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HomeMy WebLinkAbout3119 Depew Streetrr d cn O CCO d C 0 Q rn L M z O o CO Q J Q r N 00 d' a - z U LU O z m 00 ,;r O Z c'7 U a� O WE C C C Um Co M (-) O Ln Lo 0 L O LO O LO Q O O rrl- O Q m C/) U A LL LL O Q U +�. 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O M M U C i U Q O Um m -0C U Q C W L m O CO O Ln r— LL LL O O co O ti m � Co C 0 .2Y) C U 0) m O O LO Z3 _0 Rem 2 U- 0 m CD O N N w 0 O 0 N U U) LO m � 0 0 2i 0 (3 U O Q "- a) O M •� Q U U am cy-m U Q LU-'iEa0 h `- M N l6m O N � d M N U O O N w L) U O v oo N � Cn CO O LL 0 00 O U w m rn � L U) ca C a Q C � (0 m p 0 rn Q E M U cCl) U o o cn rn ami C E o N � � o O _ o (6 U 9 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: qoS- y Pict l ee Job Address: )12 Permit Number: o / ❑ No one available for inspection: Time )c9= OU AM� Re -Inspection required: Yes 6 When corrections have been made, call for re -inspection at 303-234-5933 Date: X!7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res, Furnace Replacement PERMIT - 201902355 PERMIT NO: 201902355 ISSUED: 11/08/2019 JOB ADDRESS: 3119 Depew St EXPIRES: 11/07/2020 JOB DESCRIPTION: Replace 100K BTUs, 92% efficiency gas furnace in basement **REVISION: Install new duct work for equipment; Added valuation: $800.00 *** CONTACTS *** OWNER (303)906-8160 COOK MARY KATHLEEN SUB (303)289-2070 LLOYD LADD MATTHEW ROBLEDO 090062 ULTIMATE HEATING & COOLING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,800.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 226.80 Permit Fee 36.70 ** TOTAL ** 303.50 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. 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. V 1, # s City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201902355 PERMIT NO: 201902355 ISSUED: 11/08/2019 JOB ADDRESS: 3119 Depew St EXPIRES: 11/07/2020 JOB DESCRIPTION: Replace 100K BTUs, 92o efficiency gas furnace in basement "REVISION: Install new duct work for equipment; Added valuation: $800.00 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable munici al codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authoriz to obtain this permit and perform the work described and approved in conjunction with this���erm�t. I further attest that I am le ly autho z to include all entities named within this document as parties to the work to be perform d that all v rk to beypeed is d cl sed in this document y�nd/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTO"Circle one) Daie 1 1. This permit was issued based on the inform ion provided in thepermit 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 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 hall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or y rdinance or itlulation of this jurisdiction. Approval of work is subject to field inspection. .i Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of' W heatA,e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(o)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: l 6 J f Add to Permit # 1 JU ( �� Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): I�''Vn\ ccx) Phone:-- 0 LC) LLProperty Owner Email: � Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Com ag_ny: L� + � t 1;'ACA: _ Contact Person: --:�Y L\'Z Phone Contractor: 1 e.` Cib 13 l (' Contractors City License #: Oma( () b to Phone: 2821- 20-70 Contractor E-mail Address: R k)1y-o_C. cjLt- i Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: -:E'N -3kck�1 r) -e -UJ Ck-<� eI Sq. Ft./LF Amps Btu's foo K-- l Gallons Squares Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) S OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) CONTRACTO) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: P Z SIGNATURE, N DATE: C ^ ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: A i CITY OF WHEAT RIDGE Vr 1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 5710- Q>Q u n A m e c 0, Job Address: / ir,- r,4.& i,- S+ Permit Number: �fl f C) 0 S 3 S -s - IA ❑ No one available for inspection: Timex (7 � S73 AMS Re -Inspection required: Yes 6) When corrections have been made, call for re -inspection at 303-234-5933 Date: i I I -a- )Jq Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201902355 @a PERMIT NO: 201902355 ISSUED: 11/08/2019 JOB ADDRESS: 3119 Depew St EXPIRES: 11/07/2020 JOB DESCRIPTION: Replace 100K BTUs, 92% efficiency gas furnace in basement *** CONTACTS *** OWNER (303)906-8160 COOK MARY KATHLEEN SUB (303)289-2070 LLOYD LADD MATTHEW ROBLEDO 090062 ULTIMATE HEATING & COOLING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 210.00 ** TOTAL ** 250.00 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. 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 tine work described and approved in conjunction with thispermIt. 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 I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180. days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 cider 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. Cay of What Ridge 1130/209 m:S qAM D ImelNK #11,9 CG0996 AMOUNT p? yRgmm 9 SGm A±LTggI m: 201902355 PAYMENT RECEIVED AMOUNT ?