HomeMy WebLinkAbout3585 Holland Street�^ a
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Cancellations nIust be subrnitteu online for► bQfitare S a.m. the day of ttie 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
PERMIT: ADDRESS: z JOB CODE:
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
Uo Not Pour Concrete Prior To Approval Of The Above Inspections
Underground 1 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
10 2-k
1-4
Uo 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
306 Mid -Roof
10 2-k
1-4
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
.!'_P FOR r ._"'�'1 �� �o �f % lig SPECIAON:3
PERMIT: ADDRESS:
JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection"
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
A
F
i CITY OF WHEAT RIDGE
b - Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: r,2 01'x"
❑ No one available for inspection: Time,; '' 4AIPM
Re -Inspection required: Yes 'No�
When corrections have been made, call for re-inspectionat 303 -234 -
Date: - Inspecto�
DO NOT REMOVE THIS NOTICE
M
City of Wheat Ridge
`r Residential Roofing PERMIT - 201708416
PERMIT NO: 201708416 ISSUED: 10/18/2017
JOB ADDRESS: 3585 Holland ST EXPIRES: 10/18/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 18
sq Pitch = 4/12
*** CONTACTS ***
OWNER (720)218-4313 KASTBERG KELLY SHANNON
SUB (303)945-1544 Matt & Katy Fleming 170396 Fleming Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,445.05
FEES
Total Valuation 0.00
Use Tax 177.35
Permit Fee 188.45
** TOTAL ** 365.80
*** 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.
► City of Wheat Ridge
� r
Residential Roofing PERMIT - 201708416
PERMIT NO: 201708416 ISSUED: 10/18/2017
JOB ADDRESS: 3585 Holland ST EXPIRES: 10/18/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 18
sq Pitch = 4/12
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
m
perfored and that al w rk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or C014RACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offcial and is not guaranteed.
4, No work of any manner shall be performed that shall results in a 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
apphcablgccenordinance 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.
26217 Rangeview Dr.
Kersey, CO 80644
Phone: (303) 945-1544
MattaDFlemingconstruction.net
wstomer
Name Kelly and Daxid Kasiberg FDate 1 t)' 17 ?t) i 7
--
Address 35X5 ---
Holland S_t.
CrtY Wheat Ridge ep Mattstate CO ZIPxQ1►33 Daxe KasiberePhone 70 -?18-3313 970-389-1821
Proposal
1 l . f . t��l 11� < c : •c > ;'�I � :I 1-Z t 1 t I ! � > iti
Scope of Work
– Description
Unit Price Total
Jonsttc AUdress: 3505 Holland St. NN heat Ridge 8tt033
Fleming; Construction proposes to supple all necessary labor,
material and superN inion to complete the follo%%ing;.cope of %pork.
1
Remove existing shingle roof. I
Install new 7 16" plyx%ood decking owr car port area yK.445.05
Install ac\% s\nthetic underlaynient and ice and Nater shield to entire roof i
Install rte\+ Owens Corning duration shingle roof. Includes all accessories4
such as metal drip edge, nc%\ plumbing boots, cnts. (lashing and ridge.
Color: Driftwood J
Clean site and rentow debris.
I
1 Building permit price to he determined. j
t
1
i
Sub Total S--- - - -
Sales Tax; 05
Total Before Options! Included
Acceptance of Proposal - The aboxe referenced pricing. scope of%%ork and conditions are satisfactory and arc hereby
accepted. Fieming Construction is hereby authorized to complete this contract subiect to the terms as specified Pavfient
Terms: 30". down upon material delivery, remainder net 30 days. 1.5°o monthly finance charge after 30 days (180'0
annually)
Proposal xaiid for ninet% (90) days.
Accepted By. Date:
— nsj�, X011 ILLI,,
Dane Lovett
(,17r l
From:
no-reply@ci.wheatridge.co.us
Sent:
Wednesday, October 18, 2017 8:33 AM
fi
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
IS
Flag Status:
Completed
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)
3585 Holland St
Kelly And David Kastberg
720-218-4313
1
Property Owner Email
kellykastberg@gmail.com
Address
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
Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Fleming Construction
Name
0
Contractor's License
170396
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-945-1544
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
26217 Rangeview Dr. Kersey CO 80644
(Primary address of your
business)
Contractor Email Address
Matt@FlemingConstruction.net
Retype Contractor Email
Matt@FlemingConstruction.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
18
the entire scope of work:
Project Value (contract
8445.05
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
z
both? (check all that
apply)
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)
4/12
18
Asphalt shingles Owens Corning Tru Duration
Asphalt
We are only redecking the area over the carport. The house
does not need it. Redeck square footage is 361 SF
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
3
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.
Name of Applicant Matt Fleming
Email not displaying correctly? View it in your browser.
