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3865 Independence Court
A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE 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 Inspection Type: (' Job Address: �-�- i"- Permit Number: �--j4 - t ❑ No one available for inspection: Time ` - ''' AWI:5 Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: '3 Inspector: DO NOT REMOVE THIS NOTICE N\ i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: C-fF �r,!- Permit Number: U!,� 1-1 No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: i- \ Inspector: DO NOT REMOVE THIS NOTICE * _ CITY OF WHEAT RIDGE, - Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ""' Job Address:4a� CF Permit Number: ' 7 'r i_ r F i LJNo one available for inspection: Time/t)AM/PM Re -Inspection required: Yes N - *When corrections have been made,, s edule for r -" c 1 n on thew httpJ/www.ci.wheatridge.co.usfinsp cti n Dater1411ZLI—Inspect r. DO NOT RIWOVE THIS NOTICE i CITY OF WHEAT RIDGE. . Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: " Permit Number: i ❑ No one available for inspection: Time ; 'AM/PM Re -Inspection required: Yes When corrections have been made,, schedule for - ctoir►e-t: http.11www.ci.wheatridge.co.uslinsp� cti n > Dates Inspect r. _ �. A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:-c,,,f ,:',► =-' g---� <.. �._ Permit Number: s� fes... P, y: ❑ No one available for inspection: Time x AIVZ M Re -Inspection required: Yes, ---'Ko ,- When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge. co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 202001768 PERMIT NO: 202001768 ISSUED: 1.0/09/2020 JOB ADDRESS: 3865 Independence Ct EXPIRES: 10/09/2021 JOB DESCRIPTION: Remodeling master bedroom and bathroom. Sq ft: 300 *** CONTACTS *** OWNER (913)632-6076 BOLER NATE GC (720)297-•1.262 MELVIN YANCEY 202.191 CONTEMPORARY CONCEPTS SUB (72.0)279-0030 MARCUS FOUTH 202172 GREAT GUYS HTG, COOL ELEC SUB (720)670-6350 NICK HOFFMAN/JON NELSON 202233 CONSERVE ELECTRIC SUB (720)628-7733 WILLIAM GRIGGS 180305 KEY PLUMBING SOLUTIONS [Total * PARCEL INFO *** NE CODE: UA / Unassigned USE: UA / Unassigned BDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,694.00 FEES Valuation 0.00 Plan Review Fee 184.31 Use Tax 308.57 Permit Fee 283.55 ** TOTAL ** 776.43 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of. Wheat Ridge Municipal Codes. Work is subject to field inspections. 9 1 } � 4 . City of Wheat Ridge Residential Remodel PERMIT - 202001768 PERMIT NO: 202001768 ISSUED: JOB ADDRESS: 3865 Independence Ct EXPIRES: JOB DESCRIPTION: Remodeling master bedroom and bathroom. Sq ft: 300 10/09/2020 10/09/2021 I by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 perforin the work described and approved in conjunction with this ermit. 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 peri"onned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thfs permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The jssuance 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 ordinancq or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildin,1Official Date REQUESTS MUST BE MADE BY 11z59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. valuation changed From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Interior Remodel Date: Wednesday, September 2, 2020 5:48:10 PM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 3865 Independence Ct Property Owner Name Nate Boler Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 919-632-6076 nateboler@gmail.com CamScanner 09-02-2020 17.35.39 1 (1).Ddf APPLICANT INFORMATION Applicant Name Melvin Yancey What is your role in the project? Wheat Ridge Contractor's License Number (This is a 5 or 6 digit number for the General Contractor 202191 City of Wheat Ridge) Contact Phone Number (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments Retype Contractor Email Address DESCRIPTION OF WORK Detailed Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc 720-297-1262 contemporaryc@msn.com contemporaryc@msn.com Master bedroom and bathroom remodel Location of Work Master bedroom and bathroom Square Footage Area of Work Being Performed Asbestos Report Upload letter size documents here 300 Field not completed. CamScanner 09-02-2020 17.15.33 (1).Ddf Construction Plans CamScanner 09-02-2020 17 15 33 odf scanned on 11'x17" or larger Project Value (contract 11000 300sf x $48.98 (major remodel) _ $14,694 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Melvin Yancey Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. IV vr c►ty Of � Wh6atP,,J_(.dA.e COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: �y s L, lfe pe, df,-,,, C,,, General Contractor: Li /l fZ✓�� �� �% �O /JC �%S FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: 604Srl IC h�GGT%c Contact Phone#: 1-2Za L��Ie2 �- Irl Wheat Ridge Contractor License #: 7_0 2 Z33 (required field) State License Master License # S�I_.3 2 � z36' Printed Name of Authorized Agent Signature of Authorized Agent p o Zd Date City of Wh6a-tps- "jd COMMUNITY DEVELOPMET SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This form must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3865 Independence Ct, Wheatridge, CO 80033 General Contractor: Contemporary Concepts FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: Great Guys Heating Cooling & Elec Wheat Ridge Contractor License # Marcus Fauth Printed Name of Authorized Agent Signa` thorized 4ent 202172 Contact Phone #: 720-279-0030 (required field) Date City of W heat P,ldge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Plumbing Subcontractor This foram must be completed & signed by the PLUMBING SUBCON'T'RACTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project ;' General FORM WILL NOT BE ACCEP'rED WITH NIISSING INFORMATION Company Name: `J ss - `3v.kl��_Contact Pltonc#:.lDI -,-qri'1-t Wheat Ride Contractor License #: \ llQ (required field) State License #: �c Master License )� Pnnted me of Authot `.ed Agent C Ib -LQ -'�oaa Sig mture prized Agent Date >33 5366 Godding Hollow Parkway 504 EARTH ENERGY ENVIRONMENT (E3) Local: 30,0080922 Local: 303.478-0922 Industrial Hygiene and Environmental Engineering September 10, 2020 Home Owner 3865 Independence Court Wheat Ridge, CO Subject: Asbestos Sampling Results — 3865 Independence Court in Wheat Ridge, CO To Whom It May Concern: On September 10', 2020, an Industrial Hygienist with Earth Energy Environment (E3) performed an inspection and asbestos sampling at 3865 Independence Court in Wheat Ridge, CO. E3 was retained by the property representative to determine if the materials scheduled for renovation within the property contain asbestos. SURVEY METHODOLOGY An industrial hygienist from E3 conducted the sampling. Materials were grouped into homogeneous sampling areas based on the material type. Among the interior building materials, two (2) distinct homogeneous area within the property was identified and sampled. No other building materials were sampled Homogeneous Material Classifications • A preliminary walk through of the buildings was conducted to determine areas of materials which were visually similar in