 011111010 'MJe Boom BOad 3113145 JULCmgomurtl Heloapwmn COa BeYo Nora Mbd L I YSee 3516 ren F.b 8lml7 NueBomae e0,e fix Plant Lgw2 Pywsll HeYnqumu M GBf 6% Beuren Nom Oebrbd BIM17 WIBe Fbon Band env Core PAGE 17 OF 21 I eurofins CEI LEGEND: Non-AnM =Non-Asteestill Anmophyllita Non-Trem =Not-ASGestifolm Tremolite Galt Carly = Calcom CarUwlate METIpD: EPA 6001 Rif31116 and EPA (000) 111 OM REPORTING LMR: el% by vlaual estinallrtl REPORTING LIMB FOR POINT COUNID: 0 n% by 4W PpFN or 0.1%by 1 AO0 Points REGULATORY LIMB: ,1% by weght Due to me limitations of tic EPA i m dhorl merhable organically bound malerlaN (NOUS) imc6 as vinyl Ibor tiles can be difficult M analyze via polarized light microscopy (PLM). EPA recommends Mat all NOBS analyzed by PLM, and found not to contain asbestos. be furter analyzed by Transmission Election Mippacopy (TEM). Pkase owes Hat PLM analysis of dust and soil samples for asbestos is cot covarm under NVLAP accreadmon. Estimated measurement of uncemb y is avanable on request This repo relates only to the samples Wead or aealyted and may rot be reproduced, a coq in not wiNout vented approval by Fumbles CEI Eurarrn CEI mat no warranty rebresentatbn regarding Me accuracy of client submitted Information an pension and peseenung analytical mulls. Interpretation of me amenbcal resin. a Me sole respnnvblMy, of Me Giant 6ampks vrere recorded in acceptable condition unless memnorse nded. Thts report may nm be used by me mere m claim product endorsement by NVLAP or any other agenry of Ile U S. Government. Information provided by customer'mclud6 contester sample ID ata sample description./� AMLY37 - APPROVm YY: valise Rry Tenlm 6s, PRD. CM1 LeEarelwy Oieamr S� yip Swn Normal Nall4p Poil 1. env Core PAGE IS OF 21 dW Nea[� .i Y m Bm% o�ae 216'121 61do41�-'Blpi817 "a envPWM�kcore i7 IN9E0M dmShJW 1WS.(ab2CDWSune 151 Do"CON122T' ceu,wuuml F4ksAN4t u2o0e 111 72775 Poeh,�' sn,awm�u.vew[i�n�peo$1lnoeae.o2 _ __ _ p�/4i llr7 .�Mlj( f�1'0Co2.f0111 %��N$laM1m5T1 UpAR $c4lmoi6�¢Im2xntl(#MIOCdfIdT - / �Q$71-� 2czN CsFAf ,iT pvweaeunwitunw . ..,. wu qy . � mem ze mum wu qmm wit [ [ [ :wmm _ © "-•Sm env Core PAGE19OF21 °'"�111m1118:: IIIOm:�6�i�� M, opo®®me�1 � 1r Ms lila©�16i��:■��minai�l:u 1AN1m111a111sm env Core PAGE19OF21 Inspection Certifications 4& f dmzdo Depa imnn �FPub6cHeil*h dlmummear ASBESTOS CONSULTING FIRM EovioCore, LLC aegi,trnulin No.: ACF-216au a ,r C H SL lid i, A I I oudi_t, emnmi CDill IT. osooll .yimi ri No A P 6 ine 1, he br r dona(r P pe l ol n od.,o I LIIDLL1drD i I � 41111 rd LIrCr Keg idi allo 8. Fari 11 it it t u of Cnlmn[I o. 14ur; Febnierv^_2, 2021 Expires, lclmroan rr, 202>Ai It" I'D V rDR1PD1o`MMwk_ env Core PAGE20OF21 orµneargo a Y m IC mune w+a ASBESTOS CERTIFICATION* This certifies that Robert Sharpe Certification No.: 26110 Las mer the requirements of 25-1-501, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby cortiFled by the state of Colorado in the following discipline: Building Inspector* Issued: Apra02, 2021 Expires: April a; 2022 1. hd.ly sea iA. a�u... .e cPR or.:... . wAL env Core PAGE21OF21 ""All work shall comply with the 2018 IRC, 2020 NEC and City of Wheat Ridge r vz• Municipal Codes"' 2 Or 17 on 0 "Approved construction plans, and documents shall be on she for all inspections. "Work shall not be covered or concealed without inspection. BEDROOM ffLIVING ROOM is Remove Existing NonLoadBearing Wall It Door "ALLis Remove Existing NonLoadBearing Wall BEDROOM o Remove Existing Door 8 Enclose Well i in Demo Max 3'6" Section r of Wall for New Doo Provide Temp 2x4 (@16" Stutl Wall far Support on Closet Side of Wall Until New Header is Installed at BEDROOM12-10 1/2 Remove Existing Door 8 Enclose Wall Bearing Walla a Door Retain Existinq Header and Trimmers EXISTING FLOOR PLAN & DEMO PLAN A•1 SCALE: 3/16"=1'-0" All electrical shall be inspected Contractor shall add the electrical contractor to the parmil As required. BEDROOM LIVING ROOM HALL eeoaooM BATH BEDROOM Install New Door in load bearing wall: 2'-6" x V-8" Interior Door wl (2) 2x8 Doug Fir n or Bir Header, 1 Trimmer 81 King Es Side CLOSET Digitally signed by 4_ Brianna C Arthur m AREA OF Date: INTEREST 2021.12.06 Remove Existing Door 8 Enclose Well i in Demo Max 3'6" Section r of Wall for New Doo Provide Temp 2x4 (@16" Stutl Wall far Support on Closet Side of Wall Until New Header is Installed at BEDROOM12-10 1/2 Remove Existing Door 8 Enclose Wall Bearing Walla a Door Retain Existinq Header and Trimmers EXISTING FLOOR PLAN & DEMO PLAN A•1 SCALE: 3/16"=1'-0" All electrical shall be inspected Contractor shall add the electrical contractor to the parmil As required. BEDROOM LIVING ROOM HALL eeoaooM BATH BEDROOM Install New Door in load bearing wall: 2'-6" x V-8" Interior Door wl (2) 2x8 Doug Fir n or Bir Header, 1 Trimmer 81 King Es Side CLOSET Install New Door in no ark ad bearing wall: S-0" x R'-8" Interior Barn Door or Sim w/ 2x6 header to support ham door 1 Trimmer 81 King Ea Side Install New Door in existing opening: Y-8" x R'-8" EMedor Door. Do not modify existing header or trimmers I141 W, J`ib'e yFINAL FLOOR PLAN: AREA OF INTERESTRome ED MR Men (DIPLIANCE Th" all rean helnue as' the ll RED in shrot at the t Me Of SOW Val Rashes, A•1 SCALE: 3/16"=1'-0" offivert have of in evening far Me. el fairThe stal if there documents shall net he annothed in be a forshe of state 'e Or R On three of uf One over, hal moa.onOf he anni m Man Reviewer ihn GENERAL NOTES Di zvnsil 1. All design and Construction to meet 2018111 IMC, IPC, IFC, IEBC, IECC, 2020 NEC Code, ACI 318-14, and ASCE 7-16, with city of Wheat Ridge supplements. 