Loading...
HomeMy WebLinkAbout4307 Garland Streeti0 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax rINSPECTION NOTICE Inspection Type: �i �; �4f P'ral, S,"171 -111w Job Address: qk7 r; oY-la,? c/ Si Permit Number: 20100/X00 ❑ No one available for inspection: Time ,,Io 69113M Re -inspection required: Yes F"01) When corrections have been made, call for re -inspection at 303-234-5933 Date: VOM M Inspector: r . l c),v C ` DO NOT REMOVE THIS NOTICE rm" i CITY OF WHEAT RIDGE Building inspection d`ivi'sion (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 31 y —yQpdr Job Address: L120 7 6a� /and S4 Permit Number: 2-010e) 3OO ❑ No one available for inspection: Time 10,Y ) t,,AM�PM Re -Inspection required: Yes (No,,.) When corrections have been made, call for re -inspection at 303-234-5933 Date: Ve71` 1 Inspector: ,t v `-e /I DO NOT REMOVE THIS NOTICE Reservoirs Environmental, Inc. Effective January 1, 2015 Reservoirs Environmental QA Manual T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc REI Reservoirs Environmental Inc. T' May 31, 2017 Jim Durgee Colorado Asbestos Inspections 303 S. Broadway Suite 200-209 Denver CO 80209 Dear Customer, Subcontract Number: NA Laboratory Report: RES 380713-1 Project # / P.O. # 170531-1 Project Description: 4307 Garland St. Wheat Ridge 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 380713-1 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, �a.Qa�it. Dauc�en Jeanne Spencer President P:303-964-1986 F: 303-477-4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 1-866-RESI-ENV www.reilab.com Reservoirs Environmental, Inc. Reservoirs Environmental QA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: Client: Client Project Number / P.O.: Client Project Description: Date Samples Received: RES 380713-1 Colorado Asbestos Inspections 170531-1 4307 Garland St. Wheat Ridge May 31, 2017 Effective January 1, 2015 Q',\QAQCILAMReservoirs Environmental QA Manual.doc Method: EPA 600/R-931116 - Short Report, Bulk ND=None Turnaround: 2 Hour TR=Trace, Date Samples Analyzed: May 31, 2017 Trem Detected <t % Visual Estimate /Act=Tremolite/Actinolite Client Lab L Asbestos Content Non Non - Sample ID Number A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R (%) (%% (%) (%) SID1-1 EM 1869865 A Tan/white texture paint 20 ND 0 100 B Black tar 20 ND 0 100 C Black/tan fibrous material 60 ND 85 15 SID2-1 EM 1869866 A Black tar 20 ND 0 100 B Beige/white texture paint 20 ND 0 100 C Black fibrous material 60 ND 85 15 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%. KAr - Kelly Nuccio Analyst / Data QA P: 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI-ENV F: 303-477-4275 Page 1 of y�,,y„y 1 .reilab.com D.DM.- 433, RE`. 380713 Due Time: �:�L °7'a"c •�C-'=:;ca-wa=DIJ.[-� �ir-d C✓�L'`•�ttz�c'z��G siv �t'�®. //7�_ - ppplLOv±.n±Deo.�vC(�[021G•I'1�]elp:.:IpZ•fa�±Di4JJdJYS T.lfres :lWIIE7IEIN Aft, H-. Con Ph—: 7294 94228 • -tt. 7 of �.e io mmprwnw++x.ls.or �.m wl. isx.e�ll�wrn.�i�i.: �r�wa�wv+f+llllrr.•y...ar.le..t.wrl�+0lrlay.aana.w wr+..r�..lr Relin uisbsd By: oa<Drrme: -� 3/ - / SDerok C«wiwn: On ke s.akd Laboratory Use OMy,kn/ h �1i ` 13 i i ��l ._ f1.'f n. Tlro.Ir7 _ ,../Ho V"/W rai ,,—mlL—-ic City of Wheat Ridge Residentail Siding PERMIT - 201801308 PERMIT NO: 201801308 ISSUED: 05/07/2018 JOB ADDRESS: 4307 Garland ST EXPIRES: 05/07/2019 JOB DESCRIPTION: Residential siding with Mastic white double lap vinyl. Squares: 14 *** CONTACTS *** OWNER (303)547-4722 MCKENDRY JESSE SUB (303)803-2148 Greg Wyatt 130087 Great Western Roofing & Constr *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Total Valuation 0.00 Use Tax 147.00 Permit Fee 156.75 Investigative Fees 156.75 ** TOTAL ** 460.50 *** COMMENTS *** *** CONDITIONS *** **A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION. A final inspection is required at completion. Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. A mid -inspection is required for house wrap prior to siding installation. A final inspection is required at completion. City of Wheat Ridge Residentail Siding PERMIT - 201801308 PERMIT NO: 201801308 ISSUED: 05/07/2018 JOB ADDRESS: 4307 Garland ST EXPIRES: 05/07/2019 JOB DESCRIPTION: Residential siding with Mastic white double lap vinyl. Squares: 14 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved pians 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_permrt. I further attest that I am legally authorized to include al[ entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 writingand 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 ff 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 ho der shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall no#lnroceed or conceal work without written approval of such work from the Building and Inspection Services Divisi 6. The ice granti permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appl r a r 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. City Of W heat jj ge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(o)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: �5%� J� Plan/Permit # f 613o r 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: ±10-7 6A1 -/Z -A y Property Owner (please print): C - Jesse A7 Phone: 3o3 -T Y7- • Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Phone: Contractor: City of Wheat Ridge License #: / 900 �'7 Phone: 303- 803- Z / Ye Contractor E-mail Address: S ,t.Les g2-��.r s-. h�i.► r . crss For Plan Review Questions & Comments (please print): CONTACT NAME (please print): C �P r! �� Le__ Phone: CONTACT EMAIL(p/ease print): Sa.ee-r (? ria u-��- � rus�kP = co•�� Sub Contractors (Must provide Wheat Ridge License No.): 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 # ❑ COMMERCIAL Q /RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Commercial Projects Only: Occupancy Type: Construction Type: Sq. FULF Amps BTUs Squares 4� Gallons Project Value: (Contract value or the cost of all materials and labor included in the entireproject) $ —7 oOD;_- 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) (CONTRA Signature (first and last name):sId Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) DEPARTMENT USE ONLY DATE: 4-7-1Z OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: z x .... r.aZ � COLORADO ASBESTOS eciINSPECTIONS coamral Limited Asbestos Inspection Report 4307 Garland St Wheat Ridge, CO 80033 Report Date: 6/5/17 Prepared For: Jesse McKendry 4307 Garland St Wheat Ridge, CO 80033 303-547-4722 mckendrv.05@gmail.com Prepared by: Colorado Asbestos Inspections 303 S Broadway, Unit 200-209 Denver, CO 80209 info@coasbestest.com 303-246-4587 Table of Contents 1.1 Project Summary 1.2 Homogenous Areas in Work Scope 1.3 Photo Log of ACM and/or Trace Materials (if identified) 1.4 Summary of Asbestos Samples Section 2 Recommendations Section 3 Project Overview Section 4 4.1 Asbestos Containing Materials (ACM) 4.2 Suspect Asbestos Containing Materials 4.3 General Comments Conclusion Appendix A: Drawing(s) B: Certifications C: Laboratory Report and Chain of Custody Form 61 Section 1 1.1 Project summary Location/ Tan fiberboard siding components inspected: Client: Jesse McKendry Consulting Firm # 19102 Inspection Date: 5/31/17 Building Single family residence Description: Date(s) of 1948 construction: 1.2 Homogenous Areas in Work Scope Inspector: James Durgee Inspector Cert # 16040 Scope: Partial renovation Laboratory: Reservoirs Environmental NVLAP # 101896-0 Homogenous Areas in Work Scope Class= Material Classification: S=Surfacing Material, M=Miscellaneous, T=TSI *Quantities are estimates only and should not be used for bidding Group Class Material Location(s) 1 M Tan fiber -board siding (wood grain Home exterior -west side pattern) 2 M Tan fiber -board siding (straight vertical Home exterior -north, east and south lines) sides 1.3 Photo Log of ACM and/or Trace Materials (if identified) None of the samples contain asbestos. 1.4 Summary of Asbestos Samples Bulk Sample and Locations Table Quantity Samples 400 1 1200 1 Group Sample ID Sample Locations Condition Friable Result 1 SID 1-1 Home exterior West side, north end G Yes None detected 2 SID 1-2 Home exterior South side, west end G Yes None detected Condition: SD= Significantly Damaged, D= Damaged, G=Good Friable: NF1= Category 1 Non -Friable, NF2= Category 2 Non Friable Section 2 2.1 Recommendations No asbestos was identified in any of the samples that were collected. As per AHERA, a material is to be considered as asbestos containing unless it is proven otherwise by appropriate sampling. Please work safely and if you encounter any other suspect building materials not listed in this report, please contact Colorado Asbestos Inspections for additional sampling. Section 3 Project Overview Colorado Asbestos Inspections was contracted by the client to perform a limited asbestos inspection at the previously referenced address. This asbestos inspection was conducted by a Colorado State Certified Asbestos Building Inspector. The client is planning remodeling activities of the inspected areas in the property at the above mentioned address. Colorado Regulation #8 requires that all suspect Asbestos Containing Building Materials (ACBM) be properly sampled and analyzed prior to conducting any repair or renovation activities over the established trigger levels (32 sq. feet or 50 linear feet or the equivalent to a 55 gallon drum, for residential properties and 160 square ft, 260 linear feet for commercial properties). The purpose of this inspection was to identify and sample all suspect ACBM that may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection This asbestos inspection was conducted according to the United States Environmental Protection Agency (EPA) procedures published in 40 Code of Federal Regulations (CFR) Part 763, Subpart E - Asbestos -containing Materials in Schools and Colorado Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). This inspection involved identification and sampling of suspect ACBM in the areas to be repaired or renovated. Suspect ACBM includes nearly all building materials except glass, metal, wood and ceramic. Bulk samples of suspect ACBM were collected in general conformance with AHERA protocols as outlined in Colorado Regulation 8. Random samples of suspect building materials were collected throughout each homogeneous area (see appendix A). Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. 4.1 Asbestos Containing Materials Asbestos Containing Materials (ACM) contain asbestos in concentrations greater than 1 percent, (> 1 % asbestos) as confirmed by an accredited laboratory. ACM is categorized as Non -friable or Friable asbestos. Non -friable asbestos is any material that cannot be crumbled, pulverized or reduced to a powder by hand pressure when dry. Friable asbestos can be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Sample(s) were submitted under chain of custody procedures to an accredited laboratory for analysis by polarized light microscopy with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Microscopic visual estimation was used in obtaining the percentage of asbestos in bulk samples. The laboratory is accredited under the National Voluntary Laboratory Accreditation Program NVLAP. See appendix A for sample and laboratory summary and appendix C for laboratory report and chain of custody documents. 4.2 Suspect Asbestos Containing Materials Suspect ACBM are building materials historically known to contain asbestos and therefore suspected to contain asbestos. The EPA and the Occupational Safety and Health Administration (OSHA) maintain comprehensive lists of suspect ACBM frequently encountered during inspections. 4.3 General Comments This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the areas in question. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Colorado Asbestos Inspections does not warrant the work of regulatory agencies, laboratories or other third parties supplying information that may have been used in the preparation of this report. No warranty, express or implied is made. 4.4 Conclusion Colorado Asbestos Inspections has performed a limited asbestos inspection of the property previously referenced. Through laboratory analysis of bulk samples, Colorado Asbestos Inspections recommends hiring a certified asbestos abatement contractor only if asbestos containing materials were identified, as determined by laboratory testing and in Sections 1 & 2 of this report. Any work associated with any asbestos containing materials must be performed in accordance with all State and Federal Regulations. Reasonable effort was made by Colorado Asbestos Inspections to locate and sample accessible suspect building materials. However, for any structure, the existence of unique or concealed asbestos containing materials is a strong possibility. Colorado Asbestos Inspections only collected PLM bulk samples in the property's repair/renovation areas at the direction of the client. This limited asbestos inspection report is not considered a comprehensive asbestos inspection report. Respectfully Submitted, James Durgee Colorado State Certified Building Inspector: 16040 Consulting Firm: 19102 Colorado Asbestos Inspections, LLC. 303 S Broadway, Suite 200-209 Denver CO. 80209 Tel (303) 246 4587 info@coasbestest.com Appendix A: Drawing (Not to scale) Appendix B: Certifications 4 \� Cototado Department of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that James D. Durgee Certification No.: 16040 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: November 30, 2016 Expires: December 07, 2017 ` •ra2 fl—h Aud..rr.xx raepanrnme b,' rvrsvr A'Winwek9r^rclrni.LY [wnerad BE- N NeiLntpflnra2MJ4[abave - �_. (CHC llTRAINING —5w,55 - Avenue Denver, CO go 21 303.¢1049 halnlrychc cam Certifies that lames Dureee Nos Successfuiiy Completed the EPA. Approved Ann -I Asbestus Refresher Troining Course Under Section 206 of the To—Substance Control Act (TSCA), Title It BUILDING INSPECTOR Date_October 21, 2016 N. hcate NR1612MN on hank H.I.a® InctNclor Ivpiration Date: October 21, 2017 wsaw.ewwe.n..n.n..,as Daruya Benedetto - TraMMx Prontxam Mwxer ti City of flame: COMMUNITY DEVELOPMENT PlenlPermit If Building & Inspection Services Division 7500 W, 2e Ave., Wheat Ridge, CO 80033 Plan Review Fe Oce: 303-235-2855 * Fax: 303.237-8929 Inspection Lire: 303-234-5933 Building Permit AppliCation Please 0MOsts all highlighted e s on both sides at this form. facomple*elpolostions may not tw processed. " j Property Owner rn�t Mailing Address- (i di; erent than property address) t Architect/Engineer E-mail: Phone: Contractor: Rim s L Electrical: Plumbing: Mechanical; W.R. City License # W.R. City License ## WR. City License # Other City Licensed Sub: Other City Licensed Sub: City License ## City License # Complete all information on BOTH sidesof this form mri tion of cork.- (Check all that appy NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, stied, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe) amount of materials to be used, etc.} t S A r, ,9 Amps Surae Other 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) Building Permit Number: 14721 Date: 10/28102 Property Owner: DOUG PEACE Property Address: 4307 GARLAND ST Contractor License No. : 20337 Company: Cripes Construction Phone: 423-0927 Phone: 303-287-5997 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 al on itions printed on this application, and that I assume full responsibility for mpli c the Wheat Ridge Building , Code (U.B.C.) and all other applicable W i a , for ~ork under this pe it. (OWNER)(CONTRACTOR) SIGNED t:? Total: $1,400.00 $50.95 $0.00 $16.80 $67.75 Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: LAYOVER EXISTING ROOF WITH TAMKO HERITAGE SHINGLES AND INSTALL TAMKO AWA PLAN 170 MODIFIED ROOFING OVER PATIO - ~... ""1 ". ;'-;- BUILDING DEPARTMENT USE ONLY .~ ~~'"'''' SIC Sq. Ft. ~C ..! '..,.. .JIlI Approval Zoning B"IF;~".~ '" gJiL , II:! Approval 1f$11~1t';~r'1\ .$.." '1.,$., Approval Occupancy Walls Roof Stories Residential Units Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 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 procee " g with successive phases of the job. The' u c~.Jit.2. a It or the approval of drawlogs aod specificalloos shall oot be coostrued to be a permit for. oor ao approval of. aoy vlolalloo of the pro sio oT rt,~g codes or any other ordinance, law, rule or regulation. Chief'BUildingC' (1) (2) (3) ~' ~HE.r ." -'. / ~ 0 - c> " ~ COLORP-OO 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) APPLlctTlON Dove, Peace: I.-( '3 o'f) Gctf'-taf'\dsr- ;)..0337 ~ C r-TfJer- Lo,^ST/'vc.T'O 1\ Property Owner: Property Address: Contractor License No.: Company: Building Pennit Number: ~/ Date:; 0-.17tll2 Phone: 3'O..? - f.{ ':L] - CJ 9 J'l Phone: 30 :> ' ;L !l ? - .;;-q9"1 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ); '1llfJ ~ 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 cu.B.e) and all other applicable Wheat 'dge Or inan es, for work under this permit. Construction Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ 'Ar/~:Z DESCRIPTION: .layover cXt s:r r;'5: r tJ () F f/V/rA Jl:;N1/CO fle-/'lra:;csJ, I~ le.s C7nc///lJral/ , 7ii~fo /'Jj/t/CI/hr} /:;c} .41t7c/,-'/4e/rtlO'T:rytll/ef' /C1r/O (OWNER)(CONTRACTOR), SIGNED BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plwnbing License No: Company: Expiration Date: Approval: Expiration Date: Approval: Mechanical License No: Company: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This pennitshall 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. (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 (I) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance ofa permit or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief Building Inspector