color, texture, general appearance, and which appeared to have been installed at the same time. Such materials have been termed "homogeneous materials" by the EPA. During this walk through, the approximate locations of these homogeneous materials were noted. • Following the EPA inspection protocol, each identified suspect homogeneous material was placed in one of the following EPA classifications: o Surfacing Materials - Sprayed or troweled on surfaces (walls, ceilings, structural members) for acoustical, decorative, or fireproofing purposes. This includes plaster and fireproofing insulation. o Miscellaneous Materials - Other non -friable products and materials such as floor tile and ceiling tile. o Thermal System Insulation - Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks, ducts, and various other components of hot and cold -water systems and heating, ventilation, and air conditioning (VAC.) systems. This includes pipe lagging, pipe wrap, block, batt, blanket insulation, cements, muds, gaskets and ropes. (These materials were not sampled as part of the survey.) Friability Classifications Friable and non -friable ACM's are defined as follows: • Friable asbestos -containing material: any material containing more than 1% asbestos, determined using PLM analysis, that when dry, can be crumbled, pulverized, or reduced to powder by hand pressure. • Category I nonfriable asbestos -containing material: asbestos -containing resilient floor covering, mastic or asphalt roofing product containing more than 1% asbestos as determined using PLM. • Category II nonfriable asbestos -containing material: any material, excluding Category I non -friable ACM, containing more than 1% asbestos as determined using PLM that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. • Regulated asbestos -containing material (RAC1V1): (1) friable ACM, (2) Category I nonfriable ACM That has become friable, (3) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (4) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the materials in the course of demolition or renovation operations. Sampling and Laboratory Analysis Bulk samples were collected by using various sampling tools (cutting tools, knives and chisels) to cut away or scrape portions of suspect building materials into zip -sealed plastic bags or sampling tubes. The individual samples were labeled by material type and location. Samples were analyzed by Reservoirs Environmental Laboratory located in Denver, CO. The laboratory maintains accreditations through the American Industrial Hygiene Association (AIHA), and National Voluntary Laboratory Accreditation Program (NVLAP). The analysis performed was EPA Method 600/R-93/116. INSPECTION RESULTS E3 collected at least the minimum number of samples from each homogeneous area necessary to meet all regulatory requirements for the quantity of material to be disturbed. Table 1 provides a summary of the homogenous areas. Table 1. Homogeneous and Functional Sampling Areas. HA Material Type Material Description Physical Description Classification Samples Collected Interior Walls Wall /Ceiling A Tan granular plaster w/ off 1 and Ceilings System shite/multi-colored paint Materi at rials 3 (Swirl) Interior Wall A Tan granular plaster w/ Misc. 2 Walls (Rough) System white/multi-colored paint Materials 3 The laboratory separated and analyzed individual layers within each sample, if present. According to the laboratory analysis of the materials sampled, asbestos was not detected in the materials scheduled for renovation. CONCLUSIONS AND RECOMMENDATIONS According to the laboratory analysis of select interior building materials, asbestos was not detected in the materials scheduled for renovation. The Colorado Department of Public Health and the Environment requires any asbestos -containing material that is friable or will be made friable during demolition/renovation activities be removed prior to demolition or renovation. Any potential asbestos containing materials identified in the future or during demolition that were not sampled in this, or any other previous survey, should be tested for asbestos content or assumed to contain asbestos before being disturbed. If you have questions or require additional information, please contact me at (303) 902-5851. Sincerely, Eli Willden i (fin!-� Certified Building Inspector No. 20139 Attachment A Laboratory Testing Results Reservoirs Environmental, Inc Effective April 02, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc REI LAB Reservoirs Environmental, lnc_ September 10, 2020 Eli Wllden Earth Energy and Environment Corp. P.O. Box 348 Frederick CO 80530 Dear Eli, Subcontractor Number: Laboratory Report: Project #/P.O. #: Project Description RES 472993-1 3865 Independence Court in Wheat Ridge, CO None Given 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 472993-1 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, by Tyler Hutchinson Jeanne Spencer President (303) 9641986 5801 Logan St, Suite 100, Denver, CO 80216 wwvo.reilab.com (866) RESI-ENV clients.reilab.com Reservoirs Environmental, Inc. Reservoirs Env i re nme ntal GA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 472993-1 Client: Earth Energy and Environment Corp. Client Project Number/ P.O.: 3865 Independence Court in Wheat Ridge, CO Client Project Description: None Given Date Samples Received: September 10, 2020 Effective ADnl 2, 2018 Q AGAGCALABAReservoirs Env i re nme ntal GA Manual.doc Method: EPA 6001R-931116 - Short Report, Bulk ND=None Detected Turnaround: Rush TR=Trace, <1 % Visual Estimate T re m /Act=Tremolite /Act i n of i t e Date Samples Analyzed: September 10, 2020 Client L Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R (%) M) (%) (%) W1 A Tan granular plaster w/ off white/multi-colored paint 100 ND TR 100 W2 A Tan granular plaster w/ off white/multi-colored paint 100 ND TR 100 W3 A Tan granular plaster w/ off white/multi-colored paint 100 ND TR 100 C1 A Tan granular plaster w/ white/multi-colored paint 100 ND TR 100 C2 A Tan granular plaster w/ white/multi-colored paint 100 ND TR 100 C3 A White/multi-colored paint 5 ND 0 100 B White/brown drywall 95 ND 10 90 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. �~ Tyler Hutchinson Analyst / Data QA P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV F. 303-477-4275 www. reilab. com Page 1 of 1 Reservoirs Environmental, Inc Reservoirs Environmental QAManual REI LAB Reservoirs Environmenta/, /nc_ Effective April 02, 2018 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc RES Job #: 472993 SUBMITTED BY INVOICE TO CONTACT INFORMATION SERIES Company: Earth Energy and Environment Corp. .................................................................................................................................................................................................................................................. Company: Earth Energy and Environment Corp. Contact: Eli Willden ......................................................................................................................... -1 PLM Rush *NO VERBALS* Address: P.O. Box 348 .................................................................................................................................................................................................................................................. Address: P.O. Box 348 Phone: (303) 902-5851 ......................................................................................................................... .................................................................................................................................................................................................................................................. Fax: ......................................................................................................................... A Frederick, CO 80530 Frederick, CO 80530 Cell: Project Number and/or P.O. #: 3865 Independence Court in Wheat Ridge, CO I Final Data Deliverable Email Address: ................................................................................................................................................................................................................................................ Project Description/Location: None Given eli@e3c-usa.com (+ 1 ADDNL. CONTACTS) ° a o ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES PLM / PCM / TEM DTL 1RUSH1 PRIORITY STANDARD a Air = A Bulk = B € € € € s 61 i e i e i . . . . . E € o 2 z a M S ° a o ............................................ ................................................................................ Dust Paint Surface ................................... = D _ = P = SU Food = Soil = Swab _ F .......... S SW CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm Dust RUSH PRIORITY STANDARD :rQ0 LD_ ` ° ° ` m = �' J ...................................... Tape ................................... = T Wipe = W *PRIORNOTICEREQUIREDFORSAMEDAYTAT Metals RUSH PRIORITY STANDARD w �' m € € c� U) € } Q N ' - -o_ � o Drinking Water = DW Q N Q i i i U `_ .s ° Waste Water = WW Organics* SAME DAY RUSH PRIORITY STANDARD M € + w + € € a € LL 0 Em o o c LL: Q 0} N rL fn U) � � � � � � � � U5a Lu co 2 -2 o 5 0- LS � � � � o � **ASTM E1792 o a approved wipe media only** MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm Viable Analysis** PRIORITY STANDARD **TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH Q a �E ori i? o o = 5 0 m o o E a U ._ o -a 3 °- Medical Device Analysis RUSH STANDARD ` `� Y i a E 'EO 2 m C' Zai i _ - _° 0 �_VU J Q : m i oN E? m w o Mold Analysis RUSH PRIORITY STANDARD o_ : ; C �: ?'• d'w: Q d' �oco o _ o Lo v m? a w o **Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays." U) :6210 z i �aa ' N a€ , , 0 C)a W a U T'•' U Laboratory Analysis Special Instructions: a ( i 6 0 - :o ViablesFoa. � co J o a Instructions Client Sample ID Number (Sample ID's must be unique) ASBESTOS L CHEMISTRY MICROBIOLOGY 1 W1 . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X ..................... ¢...... ¢...... ¢.................. ...... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢.................. ...... ¢........................... XB ..................... ¢......¢......¢........................¢...........................¢......¢...... 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PROG(A) PROG(A) PROG(A) PROG(B) PROG(B) PROG(B) 2 W2 3 W3 4 C1 5 C2 6 C3 REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge. relinquished By: Eli Willden Date/Time: 09/10/2020 14:24:24 Sample Condition: Acceptable received By: AnneMarie Kieffer Date/Time: 09/10/2020 14:34:53 Carrier: Hand (303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 vwvw.reilab.com (866) RESI-ENV Page 1 of 1 clients. reilab.com s0-ticzina]'Floyr Ian ALL WORK SHALL COMPLY WITH 2018 IRC, 2018 I ECC 12020 NEC, COLORADO PLUMBING CODE � i ► City of r�V h6 at d COMMUNITY DIEVELOPMENT APPROVED Reviewed for Cade Compliance BRANDON F 9/15/2020 Plarlzo GACIIIIII ICI Date Validity of pSrmh The issudIn" of a permif or gwrvwW of pbns spec#koMm and computabons shaft not be o permit fnr, or an approval of, any veorabon to any of the provisions of the b,urldJng code or of c1► My ardinmws. Plermlts • pmsulmng to gfw authority to Aaialtlr or wncel the provMm of 6WAft cow or other on*nonm of the Oty shah not be vvftdd ON SITE PLANS MUST BE ON SITE FOR INSPECTION i re Sukftet to -Field Ins _ smoke alarms shall comply with section 314 of 2018 IRO Smoke alarms shall be installed in the following locations: In each sleeping room. Outside each separate sleeping area in the immediate vicinity of the bedrooms. On each additional story of the dwelling, including basements and habitable attics and not including crawl spaces and uninhabitable attics. In dwellings or dwelling units with split levels and without an intervening door between the adjacent levels, a smoke alarm installed on the upper level shall suffice for the adjacent lower level provided that the lower level is less than one full story below the upper level. When more than one smoke alarm is required to be installed within an individual dwelling unit, the alarm devices shall be interconnected in such a manner that the actuation~ of one alarm will activate all of the alarms in the individual unit. et of each Scanned with u(j, Independence Floor Plan- Phase I Lighting and Outlee a 331 111 81 101911 111,211 111211 101911 81 -51- 25' 911011 261711 ----3 11011- 1 31 251311 51 Existing Entryway Stays CeilingLight Fixture 32 3511 Existing door stays but switching rotation fit 3511 4141 ----C'�iling Light Stackable xture washer dryer T T 1511 3 it 1111311 It. 1 A 1 51211 151 1113 11 eiling Fan wl '4 1 TI p- 111311 51611 1511 ?-51 111 Outlet Electrical Wall KEY Sconce 0, ro a c c cl iri 9 eOr er .r r Ira Cft of Wheat Ridge 1 5' Building STRUCTUR HEC DENTIAL STRUCTURAL URAL �NCIM�'E��NC Mr. and Mrs. Nathan Boler 3865 Independence Court Wheat Ridge, Colorado 80033 Subject: Wall Remodeling Assessment 3865 Independence Court Wheat Ridge, Colorado Dear Mr. and Mrs. Boler: AugUSt q, 2020 Per your request, on July 20, 2020, I performed a general structural assessor existing wall between two rooms at the southwest quadrant of your home thatt of the wanting to remove as part of a remodeling you are parts of the home were viewed or evaluated. For r ental �, � other unassociated assumed to face east. Purposes, the home was In regard to the wall between these rooms, it currently supports dead and live loads from portions of the ceiling and a point load from a strut below the roof, Photo #Z The span above the wall from the south side wall of the home to the wall directly north was measured to be approximately 10"-4". There were existing foundation walls below both south and north walls. Structural calculations I performed to size a replacement beam for this wall indicated that you should build up the existing 2x6 ceiling rafter directly above the (removal) wall and construct a replacement beam comprised of four additional 2x6 members (Hem Fr #2 or better) installed on the east side of the joist, all bolted together with 'r4 -13x8" carriage bolts —one between each west ceiling joist bay. Verify that all