2. All dimensions are approximated and are to be verieed prior to construction or ordering of materials. 3. In the event of a conflict between Codes and regulations, the most stringent provisions shall govern. 4. Contractor is to verify all materials and conditions shown or noted on these drawings or specifications. Any variances within the drawings, specifications, or site conditions shall be reported to the owner in writing prior to commencement of work affected by such variances. 5. Interior wall thickness is shown at 4.5" and is approximated. 6. Interconnected fire alarms are to be installed in every sleeping room, outside each sleeping area, and on every level of the home. 7. Electrical, plumbing, or HVAC detalls are not shown on these plans. Verify In the field prior to demolition. 8. Safety and structure stability during construction are the sole responsibility of the contractor. 9. All lumber W be Douglas Fir Grade #2 or Better, UNO. VM CARBON CON�RU�ON INC INNOM CLIENT _o°�`„': �","„. ;,o,°,"'„,""", ROb Hdm 28411'Gr y St. Wheat Ridge, CO 80214 2021.PROJECT NO. ISSUE DRAWNArthur DESC g & New NFIOOrplan Digitally signed by oRpDOlkf 1CN,tE�yM1� Brianna oo= Arthur aaroa = `•"a a% Date: 2021.12.06 23::20:51 -07'00' Install New Door in no ark ad bearing wall: S-0" x R'-8" Interior Barn Door or Sim w/ 2x6 header to support ham door 1 Trimmer 81 King Ea Side Install New Door in existing opening: Y-8" x R'-8" EMedor Door. Do not modify existing header or trimmers I141 W, J`ib'e yFINAL FLOOR PLAN: AREA OF INTERESTRome ED MR Men (DIPLIANCE Th" all rean helnue as' the ll RED in shrot at the t Me Of SOW Val Rashes, A•1 SCALE: 3/16"=1'-0" offivert have of in evening far Me. el fairThe stal if there documents shall net he annothed in be a forshe of state 'e Or R On three of uf One over, hal moa.onOf he anni m Man Reviewer ihn GENERAL NOTES Di zvnsil 1. All design and Construction to meet 2018111 IMC, IPC, IFC, IEBC, IECC, 2020 NEC Code, ACI 318-14, and ASCE 7-16, with city of Wheat Ridge supplements. 2. All dimensions are approximated and are to be verieed prior to construction or ordering of materials. 3. In the event of a conflict between Codes and regulations, the most stringent provisions shall govern. 4. Contractor is to verify all materials and conditions shown or noted on these drawings or specifications. Any variances within the drawings, specifications, or site conditions shall be reported to the owner in writing prior to commencement of work affected by such variances. 5. Interior wall thickness is shown at 4.5" and is approximated. 6. Interconnected fire alarms are to be installed in every sleeping room, outside each sleeping area, and on every level of the home. 7. Electrical, plumbing, or HVAC detalls are not shown on these plans. Verify In the field prior to demolition. 8. Safety and structure stability during construction are the sole responsibility of the contractor. 9. All lumber W be Douglas Fir Grade #2 or Better, UNO. VM CARBON CON�RU�ON INC INNOM CLIENT _o°�`„': �","„. ;,o,°,"'„,""", ROb Hdm 28411'Gr y St. Wheat Ridge, CO 80214 2021.PROJECT NO. ISSUE DRAWNArthur DESC g & New NFIOOrplan From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Interior Remodel Date: Tuesday, December 7, 2021 12:26:31 PM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. 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. PROPERTY INFORMATION Property Address 2841 Gray St. Wheat Ridge, CO 80214 Property Owner Name Kathleen Ham Property Owner Phone 3039605083 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email kathleen@radicaltalent.com Address Attach City of Wheat Electron ic-Payment-Form2.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name Brianna Arthur What Is your role In the General Contractor, Architect project? Wheat Ridge 210224 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contact Phone Number 9704438584 (enter WITH dashes, eg 303-123-4567) Contact Email Address briannaarthur@outlook.com for Plan Review Comments Retype Contractor briannaarthur@outlook.com Email Address 01 :R161 CI 191 M 0 N] MMO(O] M :/ Detailed Scope of Removal of interior, non -load bearing walls in the hallway and Work - In the space bedroom. Enclosure of an existing closet door. Installation of a below (not as an new interior door on a load bearing wall (new header & attachment), Provide a trimmers). Demo an existing window and replace with an exterior detailed description of door within the existing opening. Addition of a new, non -load work including bearing closet partition wall and door. Enclosure of an existing mechanical, electrical, interior door to the Kitchen. Rerouting of any electrical if it is plumbing work needed. occurring, adding/removing walls, etc I, the applicant, I have entered a detailed scope of work. understand my application will be rejected if I do not include a Detailed Scope of Work. Location of Work Hallway and back Bedroom Square Footage Area 100 of Work Being Performed Asbestos Report 0921-35 2841 arae st miller, ieremiah environmental report - asbestos renovation pdf Upload letter size Fleld not completed. documents here Construction Plans FloorplanForPermit 12621 sanedpdf scanned on 11'x17" or larger Project Value (contract 16000 Valuation value or cost of ALL Okay materials and labor) Mlei uG\ Lei :».]011110101AMarGa01.lnEel Ga01owmel:»:1r�d:10r1 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. Person Applying for BriannaArthur Permit 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. Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection befo a MIDNIGHT (11:59 PMJ to receive an inspection the following HEM PERMIT: ADDRESS:. fB C Ai/, Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections �- Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground v - Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector CommentsInitials 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof v - 307 Metal/ L..at!-S i S:Ui;vit 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ✓ 0 40�DDRESS:aoI ITItA 77' ON I LE .�R-nimavlo@ Rough Inspection (continued) Date Inspector Initials Comme is 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank - t T. r``, 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential - t T. r``, 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. /Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. INSPECTION �ECORD INSPECTION ONLINE FORMA: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Oc cupancy/Tye K LE Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. 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 Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspectioms Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wail Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 1 C, 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 Permill+pd Until A Certificate of Occupancy Is Issued ""— 'rk- weather City of Wheat Ridge Residential Roofing PERMIT - 201702378 PERMIT NO: 201702378 ISSUED: 06/22/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential reroof: Install 15 squares asphalt shingle Owens Corning duration storm, and modified bitumen, 3 squares flat *** CONTACTS *** OWNER (303)960-5083 HAM ROBERT SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,700.00 FEES Total Valuation 0.00 Use Tax 119.70 Permit Fee 140.90 ** TOTAL ** 260.60 *** 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 A1/2 -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 manufacturera€ms 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's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Mechanic PERMIT - 201709252 PERMIT NO: 201709252 ISSUED: 11/27/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 11/27/2018 JOB DESCRIPTION: Residential mechanical permit for removal and installation of 96%efficient 70K BTUs furnace with 16SEER 2ton A/C with re -hook, and 199K BTUs tankless water heater 97%efficient. *** CONTACTS *** OWNER (303)960-5083 HAM ROBERT/KATHLEEN SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Coto'ling *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: // UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT V]L4UATION,0,722.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 225.16 ** TOTAL ** 365.16 !` *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R 14, smoke "det �prs are required to be installed in every sleeping room, in hallways outsid o sleepinms, and on every level of the structure. 1 City of Wheat Ridge Residential Mechanic PERMIT - 201709252 PERMIT NO: 201709252 ISSUED: 11/27/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 11/27/2018 JOB DESCRIPTION: Residential mechanical permit for removal and installation of 96%efficient 70K BTUs furnace with 16SEER 2ton A/C with re -hook, and 199K BTUs tankless water heater 97%efficient. 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 ermit. I further attest that I am legally authorized to include al[ entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance "orr"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. �r City of COMMUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. Ze Ave., Wheat Ridge, CO 80038 Office: 303-235-2855 * "Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFI E USE PNLY Date: P / q -Z / /-7 Plan/Permit xo / / I ��5'a Plan Review Fee: Building Permit Application " .Please complete all highlighted areas on both; sides of this form. locamolete;applications may not be processed,'*** Property Address: Zt>-q I 6 f` Property owner (please print) �01Phona) Property Owner Email-' . Mailing Address: (if different than property ad VSs) y x , Address:` jN, City, State, Zip: a Arnh4nr#1Fnnineaar� �;, Arch t ettEngineer E-ma� Phot s _m Contractor: Cooper Heating and Cooling Contractors City License #; 7S Phone 720.361.4245 Contractor'E=mail Address: lonclrin y@eoopergreenteam.com M Sub Contractors: 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 information on BOTH sides of this form NEW e- —. j b4t� Sq. Ft &F Amps I hemby certify regulytions of t