/7462 250.00 ++ CUE: 66656895 I&# SGm ------------------ Kimberly Cook ro l 01A 55 From: no-reply@ci.wheatridge.co.us Sent: Thursday, November 7, 2019 4:46 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 3119 Depew St. Mary Kathleen Cook 303-906-8160 intothefirestudio@yahoo.com 3119 Depew St. Authorization form .pdf CONTRACTOR INFORMATION Contractor Business Ultimate Heating and Cooling Inc. Name Contractor's License 90062 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-289-2070 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address brittany@uhcdenver.com Retype Contractor Email Address DESCRIPTION OF WORK brittany@uhcdenver.com What type of unit is being Furnace installed? Number of BTUs What is the efficiency (%) of the unit? Is the unit GAS or ELECTRIC? Where is the furnace or boiler located (for example, basement, crawlspace, etc)? 100 92 Gas Basement Project Value (contract 10000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit 2 has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Brittany Pate Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201902149 PERMIT NO: 201902149 ISSUED: 10/09/2019 JOB ADDRESS: 3119 Depew St EXPIRES: 10/08/2020 JOB DESCRIPTION: Asbestos Abatement *** CONTACTS *** OWNER (303)981-2568 SEXTANT DESIGNS INC SUB (303)818-7820 MAURICIO LOPEZ 180403 DNK WORKS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 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 thew 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 thispermit. I further attest that I am leggally authorized to include alI entities named within this document as parties to the work to be perfo;,ed and that all work to be perf0 ed s disclosed in this document and/or its° accompanying approved plans and specifications. Signature of OWNER cir RA�CTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. t 6. The issuance gr ming of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat PjAe_ COMMUNITY DFvF.10'NAFNT Building & Inspection Services 7500 W. 29t' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(d-)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: (01q /Cie Plan/Permit #'do A l 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: a_ Owner Property Owner Email:_COM Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: n)S Y-IVMA . City, State, Zip: DMer, Co bbZ1\ Architect/Engineer E-mail: Phone: Phone W Contractor Name: 0 i-;� K \rJoMs - LLC, City of Wheat Ridge License #: V60405 Phone: 303. $1S • -1$ ZO Contractor E-mail Address: adw�:� dhkwark5c,.�Oc�Eys . cower For Plan Review Questions & Comments (please print): CONTACT NAME (please print); CONTACT EMAIL(p/ease 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 # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL RESIDENTIAL Provide description of Work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. C VSD, , � W�0` a '�. �7u�C" t.� 0 �, C�'�#v�G1rte G1 „S,Vn \1300C fro t� Sq. FULF BTUs Gallons Amps Squares For Solar: KIN # 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) Sk,��� OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: 10 • —1. 1C Printed Name: 107J,T: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: as W.>O CD CD O Q N O R X w -' C N N CD CC CL N N U'. 0CD �`n3�° m m —Or :3 o `n CD N n CD N O O CD C 3 m m O =� �_ O !2 0 1 D) a CD 'a a� m CD NO n �v D cu CD a 3NCDfl Co a N a o co vi O n N n 6 CD CD N 3 v CD _ N Cn CD C O cy to n n CD Seo m o w 3 ��CD O N N0 C. O C N. Q CO � cn o O n a Q CD Q N n. 0) 5 N O O_ CQ _ E5 M CD 3 D v Cr CD ? v 3 c X' CD 3 Qo 3CD <U) CDcD o 0 3 t O 0) c Oa 6 v Cn CD T CA n N 7 CA � tT CD N W CD T y CD CO m 7 (n S N CD 0 n '. 3 m -n � CD -o :E— -CL CDU) CD O 3 N * <O' CD N 3 CCDD 'O CD CD 3 _ � O 01• Q p' O mDD —;o n �w M o W M� � CD N CL `�- O Q N CD W CD N N a 6 w CD CD CO : Q o Q. rn 9 m ca 9 cr CD Q3 o O C n 3 7 ^C7 D 0^0 0 ^0 0 -0w-I n w 0 CDO O o C) ar o � N � Cl) CD CD � - 3a �0 z _ „� o 0 o wo y °' j (D N 3 j N CD a j CD CD � cn C ' 7 � CD O_ Q Xk CD ?7 Xk p # CD ik co N m 3 COD co ��." ?n- CA 3 m z c� Z n; D 61CD 3 -3 CD cr CD z CD * < 0 3 CD �, (D a) - p (D o � Sp (D 4 n n n (D o O 0 O O O o O = rt a oNX 0— W COD O C `D N o S 0o ;ICDCD n. O Om O m m n , -4 CD A O 'O 3 OD 000 N a CD OD r m n cn V> W n a W m 0 n CD `�' a oCD �. CD CD K 0-� Q CD C) O (D D) a Z _ CD co 3 N CD CD O --z � 3 N zo ® CD Co .D -N 07 D CD N a pOj 7 n m fU t -, CD❑ u) �_ 0 0) o A CD O� C .� �G O CD x TI 3 -w CD f ® 3 -CD rt _ CD v CD �� ® o �— cD CJ) 3 (0 0 Co N c (p ® -n D — � 3 CD 0 o v D ❑w 0) 0 CJD 3 (r oD 0 a Cap CD n T N CD �. A � n CD O O (7 (n a) ^,) CD (7 vi Ci o O g 3 tp 3 �G c° Q _ CCD a �G. CD O v 3 CD o v F a = m 10) 3 °�D m u z v o v 3n m CD cn m CD 7 O OD 90 ; CD 3 S n CD 3 CL W CD �� 00 o _ C) o w co x m Q CD m --i m O O O O C m :0 N a: Co c 0 m -n a N o ^ Cl) O ik (D 0 v 'A V' X DS) 3 `n OO Cl 0 n 0 -a D aC Co cn °) K -a o N o N m m o Om Om y co OJ CD C Q Q CY N N O "0 co Z 25 0 N O C G N CD m D m co mm Kcn C —i C/)0 -I cr) DD 0 CU OD >m ZK <m 7 2 �L 00 zDn O_ 00 r Z m= DL V r -m 0 0--i S� D F rr - mn �-j -� 0 C 7 L Z m0 0 ADVANCED £NftOMEENTAL CONSULTING TRUSTED ENVIRONMENTAL SPECIALISTS LIMITED SCOPE ASBESTOS INSPECTION REPORT Project Details: Project Location: 3119 Depew Street in Wheat Ridge, Colorado 80214 Performed Bi: Zachary Stubbs Inspection Date: September 12, 2019 Report Date: September 14, 2019 Presented To: Bryan Bushaw Prepared By,. Advanced Environmental Consulti ng, LL(" Colorado Consulting Finnt 20874 5800 Franklin St, Suite 101 Denver, CO 80216 TABLE OF CONTENTS 1.0 INTRODUCTION 2.0 EPA LEAD REGULATIONS 3.0 INSPECTION PRO'T'OCOL 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 GUIDELINES 12.0 COLORADO DEMOLITION ACTIVITIES 13.0 LIMITATIONS List of Attachments Attachment A: Pictures Attachment B: Site Map Attachment C: Bulk Sample Log Attachment D, Laboratory Report Attachment E: Certifications ACRONYMS Asbestos Containing Materials: ......................................................................................................................................... ACM Asbestos Hazard Emergency Response Act:.................................................................................................................... AHERA BelowAnalytical Sensitivity..............................................................................................................................................BAS BelowDetection Level.'........................................................................................................................................................BDL Colorado Asbestos Building Inspector...............................................................................................................................CABI Colorado Department of Public Health and Environment: ..........................................................................................CDPHE CubicFeet ............................................................................................................................................................................. CF Environmental Protection Agency................................................................................................................................... EPA HighEfficiency Particulate Air: ...................................................................................................................................... HEPA LinearFeet: ......................................................................................................................................................................... LF National Emissions Standard for Hazardous Air Pollutants:.....................................................................................NESHAP NoneDetected: ...................................................................................................................................................................... ND Occupational Safety and Health Administration: .......................................................................................................... OSHA Personal Protective Equipment: ....................................................................................................................................... PPE PolarizedLight Microscopy...............................................................................................................................................PLM Renovation, Repair, and Painting.................................................................................................................................... RRP SquareFeet......................................................................................................................................................................... SF DFM NONS Colorado Regulation Number 8 "Tr2gger Levels": (1.) lkt-&lenflal - 32 SF., 50 LF., equivalent of a 55 -gallon drum (2) Commelvial or Demolition - 160 square feet (160 SF), 260 linear feet (260 LF), or the equivalent of a 55 -gallon drum). Damaged Condition (D). 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 Condition (G): Materials are in good condition if they have a surface with no visible damage or deterioration, or showing only very limited damage or deterioration. Homogeneous Area (HA). Materials can be classified as the same HA if they exhibit similar physical characteristics, and the application of the sampled material can be correlated to the application of un -sampled materials. Miscellaneous Materials (MM): These materials are other suspect materials, including flooring, ceiling tiles, insulation, and finishing materials. Each homogeneous arWdifferent MM material requires a minimum of two (2) samples; or enough samples sufficient to determine the asbestos content. Non -Friable (NIM: Non -Friable materials are materials that cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. A NF material may become F if its condition had deteriorated or if it had been impacted by forces that have rendered it F. OSHA "Trigger Levels": 10 SF, 25 SF, or 35 CP, however, OSHA states "no amount of asbestos is safe'. Significantly Damaged Condition (SD): Materials are in significantly damaged condition if they have a surface that is crumbling, blistered, water -stained, gouged, marred, or otherwise abraded over at least one-tenth of the surface if the damage is evenly distributed or twenty five percent of the surface if the damage is localized; or a surface that is hanging from the end, deteriorated, or showing adhesive failure. Surfacing Materials (SM: These materials are sprayed or troweled onto structural building member. Materials of 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 (TSI. 