existing ceiling joists to the west of the new beam are properly attached to the new beam prior to removing the wall. Verify that the new beam ends are attached and blocked to the south and north walls, respectively. Also verify or install at least two, 2x studs under the beam ends which are connected to, and extended directly down to the foundation walls at each end. Construction for this work should be performedin accordance with the 2018 International Residential Code as amended and adopted by the city of Wheat Ridge, Colorado other applicable standards, and within reasonable construction standard of care. 109 14 Parker V' to Pfoce a Pork or • C^forouo 80738-72SO (303) 84 1--5- Ck�O • (303) 805- 7 34 7 �i,< alY of Wheat Ridge Scanned with Cio 7 Roof Snow Load: 30 psf Vult. Wind Speed: 135 mph Exposure C Seismic Category B GENERAL NOTES 1• Your contractor should field verify all dimensions and existing conditions prior to commencement of work. Referenced dimensions were based on StructureCheck's own measurements. Your contractor should notify StructureCheck upon determination of any significant variation of information or specifications provided for its interpretation. Information provided for existing dimensions are believed to be accurate, however, you contractor shall be responsible for, and shall only use, its own measurements to verify existing conditions. 2. StructureCheck shall have no liability to you or others for acts or omissions, or any other agents performing work on this project. StructureCheck shall not be responsible for the construction means, methods, techniques, sequence, procedures, shoring, or safety precautions related to this project and its execution. By installing this beam, your contractor represents that it is qualified to perform this type of structural work. Detailed plans can be provided, if desired., to further specify this work for an additional fee. 3. ALL EXISTING UTILITIES IN THE WORK AREAS SHALL BE LOCATED, RE-ROUTED AND/OR REMOVED AS NECESSARY BY QUALIFIED PERSONNEL PRIOR TO PERFORMING WORK. 4. Alternate materials and/or methods shall be submitted to StructureCheck for review and approval as necessary. 5. The scope of work hereto is based on full interaction of all its component parts with no provision made for construction conditions. Your contractor Clly of Wheat Ridge 11dir Scanned with C(,o 01 U, R 400 NZC yy Mr. and Mrs. Soler August 4, 2020 Page three shall be responsible for all phasing, bracing and shoring required duringconstruction. 6. PORTIONS OF THIS DOCUMENT ARE PRESENTED IN A PERFORMANCE SPECIFICATION FORMAT. YOUR CONTRACTOR IS ADVISED TO CONTACT STRUCTURECHECK IN WRITING FOR ANY NEEDED SPECIFICATIONS OR CLARIFICATION. 7. All applicable OSHA safety and confined space requirements shall be implemented when working on the site and within the construction areas. 8. Your contractor should maintain comprehensive general liability, workers' compensation and/or other insurance as appropriate for the work performed which will provide protection from any and all construction or completed operations claims. You should also obtain certificates of insurance from any other subcontractor working on your project. CEC11rh Enclosure,: Photos #1 & 2 New Beam Calculations CY of Wheat Ridge ifdir Scanned with Cio ' tate to call with any additional questions or concerns. Thank you for ..@,�1�?.� �9•r�ur�' erve in this manner. : 28715 �? �c ely, Date •. 202408. 04 03424 -0600' Christop er E. Carter, P.E. Principal Engineer CEC11rh Enclosure,: Photos #1 & 2 New Beam Calculations CY of Wheat Ridge ifdir Scanned with Cio y ipsl • � � .i �3j � jli 3. � ! .. �� C • r L� 1 r Photo #1 w . , �� IAS• � Scanned with Cio DATE: 7/23/2020 CoM PANY; _... 1V1U5 8U1L0: Qr43 DESIGNED By.Chnsto trutturStruCalc C , - Ft (psi) --- - _ 525 Soler Residence REVIEWED By, }e} r CarterCUSTONER: PROJECT LOCATION:38 5 Independence Court +djusted Values 1105 Chri stopher Carter 150 Wheat Ridges Colorado 80033 405 _.._ --� 1300 LEVEE• ..r�r..M.F'Y r...,�rr .. .. ... ..- ..._ _. S __.. LOCATION: Attic Beam LOADENG; .. ..- ASD TYPE: FLOOR BEAM CO D E: NDS: 2418 Inter l Bu1�#meg Code MATERIAL:•.- SOLID SAWN t - X018 NDS Hem -Fir No. 2 (S) 1.5 X 5.5 1 1 1 �.. _ . ..... _..__._ _... M.� . Attic Bearii DIAGRAM -.,...-.-...,.- ...... .... �..-+.r.a_ .' .« _ •may~�w+ti. =h+1: x'; .'�yn...� .' ...y ��.�.__it:. �i�.�"� - � ' jam. •�..�., � �-.rw. ... --..: _. - - '"+r�'rr'irww � , - ...�++�w+.:. _ -J .. - ' -"�C �. +w��'.f MM.1MM.�^' ,��� _ SAW gar•"•'""_+..-�...--.+w.-....+:C.r._.:.. „ '_ . _ t . � ..�: � AV- �. _� .. A_..M•�........... .•a � #w14:., -. ._. •1'n••� i'1• � e ��_ - -_ _ . � .1i �1 1. . A. _ _ ..R - --- .--- NM ray /r A•1nKA.rr4 13EAM DATA mow Start {ftj. 0 End (ft): 10-333 Member Slope; 0%12 Actual Le ____.___.. _- _-- -- _ _ _- __ _ . •_ .. _._ Area Length (ft):10.33 Ix ly 0n2) (in 4) fly BSW Lams G 41.25 (in") (Ibf/ft) 103,98 17 V12 "4ki Y-ri Creep Farclrx 0m1palms �4 �..-_.. ._ --�.r. STRENGTH �..� __�._.� r_ �r_..r.-_-.._...__.-�......-�..r.....- LOCATION (ft) _... � Qr43 1 Fb (psi) Base Values 050 , - Ft (psi) --- - _ 525 Fv (psi) - .. Fc (psi) _ Fcl {psi) _ . E 7 .eaiei ._.__._ .. _ . �._ _ +djusted Values 1105 150 1340 405 _.._ --� 1300 ...._,�...w _,....: M. ,7 _682 150 � � 1430 445 1380 - CT 1 1 1 1 t - Cl 1 1 1 1 1 1 1 1 � Bending Adjustment Factors Cfu 1 C r -- 1 _ ..R - --- .--- NM ray /r A•1nKA.rr4 13EAM DATA Unbraced Length (ft) Beam End Span ------- -Length (ft) Tap Bottom Elev. Diff (ft) CL(Top) p _ CL(Bottom ) CLtl+eitj CL() 10.33333 0 10.33333 0 1.40 - 0.87 - '-1.00 ..+.i41.r.r.r`..w•r•!`i!.I 1A4 ~ ro..►we!f•.•.._ rw.+n..yrr,'K•r-r .1:..x r•.... .. PASS -FAIL Shear Stress Y (psi) Bending Stress Y (psi) Deflection (in) Bearing Stress (psi) PASS/FAIL PASS (81.5%) PASS (1090%) PASS (19.6%) PASS (92.8%) �r� _r._ ..�rv�w_.r.w---.. MAGNITUDE �4 �..-_.. ._ --�.r. STRENGTH �..� __�._.� r_ �r_..r.-_-.._...__.-�......-�..r.....- LOCATION (ft) ._..v.w�.rwrlrwy►�r••rr+.�.�.'wF M......�y�•,rw.H..1I'.�YY�.r...r'<..__...... LOAD COMBO .�. ._ DURATM f ACTQ 27.7 150.0 10.33 D+L 1 994.1 1105.4 5.17 D+t 1 0.277 (=L/448) 0.344 (=U360) 5.17 29.0 405.0 10,33 axis DEAD LIVE LIVE ROOF SNOW WIND + WIND - SEISMIC + A 211 540 0 0 4 0 ---- o -- --- L D+L SEISMIC - ICE M14 0 0 4 B 222 s4 0 0 0 0 0 0 0 0 action Location •�i Type left Magnitude Right Magnitude Load Start (ft) load End (ft) Wad T`1poem - _ _. - .. .. �� r_.r1:J .T.Yrr.wr'rMY-� F _M".�.wY..••••Mt//...�. r.. r.�.. �fAJ_,. .t-.• rrMw. +Fw..'rF.ar-•� .w..r_rw�. w•._+�.��. .ti-rn��•- ..�_ ..r-r_��:r.-.�wwr_.r'w��rrfv- .►�__�. rr __ .__ _ � w. ... r._ ... Point (Ibf} 713.1 5.17 - Live Point (Ibf) 190.15S. - 17 - Dead iiform (Ibf/ft) 35.5 35.5 0 14.333 Live Wheat Ridge 1 ,^in°°^�� Scanned with Cio A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address-. r1 `1 r o e k" c e C L - Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes �Noh When corrections have been made, schedule for re -inspection online at: h ttp ✓/www, ci. wheatridge. co. usfinspection Dater ., c�' a�� t., Inspector: DO NOT REMOVE THIS NOTICE ' o City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001426 PERMIT NO: 202001426 ISSUED: 07/29/2020 JOB ADDRESS: 3865 Independence Ct EXPIRES: 07/29/2021 JOB DESCRIPTION: Replacing a 2.5 ton, 13 seer A/C on the ground and a 75k BTU gas, 80% efficiency furnace in crawlspace. *** CONTACTS *** OWNER (919)632-6076 BOLER NATE SUB (720)279-0030 MARCUS FOUTH 202172 GREAT GUYS HTG, COOL ELEC SUB (949)878-1137 ADAM SORICH 202177 LIGHTNING ELECTRIC *** 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: 11,791.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 247.61 ** TOTAL ** 347.61 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001426 PERMIT NO: 202001426 ISSUED: 07/29/2020 JOB ADDRESS: 3865 Independence Ct EXPIRES: 07/29/2021 JOB DESCRIPTION: Replacing a 2.5 ton, 13 seer A/C on the ground and a 75k BTU gas, 80% efficiency furnace in crawlspace. 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 ennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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. Th 'uance or gra i g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any a li ble ode or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Online Form Submittal: Fumace/Boiler Replacement Permit Applic... https://wrrnail.ci.wheatridge.co.us/owa/projection.aspx Reply all I Delete Junk I Online Form Submittal: Furnace/Boiler Replacement Permit Application • no-reply@ci.wheatridge.co.us Reply all Wed 7/29,11-.22 AM CommDev Permits aim.] Licensing Issue Dina Action Items ............ .......... ................................................................ .............. Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address 3865 Independence Ct Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 1 of 3 Nate Boler 919-632-6076 nateboler@gmail.com 08/19/2020, 10:12 AM Online Form Submittal: Furnace/Boiler Replacement Permit Applic... Reply all Delete Junk ""DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION https:Hwnnail.ci.wheatridge.co.us/owa/projection.aspx Contractor Business Name Great Guys Heating, Cooling and Electrical Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK What type of unit is being installed? 202172 720-279-0030 office@greatguyshvac.com office@greatguyshvac.com Furnace Number of BTUs 75,000 What is the efficiency (%) of 80 the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or crawlspace boiler located (for example, basement, crawlspace, etc)? Project Value (contract value 3749 or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit 2 of 3 08/19/2020, 10:12 AM Online Form Submittal: Furnace/Boiler Replacement Permit Applic... Reply all I Delete Junk I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything 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. Yes Yes Yes Person Applying for Permit Marcus Fauth https://wrmail.ci.wheatridge.co.us/owa/projection.aspx Email not displaying correctly? View it in your browser. 3 of 3 08/19/2020,10:12 AM Online Form Submittal: Air Conditioner/Evaporative Cooler Permi... https:Hwrmail.ci.wheatridge.co.us/owa/projection.aspx Reply all I Delete Junk I Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application • no-reply@ci.wheatridge.co.us Reply all at Wed 7/29,11:18 AM CommDev Permits 2018 Licensing Issue Dina Action Items . ... ....... ............................... Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 1 of 3 New Unit Installation 3865 Independence Ct Nate Boler 919-632-6076 nateboler@gmail.com 08/19/2020,10:13 AM Online Foran Submittal: Air Conditioner/Evaporative Cooler Permi... Reply all Delete Junk **DO NOT ATTACH A PICTURE OF A CREDIT CARD** CONTRACTOR INFORMATION https://wnnail.ci.wheatridge.co.us/owa/projection.aspx Contractor Business Name Great Guys Heating, Cooling and Electrical Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK What type of replacement unit are you installing? 202172 720-279-0030 office@greatguyshvac.com office@greatguyshvac.com Air Conditioner How many tons is the unit? 2.5 For AC - what is the SEER? 13 For Evaporative Coolers, what is the CFMs? Where is the unit located (for Groud example, rooftop, backyard on ground etc)? Is electrical needed for re- Yes hook? Provide Electrical 8443 Contractor's Wheat Ridge License No. Project Value (contract value 8042.00 or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT 2 of 3 08/19/2020,10:13 AM Online Form Submittal: Air Conditioner/Evaporative Cooler Permi... Reply all I Delete Junk applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may Yes not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated Yes in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Permit Marcus Fauth https://wnnail.ci.wheatridge.co.us/owa/projection.aspx Email not displaying correctly? View it in your browser. 3 of 3 08/19/2020,10:13 AM i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: r 1 `', Permit Number: 0;4 Q ❑ No one available for inspection: Time AM/PM Re -Inspection required; lies No When corrections have been M schedule for re -inspection online at: h ttp Awww. ci. whea tridge. co. ueins pection Date:-' _ I 1 a o �� Inspector: DO NOT REMOVE THIS NOTICE �► �' A s City of Wh6at i e COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3865 Independence Ct, Wheat Ridge, CO 80033 General Contractor: Great Guys Heating Cooling and Electrical FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: Lightning Electric Wheat Ridge Contractor License #: State License #: 0101622 Master License #: 0601417 Adam Sorich Printed Name of Authorized Agent Signature of Authorized Agent 202177 Contact Phone #: 949 878 1137 (required field) 08/03/2020 Date INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection 0tcupancv/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Cnncrptp Prinr Tn Annrnvni (W Tho Ahnvn Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service j Plumbing Do Not Cover Underground or Below/in-Slab Work Prior To Approval Of The Above Insnectinnc Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather INS ECTION RECORD .� INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/form INSPECTION REQUEST LINE: (303) 234 Inspectiot s t "Request an inspe tio- d=79 33 Occupancy/Type ill not be performed unless this card is posted on the f> )efore 11:59 p.m. (midnight) to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Mid -Roof Lath / Wall Tie Rough Electric Final Plumbing Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing Final Building Rough Grading 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. 1 Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments j Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201702686 PERMIT NO: 201702686 ISSUED: 06/27/2017 TOB ADDRESS: 3865 Independence CT EXPIRES: 06/27/2018 TOB DESCRIPTION: Install Owens Corning duration sand dune asphalt shingles. 20 squares and 3 squares flat ** CONTACTS *** DWNER (720)530-6907 BANKS ROSEMARY A 3UB (720)372-3619 Alexa Lamm 170119 Crown Exteriors, LLC k** PARCEL INFO *** SONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / k** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Dotal Valuation 0.00 Jse Tax 168.00 Permit Fee 172.60 k* TOTAL ** 340.60 k** COMMENTS *** k** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required L" be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. i - CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ko Job Address: Permit Number: ❑ No one available for inspection: Time Re -Inspection required: Yes �No, When corrections have been made, call for re -inspection at 303-234-5933 Date: t 2 3% 7 Inspector: �-�1-��- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ►' " t ` IJ Job Address:)<��� Permit Number: a ❑ No one available for inspection: Time A _ PN Re -Inspection required: Yes No -,) When c%orrrecction�shave been made, call for re -inspection at/303-234-5933 Date: l �-y//-7Inspector:�� DO NOT REMOVE THIS NOTICE ' City of Wheat Ridge Residential Roofing PERMIT - 201702686 PERMIT NO: 201702686 ISSUED: 06/27/2017 JOB ADDRESS: 3865 Independence CT EXPIRES: 06/27/2018 JOB DESCRIPTION: Install Owens Corning duration sand dune asphalt shingles. 20 squares and 3 squares flat *** CONTACTS *** OWNER (720)530-6907 BANKS ROSEMARY A SUB (720)372-3619 Alexa Lamm 170119 Crown Exteriors, LLC *** 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: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** ** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding 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€lms 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 - 201702686 PERMIT NO: 201702686 ISSUED: 06/27/2017 JOB ADDRESS: 3865 Independence CT EXPIRES: 06/27/2018 JOB DESCRIPTION: Install Owens Corning duration sand dune asphalt shingles. 20 squares and 3 squares flat I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attestAhat I am le rally authorized to include all entities named within this document as parties to the work to be performed andrthat all o to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OV or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies andprocedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Offcial and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be 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 f eld inspection. Signature of Chief Building Official Date I.. 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 insptimerequestgei.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. Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 15, 2017 8:12 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. 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 Property Owner Email Address 3865 Independence court James Banks 720-530-6907 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Crown Exteriors, LLC 170119 720-372-3619 Contractor Email Address lizzyb@crownexteriorsLLC.com (permit pick-up instructions will be sent to this email) Retype Contractor Email lizzyb@crownexteriorsLLC.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Duration Sand Dune Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 20 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3 on the flat roof? z TOTAL SQUARES of all 23 roofing material for this project Provide additional detail House here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 8000.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Elizabeth Barrios Email not displaying correctly? View it in your browser. 3 CROWN EXTERIORS, LLC LOCAL: 720-372-3619 Account Manager TOLL FREE: 1-855-427-6960 Contact # ��___� C —107 E-mail: sales.crownexteriors@gmaii.com ., Insurance Company Information Company www.crownexteriorsllc.com Colin # Claim # •� XT E RI (DRS LLC Mortgage Company Information Company Loan Number ner: /h A N t S Home Phone #: ? —�-�9a Cell Phone #: ddress: �,v L 5EM N /tCt:G ,City &State: �a Zip Code ddress: ),TM G41k<j � n,,,t r/. GOM Date: INSTALL Manufacturer/Style LAMINATED SHINGLE 54VJ 19(441-e- 1J k " Le -1 Color Drip Edge Color Work Being Done t House Roof ❑ Gutters ❑ Downspouts ❑ ❑ Detached Garage / Shed LF Gutters: LF Downspouts: ❑ ❑ Siding Gutter Size/Color: ❑ ❑ Downspout Size/Color: ❑ _ Upgrades L`3--- Architectural Shingles $ r #\ :: C ❑ Extra Vents ❑ ❑ Ridge Vent LF $ ❑ Warranty $ ❑ Wood decking replaced at $40.00/sheet installed- The first two sheets are covered by Crown Exteriors, LLC CONTRACTOR NOT responsible for pre-existing conditions: Crown Exteriors, LLC, will assist the Homeowner with the insurance claim. This proposal is contingent upon the insurance company paying for the roof. gutters, and or siding and will be void if the claim is disallowed by the Insurance Company. The Homeowners authorize Crown Exteriors, LLC,to discuss all information concerning insurance loss and payments with the above listed insurance and mortgage companies as well as perform all work as specified by insurance loss sheet. Acceptance of proposal - The above terms and conditions and those contained on the re se side are satisfactory and are hereby accepted, as authorized to do the work as specified by the Insurance Company- Payment will be _Ideas outlined below. ❑ Cash Bid $ 1 vl �El Insurance Bid Total amount due upon XZA Total Insurance Price $ Total Upgrade Price $ Plus any unforeseen amounts stated above supplements and O & P 1st check: ACV (including deductible) and upgrades due at installation �} C $ _—_----- � ate• / /, �� Total Price $ 2nd check: Depreciation, overhead/profit and any supplements/taxes requested and approved from insurance company. I the undersigned have read and understand all statements and conditions of this agreement and agree that all details of this agreement are accepted and satisfactory. I further understand that this agreement constitutes the entire agreement between the parties and that any further changes or alterations to this agreement must be made in writing and agreed to by both parties. NOTICE TO OWNER: FAILURE OF THIS CONTRACTOR TO PAY THOSE PERSONS SUPPLYING MATERIAL OR SERVICES TO COMPLETE THIS CONTRACT CAN RESULT IN THE FILING OF A MECHANIC'S LIEN ON THE PROPERTY WHICH THE SUBJECT OF THIS CONTRACT PURSUANT TO CHAPTER 429, RSMo. TO AVOID THIS RESULT YOU MAY ASK THIS CONTRACTOR FOR "LIEN WAIVERS" FROM ALL PERSONS SUPPLYING MATERIAL OR SERVICES FOR THE WORK DESCRIBED IN THIS CONT T. FAILURE TO SECURE LIEN WAIVERS MAY RESULT IN YOUR PAYING FOR LABOR AND MATERIAL TWICE. )rpopeVrtyOwner Date A&Korizecl Crown Representative a City of Wheat Ridge Residential Plumbing PERMIT - 201705762 PERMIT NO: 201705762 ISSUED: 08/09/2017 JOB ADDRESS: 3865 Independence CT EXPIRES: 08/09/2018 JOB DESCRIPTION: Permit to repair sewer line in yard. (ROW permit 201705493) *** CONTACTS *** OWNER (720)530-6907 BANKS ROSEMARY A SUB (303)766-7500 Jeff Belk 021818 Plumbline Services *** 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: 3,000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** 001,11 ", �_00 ,"Pr PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Plumbing PERMIT - 201705762 201705762 ISSUED: 08/09/2017 3865 Independence CT EXPIRES: 08/09/2018 Permit to repair sewer line in yard. (ROW permit 201705493) 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 -w-o e pertbrmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of Ok4t<_ or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or,pra al work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit t cons be ar it for or an approval of, any violation of any provision of any applicable code or any ordinance or juri oval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of idge i�(�'WheatP, MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cD.ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # ��--�yy t //>) -I'D s °.. 7 (.0 Z-9 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: C+ Property Owner (please print): Phone: '-7/ 5 30 - C46?' Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Arch itect/Eng 1 neer E-mail: Phon Contractor: P l v ,n„1p 1 „A P Ser v� t c e5 Contractors City License #: Phone: 3 1-7(-. L. `7S60 Contractor E-mail Address: L2er.%nj_sG�plyrvl j,neser:��G.E�, Cn Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL t, RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑X 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.) Sq. FULF Amps Btu's Gallons Squares 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: $ I ct 1 I 17 ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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: S Job Address: W3 &QR.n CQ.— Permit Number: ® 1 -4 Q 3 ') (-A- ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes ON When corrections have been made, call for re -inspection at 303-234-5933 Date: o i I ---). Inspector: 1ww 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 J INSPECTION NOTICE Inspection Type: PU L— _ 5 U Job Address: 3 C -7 -- Permit Number:. 2-0/ ❑ 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:1A'®J Inspector: 13 DO NOT REMOVE THIS NOTICE Permit#:201400860 Issued: 09/29/2014 Stipulations: Complete Interior Remodel; 12 Windows and 2 Exterior Doors, Tankless Water Heater, 200 amp Service Upgrade and New Wiring. This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 3865 Indepondence CT Owner: JAMES BANKS 38• 5 INDEPENDENCE CT WHEAT RIDGE ♦ 80033-4107 Contractor: Brian Dotson 3800 BUCHTEL DENVER CO 80210 I Code Editions NO change shall be made in the USE of ,2012 ICC/2014 NEC this building without prior notice ° 2006 ICC/2011 NEC and a new Certificate Of Completion 2006 IC /2005 NEC from the City of Wheat Ridge. Other F-11M#1KKUV111ff� 11:59 P.M. A # # City of - «- • ## • .�- # Building Permit Application Wiling Address: (if different than pro perty addres Address: 11 b City„ State, Zip Archlta Engineer E-mail: r Phone: �. -It Al I A Plurnbing Mechanical: W. R, City Uce W.R. City License ## R� si Complete all information on BOTH s . 11 11 l . urlt of materials to be used, etc.) � t� Sq. FUL.F Btu's Gallon Am ps Squares O r J une 16, 2014 3865 I ndependenc e C © ?} \\ of : \ 2} we,s wi ndow s n e xterior doors Ne i nterior t r i m , doors cabinets tops \ #o rin appliances pai m is c ., et � \: \§« / nkl \ % water heater, \}\d h 1 \and ba h plumbing. E ? New wiri \\o \e / c a r y200 a m panel Estate of: ROSEMARY A BANKS 5252 Cody st. arvada, CO 80002 RE: Reverse Mortgage Loan #845312 To Whom It May Concern: This letter is to inform you that we received a payoff check on 01/15/2014 and posted the payoff to the reverse mortgage loan in the amount of $133,048.98. Therefore, the reverse mortgage loan is now considered "Paid in Full". If you have any questions, please feel free to contact us at (866) 654-0020. Thank you, AL T 310-410v 'Toll -Free Customer Fax: (866) f ESTATE OF: ROSEMARY A BANKS 5252 CODY STA ARVADA, CO 80002 R. Reverse Mortgage Loan #845312 Reverse Mortgage Servicing Department I MpareniKe"wec, by REQUEST FOR FULL -X— /PARTIAL RELEASE OF DEED OF TRUST AND RELEASE BY HOLDER OF THE EVIDENCE OF DEBT WITHOIN PRODUCTION OF EVIDENCE OF DEBT PURSUANT TO §38-39-102 (1)(a) AND (3),C,R.S.) Custorner#. 59 Service#: 3774ORLI 11011111IM1111111 + Loam #: $45312 secured by the Deed of Trust to be satisfied in full, or in the case of a Partial Release, to the extead required by the holder of the indebtedness. of the Title Insurance Company Authorized to Request 'be Rcleaso of a Deed offrust MEN R S16 00 lot"I D Wo 20140193 Rall 02812014 0716:26 AM 2 p age(s) JEFFERSON COUNTY, Colorado 0 LAST WILL AND TESTA NIENT M1 ROSEMARY A. BANKS 1. Ros(mary A. Banks, a resident of Wheat Ridge, CO, revoke any prior wills and codicils made by me and declare this to be my will, ARTICLE I — FAMILY INFORMATION I am not married. My child now living is James W. Banks. Any reference in my will to my child is to such child as well as any child subsequently born to or legally adopted by n(% Any reference in my will to my issue is to my child and his issue. ARTICLE 2 -- GENERAL GIFTS 2.1 SEPARATE MEMORANDUM: I give all of my personal and household effects, together with any insurance policies covering such property and clainis under such p)licies, in accordance with a memorandum, which I intend to leave at my death. Rosemary A. B iks, f est, trix Dt'-'FINITION 01: RESIDUARY ESTA'I'E: All the remainder of'my estate, including property ref.erred to above that is not effectively disposed of", shall be ref errel to in this will as my "residuary estate." I do not exercise any power of appointment under the provisions of this article. 3 .)2 t)isposrrl0N OF RESIDUARY ESTATE (a) I give the residuary of my estate to my son, (b) If my son should predecease me, I give the residuary of my estate as follows: (1) 'Fen percent (10%) to St. Peter & PaUl Catholic Church of Wheat Ridge, CO. (2) The remainder to my grandchildren and grandniece in equal shares. If any of my grandchildren or grandniece should predecease me, I give his or her share to his or her children. if any, in equal shares. If lie or she does not have any children, I give his or her share to my remaining grandchildren and grandniece in equal shares. ARTICLE 4 — DESIGNATION AND SUCCESSION OF FIDUCIARIES 4.1 PERSONAL REPRESENTATIVE: I nominate rny son as my personal representative. If he fails or ceases to act as my personal representative. I nominate Sharon Tanguy as my personal representative. If she fails or ceases to act as my personal representative, I nominate Ray Tanguy as my personal repres(,ntative, s I2.casernary A. i6nk ", Testatri x 0 ..rs Court A d d ress: C ounty 109 Jefferson Parkway , C! th ear taf tit �+#: A'k COURT USE O NLY Case Number .. ■• ... (name) was appointed o qualified by this Court o its Registrar on (date) as *ersonal Rep resentative. The Decedent died on M_ Cate: ° w° +fit s Pr ME MAO= ♦ s Shutolt valves required on lavatories and water closets,, Minimurn 30" clear area I toilet is required with rainimum 15" fi-oni center to sidewall on each side, Water harruner arr story are required at quick-closing valves R2903,5, 01!0' `U Bwk to Map tars Jun'2012 `r Govq4 e Lte made Terms .......... . Pfivacy Reportaproblem m I 0 c� I�[ +III i ,o i � New O h r � Gr ♦ 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: M ✓ `i�o ---) � _ Job Address:. s c, 5 C t Permit Number: 0 q W z 3 ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When corrections have been made, ca i fre -in c o at 303 - 2345933 !1 Date: Inspector: I DO NOT REMOVE THIS NOTICE A 4' City of Wheat Ridge r40001'r, Residential Roofing PERMIT - 092143 PERMIT NO: 092143 ISSUED: 09/09/2009 JOB ADDRESS: 3865 INDEPENDENCE CT EXPIRES: ..0.3/08./2010 DESCRIPTION: T/o: Install 17 sqs. GAF HD 30yr ***,CONTACTS owner 303/424-5266 Rosemary :Banks gc 303/763-9114 Lorin Hanson 01-9.938 Interstate.. Roofing.. Incorporate **'PARCEL INFO ZONECODE: UA ? USE: UA SUBDIVISION: 0264 BLOCK/LOT#: 0/ **.FEE SUMMARY ESTIMATED PROJECT VALUATION: ::3,009.00 FEES Permit Fee Total Valuation 00 ` Use Tax 54.16 ~Cpeot-&q n(% 'Tt **'TOTAL 180.66 '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 21 inside :exterior : walls..: 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 P(I.S.C)`and all other applica is Wheat Ridge Ordinances, for work under this permit Plans subject to field inspection. Si ature of contractor/owner date 1. This permit was issued in accordance with the. provisions set forth in your application and is subject to the laws of the state of Colorado andto the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other: applicable ordinances of.: the City...:. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, -a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans. and specifications and any suspension or, abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment.' exceedsone (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 phasesof 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 lation of the provisions of the building codes or any other ordinance, law, rule or regulation. A11. plan review is 7ect to field inspections. ~ Signature of Chief 4tiilding: Official : date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855. REQUESTS MUST BE MADE BY 3.PM ANY BUSINESS DAY FOR INSPECTION THE-FOLLOWING- BUSINESS DAY. ~q 3w -0 Wheat i< MMUNITY DEVELOPMENT Building Division 7500 W. 29th Ave., Wheat Ridge, CO Office: 303-235-2855 * Fax: 303-237• Inspection Line: 303-234-5933 Facsimile Building Permit Property Address: 'Jt`'S S -.V>n Property Owner (please print): 9,nSey Mailing Address: (if different than property Address: Contractor: -A- Contractor License Sub Contractors: Use of sppace (description): Description of work: -rem O C-e t(XC,4 W t vv1 Glof~7 44K) Plan Review Sq. Ft./L.Ft added: Squares 1-1_ BTU's Gallons Date: re Permit i) g(y)33 of submittal): $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, acid do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of reopd; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on3his application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (LB.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) PRINT NAME: SIGNATURE: Date nsraaract:. - 0uellC'WGI.CililMfiN73: ' i2evfewer.. $DV:D)Ne'bEF.ATL7fNEN~' CAMMENTS:ice[ Credit Card Payment: Use credit card listed on tile. Date: Print name: Signature: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number: 17728 Date: 9/21/2004 Property Owner: ROSEMARY BANKS Property Address: 3865 INDEPENDENCE CT Contractor License No.: 19814 Company: Wests ide Heating and Air Conditioning Inc I I Phore : 424-5266 Pho e: 469-4507 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 J 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:at Ridge ordi~:'lf:S. for work under this permi!.l (OWNER)(CONTRACTOR)SIGNED:YI \"(' 1\\ t ( \1 DATll k I VI' , Construction V Iue: , Permit!Fee: Plan Review 'Fee : Use Tax: fotal: $3,228.00 $126.50 $0.00 $38.74 $165.24 Use: i IfBiI~] I Description: REPLACE FURNACE WI NEW 90K BTU FURNACE BUILDING DEPARTMENT USE ONLY Zoni/11lf'ornrn,iili;: Approval: Zoning: B!lmllhg COrDl:lDnts: Approval: Flqplic Waam:~Qrnl1)en(S;: Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Residenti I Units: Eiectrical License No : Company: Plumbing License No : Company: Mechanical icense No: 19814 Company: twestSide Heating and Air Conditioning Inc Expiration D te: 4/29/2005 Approval: K/KS , Expiration Date: Approval: Expiration Date: Approvai : (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 Stale of olorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. I This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from Issue date or (B) the building a~thorized is suspended or abandoned for a period of 120 days. J If this permit expires, a new permit may be acquired fOf a fee of one-half the amount normally required, provided no changes hJve 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 orM 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 app val on inspection card before proceediing with successive phases of the job. . i The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an appro'o1al of, any violation of the provisions of the b ,. codes o~O~Q!h~r ordinance, law, rule or regulation. ! .-- ......... ' (4) (5) (6) Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPLlCf.TlON Property Owner: \\ :::>c,:)eMCXV Uil bOJ\~':> PropertyAddress: .,~Le'.) :LV1(Ley'>-€'ndJY1CL C~J:> Contractor License No.: \Q,&I 4 . Company: 10~dD_ V\D~(lCO ct A-/~~ OWNERlCONTRACTOR SrGNATURE OF UNDERSTANDING AND AGREEMENT Building Permit Number: Date: Phone: 303-4 rz.4~'2h0; Phone: ~Q'y(j(oq - ~607 Construction Value:$ 3lt(;~ Permit Fee:$ Plan Review Fee:$ Use Tax:$ . Total:$\. 0~ '1.1-1 ] 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 orrestrictions of record; thatall measurements shown, and allegations made arc accurate; that [ have read and agree to abide by all conditions printed on this application and that I assume fun responsibility for complianccwith the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit (O~N1RA~:SIGNED "Yu~M , ~ DESCRIPTION: ~ \0\. tJl- f Vi Ii DATE wi \~'-~. C\Ol ~Tl) ~ on1 BUILDING DEPARTMENT USE ONLY I ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Stories: Roof: Electrical License No: Company: Plumbing License No: Company: Expiration Date: Approval: Expiration Date: Approval: SIC: Sq.Ft: Residential Uuits: Mechanical License No: \<::\, 1) 1 ~ Company: \0e..'OiSlQ..Q. \1eod-i Vl~ 4- 't~ Expiration Date: 4/ rzJ11 as Approval: 1'Iili permit was issued in aecordan.cc; with the provisions set forth in your application and is subject to the laws oflbo State of Colorado and to tho Zoning RegulaJ;ions and Building Codes ofWhwRid&e, Colorado or any other applicable ordinances of the City. 1'Iili 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 120 days. If this permit expires. a new permit may be acquired far a fee' of one-half tho amO\1D.t nonbaDy required, provided no changes have been or will be made in the original plans and specifications and any suspe.nsionor abandonment has not ex.coeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) yeax...fuD fees shaD be paid for a new permit No work of any manner shaD be done that will change the natunJ. flow of water causing. drainage problem. Contractor shaD notify the Building Inspector twenty-four (24) hours in advance for all inspections and shaD receive written approval OD inspection card before proceeding with successive phases of the job. The issuance ofa permit or the approval of drawings and specifications shall notbe construed to be a pennitfor, nor an approval o~ any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (1) (2) (3) (4) (5) (6) Chief Building Inspector