aomate; that I with applicable or have been au entity included, an t SIR i9y CTLt R E ❑ ELECTRICAL SER'WCE UPGRADE COMMERCIAL R06FINE i ❑ RESIDENTIAL ROBING [I WINDOW REPLACtIVIEN't: UC ly S I TURE (Garage, shed, deck, etc.) Z Y S UC (Garage, shed, deck,etc.) � CE AIR or REPLACEMENT REP R or REPLACMENT E AIR or REPLACEMENT ,ue or the cost, bfi SIGN -lru" OF ptba&14%mces propo Wheatitldge C com [Aid agree to abide by -i %biat Ridgecodes and,, rythe ieowncr ofth Plication to list =CTO. les or made we Hallce PI owm rany City of Wheat Ridge Residential Mechanic PERMIT - 201709252 PERMIT NO: 201709252 ISSUED: 11/27/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 11/27/2018 JOB DESCRIPTION: Residential mechanical permit for removal and installation of 96%efficient 70K BTUs furnace with 16SEER 2ton A/C with re -hook, and 199K BTUs tankless water heater 97%efficient. *** CONTACTS *** OWNER (303)960-5083 HAM ROBERT/KATHLEEN SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Coto'ling *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: // UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT V]L4UATION,0,722.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 225.16 ** TOTAL ** 365.16 !` *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R 14, smoke "det �prs are required to be installed in every sleeping room, in hallways outsid o sleepinms, and on every level of the structure. 1 City of Wheat Ridge Residential Mechanic PERMIT - 201709252 PERMIT NO: 201709252 ISSUED: 11/27/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 11/27/2018 JOB DESCRIPTION: Residential mechanical permit for removal and installation of 96%efficient 70K BTUs furnace with 16SEER 2ton A/C with re -hook, and 199K BTUs tankless water heater 97%efficient. 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 ermit. I further attest that I am legally authorized to include al[ entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance "orr"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. �r City of COMMUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. Ze Ave., Wheat Ridge, CO 80038 Office: 303-235-2855 * "Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFI E USE PNLY Date: P / q -Z / /-7 Plan/Permit xo / / I ��5'a Plan Review Fee: Building Permit Application " .Please complete all highlighted areas on both; sides of this form. locamolete;applications may not be processed,'*** Property Address: Zt>-q I 6 f` Property owner (please print) �01Phona) Property Owner Email-' . Mailing Address: (if different than property ad VSs) y x , Address:` jN, City, State, Zip: a Arnh4nr#1Fnnineaar� �;, Arch t ettEngineer E-ma� Phot s _m Contractor: Cooper Heating and Cooling Contractors City License #; 7S Phone 720.361.4245 Contractor'E=mail Address: lonclrin y@eoopergreenteam.com M Sub Contractors: 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 information on BOTH sides of this form NEW e- —. j b4t� Sq. Ft &F Amps I hemby certify regulytions of t aomate; that I with applicable or have been au entity included, an t SIR i9y CTLt R E ❑ ELECTRICAL SER'WCE UPGRADE COMMERCIAL R06FINE i ❑ RESIDENTIAL ROBING [I WINDOW REPLACtIVIEN't: UC ly S I TURE (Garage, shed, deck, etc.) Z Y S UC (Garage, shed, deck,etc.) � CE AIR or REPLACEMENT REP R or REPLACMENT E AIR or REPLACEMENT ,ue or the cost, bfi SIGN -lru" OF ptba&14%mces propo Wheatitldge C com [Aid agree to abide by -i %biat Ridgecodes and,, rythe ieowncr ofth Plication to list =CTO. les or made we Hallce PI owm rany City of Wheat Ridge Residential Mechanic PERMIT -201709308 PERMIT NO: 201709308 ISSUED: 11/29/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 11/29/2018 JOB DESCRIPTION: Residential mechanical permit for replacement 96% efficiency 70K BTUs furnac; 16 SEER 2 -ton A/C with re -hook, and 199K BTU tankless water heater 97% efficiency *** CONTACTS *** OWNER (303)960-5083 HAM ROBERT/KATHLEEN SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Cooling *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,722.00 FEES Total Valuation 0.00 Use Tax 225.16 Permit Fee 220.15 ** TOTAL ** 445.31 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ernrt. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document 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 androcedures for approval of any new pen -nit. 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`g ntmg of a perntit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable cod rdmance orT/eg'tion' 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 o"t'RjAe' MWI 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 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner 8U1 6� Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Enaineef Architect/Engineer E-mail: Phone: Contractor: Cooper Heating and d Cooling Contractors City License # 7� I phone: 720.361.4245 ContractorE=mail Address: kmckinney@eoopergreenteam.