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. AV LO INTRODUCTION Advanced Environmental Consulting, LLC (AEC) was retained to collect samples of suspect asbestos -containing material(s) (ACM) that would be disturbed at the above -referenced property on the above referenced date(s); and provide an asbestos building inspection report including laboratory analysis. Colorado Regulation No 8 - Part, B Section II1-A.1, Prior to any renoration or demolition which may disturb greater than the trigger levels of mate-rial identified as a .Suspect A(M pursuant to the EPA, the facility component(s) to he affected by the renovation or demolition shall he inspected to determine if abatement is required " See below for further information on identifying trigger levels, sampling protocol, and materials classifications per the regulations. 2.0 EPA LEAD REGFUI ATIONS 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 ERP engineering controls, or when remodeling projects are done by individuals or firms that do not have proper REP training and certification. When it is suspected that a lead hazard has been created, EPA will require an inspection, including wipe samples. If the results of the inspection determine that a lead hazard has been created the follow steps will be conducted: ■ The site will be considered lead -contaminated and REP standards and practices will no longer apply, ■ Both the EPA and the CDPEE 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. 3.0 INSPECTION PROTOCOL The inspection and assessment were performed in accordance with EPA/AHERA procedures. These procedures call for the visual inspection of all areas of concern including collection and analysis of representative bulk samples of suspect material. Random bulk samples, representative of the suspect ACM of each HA, were collected according to the guidelines published as EPA Final Rule: Title H of the Toxic Substances Control Act, 15 LTSC, 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 EA 4.0 SAMPLING PROCEDURES Suspect materials alike in appearance and application were sampled as HA& Those sampled suspect materials are then subcategorized into one of three classifications: W, ISIor JM l 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 drywallsehool.com/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 ASSESSMENT OF MATF,I;TAT.S Condition assessments were performed by the accredited AEC inspector(s) at the time of inspection. Condition assessments include ratings of G", D", or "SD" per each HA and are meant to indicate the overall condition of each material. Accumulation of powder, dust or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence when determining the material condition assessments of r, Dor ASD. All suspect materials were divided into For NFcategories at time of sampling as conducted by hand touch and feel when performed by the inspector(s) during the on-site inspection. After classifying each F ACM(s), the AEC inspector(s) gives each HA material a hazard rating (HR). There are seven (7) different HRs that each material is subcategorized into if the material is deemed F. The following seven (7) numbers are associated with each HR: 1.) " D" or "SD" thermal systems insulation ACM 2.) "D" friable surfacing ACM 3.) "SD" friable surfacing ACM 4.) "D" or "SD" friable miscellaneous ACM 5.) ACM with potential for " D" 6.) ACM with potential for "SD" 7.) Any remaining friable ACM or friable suspect ACM The certified asbestos inspector(s) must provide a written assessment of the condition of all known or assumed ACM. These 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 material's potential for disturbance, the known or suspected causes of the damage, any preventive measures that may eliminate the likelihood of the damaged material from becoming a significantly damaged material, and whether the material is accessible, all over the HA. If an ACM is SD and greater than Colorado Regulation No. 8 trigger levels, then the axea(s) are deemed a major spill. If the materials axe less than the trigger levels but greater than 3 SF or 3 LF, then the axea(s) are deemed a minor spill. See the spill response sections as outlined below (Section 10,0). 6.0 SITE DESCRIPTION AND PROJECT DETAILS The above referenced property is a single-family residential dwelling. AEC research indicates that the building was constructed in 1924: 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 Polarized Light Microscopy (PLM) analysis to identify asbestos content. The samples were requested on a priority turnaround time for results. 7.0 LABORATORY ANALYSIS AND RESULTS Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of Asbestos in Bulk for the Determination of Asbestos in Bulk Building Materials (EPA 600/11/116, July, 1993) and the McCrone Research Institute'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 R Section IIT.A.I.c, Abatements Renovation and Demolition Projects - of Colorado Repilation 8 requires that all samples of friable asbestos is estimated to be I% asbestos or les.