A i CITY OF WHEAT RIDGE
9�(303)
Building Inspection Division
_:�(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
.-) "\ Z> tQ o r\ X24'9 / `
❑ No one available for inspection: Time d AM/PM
Re -Inspection required: ;-_Y�Ws No
When corrections have been made, call for re -inspection at 303-234-5933
!.,J. 1
Date: � �) r) Inspector:
DO NOT REMOVE THIS NOTICE
I* � A i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
r
Inspection Type: ��`T L' /-, �
Job Address: > r /7/0 //1 �� S
Permit Number: -:2 D 5 /,i(
❑ No one available for inspection: Time �� L� AM/PM)
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at%303-234-5933
Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Remodel PERMIT - 201600827
?ERMIT NO:
201600827
ISSUED: 06/27/2016
JOB ADDRESS:
3585
Holland ST
EXPIRES: 06/27/2017
JOB DESCRIPTION:
Kitchen
and two
bath remodels, basement
remodel with new egress window and
total
electrical
update including
re -wiring and 200 amp electrical service.
t** CONTACTS ***
OWNER (970)389-1821
DAVE
KASTBERG
3UB(303)944-6487
Paul
Miller
110161 5M Electric
3UB (303)698-9790
Paul
Turner
140226 T's Plumbing & Heating
r** PARCEL INFO ***
;ONE CODE:
UA /
Unassigned
USE: /
SUBDIVISION CODE:
2406
/ BEL AIRE,HILLCREST
HEIGHTS,
ME BLOCK/LOT#: 0 /
a** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 75,800.00
FEES
Cotal Valuation
0.00
'Ilan Review Fee
610.25
Jse Tax
1,364.40
lermit Fee
938.85
" TOTAL **
2,913.50
t** COMMENTS ***
` CONDITIONS ***
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
)y the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
his permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
)crfonned and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
;ignature of OWNER or CONTRACTOR (Circle one) Date
.. 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.
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 originalp�ermit fee.
q. 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.
1. 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.
The pennit 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.
;. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
. e A ! - 11 -
;ignatuie of Chief Building Official(� Date
LEQUESTS MUST BE MADE BY 11:59PM ANY BUSI SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Occupancy/Type
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
Footing/Stemwall P.E. Letter
Liu IYut r-uul l.unurP_7P_ rrinr 1 n unnrnvni 1 )T 1 nx% AnAVD Incrnnn i•inr�c
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical (Underground)
Sewer Service (Underground)
Date
Water Service (Underground)
Comments
Plumbing (Below / In -slab)
16
Heating (Below / In -slab)
�am 6IY=r 111,11a U 1■0 111110 t• 1 r 7J I 1!1/11• r% -N h l a1 vTr•1➢'i 17Ti1'i W.W, TL7 faSi■T_7.\L'R'17T_7 P"Ta7_CT7 7�
Rough Inspections Date
Inspector Comments
Initials
Wall Sheathing
Roof Sheathing
Date
Lath / Wall Tie
Comments
Rough Electric • rp -
16
Rough Plumbing -// ,
Rough Mechanical F -/'U
Gas Piping
Liu NOL 1"rOceeO vviTn011i Annrnvni i )T Onnvn F7n11nh Incnnn�innc
Rough Framing
Insulation _ /_ 1A,
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
16
Final Plumbing
97
Final Mechanical
Roof
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requeste
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
"Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancv.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
110 -
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FOR OFFICE USE ONLY,�kp�
City of t .
at
Ora lrrt�Ol�
asp �t
Building & Inspection Sendces Division
7600 W. 2e Ave., Wheat Ridge, CO 80033 �
Plan ftviow Fee.
Office: 303-235-2855 :3C)3-237-8929
Inspection Line. 303-234-8933
Buili iM: M 1t Application
ing Permit
" OOMP1 t6 all highlighted arms sin both'*tdos ofthis . Cn t+ .sppltr tic►ns not be prorsad. * *
Lro r (please print):4 *, ,� � � "hone: 3 �
Property Owner Edell. 4A , „ `` � , � � � A
Mailing Address: (if different than property address)
Address:
City, Stele, a
Arch e tlEi in r E-mail.Phone*
Contractor:
Contractors City iii n l :
Phone.
qootractor E-mail, Address.-
Sub
dr .Sub Contractors-.
:
Electrical re Plumbing: ioP A 14'V, Mechanical:
W.R. City License ## W.R. City License # W.1 City License #
Other City Licensed Sub: Other City Licensed Sub:
City License City License #'
Complete all information on BOTH sides of this form
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GENERAL INFORMATION
PIN/Schedule: 300023343 AIN/Parcel ID: 39-272-11-014
Status., Active Property Type: Residential
Property Address: 03585 HOLLAND ST lowner Name(s)
WHEAT RIDGE CO 80033 5847 LEKS ANNE Cl
Mailing Address: SAME ADDRESS AS PROPERTY
Neighborhood: 2406 - BEL AIRE,HILLCREST HEIGHTS, MELROSE MANOR AREA
PROPERTY DESCRIPTION
Subdivision Name. 809800- LVE5T JMZQN
L
PROPERTYINVENTORY
Property Type RESID Year Built: 1955 Adjusted Year Built: 1955
Design: Ranch
Improvement Number:
Item Quality JNoJ
A I re - a - s Quality Construction Silk
FULL BATH Averag
FIRST FLOOR Average M 1240
MAIN BEDROOM 3
!H
2SMT TOTAL Avera 1240
CARPOR1111 T Avera2e 312
SALE HISTORY
TAX INFORMATION
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I "IM, 4, M .701 .01 M rol ,10 r4m
01 M.1 121 IN! M. - 3 Wro ow, I* I I
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OFFICIAL RESULTS REPORT
W13 - National Standard Residential
ODE COUNCIf Building Contractor )
Nerve: d v d itastbc r,
,address: 4817 isabell ct
golden
Candidale ID: It, tit N00 x .i.jt
Date-, z 01
Congratulations! You have passed the above-named earrun tion, YOU will be able io v((;, ifyr your pass),
status on the ICC website within -72 business hours after your exam. Please contact your
participatingjurisdiction if you wish to pursuelicensing.
passing scare on this examination satisfies the testing requir rP ents for licensure ontt, and t: fates riot
guarantee that kensing will be granted. Thse candidate dida:3te rtii�st also .satisfy all local td1na.sr i;.! tz.q,.,iiter eii
in each jurisdiction where lic nsirac is desired.
fired.
It is extremeiy important that you notify Pearson VUE and lt.,.0 of any Casa;?rtes in, n am e , nd of ar'36e,"s t
avoid the possibility of future correspondence riot taeing received. please contact t*th Pearson V`JE at
877-234-6082 and ICC at 888-422-7233 ext, 5524 Mai changes tra YOUr name and addr(':as.
ICC reserves the right to amend or, withhold any examination scores it, in its, stain caiasr ior3, there is
adequate reason to question their validity,
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Diz)4<aa c nbossinge..:rrrtt tfn the pos!�aw,tr of �s<st.,r�w.a.',.� h as ts, etr
Regist a ion Number r 2 8,70 3 V,,,iirraae 4. , t N t &,:, • 140229060
Environment,all Tesrtinq
1675 North Commerce Parkway, Weston, Florida 33326
Tel- (954) 3844446(954) 384-4838
DAVE ST RG
3585 HOLLAND ST
WHENF RIDGE, CO 90033
Prepared for:
DAVE KASTBERG
Phone Number:
(970) 389-1821
Fax Number:
Email Address:
davidjkastberg@live cmn
Test Location:
DAVE KASTBERG
3585 HOLLAND ST
WHEAT RIDGE, CO 80033
Report Number:
052016-0348
Date Sampled:
May 17, 01
Date Analyzed:
Jun 1, 2016
Report Date: Jun 1, 2016
Andrew Pittman, QA/QC Manager
Analytical results and reports generated by PRO-tABISSPTM, Inc, are generated for and at the request of its client($)
named on this report, and for thirrif exclusive use. PR04-ABISSPTM, Inc. does not release original, copies or verbal
results to any third party without prior written approval frorn the named client(s). This report applies only to the
sample(s) tested, This report must not be reproduced, except in full, without written approval from PRO-LAB/SSPTM, Inc,
The cJient(s) is solely responsible for the use and interpretation of test results and reports requested from
PRO-LABISSPTM, Inc. This report must not be used by the client to claim product endorsement by NVLAP, NIST or any
other agency of the U.S. Government, PRO-LABISSIPTIV, Inc. is not able to assess the degree of hazard resulting NVLAP Lab Coft 200790-0
from materials analyzed, PRO-LAB/SSPTM, Inc. reserves the right to dispose of all samples after ::#` ##
of thirty
(30) days, according to all state and federal guidelines, unless otherwise requested, Asbestos samples from New York
are analyzed by Environmental Hazards Services, LLC, W ELAP #11714,
If you have questions or comments, please contact PRO -LAB at (964) 3844446
rev 1A Page I of 2
:• I Me:: A r 0 IM r
M kl IT �4w M I**Mlb J*lui fly Mliw
SAMPLELAYER:
All reent es ace isuall trr�ate le
Chrysotile:
Nei
Amosite:
ND
Crocidolite:
l
A # # h.
ND
Animal Hair:
1►
Actinolite-
ND
Synthetics:
Nei
Mineral l:
N
Fiberglass:
l
Cellulose:
%
Animal Hair:
ND
Antigorlte
ND
11 ;0
Vermi,culdw
ND
Biotite:
N
Mica-
Partite:
ND
Aggregates.
ND
Styrofoam-
ND
W
Aluminum:
N
ResilientBitumen,
Glue:
N t
Binders:
i•
Andrew Pittman, PLM Analyst Andrew Pittman, QA/QC Manager WLAP Lob Code 2007WON
actuallyWIM
All analyses are performed in accordance with the EPA 600/M4-82-020 method, This report must not be reproduced except
in full, without written approval from PRO-LAB/SSPTM, Inc. These test results apply only to the samples
Floor tile is non-homogeneous and results reflect sample content. All samples will be stored for a period of thirty (30), days.
The refractive index was determined by using 'Rapidly and Accurately Determining Refractive Indices of Asbestos Fibers
by Using Dispersion Staining Method', by S -C. Su, The information contained in this report and any attachments is
confidential information intended only for the use of the individual or entities named above, This report must not be used
by the client to claim product endorsement by NVLAP, NIST or any other agency of the U.S. Govemment,
Page
PA6,fessionalls Choica
lo, Environmental Tasting
DAVE KASTBERG
3585 HOLLAND ST
WHEAT RIDGE, CO 80033
Prepared for:
DAVE KASTBERG
Phone Number:
(970) 389-1821
Fax Number:
Email Address:
davidjkastbL-rg@live.com
Test Location:
DAVE KASTBERG
3585 HOLLAND ST
WHEXI'RIDGE, CO 80033
Report Number: 052416-0210
Date Sampled: May 1'7, 01
Date Analyzed: Jun 2, 2016
Report Date: Jun 2, 2016
'Arrt_�
Andrew Pittman, QA/QC Manager
Analytical results and reports generated by PRO-LABISSPTM, Inc. are generated for and at the request of its client(s)
named on this report, and for their exclusive use, PRO4.ABISSPTM, Inc. does not release original, copies or verbal
results to any third party v4thout poor vaitten approval from the named dient(s). This report applies only to the
sample(s) tested, This report must not be reproduced, except in full, without written approval from PRO-LABISSPTM, Inc,
The client(s) is sotely responsible for the use and interpretation of test results and reports requested from
PRO-LABISSPTM, Inc. This report must not be used by the client to claim product endorsement by NVLAP, NIST or any
other agency of the U,S. Government, PRO-LAB/SSPTM, Inc, is not able to assess the degree of hazard resulting NVLAP tab Code 2007WO
from materials analyzed, PRO-LAWSSPTM, Inc. reserves the right to dispose of all samples after a period of thirty
(30) days, according to all state and federal guidelines, unless otherwise requested, Asbestos samples from New York
are analyzed by Environmental Hazards Services, LLC, NY ELAP #11714,
If you have questions or comments, please contact PRO -LAB at (964) 3844446
rev 1A Page 1 of 2
0 wF R A ;3 za
7F
6 i
* �ini� r�r* u� i�au u�i Feu ;iii i
TEST 0
�l �.
0 416
ILII �0W:
IY£ M
SAMPLING DATE: I
`vlu� II
2
DATE RECEIVED:
May 23, 20
DATE
.
REPORT DATE:
Jun 2, 201
SAMPLE LOCATIN:
O
KITCHEN
COLOR I DESCRIPTION:
SERIAL If
SAMPLE LAYER: t
AqSgrcentaqes are visualestimated brae
Chrysotile:
NES
Amos te:
Nle
Crocidolite:
N
Anth hyllte:
N
`reroute:
Nib
Actinolite:
N
Synthetics:
N1
Mineral Wool,
Nle
Fiberglass:
N
Cellulose*
ND
Animal Pleb:
N
tigcrite:
ND
Vermiculite,
N
Biotite-1
Nle
Resilient
Nle
Partite-
Nle
Aggregates:
20%
tyro rro:
Nib
MPIRM
Aluminum:
Bitumen:
Resilient
Glue
N t
1"
Andrew Pittman, PLM Analyst Andrew Pittman, QA/QC Manager N"Labcode=N7WO
All analyses are performed in accordance w0h the EPA 600/M4-82-020 method, This report must not be reproduced except
in full, without written approval s PRO-LAS/SSPTM, Inc, These test results apply only + the samples
P;�6tessfonaf's Choioe
Environmental Teating
DAVE KASTBERG
3585 HOLLAND ST
WHENT'RIDG E, CO 80033
Maul � I I 111F i I I I I
Prepared for:
DAVE KASTBERG
Phone Number:
(970) 389-1821
Fax Number:
ail Address:
davidjkastberg@1ivexom
'rest Location:
DAVE KASTBERG
3585 HOLIAND ST
WHENI- RIDGE, CO 80033
Report Number: 052316-0077
Date Sampled: May T?, 01
Date Analyzed: Jun 3, 2016
Report Date: Jun 3, 2016
Andrew Pittman, QA/QC Manager
If you have questions or comments, please contact PRO -LAB at (964) 384-4446
rev 1A Page 1 of 2
rill
Z � mm
Will
Chrysotile:
ND
Amosite:
ND
Crocidolite:
ND
Anthophyllitw
ND
Tremofitw
ND
Actinolite:
ND
1101111111264.1; 440149m- ;I
Synthetics:
ND
Mineral Woot
III
Fiberglass:
ND
Cellulose'.
ND
Animal Hair:
ND
Antigorite*
ND
WOU110411'' -
MAIT-luz It
TEST 11) NUMBER.
06231151
SAMPLING DATE:
May 17, 2016
DATE RECEIVED:
May 23, 2016
DATE ANALYZED:
Jun 3, 2016
REPORT DATE:
Jun 3, 2016
SAMPLE LOCATION:
BEDROOM
COLOR I DESCRIPTION:
W41TE
SERIAL #
SAMPLE LAYER:
NKTZIX#�Tl MOM
Vermiculite:
ND
Biotite:
ND
Mica.
ND
Perfite
ND
Aggregates,
5%
Styrofoam-
ND
MERM
Aluminum:
ND
Bitumen,
ND
Resilient Material"
ND
Glue�
ND
Binders:
95%
Andrew Pittman, PLM Analyst Andrew Pittman, 0,A/QC Manager NVW Lab Code 20OW79"
All analyses are performed in accordance with the EPA 600/M4-82-020 method. This report must not be reproduced except
in full, without vvritten approval from PRO-LAB/SSIPTM, Inc. These test results apply only to the samples actually tested,
Floor tile is non-homogeneous and results reflect sample content. All samples will be stored for a period of thirty (30) days,
The refractive index was determined by using 'Rapidly and Accurately Determining Refractive Indices of Asbestos Fibers
by Using Dispersion Staining Method', by S -C. Su, The information contained in this report and any attachments is
confidential information intended only for the use of the individual or entities named above. This report must not be used
by the client to claim product endorsement by NVLAP NIST or any other agency of the U,S. Government. Page 2 of 2
C ENE
NG
�L I X( -LE
3828 South Lowell B ou I ev a rd, Denver, CO 802363 0 3 -883-4102
�
PROJECT O:16-0562
May 20, 2016
SUBJECT: Single Family residence ltemodel
3585 Holland Street, Wheatridge, Colorado
frame conditions. Conclusions and recommendations presented herein are based on observation of
exposed and accessible components of the structure, verbal information provided during our site visit
and applicable codes.
window. Contractor to saw -cut the existing concrete at the existing window down to a maximum
of forty-four inches above slab height per egress requirements. No further modifications are
reR' uired as the new window width will match the existing window width,
2. Existing east - west wall on the main floor that separates the entry from the dining area may be
removed as it is non-structural.
3. A new 6'-0" maximum opening is to be created in the west wall of the kitchen. Provide a new
(2)-Wheader for this opening. Bear on (I) -2x4 trim and (I) -2x4 king stud at each end. Bear
new stud packs on a double joist in the main floor framing. No modifications are required to the
beam in the floor system bearing these joists.
Conkle Engineering Inc,
Bryan L Corale, P.E.
1 1111 1 1
IF I I Ill, Ilili Ill Filiffil"'llil ��Ml 291��
lln-a-\ I C-li
I
& d as roan far 0" caar:10scars ol'taatht b cat•
shOw r. less than 60 irld sa raacrasurc.cf
vertically firo as water ed, e, & not, more than
60 inct:res above walking surface shall tams=
s alcfy gJaazing per R08A,
3 CO
Wor s all c:catajp1y Witjj tlrc
hAlOwing codes: 2012 JRC, 2(,-)12
IECC& 2014 NEC
s
.r.��.
"'Q
In areas specified in NEC article
'110— r wbere 15 &20 A, 120v
receptacles are replaced, arc -fault
protection shall be provided as per
AAAA 1"V41
Smoke Tars shall be required in °adbarr r0110 c
tc ceach sleeping room d outsideeach .r r(s) sh
sleepingarea per 0 IRC, Section � with on
I ' R315 of the
IR . nOt More than I 'tr ay
313, tltc c�dtrancc ofan slcc znro otyt,
s
Y te,wt to Rcld Inspections
Wheat Midge Building re nt„
roan C
ICZ
t
EX61STi46
-7
0
Mimrum 30"' clear area for toilet is
V� required with minii-num 15"'ffom
center to sidewall on each side,
Walls in shower shall have non -40 e
absorbemt finish, to 6' above floor, C=>
DILI
rA 0\'�tf
so ("FNII f 4
shall Ire plovided
vented triemtellor
J
in toilet ro(IM", and bathro("I's-
Combustion air ducts within 12" of k, Eess window(s) required
v 1114,
Ceiling and floor, sized at the rate of complying with R3 10 of the 2012
I sqn inch per 2000 BTU"s, are IR C for size, hC4,01tJocation, well
required. and ladder requirements,
Smoke alan-n,; shall be re-quir"A in
ide ea,c
each SICel)"'19 r("mTi and outs SC01011'11
' area per 2012 IRC
steeping,
313,
Cafbon llnonoxide detector(s) shall
c,OMPIY With Section R315 of t1le
2102 IRC & not more that, 10' fi-0111
the entrance Of Wly sleepingroorn.
. ticw " 11,0 d
e�jOCL OCA
'T'
'ED
SL,,.,p--Ct to FielInspectiolls
V','heat Ridge BuMing Dept,
Sion, ............ .—Plan Checker,
Neu) Mec$5
W wo a vj
INSPECTION RECORD O ccupancVlTVpe
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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDAT ECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS: -.
Footings /
Stemwall / Concrete
Encased
Lj. — C"%
I I LC
Reinforcinolithic
Weatherproof nch Drain
Sewer Seres
Water Sers
CONCRETE SLAB FLOOR
Electrical (Underg round)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath/ Wall tie
Mid -Roof
Lj. — C"%
I I LC
Electrical Service
Rough Electric.
Rough Plumbing
Gas Piping
Rough Mechanical
�i HbUVt INbFLU IIUNS IU bt SIUNEO PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
�).
FINALS ..
Electrical
Plumbing
Mechanical -
Roof Vic.,r
Building Final
Fire Department
R,O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
s Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"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 Q, CCUPANCY . NOR PERMISSION FOR.00CUPANCY. -..-
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
-------- P ROTECT -THIS-CARD - -FROM THE WEATHER - - - -- - -- -- - - - - -- --- - - - - --
PER
SO: 093127
3ESS: 3585'HOLLAND ST
PION: Reroof 19 sqs
luation'
�x
nD An
T 093.127
:D: 'r 10/07/2009
M i,' 04/05/2010
-9938 Interstate Roofing Incorporate
UA >
C /LOT #: 0/
C VALUATION:- 3,990.00
;ite.. :If.one' - or: the -other
:dsheathing?:spaced: more
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: C q 3 i f '2 7
P. `> ' 77
❑ No one available for inspection: Time /C M PM
Re- Inspection required: Yes No
When corrections have been made, call for re insp,@ction at 303 234 - 5933
Date: C-�. Inspector:
DO NOT REMOVE THIS NOTICE
08/19/2010 14:32 FAX 3032352857 '..• PL.,- \',I:'NG 3032352846 10005 /007
►; City of 'Wheat Ridge
'l
Residential .Roofing I'EIZMIT - 09.1959..
�!.. PERMIT NO: .091959.
ISSUED: - '09/03/2.009
`i ADDRESS: 3585 r HOLLAND ST -
6 .
.EXPIRES: 03/D2/2010
DESCRIPTION: Reroo;_ 20, sqs
CONTACTS
. '. Anne Hocks
_.
.. ...
sub. ..'303/763 -9114 Lorin Hanson.
''
'.
-9938 Interstate Roof ing,.Incorporate
. .
.01
PARCEL, NFO
� - CODE.; UA
... ..
-USE: .UA
-
k -:SUBDIVISION .. - 0616
.BLOCK /LOT#: 0 /,-
FEE .�SUMMARY * -
ESTIMA TED
PROJECT VALUATION: .6 000. 00 -
e.
FEES
-. . . ..
: Permit Fee
'Total
r Valuation:��
oD
1
j�D�oG�i
f,r Use Tax -
X 108.00
.TOTAL **
- 270.,90
f
" Conditions:
?t ;.6 nail, ' installation & mid -roof inspection required. Board sheathing spaced more
xhan a 1/2. o£'vaa inch apart requires plywood overlay on entire roof. Ice and
,r shield required from eave edge to 2 , inside - exterior walls.
IRk 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'alle atiora made are accurate; that i have iced and agree to abide by all conditions printed on this
'application and that Lass Eull res na ability for compliance with the wheat Ridge Building ode. I.B:C) and all other.
appl�rabl he3q Ridg r 'nancee, wont order th 'pc at. Plans subl act. to field vnspec Ci ( on ..
e l V
Signature of contracto o ner
-:1 This permit wee. issued in. accordance -with, the..provle ions set forth in your application and is subject to the.law. of the -
State of Colorado and to the Zoning ¢egulgtiona and 3vi.lding - Codes of Wheat Ridge, Colorado:Or arty. other, applicable
$, ordinance. of the City.
.This permit shall, expire 100 days from the issue date. Requcacs for an exteneion must be received prior to expiration
date. An extension may be 'granted at the discretion of the Building Official.
�q3. If this peimi t` expires, a new permit maybe acquired for a fee of- one -half she amount normally xequired, provided no
3 a„ changes have been or will be made an the original 'plane and specifications and any suepennion or abandonment has not
exceeded one -(1): year. If changes •have. been or if suspension or abandonment exceeds one .'(1) ear, Cull fees 'shall
W:.. be paid for a.-new permit. . -...-
's No work of any manner shall be done that will change the natural, flow of water causing -a drainage' problem
- "S. "Contractor ahall,motify the Building. Inupector twenty -four (24) hours in advance for all SneoecLione and shall receive
written 'approval on inspection' card before proceeding with succcesive phases of 'the >job.
The issuance of a permit or the :approval of..drawinga and specifications shall nos 'be cons trued.to be a permit .for, nor
an approval - Of, all Y1olaCion'OL :C he, provisions cf the 'building codes or any 'other Ordinance, '.law, rule or. regulation,
All plan z vi i ubject to field inspections
t' .
� signature of ie ,wilding official " � - -date
3 ti
;?INSPECTIO .REQUEST- LINE - '(303)234 -5933 . BUILDING OFFICE: ' (303)235-2855 -
32E UESTS MUST'..BE MADE BY 3PM ANY 'BUSINESS DAY FOR iINSPECTION- THE:FOLLOWIN(3 BUSINESS DAY.
r
3037893790 . 08/19/2010 14:54 RECEIVED FROM: 3032352857 "7814 -005
♦ 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: f
Job Address: 1-111& 1114
Permit Number: 10
❑ No one available for inspection: Time AM &P
Re Inspection required: Yes o ,
* When corrections have been made, call for re -ins ection at 303-234-5933
Date: r Inspector:P VO ,E'
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: �SSS / i /moo 3
Permit Number: X
�f ong.
❑ No one available for inspection: Time So AM /I'M
Re- Inspection required: (& No
F When corrections have been made, call for re- inspection at 303-234-5933
r Date: 1,9 Inspector: r
DO NOT REMOVE THIS NOTICE
4
CITY OF WHEAT RIDGE
g Building Inspection Division
/ (303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address /Permit Number: 1C,fj�
IM F e
g/ K
f
L PN
i
I ,
ti
fI
❑ No one available for inspection: Time 1 /r6 AKI PM
Re- Inspection required: 'Y No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: 4 74 - 0q Inspector:
DO NOT REMOVE THIS NOTICE
:-- ,-gym -�
.
e ` s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: z �/ :'�, ✓
Permit Number:
- 26
6 7 4 -- '
❑ No one available for inspection: Time % ``) ; FPM
Re- Inspection required: Yes /No
' When corrections have been made, calf for re- inspection at 303- 234 -5933
Date: Z, -1 4 — «o Inspector : �,V
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: FIA1 -c: 1200,g
Job Address: .35 _5" AJoLCr4r✓p S-f-
Permit Number: ~GI1959
i
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-2345933
Date: /0-,e-09 Inspector: /?V
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: s 4
Job Address ; 6aF,f >J1 c
Permit Number:
❑ 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: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 091959
r4ooor-
PERMIT NO: 091959. _ ISSUED: 09/03/2009
JOB ADDRESS: 3585 HOLLAND ST EXPIRES: 03/02/2010
DESCRIPTION: Reroof 20 sqs.
CONTACTS
owner Anne Hocks.
sub 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing,. Incorporate
PARCEL INFO
ZONE CODE.:: UA USE: UA
SUBDIVISION: 0616 .BLOCK/LOT#: 0/
**.FEE SUMMARY ESTIMATED PROJECT VALUATION: :.6,000.00
FEES
Permit Fee 162.90
Total Valuation .00 Use Tax 108.00
3 r i .r'J -
TOTAL 270.90 _
Conditions
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than a 1/2. of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2`,inside exterior walls.
Subject to field inspection.
T 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 alle ations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I ass full res nsibility for compliance with the Wheat Ridge Building Code_(I.B.C) and all other
appl 5 hedt, Ridg 'nances, work under this pe it. Plans subject to field inspection.
~ o /^I
Signature of contracto o er `.d e_
L.. This permit was. issued in accordance. with the.. provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any. other applicable
ordinances of the City. -
This permit shall expire .180 days from the issue date. Requests for an extension mush be received prior to expiration
date. An extension may be. granted at the discretion of the Building Official.
7. 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 anew permit.
k. 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, an violation of :the. provisions of the building codes or any other ordinance, law, rule or regulation.
All rtviplp vi i ubject to. field. inspections.
rgnature of~ hie uilding Official date
INSPECTION REQUEST LINE: (3.03)234-5933 BUILDING. OFFICE: (303)235-2855
ZEQUESTS MUST BE MADE BY 3PM. ANY BUSINESS DAY FOR INSPECTION THE :FOLLOWING BUSINESS DAY.
oF"'"E"TR City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
°ocoRAO° ° inspection Liner 303-234-5933
Building Permit Application
Property Address' 75~ -(cllc in(j S~ f } P
r- n, C'c7 E<CZ ~ 3
dx.~ 1-C
Property Owner (please print): A yit 1F Phone:
Mailing Address: (if different than property address)
Address:
, State, Zip:
Contractor:
Contractor License M Phone: '--2t j v
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Use of space (description):
Description of,workz V
Plumbing City License
Company
Exp. Date:
Mechanical City License
Company:
Exp. Date:
Sq. Ft./L.Ft added: Squares 20 BTU's
Construction Value: $ io oc%
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Gallons Amps
OWNER/ CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
SCEir
PRINT NAME: (;Z
( A , t
" SIGNATURE: Z~_ Date: Q
Date: 0 16.5
Plan M
Permit
Bldg Valuation:
•"4 City of Wheat Ridge
_rr
Faxed Roof Permit PERMIT - 093127
PERMIT NO: 093127 1ISSUED:' 10/07/2009
JOB ADDRESS:'.' 3585 HOLLAND ST EXPIRES: 04/05/2010
DESCRIPTION:.: Reroof . 19 sqs
CONTACTS
owner 303/421-5234 Anne Hooks f
sub 303%763-9114 Lorin Hanson 01-9938 Interstate Roofing ;Incorporate
'PARCEL , INFO
ZONE :.CODE: UA
FUSE: UA
SUBDIVISION:: 0616:
?BLOCK/LOT#: 0/
FEE SUMMARY
ESTIMATED
PROJECT VALUATION: 3,990.00
FEES
Permit Fee
126.50
g 6,~~~~{(
Total Valuation
.00
Use Tax
71.82
~
TOTAL
.198.32
Conditions:
Both front and back of permit need to be pos
is not present, INSPECTION WILL NOT BE PERFO
ractor/Property owner shall provide 1
ions.`
to field inspection.
certifythat the setback distances proposed by this
as, rules or regulations of the City of 'Wheat Ridge.
ants shown, and allegations made are accurate; that
ion and that I assume full responsibility for compli
le WheatRidge Ordinances, for work under this perms
ed on job site. If one or the other
MED.
(llired.' Board sheathing spaced more
overlay on entire roof. Ice and
aside exterior walls.
.dder(s) secured in place for
permit application are accurate, and do not violate. applicable
r covenants, easements or restrictions of record; that all
have read and agree to abide; by all conditions printed on this
ace with the Wheat Ridge Building Code I(I.B.C) and all other
. Plans subject to field inspection.
of contractor/owner d
a
A
Its
at forth. in your application and is subject to the laws of the
as Codes of Wheat: Ridge, Colorado or any other applicable
nests for an extension must be received prior to expiration
INSPECTION REQUEST LINE: (303)234-5933 BUILDING 0
fficial.
half the amount normally required, provided no
ions and any suspension or abandonment has not
onment:exceeds one (1) year,full fees 'shall
of water causing a drainage ;problem.
in advance for all inspections and shall receive
phases of the job.
s shall not be construed to be a permit. for, nor
or any other ordinance, law;; rule or regulation
FFICE: (303):235-2855
INSPECTION RECORD Occupancy/Type
'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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
StemwalI / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR
Electrical
Plumbing
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Insulation
Drywall Screw
HAS BEEN SIGNED
BEEN SIGNED
PRIOR T(
CITY OF WHEAT RIDGE
10/08109 - 9:14 All edba
Robert Fowler
FINALS
Electrical - -
al
P
sqs
n-W eroa
093128
Permit Fee
235.70
inal
V
Use SP Tax
Reroof 35 s4s
331.60
rtment
093129
Drainage
P
INSPECTIONS
Permit
Use TaxFPe
199.30
-132.38
Landscaping
SHOULD BE C
PAAiNEHT RECEIVED
AMOUNT
ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AN
I
V$;. 8950
938.42
CERTIFICATE
OF OCCUPANCY IS ISSUED, FINAL INSPECTION BY THE BUILDI.
Ruth Code:
01548B
OF A CERTIFICATE OF OCCUPANCY NOR PERMI:
TOTAL
938.42
OCCUPANCY NOT PERMITTED UNTIL CERTIFIC
- i--"--
_
PROTECT THIS CARD FROM THE
WEATHER
Rroparty rkdaMs:
Property Owner (plea
{Mailing Address: if dfferent than property address)
Address:
of
,AA 41
i City of ]
Ipcor Gate:
IEhiT Psrfnlt #:~G~
Building Division
7500 W. 29t" Ave., Wheat Ridge, CO 800.33
Office; 303-235-2855 * Fax: 303237-8929
Inspection Line: 303-234-5933
K
II~~1 Inf-` ,~psn~r (~~a~_f
' 1 ) Plan Review (due 5f VMS of submHreq: $
OWNERICONTRACTOR alONATURE OF UNDERSTANDING AND AGREEMENT
te, artd tlo net vlalata applicable ordinances;
1 hereby oertiff that the setnadc dlsCenc9a pproposed by this permit appllcallon era eFr
Hales of regulatlon3 of the City of Whea! Rlnants, a9Sem0I or 04 recDtd; that 'Mao asuremersts ahmwn, and
dgaar cove inted ohls appin and that I aseame fun
eUrrgatlorta made are accurate; that i have read and agree [c abide byy all Condition
reaponaibility for compliance with the Wheat Rldga Euliding Code (I.B.C) and all other appildebip W/haatt ge Ordinances, for work
Fr thia pen Plans smbJect W field inspection.
CIRLCE'ONE,: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONMTOR)
NAME; _ SIGNATURE; Date:
Credit CardP t: Us c fisted on
Print name; LU Y l l l - ) I ~r _ Siignipi
Facsimile Building Permit Application
Sub Conftetm:
Company Mama: License p Expiration Date: TradefF'rtafsssion Awproval:
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 8939
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date: 5/20/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner:
Property Address: 3585 HOLLAND ST
Contractor License No. : 20263
Company: Norco Home Improvement Inc.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 421-5234
Phone: 233-5375
DATE
Total:
$3,960.00
$97.25
$0.00
$5940
$15665
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 R.idge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
Use:
Description:
Vinyl Replacement windows
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Fl :
Approval:
Zoning:
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 yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of \Nheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (SO) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a 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 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
proceediing with successive phases ofthel'ob.
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.
./J~~_.
Chief Ifuildl 'g Inspector
(1)
(2)
(3)
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner:
Property Address:
Contractor License No. :
Company:
APPUC.t\TID N
~::?~
35g5#~~,
~~
Phone: 1'5<-/- 5.,234
Phone:
1ffo -/'?aJ
:J fcf(), (Jd
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Valu
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 Wh~e~r work under this pe it.
(OWNER)(CONTRACTOR) SIGNED ,t::'. _ DATE
,
Permit Fee:
Use Tax:
Total:
Description:
~A
4l~
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning:
SIC:
Sq. Fl.:
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)
(2)
(3)
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 VVheat 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 trom issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a 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 permit.
No work of any manner shall be done that will change the natural now of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of thel'Ob. _ .
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.
(4)
(5)
(6)
Chief Building Inspector