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Sq. FtAF Amps I hereby certify regulpons of d accurate; that 1. with applicable or have been au entity included aU at api ily) CTL R E❑ ELECTRICAL SERWCE UP, GRADE -1TU Q COMMERCIAL ROOFING i ❑ RESIDENTIALROOPING i ❑ WINDOW REPLACEMENT' ty Si ZUCT*.,' (Garage, shed, deck, etc.) Y (Garage, shed, dedc, etc.) Al S UCT PL CE R or REPLACEMENT Z1111P R or REPLACMENT M AIR or REPLACEMENT e�w�l q��b �Ck �k. e aC �'aQhcal��p�w IGGK- %. Ue or mt Ridge q � coven agree to abide by Ridge codes and legal owner of ti tion to listakarm ies or made am [lance 0 owner rany 1 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NNOOUCE Inspection Type: �� 1 Job Address: ,z G Permit Number: -,� Q \ t 1 G ' ❑ No one available for inspection: Time � > AM/R -::) 1 Re -Inspection required: Yes Wo--,) When corrections have been made, call for re -inspection at 303-234-5933 Date: inspector., DO NOT REMOVE THIS NOTICE 4 City of Wheat Ridge Residential Roofing PERMIT - 201702378 PERMIT NO: 201702378 ISSUED: 06/22/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential reroof: Install 15 squares asphalt shingle Owens Corning duration storm, and modified bitumen, 3 squares flat *** CONTACTS *** OWNER (303)960-5083 HAM ROBERT SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,70:0.>00 FEES Total Valuation 0.00 Use Tax 119.70 Permit Fee 140.90 ** TOTAL ** 260.60 *** 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 A/2 -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 manufacturera€'s 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's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702378 PERMIT NO: 201702378 ISSUED: 06/22/2017 JOB ADDRESS: 2841 Gray ST EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential reroof: Install 15 squares asphalt shingle Owens Corning duration storm, and modified bitumen, 3 squares flat 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 leggally 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 OWNEIZ or CONTk-AvTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying)tans 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 Offial 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is sgbii St 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.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. -` c) Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Monday, June 12, 2017 10:27 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette 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. 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. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be 2841 Gray St Rob Hamm 303-960-5083 Field not completed. Yes 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 Core Contractors 110052 303-295-2220 Contractor Email Address docs@coredoes.com (permit pick-up instructions will be sent to this email) Retype Contractor Email docs@coredoes.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Owens Corning Duration Storm & Modified Bituman Material Select Type of Material: Asphalt, Other (specify below) If "Other" is selected Modified Bitumen above, describe here: How many squares of the 15 SQ Asphalt Shingle & 3 SQ Modified Bitumen material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3 SQ on the flat roof? N TOTAL SQUARES of all roofing material for this proj ect 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) 18 SQ Remove and replace asphalt shingles (5/12 pitch) and modified bitumen (1/12 pitch) on main roof. $5,700.00 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 Tomas Wolfram Email not displaying correctly? View it in your browser. 3 ROOFING SYSTEMS Agreement 4501 Logan St, Denver, CO 80216 "Doing it right matters" 303.997.1559 Property Owner Effective Date Rob and Kathleen ham 05/30/2017 Property Address 2841 erav st City/State Zip Denver, CO 80214 Primary Phone number Secondary Phone Number 3039605083 Email Address kathleen(a)donnabaldwin.Com Terms: By signing this agreement, the Property Owner authorizes CORE CONTRACTORS, INC ("CORE") to perform the work and supply the materials as agreed upon by Property Owner's insurance carrier. Homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this Agreement to accomplish the replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or CORE in any way, unless the damage is approved by homeowner's insurance carrier. Rooting Scope: The roofing system replacement includes all shingles, underlayment, valley Additional Roofing Scope Notes linings and miscellaneous flashings, per local applicable municipal code. This Upgrade to IR cost: $500.00 also includes full clean-up of the property. A 5 year Roof Workmanship Warranty included on full roof replacement only. A one year workmanship warranty included all non -roof Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system, approximately 9500 Because the final scope has not been agreed upon with the insurer, this repair price might change. The amount of this contract is for 100% of the replacement cost approved by the insurance company for work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part; we will not proceed with that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contr authorize CORE to reach agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the primaact, you ry insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recognize CORE CONTRACTORS, Inc. as a general it, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions contractor and as such shall be entitled to overhead and pro or deductions to the scope of work will be handled on the Customer Verification Form. Property Owner agrees that if a scope of work and project cost is agreed between CORE and the insurance carrier, that they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, must be requested in writing, by Property Owner. If, you, the Property Owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part I of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE OR PROMISE TO PAY, WAIVE OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. PAYMENTS ARE TO BE MADE: % (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND BALANCE UPON COMPLETION OF WORK. WORK TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. Property Owner's Initials Ri ht to Cancel You, the homeowner, have the right to rescind this Agreement and obtain a full refund of any deposit within 72 hours after entering the Agreement. if you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your claim has been denied in whole or in part. Property Owner Date Rob and Kathleen Ham Property Owner Signature - _6�� 05/30/2017 Insurance Company USAA ��canva,,AWAY ,_ l anvas.com CG.cE CONTRACTORS, INC ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that: (a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. 1. All contracts are subject to approval of our credit department and office without exception. The person executing this contract must obtain the approval from the officer of the CORE CONTRACTORS, INC. for this contract to be effective under any conditions. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 ''/z) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 3. CORE CONTRACTORS, INC. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is normally contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written agreement is made therefore prior to commencement of the work. 4. Should legal action be necessary because of any act that might arise during the course of this Agreement, CORE shall be entitled to all costs incurred in connection with such action, including a reasonable Attorney's fee. 5. The parties hereto agree that all actions or proceedings arising in connection with this Agreement shall be tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of Colorado. 6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing or other materials) not covered by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT. 7. CORE CONTRACTORS, INC. shall not be liable for failure or performance due to labor controversies, strikes, fires, weather, and inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE CONTRACTORS, INC. whether of a similar or dissimilar nature. 8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the Owner, the Owner shall be financially responsible for all work performed based on the following milestones (percentages are additive). a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of total bid. b. Substantial agreement or scope confirmation with insurer — 5% of total bid. c. Ordering and scheduling of work — 2% of total bid. d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if the owner terminates this agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus general contractor overhead and profit. 9. In addition, the Owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid by the Owner within 30 days of invoice date. 10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking fee assessed to CORE by the supplier. 11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforceability of the remaining provisions of this contract shall not be affected thereby. 12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, and not relied on by either party, and do not survive the execution of this contract. 13. The maximum liability for CORE CONTRACTORS, INC. shall be the original cost of labor and materials for the repair which customer agrees shall be liquidated sum, under any event of default of CORE CONTRACTORS, INC. herein. 14. During the duration of the work the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as CORE CONTRACTORS, INC. has taken appropriate action to protect the roof and siding during the repair of the roof and/or siding. 15. CORE CONTRACTORS, INC. is not responsible for existing construction problems of customer's home. If pointed out and notified to CORE CONTRACTORS, INC. we will try to assist you in correcting the existing construction problems on a time and material basis. 16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES. Owl'." RED f3'r ,--, c nva', 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: ❑ No one available for inspection: Time � ' �� Appm Re -Inspection required: Yes N_o_`) When corrections have been made, call for re -inspection at 303-234-5933 Date: 10 /1') l "') Inspecto� UP 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 Type: Job Address: Permit Number: INSPECTION NOTICE /,Ir� ❑ No one available for inspection: Time 1 C� - -AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspect_i /n at 303-234-5933 Date: �� i Inspectsbr� ' /6 1,5rZ- DO NOT REMOVE THIS NOTICE , III BUILDI~G DEPARTMENT ! (303) 235-2855 CI11)' OF WHEAT RIDGE * * , Corr~ction Notice , Job Located at 07 I have this day insp.cted this structure and these premises and have found the fOlloW,ng violations of City and/or State laws gov- erning same: 2~'11 ~ ~ ~~< o~tn-;t r: . I rJ:r "",l1i~v I,., ~r: c.. , ~ tlAlc;: t,.>e.. 44v4. ~ Y7"(..,r>:JI or!' G'- by,/d, r,c, , A ' ~I add' L ( a-ff1'J''ld .....I.r::nn-...... trior, III";. , V You are hereby~otified to correct the foregoing violations. When corrections h~e been made, call for inspection. Date 001 DO If.IOT REMOVE TH FORM WR6-22 "'j~(~;'21'\;i:f' . . 111 "....OEPARTMENT OF PLANNING AN DEVELOPMENT BUILDING INSPECTION LINE. 303.234-5933 CITY OF WHEAT' RI GE 7500 WEST 29TH 'Av NUE WHEAT RIDGE, CO 80215- ( 03-235-2855) Building Permit Number: 10943 Date: 7/31/2000 Property Owner: Property Address: 2841 GRAY$ Contractor License No.: 18612 Company: MAGEE ELE . TRIC, INC. , Phone : Phone: 277-1319 OWNER/CONTRACTOR SIGNATURE OF UNDERS ANDING AND AGREEMENT I hereby certify that the setback distances proposed by thi$ i ennit application are accurate, and do not violate applicable ordinances, rules or regulation of the cny of Wheat Ridge or covenants, easements or restrictions of record; that all mela, urements shown, and allegations made are accurate; that I have read and agree to abide bV a I conditions printed on this application, and that I assume full responsibilny for con1pha~ with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordman. s, for wol1c under this penni!. (QWNER)(CONTRACTOR) SIGNED DATE Total: $1,200.00 $44.85 $0.00 $18.00 $62.85 Construction Value: Permit Fee: Plan Review Fee : Use Tax: Use: Description: SERVICE CHANGE BUILD'NG DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval: Occupancy: Walls: Roof: Stories: Residential Units : Electrical License No : Company: Plurnbi~ License No : Compa y: Mechanical License No : Company: Expiration Date: Approval : Expiraf n Date: Approv I : Expiration Date : Approval: (6) This permit was Issued in accordance with the provision!! $ t forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridpe, Coloradol r any other applicable ordinances of the City. This permit shall expire if (A) the work authonZecl is .,ot cd menced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. , ,! If this permit expires, a new permit may be acquired for a e 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 ia ndonment has not exceeded one (1) year. tf changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new ~ it. No work of any manner shall be done that will change thel atural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-tout ( 4) hours in advance for all inspections and shall receive written approval on inspection card before proceecliing with successive phases of thelob. ,'! The ~it or the approval 0 drawings and' pacifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of b I / / { ~ any other ordinance. law. rule or ulation. , (1) (2) (3) l~l DEPARTMENT OF PLANNING AND DEVELOf>MENT Building Permit Numcer: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date. 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 A PPL \ Ct\T ION Property Owner: Property Address: 2-&'11 G-r~ 5-f, Contractor License No.: I ~ Q / ! Company: f/"ltc.'),ff 5kcf/1 'e frlM*f /{/~ Lo Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone. 3Q3-27'J-'7'Y:7/ Construction Value: /20(:>,OC!> Permit Fee: Use Tax: r hereby certify that the setback '~istances proposed by t~is permit aPl?lication are IC?Curate, and do not vIolate applicable ordinances, rules or regulations of the City of'tolheat 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 applicaOle Wh~ge ord~n~s:?rwol1c under this penn.. (OWNER)(CONTRACTOR) SIGNED ~/ 4-- DATE# Description: S'e( VI Ice (1)~/7,,9'C Total: Use: BUILDING DEPARTMENT USE ONLY ~onmg""ommel1~ Approval: Zoning: ~ul'.!!ln~m!l!.en~ Approval : SIC: Sq.Ft.: , eUD"93W.O..rJ~~t~~~III~.JI~ Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval : Expiration Date : Approval : Expiration Date: Approval: (') (2) (3) This permit was IUUeCI in ~_ with.,. pnM:IiaN.. tanh in yocu . '. ... islUllllect., thel8ws of 1M State of CoIcnoo ... " ".I:arq R_"'8""'""V~"'_"-eoa.>>......___,,,...Clty. ThIS gennrt IhII exow. " (A) ltIe wa.1c euthonzed II not _..._-4 'Mthm III1y (ISO) CliIY' from ISSUe CIte or (8) tl'\e buiJdmg autr'lonzed is SUSpended or acandoned for . penod of 120 days. It It1is permit ltXQU'aI. . ... pern'It may be 8C':IIUI1Id far. 1M 01 one.MIf the ~ nafmIIIy required. pnMdad no c:nanges I'wYe been or Will be ".,. WI.. 0"9_ ptans... Igt;:.rt....Iio",... _ ..".. ~ ..;..... or __A...._.4 no not IIXteeGIId one (1) yu&". tf Cftqes.. mate or if suspensIOn or ~.4<-..._j" exceeds one (1) re-. fl.III .... Iftd be pal tar. ~...... No wortt of Iny manner JftaII be dOne.. wi! c:hMge........ low at..... C8U:Sing. cbinIlge pnXMm. Ccntraclorll1Bllnotify...BuiId;ng__(24)........_"".._...____..._...._ Pl'OCHdiing wrItl- --.,. ...... 01... job. The .........oIl,."..or..~dclralrings... .. ,. ..Shall notbec:annved" be. permitlor'. nor an approval at. anyvlCUtlanotl'lepnMlianl .....buiIding-......--......-..-. . (4) (5) (51 Chief Building Inspector I'll I, . ..,........ , DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE ~ 303.234.5933 I' CITY OF WHEAT RIl)GE Date: 7500 WEST 29TH AV!NUE WHEAT RIDGE, CO 80215 - (303-235-2855) 10305 3/29/00 Property Owner: Property Address: 2841 GRAY ST Contractor License No.: 17246 Company: Any Weather Roofing, Inc. OWNER/CONTRACTOR SIGNATURE OF UNDERStANDING AND AGREEMENT Phone: 986-3882 Phone: 234-1539 Construction Value : Permit Fee: Plan Review Fee: Use Tax: Total: $1,600.00 $57.05 $0.00 $24.00 $81.05 I hereby certify that the setback distances proposed by this pennn application are accurate, and do not violate applicable ordinances, rules or regulation~ of theCny of Wheat Ridge or covenants, easements or restrictions of record: that all me8$Urements shown, and allegations made are accurate; that I have read and agree to abide by ~ll conditions printed on this application, and that I assume full responsibilny for complianl::e with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat ~Idge ordlnaniles, for wol1c under this pennn. (OWNER)(CONTRACTOR) SIGNED DATE Description: Use: Tear off roofing, new felt, 14 squares 3 tab. Flat portion not being done BUILD'ING DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval : Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Plumbil1g License No : Company: Mechanical License No : Company: Expiration Date : Approval: Expiration Date : Appro,,;!I: Expiration Date : Approval: (41 (5 (6) , This pennit was issued in accordance with the provisions iset forth ;In yopur application and Is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridpe, Coloradci or any other applicable ordinances of the City. this permit shall expire if (A) the work authonzed is not cc1l.: mmenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 1 ~ days. . . If this permit expires, a new permit may be acquired fora: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 a~ndonment has not exceeded one (1) year. If changes are made or If suspension or abandonment exCeeds one (1) year, full feel shall be paid for a new pe~mit. No work of any manner shall be done that will change the; natural ~ow 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 ~I with .uc:oe..lve ph..e. of tha Job. . The. i i... ~r the approval of drawings and,' ... peclfica tions Shall not be construed to be a permh for, nor an approval of. any violation of the provi.lons of lei 9 yother ordinance, law, rule or regulation. . ~ Chief Building ~pector (1) (2) (3) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property OWner: DICK. Sc./'tf'l-6 p- E r2- Property Address: d.\5L\ \ Gl2..<>y S-r-. Phone :9'~(., ~ 3<6 g~ Contractor License No. : \ '1 ~ 4(., Company: A,t<Jy Wep,n~~ 'RcoCio..l') Phone: ~3l\-IS3'1 OWNEFlICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: \ l. 00 . - Permit Fee : UseTax: I hereby certify th81 tile __.,_ proposed by thia permit applicllbon are accurate. ancl do not v_ app_ 0_. rules or regulations 01 the City of Wheat RIdge or covenants. _ or resutcliona of reconl: that all meaouraments ahown. and aliegIobons mada are acanIa: that Ilia... raad and _ to _ by all condillons printed on this apptic:ation. and thai I ........ fullreaponlibili\v for compliance with 1he _ RIcIge Building C_ (U.B.C.l and all other applicable _ Ridge oram.n.... lor work un_ this panmt. (OWNER)(CONTRACTOR) SIGNED W\~ K.~ DATE!:.~'1-o0 Total: Descnption: '\ Cl>,1'l- Q.ooFI.tJ~ j Fe:Il) 140 3TI\-e. (~"t' FI....., I\l.~ ') BUILDING DEPARTMENT USE ONLY Approval: .:. ,,~, ,.,~-, , ,,-, Approval: Occupancy . Walls: Roof: Stories : Residential Units : Plumbing License No . Company: Mechanical License No : Company: Electncal License No : Company. Expiration Date: Approval: .~ . 1"fliM:D'-INid:;:' ~, ...... . .~=-_.~ Expiration Date: Approval: ;iI .. ~,JI~lItlWd .1 Expiration Date : Approval. .' (1) This oemwtWallPUlldtn aa:oraance With the pfOVlaiQns see fOrth in yopureppitClltlonand IS subjed to lhe IHrs attn. StldliotCDIoraCiO and to Ihe Zoning Regu&abOn& ana Buildina CocIe of \Mlut Rid98. COloracJO or 8AV ather appliCable ordinances of the City. (2) This permit ShaD aptre if (A) the work authonzect IS not commenc:ect Within sixty (50) dayS from Issue date or (8) the bUilding authorized ia suspended or _lora~of'20dayI. (3) If tf\Il pef1'ftlt upirea. ill new.penmt may be acquintd for ill fee of on.hl:If the amount normlllly reqUired, provided no Changes '-.... bMn or will be fNIde in the OIigtn811 pi_ and ~na.xl any suapenaIOn or abandOnment haa not exceeded one (' l year, If ch8nge.t are made or if suspenSlOfl or lIbandOnment exceeda one (1) year. full tHe thall be palft for a new permit. (4) No wont Of any manner Shad .bI! done tnat wilt change the natul'lli flow of water causmg II drall"lage problem. (5) ContraCtOr shall notify tne Building t"'!)8CtOr twenty.four (24) hOul'$ In acivance far allln~Ons and Shall receNe written 8pC)1'OV81 on inS.,.ctton carc1 before prac:eeciilOg with succesSIVe phases at the job. (6) The ISSuance of 8 permtl Of the approval of drawings and specifi.ca1ions shall not be constru8C tQ be a pennlt for" nor an approval of, any viOlltion of the proViSiOnS .:If the bUilding codU or any other ordinance. law. rule or regulatiOn. Chief B~ilding Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION