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