$ but greater than 0; by it method other than point counting, the determination shall be repented using the point counting technique with PLM. " CDPgECompliance Brzlletin Apzi1200% %shestos, Thepereent, ofY.sbeskis contained in therizpvwall,zndits,Gssocia.tedmateli,zlq,znclu(KRgmud,md&I,m,1vliedeterruinerllizsedonazepresentati►ecuzmlx)5ite samplingprogrim. " f joint comlxmnd is rersfied to ire applied only over coiner:," it, may be colpy),Sz erl ,ata laboratcn•r: OSHA does not warrant composite sample anal tisis ofjoint, compotmd, and therefore anymatezial that, iq above 1%ACMmay not, be composited at the laboza.torj; per 05BA gr ideEne.,s 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 six (6) homogeneous areas that would be disturbed during the planned project as outlined above. The suspect asbestos containing building material(s) were sampled in thirteen (13) locations. Based on the site observations and, bulli sample PLM laboratory analysis results collected by AEC, four (4) suspect materials contained asbestos. The following sampled materials in red are ABOVE the regulatory limit of 1% and shall be removed following Colorado Regulation No. 8. and materials in bold are asbestos -containing and should follow OSHA guidelines (see section 110 belowZ Material Tune Location Condition l ability KR Est (,hzantity Result SM — Orange Peel Texture Living, Kitchen, Bath, GF F 6 644 SF (0.25% Closet 1, Laundry, Closet 3 MM — Joint Compound with Orange Peel Texture GF F 6 N/A 0.9% MM — Joint Compound with Untextured Drywall GF F 6 N/A 0.32% i111— Boiler Tape (TSI) Boiler Room (11 F 6 76 LF 65°. The following sampled materials and areas are NOT asbestos -containing_ Material Tune MM — Untextured Drywall MM — Ceiling Tiles Location Result Closet 2 ND Bedroom ND The CDPHE requires permitting for any removal activities in a commercial 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. 9.0 RECOMMENDATIONS AEC recommends that when ACM is removed/abated, that only a licensed asbestos abatement contractor using personnel trained in the handling of ACM be allowed to conduct such activities using appropriate methods (NEPA-filtered vacuuming, wet cleaning methods, respiratory protection, protective clothing, personnel decontamination, negative -air enclosures, air monitoring, etc.). For all spills, AEC recommends that all soft goods (carpet, pad, clothes, couches, etc.) and any ceiling and/or wall surfacing restoration activities be removed from the interior of the building as asbestos waste. ALC 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. 10.0 ASBESTOS SPILL RESPONSES Major Spi11 P"PoDse Protocols If ACM is significantly damaged and the total quantity exceeds the regulatory trigger levels, the area is deemed a "Major Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section IIMT.1. — Major A45 sstos.5,v lbj 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 HI.E. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection HMG. (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 IH.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 Handling). ■ HEPA vacuum or wet clean all surfaces in the contaminated area ■ Discard all materials in accordance with subsection IH.R (Waste Handling). ■ Following completion of subparagraph IH.T.1.a through HLT.I.i. 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. Pant 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. MinorSpia ReSPORW'%t000ls If ACM is significantly damaged and the total quantity is less than the regulatory trigger levels, however, more than three square feet (3 SF) or three linear feet (3 LF), the area is deemed a "Minor Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section IH.T.2. — MinorAsbestos 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 HI 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 M.R. (Waste Handling). ■ HEPA vacuum or wet clean all surfaces in the contaminated area. ■ Discard all materials in accordance with subsection M.R. (Waste Handling). ■ Following completion of subparagraph HI.T.l.a. through HI.T.l.i. above, comply with air monitoring requirements as described in subsection M.P. (Clearing Abatement Projects); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area and ■ Comply with any other measures deemed necessary by the Division to protect public health. Ifxl=tby. M9IU 111 w R1�1 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 ("Purple Book", EPA 560 / 5-85-04); and the Asbestos Hazard Emergency Response Act (A IT 40 CFR 763 Subpart E). Compliance Specifics — OSJE4 R pzWzons 29 CM 1926 DOI 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): 1. Establishment of a regulated work area: minimizes access to unauthorized personnel, protects persons outside from airborne asbestos exposure and requires the use of respirators inside of the regulated area (essentially a NEPA filtered negative air pressure containment area). 2. Supervision of the removal work by a competent person: an EPA trained asbestos abatement supervisor. 3. Workers handling ACM shall be properly trained: training requirements as stipulated in OSHA regulations specify a 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 personnel: both eight-hour (8 hr.) TWA (time weighted average) and STEL (short term exposure limit). This monitoring will ensure that personnel are wearing adequate respiratory protection. 5. Proper use of engineering controls: namely, wet methods to control airborne asbestos filters, prompt clean up and disposal of debris in leak tight containers, removal of material in an intact state (prohibited use of high speed abrasive disc saws without HEPA filtered exhaust, prohibited use of compressed air on ACMs, prohibited by dry sweeping, shoveling or other dry clean-up methods). 6. Removal of ACAL• in an intact state to the extent feasible. 7. If using cathing 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 containing material from a roof must be either hand carried: or lowered to the ground by crane, hoist or in a dust -tight chute. 9. All waste shall be either wrapped and/or placed into a closed receptacle: in such manner so as to preclude the dispersion of dust. 10. H working on a roof: roof level heating and ventilation air intake sources shall be isolated (sealed) or the ventilation system shut down. Other Requirements ■ Other appropriate PPE as necessary ■ 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 ACTIVITIES Section M.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 the shall be removed in as large sections as possible. Operations such as crushing, pneumatic jacking, etc. of materials containing asbestos are not permitted. Recycling of materials, such as concrete or wood, that are bonded or contaminated with asbestos -containing materials such as floor tile or mastic, is not permitted. 13.0 1 IITATIONS 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 client, and/or other commitments made by persons or firms other than AEC. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended. Thank you for the opportunity to provide industrial hygiene services. If there are any questions on this limited scope asbestos building inspection, please contact AEC by phone or email. Respectfully Submitted, ADVANCED I Nft0WdFN AL CONSULTING Zachary Stubbs CABI - 25336 City of Wheat Ridge Residential Roofing PERMIT - 201709093 PERMIT NO: 201709093 ISSUED: 11/16/2017 JOB ADDRESS: 3119 Depew ST EXPIRES: 11/16/2018 JOB DESCRIPTION: Permit to install 21 squares 5/12 pitch Owens Corning asphalt shingles house and garage *** CONTACTS *** OWNER (303)906-2198 COOK MARY KATHLEEN SUB (303)431-8972 Ken Penny 019489 Penny Enterprises *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,950.00 FEES Total Valuation 0.00 Use Tax 187.95 Permit Fee 188.45 ** TOTAL ** 376.40 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. R ' � City of Wheat Ridge v r" Residential Roofing PERMIT - 201709093 PERMIT NO: 201709093 ISSUED: 11/16/2017 JOB ADDRESS: 3119 Depew ST EXPIRES: 11/16/2018 JOB DESCRIPTION: Permit to install 21 squares 5/12 pitch Owens Corning asphalt shingles house and garage S do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, e building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized dal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with i t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be that al vork tube performed is disclosed in this document and/ /its' accomp nying approved plans and specifications. Signature of OWNER or;'_CONTRACTOR (Circle one) Date I. This permit was issued baged-on-the-irifoimation provided in thepermit application and accomfanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regula ions, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 an 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 constr o ,e a per miI fti`r,'or arI„ }iprbval of, any violation of any provision of any a y ble code gxndi ance or regulation of this d ' ` 'tpproval torlstZbject to Held inspection. //a Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Antoinette Kulick From: no- reply@ci.wheatri dge.co.us Sent: Wednesday, November 15, 2017 8:20 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3119 Depew Street Kathleen Cook 303-906-2198 KTPenny@katewwdb.com 93-7 !2 Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Cook Proposal.pdf Contract CONTRACTOR INFORMATION Contractor Business Penny Enterprises Name Contractor's License 019489 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-523-4473 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 8850 W 50th Ave (Primary address of your business) Contractor Email Address KTPenny@katewwdb.com Retype Contractor Email KTPenny@katewwdb.com Address DESCRIPTION OF WORK TOTAL SQUARES of 21 the entire scope of work: Project Value (contract 8950 value or cost of ALL materials and labor) Are you re -decking the Yes roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) 2 What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof. Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 5/12 a Owens Corning Asphalt This work is for the House and the detached Garage SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 3 and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Ken Penny Email not displaying correctly? View it in your browser. PR(l Q,AT Penny Enterprises ROOFING & CONSTRUCTION 8850 W 50th Avenue, Arvada CO 80002 - Mobile 303-523-4473 - Fax 1-866-329-6489 Email: KTPenny@katewwdb.com Date: November 15, 2017 Proposal submitted to: Work to be performed at: Name: Kathleen Cook Street: _ 3119 Depew Street City: Wheat Ridge E -mail - Contact Person: Other: Street. 3119 Depew Street City: Wheat Ridge State: CO Zip: 80214 Telephone: 303-906-2198 Remove roof to deck on Home and detached Garage Apply new felt, drip -edge and gutter flashing Install pipe jacks and turtle vents Install Owens Corning Tru Definition Duration roof system to Home and detached Garage Limited Lifetime Warranty Color: undetermined Apply 7/16" OSB sheathing to House only Post Permit* Cleanup and haul away all trash created by above work Work carries a 5yr workmanship warranty All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a substantial workmanlike manner for the sum of: Dollars ($ 8,950.00 *Plus cost of Permit billed Eight Thousand Nine Hundred Fifty to Insurance With payments to be made as follows: Upon completion of above work — Respecttully submitted k_'e�A. Any alteration or deviation above specifications involving extra costs will be per executed only with a written order, and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents, or Note — this proposal may be withdrawn delays beyond our control. by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are auth0 rizo t do the world as specified. Payments will be made as outlined above. Signature: Date: // %_15 / Z Signature: Date: �eA� INSPECTION RECORD Inspection online fora<http://www.ci.wheatridge.co.us/inspection , Cancellations must be submitted via the online form before 8 a.m. the clay of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERM IT:"10I ADDRESS: __3[(C1 Oc-Pcf—�5�— JOB CODE: 1Z 12_ ✓ 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 Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 06 Mid -Roof isk 307 Metal / Lath / Stucco 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 CCC f%VCM Cllr] Ar1rl1 T7l1AIA1 1KVLIrlr-t'-rirNK1f+ PERMIT: � O �''15 ADDRESS: 5119 JOB CODE:�`�1� Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 403 Final Electrical Residential 317 Rough Mechanical Commercial 404 Final Electrical Commercial 318 Boiler / Furnace 406 Final Mechanical Commercial 319 Hot water tank 407 Final Plumbing Residential 320 Drywall screw and Nail 408 Final Plumbing Commercial 321 Moisture board / shower walls _Q> 410 Final Window/Door 322 Rough Grading 411 Landscape/Park/Planning" 323 Miscellaneous 412 Row/Drainage/Public Works" 413 Flood plain Inspection" Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof toL _ ) g _Q> 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. 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: C_/ ©`) Job Address: S 1) 9 em Permit Number: -90 /'7 O 9 0 ❑ No one available for inspection: Time I GiM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: 1 L! / �r Inspector: 'f - DO NOT REMOVE THIS NOTICE 1-7 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -3 o & - t 1 , d Job Address: Permit Number: 0 f -7 to 9 p q 3 V ❑ No one available for inspection: Time l7 CM PM Re -Inspection required: Yes Fq) When corrections have been made, call for re -inspection at 303-234-5933 Date:. Inspector: —F -7L DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201709093 PERMIT NO: 201709093 ISSUED: 11/16/2017 JOB ADDRESS: 3119 Depew ST EXPIRES: 11/16/2018 JOB DESCRIPTION: Permit to install 21 squares 5/12 pitch Owens Corning asphalt shingles house and garage *** CONTACTS *** OWNER (303)906-2198 COOK MARY KATHLEEN SUB (303)431-8972 Ken Penny 019489 Penny Enterprises *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,950.00 FEES Total Valuation 0.00 Use Tax 187.95 Permit Fee 188.45 ** TOTAL ** 376.40 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. R ' � City of Wheat Ridge v r" Residential Roofing PERMIT - 201709093 PERMIT NO: 201709093 ISSUED: 11/16/2017 JOB ADDRESS: 3119 Depew ST EXPIRES: 11/16/2018 JOB DESCRIPTION: Permit to install 21 squares 5/12 pitch Owens Corning asphalt shingles house and garage S do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, e building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized dal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with i t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be that al vork tube performed is disclosed in this document and/ /its' accomp nying approved plans and specifications. Signature of OWNER or;'_CONTRACTOR (Circle one) Date I. This permit was issued baged-on-the-irifoimation provided in thepermit application and accomfanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regula ions, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 an 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 constr o ,e a per miI fti`r,'or arI„ }iprbval of, any violation of any provision of any a y ble code gxndi ance or regulation of this d ' ` 'tpproval torlstZbject to Held inspection. //a Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Antoinette Kulick From: no- reply@ci.wheatri dge.co.us Sent: Wednesday, November 15, 2017 8:20 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3119 Depew Street Kathleen Cook 303-906-2198 KTPenny@katewwdb.com 93-7 !2 Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Cook Proposal.pdf Contract CONTRACTOR INFORMATION Contractor Business Penny Enterprises Name Contractor's License 019489 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-523-4473 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 8850 W 50th Ave (Primary address of your business) Contractor Email Address KTPenny@katewwdb.com Retype Contractor Email KTPenny@katewwdb.com Address DESCRIPTION OF WORK TOTAL SQUARES of 21 the entire scope of work: Project Value (contract 8950 value or cost of ALL materials and labor) Are you re -decking the Yes roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) 2 What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof. Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 5/12 a Owens Corning Asphalt This work is for the House and the detached Garage SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 3 and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Ken Penny Email not displaying correctly? View it in your browser. PR(l Q,AT Penny Enterprises ROOFING & CONSTRUCTION 8850 W 50th Avenue, Arvada CO 80002 - Mobile 303-523-4473 - Fax 1-866-329-6489 Email: KTPenny@katewwdb.com Date: November 15, 2017 Proposal submitted to: Work to be performed at: Name: Kathleen Cook Street: _ 3119 Depew Street City: Wheat Ridge E -mail - Contact Person: Other: Street. 3119 Depew Street City: Wheat Ridge State: CO Zip: 80214 Telephone: 303-906-2198 Remove roof to deck on Home and detached Garage Apply new felt, drip -edge and gutter flashing Install pipe jacks and turtle vents Install Owens Corning Tru Definition Duration roof system to Home and detached Garage Limited Lifetime Warranty Color: undetermined Apply 7/16" OSB sheathing to House only Post Permit* Cleanup and haul away all trash created by above work Work carries a 5yr workmanship warranty All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a substantial workmanlike manner for the sum of: Dollars ($ 8,950.00 *Plus cost of Permit billed Eight Thousand Nine Hundred Fifty to Insurance With payments to be made as follows: Upon completion of above work — Respecttully submitted k_'e�A. Any alteration or deviation above specifications involving extra costs will be per executed only with a written order, and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents, or Note — this proposal may be withdrawn delays beyond our control. by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are auth0 rizo t do the world as specified. Payments will be made as outlined above. Signature: Date: // %_15 / Z Signature: Date: -""::" DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 8238 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 12/4/98 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 3119 DEPEW ST Contractor License No. : 17986 Company: The Gas Connection OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 303-237-2111 Phone: 466 4206 (OWNER)(CONTRACTOR) SIGNED DATE Total: $480.00 $22.00 $0.00 $7.20 $29.20 Construction Value: Permit Fee: Plan Review Fee: Use Tax: 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. Use: Description: I nstall gas logs BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval: 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: (1) This permit was issued in accordance with the provisions set 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 Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced withm sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shalt 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 proceediing with successive phases ofth8/'Ob. (6) The issuance of a permit or the approval 0 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. . f b ChQ~ti~~~~~ 1( . ( r THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-593324 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 kCtf/}tf Cool' 3//9 OCp€0J Sf ~986 CompanY:The Gas Connection Building Permit Number: Date: Property Owner: Property Address: Contractor License No. : Phone: ;)3 7 -d.// I Phone: 466-4206 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Use Tax: 480100 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violitD applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of record: at all measurements shown, and allegations made are accurate: that I have read and 3Qree 0 abide by all ditions printed on this application. and that I assume full responslbili for compl1an ilh U Wheat Ridge Building Code (U.B.C.) and all other epplicable Whe, idge ordin, . for f~under l~iJ7'1 f (OWNER)(CONTRACTOR) SIGNED DATE Total: Description: ----r-f) '~}1)1 H!r~lr\l!lfll.JI).~ i' Approval: Zoning: BlIIlaliigKl..-nwmerDlffl Approval :' aqI;iJlp~Wmtallam'llmJmll.:! Approval :' Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiratior) Dale: Approval: ,. PJllfs;ft~ulred:f;i:cj ...J .. .. . .._. ..". Expiration Dale: Approval: d : F!!!!118.Bil.qulred ,J Expiration Date: Approval: ill~P'JlJi:!l\;a,~.qqlr~ (1) 1'1 PI This peffl1llt was ISSUed in accordance with the provIsions set forth in yapur application and 1$ subjecllo the laws of the Slate of Colorado and to lhe Zoning Regulalions. and Building Code of Vv'heal Ridge, Colorado or any other applicable ordinances ollha City. This permit s.hall expire if (A)lhe work authorized is not commenced within sixty (50) days lrom issue dale or (8) the bUilding authorized is suspended or abandoned 10r a period of 120 days. I' this permit expires. a new permit may be acquired for a fee of one-h<tlf the srnounl norrn<llty required, provided no changes have been or will be made in the original plans end specifications and any suspenSion or abandonment has not exceeded one t') year. If changes are made or i( suspension or abandonment exceeds one (1) year. full fees shall be paid ,for a new pelmit. No work d any manner shall be done thai WIll change the natural now of water causing a drainage problem Contractor Shall notify Ule Building Inspector twenty-four (24) hours in advance lor all inspectIOns and shall receive written aDprovat on inspection card before proceediinq with successive phases of the job. The issuance of a permit or the approval of drawings .:md specificalions SI1<111 not be constluea to be a permit for. nor an approval of, any violation 01 the prOVisions of the buikhng codes or any other ordinance. law. rule or regulation 14) 151 161 Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MA VOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION