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Home My WebLink About2901 Ames Streeti 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:14 Permit Number: j ❑ No one available for inspection: Ti Re -Inspection required: When corrections have been made, call for' e -inspection at 303-234-5933 Da "Pf Inspe to . 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: /0 5, (- 4).071 F_,-, Permit Number: l,jrD ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:= = / ice' Inspector: Gti `- DO NOT REMOVE THIS NOTICE A i QTY 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 C ❑ No one available for inspection: Time QiPM Re -Inspection required: Yes No When corrections have been made, cal(ffor re -inspection at 303-234-5933 Date Zq _ Inspect . DO NOT REM E THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C0l& COUrie- t/ Job Address: Permit Number:( ❑ No one available for inspection: Timms,-,. "r i AWPM Re -Inspection required: Yes Noll When corrections have been made, call for re -inspection at 303-234-5933 Datej �A � r i C� Inspector: [A (VA DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901788 PERMIT NO: 201901788 ISSUED: 08/27/2019 JOB ADDRESS: 2901 Ames St EXPIRES: 0.8/26/2020 JOB DESCRIPTION: SWO Replace existing paneling with drywall replace outlets and exposing brick - 373 sq ft total *** CONTACTS *** OWNER (307)751-1205 ERUQHA ANDREW *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,000.00 FEES Total Valuation 0.00 Plan Review Fee 28.28 Use Tax 21.00 Permit Fee 43.50 Investigative Fees 43.50 ** TOTAL ** 136.28 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901788 PERMIT NO: 201901788 ISSUED: 08/27/2019 JOB ADDRESS: 2901 Ames St EXPIRES: 08/26/2020 JOB DESCRIPTION: SWO Replace existing paneling with drywall; replace outlets and exposing brick - 373 sq ft total hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= i and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with test tfiAt.I am legally authorized to include all entities named within this document as parties to the work to be .wobe.-performed is disclosed in this document and/or its'accompany ng approved plans and specifications. i Signat4q o WNER Nr 6R -(Circle one) Date I . This p'�-,ripit was'�based the in o provided in the permit application and accompanying plans and specifications and is subject the compliance with t se documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This per t shall expire 365 days er the date of issuance regardless of activity. Requests for extension must be made in writing and received p for 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 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= rdinance or r fgtilation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heatj�iclge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner Em Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: I City, State, Zip: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License M Phone: Phone: Phone Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): 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. Sq. FULF _3 BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) J2 0V1'NER/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 apl%catie!kto list that tity on this application. I, the applicant for this building permit application, warrant the truthfulness of the informadori'ar01i(ed on pplication. CIRCLE ONE: `�-4 NER) R) o (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): t\ DATE: � �2 )1E-7-111-51v— Printed 3 / Printed Name: 1di �r�fs. DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: }� CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: 4 Reviewer: Building Division Valuation: City of Wh6atP.1j,.d9e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property Property Owner(s) Project Property: Nota FI �r- ' LFA'' re o pplicant State of Colorado } County of Jt0} ss In /- The rnt was acknowledged by me this day of —�g�20 l q by yeoing instrume JODI L BAROS NOTARY PUBLIC STATE OF COLORADO NOTARY 10 20144018892 MY COA MS*I EXPWS MIRY % 2022 My Commission Expires jtTj_ef�20,Z,�l Notary Pub Kimberly Cook From: sam.kloser@state.co.us on behalf of Asbestos - CDPHE, cdphe <cdphe.asbestos@state.co.us> Sent: Tuesday, August 27, 2019 12:57 PM To: Kimberly Cook Cc: Dina Kemp; Brandon Fresquez Subject: Re: 2901 Ames Street Kim, I reached out to the inspector and through my conversation with him (as well as my supervisor) I was able to determine what needs to be done. The homeowner must choose between disposing of all of the materials in the bag as non -friable asbestos containing waste, or picking out all of the tile materials and only disposing of those materials as non -friable asbestos waste. They would be allowed to take it across state lines, provided that they contact the landfill they are taking it to prior, and finding out what their disposal requirements are for non -friable asbestos containing waste. This information will help them determine if it makes sense for them to separate out the tiles from the rest of the materials in the exterior bag dumpster. Moving forward, they should follow the landfill's guidelines for disposal during the removal process and the tiles should not exit the property unless packaged appropriately. Let me know if there are further questions. Regards, Sam Permit Coordinator Asbestos Unit Indoor Environment Program Colorado Department of Public Health and Environment P 303-692-3100 1 F 303-782-0278 4300 Cherry Creek Drive South, Denver, CO 80246-1530 cdphe.asbestos@state.co.us I www.colorado.gov/cdphe/asbestos COLORADO " Air Pollution Control Division " Department of Public Health & Environment f 1W As of January 1, 2017, the Indoor Environment Program will not accept incomplete forms for certification, abatement or demolition. Any application with missing information may result in longer processing times or the application may be returned to you which will restart the required notification period. Please note that all submissions must be completed using forms supplied by the Division. If you need assistance, please refer to: https://www.colorado.gov/pacific/cdphe/asbestos- forms or https://www.colorado.gov/pacific/cdphe/certification-and-lead-abatement-forms or contact the Indoor Environment Program at 303-692-3100. On Tue, Aug 27, 2019 at 9:29 AM Kimberly Cook <kcookgc:i.wheatrid eg co.us> wrote: I believe some is still in the home and the rest is already in the dumpster. As far as we know, this is the owner's primary residence. I attached the report for your reference. The results mention 6% Chrysotile. I believe he will be in today to pick up his permit so time is of the essence. Thanks, Kim Cook Permit Technician Office Phone: 303-235-2876 —City of Wheat R idge t ity of t�cytit��r��:rrti Ilrk�rr��r�a+r�.r �-- From: sam.kloser@state.co.us <sam.kloser@state.co.us> On Behalf Of Asbestos - CDPHE, cdphe Sent: Tuesday, August 27, 2019 9:16 AM To: Kimberly Cook <kcook@ci.wheatridge.co.us> Cc: Dina Kemp <dkemp@ci.wheatridge.co.us>; Brandon Fresquez <bfresquez@ci.wheatridge.co.us> Subject: Re: 2901 Ames Street Kim, That is an interesting question. We would need a little more info before we can say for certain that they would be allowed to do that. Is this the homeowner's primary residence? How much asbestos containing material (over I% asbestos) did they remove? Is the material all still located on the inside of the residence? Depending on those answers, they would (most likely) have to package the material appropriately and then have it disposed of at a landfill that accepts friable or non -friable asbestos waste, depending on what type they are dealing with. This is a federal regulation, not state. There may also be DOT regulations that I am not aware of that they should research as well. Let me know the answers to my questions and hopefully I will be able to better assist you. Thanks, Sam Permit Coordinator Asbestos Unit Indoor Environment Program Colorado Department of Public Health and Environment P 303-692-3100 1 F 303-782-0278 4300 Cherry Creek Drive South, Denver, CO 80246-1530 cdphe.asbestos@state.co.us I www.cotorado.gov/cdphe/asbestos COLORADO Air Pollution Control Division Department of Public Health & Ermronment f� As of January 1, 2017, the Indoor Environment Program will not accept incomplete forms for certification, abatement or demolition. Any application with missing information may result in longer processing times or the application may be returned to you which will restart the required notification period. Please note that all submissions must be completed using forms supplied by the Division. If you need assistance, please refer to: https://www.colorado.gov/pacific/cdphe/asbestos- forms or https//www colorado gov/pacific/cdphe/certification-and-lead-abatement-forms or contact the Indoor Environment Program at 303-692-3100. On Tue, Aug 27, 2019 at 8:58 AM Kimberly Cook <kcook(a�ci.wheatrid eg co.us> wrote: Hi, We have a stop work order at 2901 Ames Street. It's a homeowner project and there is asbestos in the materials being removed. When asked how they are going to handle it by our inspector, they said they are taking the asbestos back to Wyoming. Are they allowed, even if a homeowner project, to take asbestos containing materials across state lines? Thanks, Kim Cook Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2876 Fax: 303-237-8929 www.ci.wheatridge.co.us �-Cityof W heat Ridge 01N, 01 W hcat I (�t?h441l�NITti'I3i�'NC11"4ti1Kt �- LIMITED ASBESTOS INSPECTION REPORT 2901 Ames St Wheat Ridge, CO 80214 8/24/2019 Prepared for: Andrew Erusha Andrew Erusha 2901 Ames St Wheat Ridge, CO 80214 (307)751-1205 andrewerusha@gmail.com Prepared by: Alta Environmental LLC CDPHE Registration No.: ACF - 24509 7045 W. 37th Ave. Wheat Ridge, CO 80033 Contact@AltaEnv.CO (303) 669-7007 www.AltaEnv.CO ��v1RoN,�_ Table of Contents Section 1 Inspection Project Summary 1.1 Homogenous Areas in Work Scope - Table 1.2 Summary of Asbestos Samples 1.3 Sample Locations (optional) Section 2 Results and Recommendations 2.1 Post -Renovation Asbestos Containing Materials Notice (if identified) 2.2 Photo Log of Asbestos Containing Materials (if identified) Section 3 Project Overview Section 4 Asbestos Inspection Procedure 4.1 Suspect Asbestos Containing Building Materials 4.2 Sampling and Laboratory Analysis Section 5 Conclusion 5.1 Limitations Appendix A - Laboratory Report and Chain of Custody Form Homogenous Material Tvues - Reference List Surfacing Material List of Acronyms TS Textured Surfacing ACM Asbestos Containing Materials PL Plaster ACBM Asbestos Containing Building CMS CMU Sealant Material SOF Spray -on Fire Proofing Thermal System Insulation G Good DT Duct Tape/Wrap D Damaged PI Pipe Insulation SD Significantly Damaged Miscellaneous BBA Baseboard Adhesive F Friable CA Carpet Adhesive NFI Non -Friable Category I CDW Composite Drywall NFII Non -Friable Category II CT Ceiling Tile DW Drywall NA Not Analyzed FTM Floor Tile Mastic ND None Detected MA Miscellaneous Adhesive MS Miscellaneous Sealant EA Each OT Other Material LF Linear Feet RSG Roof Shingle SF Square Feet RSH Roof Sheeting RSL Roofing Sealant Trace <_1% by (Point Count/Composite) SVF Sheet Vinyl Flooring ACM ACM (>1% asbestos) WG Window Glazing 1.2 Summary of Asbestos Samples Sample ID tiomog. Mat'! ID Bulk Sample & Lobs Table Sample Location ID* Material Condition friability Category Analytical Results TS 1-1 1 NE rm, N wall, 7'6" E, 70" up SD F ND TS 1-2 1 NE rm, N wall, 18" E, 58" up SD F ND TS 1-3 1 dumpster debris SD F ND FTM 1-1 2 NE rm, floor, 7' 10" S, 3" E D NFI 6% Chrysotile FTM 1-2 2 dumpster debris D NFI 6% Chrysotile 1.3 Sample Locations Section 1 Inspection Project Summary Job ID: 20190824-1 Inspector: Joshua Masek Date: 08/24/19 State Cert #: 22489 Client: Andrew Erusha Customer: Andrew Erusha Property Details: Site Address: 2901 Ames St Wheat Ridge, CO 80214 Property Type: SFRD Age of Construction: 1928 Renovation: Inspection Details: Type of Inspection: Limited/Renovation ACM AHERA/Reg 8 Reason of Inspection: Remodel Affected Area(s): Basement NE bedroom Scope of Inspection: Partial Renovation Potential Spill Identification?: Yes (See Section 2 Results and Recommendations) Work Scope Notes: Remodel in progress Sample Notes: Laboratory: Reservoirs NVLAP #: 101-896-0 Results Time: # of Samples 5 1.1 Homogenous Areas in Work Scope -Table ID* Material Type** # of Samples Material Description Quantity Functional Spam in Scope- 1 TS 3 white granular texture bsmt NE room walls 400 SF 2 FTM 2 gray 9°x9" floor tile bsmt NE room walls 200 SF 3 4 5 6 7 8 9 10 -iu - homogenous Materials iu in homogenous Areas Table & Bulk Samples Table **See table of contents Reference List for how to classify homogenous materials type 1.3 Sample Locations Map (Continued) Section 2 Results and Recommendations Asbestos -containing building materials have been identified within the affected area(s) of the Site Address. Any repair, removal or other activities that will disturb asbestos -containing materials must be performed by a certified and licensed asbestos abatement contractor in accordance with applicable federal, state, and local regulations. Any friable suspect asbestos -containing materials identified as having trace (51%) asbestos through laboratory visual estimation must be considered to be an asbestos -containing building material. Further analysis may be performed on friable materials having a visual estimate of :51% by point counting, which is a more quantitative analysis of the material. Any work performed on asbestos -containing building materials and/or trace asbestos -containing building materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos construction industry, general construction industry, and respiratory protection standards. Worker exposure assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional engineering or administrative controls to properly protect workers engaged in activities that may damage or disturb materials which contain asbestos. 2.1 Post -Renovation Asbestos Containing Materials Notice Plans for renovation were not known at time of inspection. Please assume ACBM(s) identified in this report are accessible with the potential for disturbance and/or damage from material contact, vibration and/or air erosion. CDPHE requests that the Client notify the current property owner and all site contractors of the ACBM(s) present at the property. 2.2 Photo Log of Asbestos Containing Materials Section 3 Project Overview Alta Environmental LLC (Alta) was contracted by the client to perform a limited repair/renovation specific asbestos inspection (inspection) at the above referenced "Site Address". The inspection was conducted by an Environmental Protection Agency (EPA) accredited and Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Building Inspector. The inspection was performed at the direction of the client and only includes those materials, locations, and quantities specified in the "Homogenous Areas in Work Scope Table". The client is planning repair/renovation activities that will disturb suspect Asbestos Containing Building Materials (ACBM) within the repair/renovation affected areas at the Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos (Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified personnel prior to conducting any repair/renovation activities that will disturb the suspect ACBMs. All samples were analyzed by a laboratory accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the following trigger levels for different types of properties, which specify how suspect and confirmed ACBMs are inspected and subsequently abated: With regard to single-family residential dwellings (SFRD), the trigger levels are 50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon drum With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes, 160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum The purpose of the inspection was to identify, visually inspect, and sample all suspect ACBMs, at the direction of the client, which may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection Procedure The inspection procedure was conducted in accordance with EPA Asbestos Hazard and Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable Occupational Safety and Health Administration (OSHA) guidelines and regulations. These regulations specify requirements and protocols for conducting asbestos inspections, sample analysis, and asbestos abatement. 4.1 Suspect Asbestos Containing Building Materials Homogenous Material Types The inspection involved identification and sampling of suspect ACBMs in the areas established by the client that would be part of the scope of work. Suspect ACBMs were grouped into homogenous materials based on color, texture, and date of application. Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on the type sequence of the homogenous material. Details about the size, color, condition, friability, quantity, location within each functional space and other important details for each homogenous material were reported as part of the inspection. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material — material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation — material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous Materials — interior 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. Homogenous Material Friability Each homogenous material was given one of the three following friability categories defined by the EPA and CDPHE: 1. Friable Material — materials that can be crumbled or reduced to powder by hand pressure. 2. Category I Non -friable Material — materials that cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing materials and asphalt impregnated roofing materials. 3. Category II Non -friable Materials — all other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -friable materials. Homogenous Material Condition Each homogenous material was given one of three condition categories based on visual observation defined by the EPA and CDPHE: 1. Good Condition — No visible signs of damage were observed during the inspection. 2. Damaged Condition — Visible signs of damage less than ten percent spread over the entire material or twenty five percent localized. 3. Significantly Damaged Condition — Severe damage greater than ten percent spread over the entire material or twenty five percent localized. 4.2 Sampling and Laboratory Analysis Sample Collection Bulk samples of each suspect homogenous material were collected randomly throughout the homogenous material area within the scope of work. Bulk samples were sampled all of the way through the material so that all associated layers within each homogenous material are represented. Bulk samples were placed in closeable sample bags and then labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1, MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the homogenous materials were also collected at this time during the inspection. Sample quantities of each homogenous material were collected based on material type and quantity detailed in the following table as required by regulation.: Homogenous Material Minimum Number of Quantity Type Samples 0 to <1,000 SF 3 Surfacing material 1,000 to 5,000 SF 5 >5,000 SF 7 Each Material 3 Thermal System Insulation Patch < 6 LF, SF 1 Miscellaneous Material L_ _r__ Each Material 2 Laboratory Sample Analysis Bulk samples were submitted to the laboratory along with a completed chain of custody form to the above listed NVLAP accredited laboratory for analysis by polarized light microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982). Microscopic visual estimation was used in obtaining the percentage of asbestos within each layer of the bulk samples. Asbestos Containing Building Materials EPA and CDPHE both define an asbestos containing building material (ACBM) as a material which has an asbestos content of greater than one percent. In the event that a friable material is estimated to contain "trace" or between zero -to -one percent, that material must undergo a point -count analysis by the laboratory to confirm that the material is trace asbestos -containing. Further, if a point count analysis is performed on a bulk sample, the point count result takes precedence over the visual estimation result. See appendix A for laboratory report and chain of custody documents. Section 5 Conclusion Alta has performed a limited repair/renovation specific asbestos inspection of the home/facility located at the Site Address. Through visual inspection and laboratory analysis of bulk samples collected at the Site Address, Alta recommends hiring a certified general asbestos abatement contractor to remove any ACBMs that may have been identified within the scope of work. All inspection activities were conducted at the direction of the client and only include those materials, quantities and locations detailed in sections 1 and 2 of this report. See sections 1 and 2 of this report for information regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample information and laboratory analysis results. 5.1 Limitations General Comments and Limitations Reasonable effort was made by Alta to locate and sample accessible suspect ACBMs within the scope of work. However, for any structure, the existence of unique or concealed suspect ACBMs is a strong possibility. Alta only inspected and collected suspect ACBM bulk samples in the repair/renovation areas at the direction of the client. This limited repair/ renovation asbestos inspection report is not considered a comprehensive asbestos inspection report and is only valid for the materials and locations detailed in sections 1 and 2 of this report. Should further repair/renovation work expand outside of materials and locations listed in sections 1 and 2 of this report, those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement of ACBMs must be performed in accordance with all federal, state and local regulations pertaining to abatement, transport, and disposal of ACBMs. The asbestos inspection was conducted in a manner consistent with the level of care and skill exercised by professionals of the asbestos inspection profession. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the repair/renovation areas. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Alta does not warrant the work of regulatory agencies, laboratories or other third -parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Sincerely, Joshua Masek Alta Environmental LLC 7045 W. 37th Ave. Wheat Ridge, CO 80033 303.669.7007 contact@AltaEnv.CO Appendix A Laboratory Report and Chain Of Custody Form Reservoirs Environmental, Inc. Effective April 2, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc REI LAB Reservoirs E vironmental, /7c. August 24, 2019 Josh Masek Alta Environmental Colorado 7045 W. 37th Ave Wheat Ridge CO 80033 Dear Customer, Subcontract Number: Laboratory Report: Project # / P.O. # Project Description: NA RES 443436-1 20190824-1 2901 Ames St, Wheat Ridge, CO 80214 1, Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 443436-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P: 303-964-1986 F:303-477-4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 1-866-RESI-ENV www.reilab.com J 0 f0 00 ao O d a 0 U ca W J CL J Z N E 7 z O U) LU cr d CL C - � O � � U U E (, z❑� N U U N 0) 0) Q O O E d a O Q) D U 0 0 0 2 Ow 0 N 000 m m O O '- U Q o u. a O R OFm O V o cjE s v U 4 N 9 0 Rf O .O.• W T F. N N 0 N q C co O :F& > NE N N C10 pp�� ! 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A d o D 0 to .`. a < a 0 2 z a O w a vii U •- N M C u7 co h co rn z' Colorado Department of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that Joshua A. Masek Certification No.: 22489 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: March 06, 2019 Expires: March 07, 2020 * This certificate is valid only with the possession of a current Division-app—ed training course ceitifeafion in the discipline specified above. 2, ;i U ",,d�o W w APC Representat. SEAL Work shall comply with the following codes: 2012 IRC, 2012 IECC & ANONEC, (-'- F S e-,::- f:) k� P cV--, \, S ►' o 0 andcompWat,uns skull nor be a pernut far, ur un opptovol of, any violation to onV of the provisions of the building code or of any Cory ordinances. Permits presuming to give authority to violate of cancCl the provision of the SUM"rg codes or other ordinances of the, City shall not be valid. , Smoke alarms shall be required in each sleeping room and outside each sleeping area per 2012 IRC, Section Carbon monoxide detector(s) required within 15 ft of all sleeping areas. Carbon monoxide detector(s) shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms per R315.1. city of Whecd Rldgr Building DivWM A 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: pcf�_ Job Address: 2cy U I mein 7, Permit Number: 2 6 1% 0 14 0 ❑ No one available for inspection: Time $ - QAM M Re -Inspection required: Yes No) When corrections have been made, call for re -i pection 303- 34-5933 t Date: ic�r to /l -- Inspector: utit 4 DO NOT REMOVE THIS NOTICE A 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: M J�O Job Address: Z.'(? 0 / / Nf � S _ Permit Number: '7-. Q // C /" / /,�� ❑ No one available for inspection: Time �� S AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: f �I Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: IN) � o Job Address: P '>> r C. Permit Number: / L/ / Y I- e X3 (9 S 6 11 N �, *S XT f'y) C': V (- jy po -I l , j D< i O)r Lo`c`i , 6 yJ li) Pt 9,' A,,), e, ms; ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 n Date:( Inspector:-. DO NOT REMOVE THIS NOTICE C N City of Wheat Ridge Residential Roofing PERMIT - 201701418 PERMIT NO: 201701418 ISSUED: 06/02/2017 JOB ADDRESS: 2901 Ames ST EXPIRES: 06/02/2018 JOB DESCRIPTION: 20 squares reroof; installing GAF Timberline HD; 6/12 pitch *** CONTACTS *** OWNER (720)253-2447 JENSEN BRADY JOHN SUB (303)332-6224 Chuck Gardner 021423 GARDNER CONTRACTING, 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: 7,000.00 FEES Total Valuation 0.00 Use Tax 147.00 -;IAi U Permit Fee 156.75 ------ * * TOTAL * * 303.75 *** 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 k/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€TMs 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 - 201701418 PERMIT NO: 201701418 ISSUED: 06/02/2017 JOB ADDRESS: 2901 Ames ST EXPIRES: 06/02/2018 JOB DESCRIPTION: 20 squares reroof; installing GAF Timberline HD; 6/12 pitch I, by in signature, doh ereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codesanall applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the properly and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. 1 further attest that I am legally authorized to include al I entities named within this document as pames 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. cl Signature of OWNER or ONTRACTOk,(Circle one) Date I z 1, This permit was issued base on 'the information provided in thepennit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original ermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 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 �"i hall i e c sti ed to be a permit for, or an approval of, any violation of any provision of any applicable code or any or.. 'gulat isdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Y City of W heat _j�idge CommuNlTy 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 J FOR OFFICE USE ONLY Date: T Plan/Permit #' I d Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Zc% U 1 Amps _s- ' L_) h e ce d'_ Lc),.,,o Cc Provertv Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: ( -s-aP Phone: Phone: Contractors City License #: b'L( L( L_�> Phone:_ _2>L-'> S2 2 6, ?ZL Contractor E-mail Address: �'j I^ 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 Ll 7 Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION 04 RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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.) 20 Sq. Ft./LF Amps Btu's Squares Zrs� C 1 rs a- 5 64F T -i r, ,2-c) Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER)(CONTRACT)Ror (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: �ctC .QS4 SIGNATURE)'� DATE:' 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: $ F '0M: 06128!'T6 08:�l 4573 D.0221002 ,'I Iv. r C rancV, NO,. inspections will not be perform ed unkss this card is jx)sted on the PrOject Site. Call tbe inspwtwan nquost line, befbre 11,59 pm. to receive an inspection the following bul;itic-.,s daY. Inspector Must Sign ALL Spaces pertinent to this ProJect q IN IN 4 ri 111 N V a Z�G*Tyffwx v.Muz j -1M Sewer Service Mi'" o 3MMMM= LLYall Sheathing Roof Sheattvnq L ath I Wall Tia Zuah Elecine M Rough F-arning 7� 923UM3= Finat Electdcx 51 F1 71c�at�Wical C I Wf F,rZu 1�inc , Frame ME 1*1 Landscapirg & Parkinq / Planning Dept, Fire Inspection i Fire Protoction, Dist, Occupancy Is Not Permitted Until A Certificate of Occupancy Is ISISUed Protect This Card From, The Weather 06/28/2016 09:05 3036502640 SANDERS JOHNSON PAGE 01 • !`.. r.. I & 11 N -: * 1. Building Permit Application Please, oomlilete all hlgtftMW am# on both sides of this f6m. IftmpleftspOkaVons rn*y no be processed. I ggj,�' At w b ! ! ..- :: -MM-7- ;,. :. MONISM s. *. e � , ! ! ". ! Sub Cart m: W.R, City License# Wk City License W.R City License # Other City Licensed Sub., Other City LicensedSub- City Licensec. Complete i r r t on BOTH sides of this form 06/28/2016 09:05 303650264e SANDERS JOHNSON 0 COMMERCIAL gRESIDENTIAL .fjVjq& (Check all that apPlY) ELECTRICAL SERNACE UPGRA 13 NEW OFING COMMERCIAL ADDITION, 4COMMERCIAL , �, • - ROOFING ..REPLACEMENT RESDENTIAL ADDITION COMMERCIAL ACCEsSORY STRUCTURE #_shed, :. # .€ e# v REPAIRRESIDENTIAL or MECHANICAL SySTEM/APPLtANcr: REPLACMENT • •TICAL .-j PLIANCE REPAIR or LF-CTSYSTEWAP PAGE 02 OTHER " # (ForALLpMj0Ctkp"" pr "a toW Perkin tied, irlim" lzurrent 11"'d ""w proposed Wee, S"" ft*W, exls*V wndW and propmed row' condition, SppMnoe shm and effic*W, M* &Ad amount of matedeW to be Used, etG-) It S:avr r6 WIWI R K t : u € Y y € Y &!L"mid applimtfor # i.&.. Mwk aWW*fM wgmt j Ali gre City License # City License # City License # WWjj�� (Fully describe work to be performed - Attach additional sheet If necessary) > Review Fee (due at time of submittal): i Squares _ BTU's _ Gallons _ Amps I So _ Sq Ft. IE Date: Plan # (if different than property address) 3 mazmz= gm= mmu= zmz�� MMEM= Squares BTU's Gallons _ Amps Sq Ft. 4WO�4� (OWNER) (C:OEP-4:Cj�,R) gr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) P ro ) P - E LIN E #+ *x+« << wa t NE w�� \ 27»10» *r TAX EAR PAY . . . ; THIS AMOUNT� l : . . ;a : INSPECTION RECORD Occupancy/Type 19- INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. X0I ac 0: "P- I I asq 4 77nn INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall tie I L UN I IL AIJUVE NAJ CEEN WUNED MIO -KOOT I I . - I Y _ Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929: Fax INSPECTION NOTICE Inspection Type AIrVAZ l Job Address sr - Permit Number ❑ No one available for inspection: Time 1 Al� rAM / M Re- Inspection required: Yes ( o)o ' When corrections have been made, call for re- inspection at 303- 234 -5933 Date: a.'glz Inspecto DO NOT REMOVE THIS NOTICE ♦��i City of Wheat Ridge Residential Roofing PERMIT - 110594 PERMIT NO: 110594 ISSUED: 05/24/2011 JOB ADDRESS: 2901 AMES ST EXPIRES: 05/23/2012 DESCRIPTION: Reroof 15 sqs with 30 yr GAF /ELK shingles * ** CONTACTS * ** owner 303/356 -3589 Phillip Gallegos sub 303/727 -1110 Michael O'Donnell 02 -2175 A -1 Roofing ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0525 BLOCK /LOT##: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,556.96 FEES Permit Fee 140.90 Total Valuation .00 Use Tax 100.03 L �P ** TOTAL ** 240.93 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this cument a d /or its' accompanying approved plans and specifications. // el Signature of OWNER / 6r CONTRACTOR (Circle one) Dat 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fiel i p n. Signatur f of Building Offical Date INSPE TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ►1 4f City of eat °� CommuwSY DEVELOPMENT Permit& �5q Building Division 7500 W. 2e Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 ` Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Facsimile Building Permit Application Property Address: q 0 ) jA vl-t C7- Property Owner (please prjnf): pi Phone: ?j Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Pt r iz- j.�-Q Contractor License # Z 2 ( 7S Phone: 3 O 3 7 27 _ II) o Sub Contractors: Company Name: License #: Expiration Date: TradelProfession: Approval: Use of sp (J ace ( DeSCr'jptjOti= oT'WOtfC: I truactn Value: S 5 5 i7a7 d`'� / Plan Review (due at time of submittal): S Sq. FtrL.Ft added: Squares is BTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application-are accurate. and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that t have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plans subject to field inspection. , C/RLCE ONE: (OWNER) (CONTRACTOR) or PERSONAL REV PRINT NAME: -�!-c / /��U / SIGNATURE: - ZONING cOMMEM:; 2anirq{: Revrevier PUBUC WORKS4MUMEN'!S: - Reineteer. USE ONLY (OWNER) ( CONTRATOR) Date. OCCUPANCY: ❑ d 0 no review required Credit Card Payment: Use credit card listed on rile. Date: Print name: Signature: Bldg Valuation: $ City of Wheat Ridge Residential Plumbing PERMIT - 060623 PERMIT NO: JOB ADDRESS: DESCRIPTION: 060623 2901 AMES ST replace water li~e from meter pit to ISSUED: EXPIRES: house 07/18/2006 01/18/2008 *** CONTACTS *** owner 303/238-1205 Gallegos, P and M ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: BLOCK/LOT#: UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED FEES 42.46 .00 14.40 56.86 PROJECT VALUATION: 800.00 ** FEE SUMMARY ** ~79D Comments: subject to field inspection I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed ,on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B,C) and all other app::cable Whe t Ridge ordrnal:::~ fo k under this pe it. la~Subject to field inspection. 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 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 have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any of the provisions of the building codes or any other ordinance, law, rule or regulation. All iew subject ld inspections. Si Qffical date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Community Development Department MINOR BUILDING PERMIT APPLICA.TION Property Owner: Ph\\\\~'-f \{\E:\\,U G-~l\""'/:{'":''' ~ Property Address:. 2.CjO \ A,'\"\ e.s- 1>.51'.1 L \ '- ()~'~Phone:3)cO.38-12.05 Contractor LIcense No.. V\1eot1J ~cO B02\~ eel!, . Company: \ q Phone: '7) 480 -82JLh ..~~ WHE.. ' 1', ~ " - " " '" "Ol.OR/'-OO Building Permit Number: Date: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildinq Dept. Valuation Figure: $ I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinantes, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that an measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Value:$ 800.01 Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ (QWNER){CONTRACTOR): SIGNED DATE (OWNER)(CONTRACTOR):PRINTED DATE Use of Space (deScriPtion):~p '0. L'I no \k )0-+ Po Description of work: -to ~I.jS e ~ Sq, Ft. added \1f\E- from meter PI'~ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft: ONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: IRE DEPARTMENT COMMENTS: 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: (4) (5) (6) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. If this permit expires, a new permit may be acqujred for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension orabandonmenl exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rl:lle or regulation. All plan review Is subject to field Inspections. (1) (2) (3) Chief Building Official :"-"'r'V,' ,OF ~NNING ~DEVELOPMENT BUilding Pennit N~r : , 8r..CTfON OIVISIbN . 235-2855 . , , , ,,,', W'OF,VlfIEAT RIDGE Date. ." '_:_&1 29TH AVI!WE . . "., \;,:, ;....'tRIDGJ!. CO ,80215 ,'~ :';,:~',: l:..i:, . '; ,,), ,'h"l"";l\"'" ".,). . ' '. .C;: 1'topQriy OWner : " : ~Add"': 2901 AMES ST ',~..~ License No. : 19360 .] , ' ,'" -;' :~.- ' , "".' ,:: Compariy : Artistic Iron ~S1~NIiTURE OF UNQERSTANDING AND AG~EEMENT , ',:r":::':::'~~=:' 01' ~ ~ iIlI me_II Shown, and alIegaIlona ," ...~ ~to abIile by.. ~ns PIIn\Ild on lhIa , folll. for ~~ ... Wheall '. -~, .~~WOIkUnder':rpelS::\r9 , " '~' 'L "slGtd: ",', " , DATE.l-~ ~cr "_ "," >:,.- f., :x,. 0_, ',,_i~ ') ,:': _" ',' " .. ",:c,'I";,:,","', .~ ~~. (O"!l:"~, (REPLACEWlNDOWS- ',~ '~ :;;,'r'r:,:"~.~, " BUILDING DEPARTMENT USE ONLY' 4644 ' 215N7 'l, f . f:', i,'. '? Phone :23+9421 Phone: 93ll14gs Con~~, P8rMit , Plan Review Fee : use:t~:: ,. . , l'citiltF " 7;00 $75:60 sO.oO '. ~.7Z, .. '$102;~ . SIC: 'Sq,Fl: IF BEDROOM WINDOWS ARE REPLACED, THEY MU$TMEt!r1tNlI, , B.C. eGRESS STANDARDS " " . , WaDs: Roof: Stories: P1umbing'License No:. Company: , expiration Date : Approval: . Reslderitial.Uoijs : Mechanicatt.~:Nd: Company: Expiratlon1il~ : Approval: . ., lI!Ith...._i riKthlnycput~lIo<Iandl8_"'II\O_ofIheStllloIll, 4/ld ',,2iInIo1li _RIdIIli,CoIora<Io<\lflll!Y____or...~, " " , _~ IallOloolllm.ricod wiIIlliI sixty (eO) doys1lom tssuo_orlB) Ihe buiIdIna ~ 18""-'" , , _:' " . , , " ,;' i " _ ' _ : '''.' ~ ~., :",' ~~r:~~IIOl"':'t~~(=.~.:=:t,,~:o.~.!*=.~.tft tIlol...~~__or_C8UIIng.__~.. " 1:'~(Z4)_In_Ior..inapaCllOn8andsll8ll____""/lllIIlIClIlIll-.~. ~and opocIftc:olicna _ notbo ....-"'bo. permit lor, nor an """,,",bI',tinr_oI.,..jlllMolonI onl_.IIIw, orrogulallon. " , ~ ' , ;~pectQr . . , VAI.JD ONLY WHEN SlGN6D BY THE CHief 8UILDtNG INSPECtoR_ MAYOR . CALL: 234-6933 24 HOURS PRIOR TO INSPI!cnoN " , l:~ ..:~_;;~- .';' " ,,:?'" ,," ",,,:'!i~ti;C;:, _of " ",:;,,~~w:,:;':':'\t; QEPARTMENT 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: Ale. Property Address: 2901 Contractor License No. : Company: /lr';',5+<~ :rro/> !;t,Y1 keu..-en AWles S-f.. ev4.../,,<)de CSZO;J.I'f Phone:c?5'-i-Q'leJ/ Phone: 9'37- 65c ?- OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: .;;L d. ;;):?-, on 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 co itians printed on this application, and that I assume full responsibili 0 co plian ith the Wheat Ridge uildi Code (U.8.C.) and all other applicable W ea i e d an I f r work under this p rmit. r DescriPtion:,~ '-'V~),.:v.~ \ BUILDING DEPARTMENT USE ONLY (OWNER)(CONTRACTOR) SIGNED DATE Total: Zi5Jimm..e..QmmtoJ$;) Approval: Zoning: I:JUlRl!ng~\;om!!.l!l!1~ Approval: P'01fllClWlll'ksNomm~I.Dj:!l.ll Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: . I" ... w" , D!.I Expiration Date: Approval: . Expiration Date: Approval: Expiration Date : Approval: ': . ];} . . 'L'll,. , . j" -Uifjl~. 'W ~ (4) (5) (6) This permit was issued in accordance with the provisions set forth in yapur 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. This permit shall expire If (A) the work authonzed is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 day's. 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 shall be paid for a new pennit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Insfector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases 0 thel'ob, The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (1) (2) (3) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION