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3795 Independence Street
A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'Of f rp Job Address: Permit Number: I ❑ No one available for inspection: Time _')',,a Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- Date:-,S 03-234-Date:3 % / c2. Inspector DO NOT REMOVE THIS NOTICE IF e CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L) I r, - " , ) Job Address: 3 '7 c7 s— Z-„ j - ;!k� „ f )r -n ,-ge S� Permit Number: -0 D I-7 © q -;; 4 �nbr ❑ No one available for inspection: Time 1a - o 7 AK Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: --3 a /is Inspector: DO NOT REMOVE THIS NOTICE le A i CITY OF WHEAT RIDGE �(303) Building Inspection Division(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: DD f' -A L Job Address: :;1 �- n �c'� G.�� LV - Permit Number: ❑ No one available for inspection: Time AM60 Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscella PERMIT - 201709380 PERMIT NO: 201709380 ISSUED: 12/01/2017 JOB ADDRESS: 3795 Independence ST EXPIRES: 12/01/2018 JOB DESCRIPTION: Permit to install 15 windows/doors in same location, no changes to opening sizes. *** CONTACTS *** OWNER (303)421-7627 WRIGHT JEFFREY L SUB (303)662-8150 Jim Archer 090119 Scottish Home Improvements *** 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: 11,000.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 231.00 ** TOTAL ** 281.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 11by msignature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicabby le 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 f rther attestxhat l;,fm legally authorized to include all entities named within this document as parties to the work to be per ormed-atidpth4Yalf work to`be performed is disclosed in this document and/omits' a companying approved plans and specifications. 2. 3. 4. 5. 6. naWe of- OWNER or CONTRACTOR (Circle one) Date I This permit was issued based on the information provided in the permit application and accompanying )Tans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 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. 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. 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. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. r Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat age COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsCicimheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 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: 3795 Independence Street, Wheat Ridge CO 80033 Property Owner (please print): Jeffrey Wright Phone: (303)885-1593 Property Owner Email: Jeffreywright@yahoo.com Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: SCOTTISH HOME IMPROVEMENTS Contractors City License #: 090119 Phone: Phone: (303) 662-8150 Contractor E-mail Address: dianne@scottishgroupcompanies.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION * WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe) Remove 2 layers of siding and replace w/ James Hardie plank 8 114" w/ 7" exposure, Colorplus (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.) Ns & �.__. ..,...... 11___.._..1 Window Job -Remove and dispose of old windows and doors. Install new windows as follows: Milgard Styleline Vinyl windows with white inside outside. Total of 15 - single slider windows and 1 - 6' sliding glass door to be replaced. There are No newly created or altered openings. Sq. Ft./LF '/10` � Amps M I -A Btu's N I N Squares Gallons Other IV 1A Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF t''NDERSTANDING 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 1 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. L the applicant for this building permit application. warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER (CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) :Q�� Electronic Signature (first and last name): DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ I 1�t- Poo& I L C I ter, V i v i i I I S-ff �7ri I ib -� US BUILDING SUPPLY - DENVER 2 UIS5 U5BU2DUUG SUPPLY 4391 YORK ST DENVER, CO 80216-3904 IQ 303-298-1292 12. J Quote Name: Jeffrey Wright Quote Number: SQPDYM000985_1 Customer: Scottish Home Improvement Created Date: 9/8/2017 Payment Terms: Modified Date: 11/8/2017 Sales Representative: Jeremy Trujillo Mobile: PO Number: jtrujillo@usbsinc.com Total Units: 15 Total Sq Ft: 174.00 Comments: Est. Delivery: Billing Information Shipping information Name: Scottish Home Improvement Name: Same as Bill -to Address: Address: Phone: Phone: Fax: Fax: Email: Email: Common Selections: Product Line: Style Line, Fin Type: 13/8" Setback, Opening Type: Net Frame, Finish: Ext White /Int White, Screen: Standard with Fiberglass Mesh Line: 1 Location: Living Quantity: 1 6110 HV U-Factor;.33, SHGC:.30, VT: .57 Size: 711/2" x 47 5/8" Net Frame 711/2" X 47 5/8" Model: Half Vent - — — _ Handing: Half Vent XO i Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer Hardware: Positive Action Lock '� !I Ratings: STC: 28, OITC: 23, Tested: LC25 Clear Opening: W 33 1/8" x H 45 1/8" Sq. Ft. 10.38 j Egress: Yes F Other Ratings: CPD: MIL -A-153-04208-00001 Viewed From Exterior Max Width on Single sliders is 71.5" Customer Approval: Quote Number: SQPDYM000985_1 Print Date: 11/8/2017 Pag= 10 f 9 Line: 2 Location: Living Quantity: 1 6110 HV U-Factor:.33, SHGC:.30, VT: .57 Size: 47 3/8" x 35 3/4" Net Frame 47 3/8" X 35 3/4" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 211/16" x H 33 1/4" Sq. Ft. 4.86 Other Ratings: CPD: MIL -A-153-04208-00001 Viewed From Exterior Customer Approval: Line: 3 Location: Dining Quantity: 1 6110 HV LI -Factor: .33, SHGC:.30, VT; .57 Size: 47 3/8" x 35 3/4" Net Frame 47 3/8" X 35 3/4" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock y' Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 211/16" x H 33 1/4" Sq. Ft. 4.86 Other Ratings: CPD: MIL -A-153-04208-00001 Viewed From Exterior Customer Approval: Quote Number: SQPDYM000985_1 Print Date: 11/8/2017 Page 2 of 9 Line: 4 Location: Dining Quantity: 1 6110 HV U-Factor:.33, SHGC:.30, VT: .57 Viewed From Exterior Line: 5 Quantity: 1 Size: 47 3/8" x 47 5/8" Net Frame 47 3/8" X 47 5/8" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 211/16" x H 45 1/8" Sq. Ft. 6.6 Egress: Yes Other Ratings: CPD: MIL -A-153-04208-00001 Location: Kit Sink 6110 HV U-Factor:.33, SHGC:.30, VT: .57 - Size: 35 1/2" x 35 1/2" Net Frame 35 1/2" X 35 1/2" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 15 1/8" x H 33" Sq. Ft. 3.47 Other Ratings: CPD: MIL -A-153-04208-00001 Viewed From Exterior Customer Approval: Customer Approval: Quote Number: SQPDYM000985_1 Print Date: 11/8/2017 Page 3 of 9 Line: 6 Location: Office Quantity: 1 6110 HV U-Factor:.33, SHGC: 30, VT: 37 Viewed From Exterior Size: 59 1/4" x 35 3/4" Net Frame 59 1/4" X 35 3/4" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 27" x H 33 1/4" Sq. Ft. 6.23 Egress: Yes Other Ratings: CPD: MIL -A-153-04208-00001 Line: 7 Location: Bed Ft Quantity: 1 6110 DV U-Factor:.33, SHGC:.30, VT: .57 Size: 83 1/2" x 23 1/2" Net Frame 83 1/2" X 23 1/2" Dimensions: Sash Width One Quarter Model: Double Vent Handing: Double Vent XOX Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube ♦ e' Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC25 Clear Opening: W 18 1/8" x H 21" Sq. Ft. 2.64 Other Ratings: CPD: MIL -A-153-04208-00001 Viewed From Exterior Customer Approval: Customer Approval: Quote Number: SQPDYM000985_1 Print Date: 11/8/2017 Page 4 of 9 Line: 8 Location: Living Room Quantity: 1 6110 HV U-Factor:.33, SHGC:.30, VT: .57 Size: 46 S/8" x 34 1/2" Net Frame 46 5/8" X 34 1/2" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 20 11/16" x H 32" Sq. Ft. 4.6 Other Ratings: CPD: MIL -A-153-04208-00001 Viewed From Exterior Line: 9 Location: Bed East Quantity: 1 6110 HV U-Factor:.33, SHGC:.30, VT: .57 Viewed From Exterior Size: 711/2" x 23 3/4" Net Frame 711/2" X 23 3/4" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC25 Clear Opening: W 33 1/8" x H 211/4" Sq. Ft. 4.89 Other Ratings: CPD: MIL -A-153-04208-00001 Customer Approval: Customer Approval: Quote Number: SQPDYM000985 1 Print Date: 11/8/2017 Page 5 of 9 Line: 10 Location: Bath �_,(� �s 7 Quantity: 1 6110 HV U-Factor:.32, SHGC:.30, VT:.57 Viewed From Exterior Line: 11 Quantity: 1 Size: 33 3/8" x 22 1/2" Net Frame 33 3/8" X 22 1/2" Model: Half Vent Handing: Half Vent XO Glass: 1/8" SunCoat (Low -E) Tempered over 1/8" P516 (Standard Obscure) Tempered Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 30, OITC: 24, Tested: LC30 Clear Opening: W 14 1/16" x H 20" Sq. Ft. 1.95 Other Ratings: CPD: MIL -A-153-04210-00001 Location: Laundry 6110 HV U-Factor:.33, SHGC:.30, VT: .57 Size: 47 1/2" x 23" Net Frame 47 1/2" X 23" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 211/8" x H 20 1/2" Sq. Ft. 3.01 Other Ratings: CPD: MIL -A-153-04208-00001 Viewed From Exterior Customer Approval: Customer Approval: Quote Number: SQPDYM000985_1 Print Date: 11/8/2017 Page 6 of 9 Line: 12 Location: Bed East Quantity: 1 6110 HV U-Factor;.33, SHGC:.30, VT: .57 Viewed From Exterior Size: 711/4" x 23" Net Frame 71 1/4" X 23" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC25 Clear Opening: W 33" x H 20 1/2" Sq. Ft. 4.7 Other Ratings: CPD: MIL -A-153-04208-00001 71.5 Max on all single sliders Line: 13 Location: Bath Quantity: 1 6110 HV U-Factor:.32, SHGC:.30, VT: .57 UGST P i rm 5 Size: 35 1/2" x 23 1/2" Net Frame 35 1/2" X 23 1/2" Model: Half Vent Handing: Half Vent XO Glass: 1/8" SunCoat (Low -E) Tempered over 1/8" Clear Tempered Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 30, OITC: 24, Tested: LC30 Clear Opening: W 15 1/8" x H 21" Sq. Ft. 2.21 Other Ratings: CPD: MIL -A-153-04210-00001 Viewed From Exterior Customer Approval: Customer Approval: Quote Number: SQPDYM000985_1 Print Date: 11/8/2017 Page 7 of 9 Line: 14 Location: Living 50 -r�/ Quantity: 1 6110 HV U-Factor:.33, SHGC:.30, VT: S7 Viewed From Exterior Line: 15 Quantity: 1 0 Size: 471/8" x 34 1/8" Net Frame 47 1/8" X 34 1/8" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCoat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 2015/16" x H 315/8" Sq. Ft. 4.6 Other Ratings: CPD: MIL -A-153-04208-00001 Location: Bed SO 6110 HV U-Factor:.33, SHGC:.30, VT: .57 Viewed From Exterior Size: 47 1/4" x 23 1/2" Net Frame 47 1/4" X 23 1/2" Model: Half Vent Handing: Half Vent XO Glass: 3/32" SunCDat (Low -E) over 3/32" Clear Other Glass: Gray Foam Spacer with BreatherTube Hardware: Positive Action Lock Ratings: STC: 28, OITC: 23, Tested: LC30 Clear Opening: W 21" x H 21" Sq. Ft. 3.06 Other Ratings: CPD: MIL -A-153-04208-00001 Customer Approval• Customer Approval: Quote Number: SQPDYM000985_1 Print Date: 11/8/2017 Page 8 of 9 US BUILDING SUPPLY - DENVERjS 4391 YORK ST Lj f , u -3!3L1La n1a suor Ue DENVER, CO 80216-3904 , 303-298-1292 n .,t -r Submitted By: Grand Total (USD): Accepted By: Date: ----------------------------------------------------------------------- For warranty information please visit www.milgard,com/warranty/ Please note that actual NERC energy values may vary from those reported in CTB Quote Plus due to variations that may occur during the manufacturing process. In most cases variations will be minimal. Please contact your Milgard location with questions or concerns regarding this potential variation. Handing is viewed from outside looking in. ADDITIONAL INFORMATION: Quote Number: SQPDYM000985-1 Print Date: 11/8/2017 Page 9 of 9 Sales Person: u s sutLDUVG su Dealer Name: 402240 USBS WASHINGTON -DENVER Bill To: USBS WASHINGTON - DENVER PO BOX 2010 AKRON, OH 44309 Quote Created By: jtrujillo@usbsinc.com Order Notes: Delivery Notes: Ship To: USBS WASHINGTON - DENVER 4391 YORK STREET DENVER, CO 80216 Phone: Quote Name: Jeffrey Wright Dealer Acknowledgement Quote Date 11/8/2017 Date Ordered Quote Not Ordered User Initials: Fax: Project Name: Scottish Home Improvement QUOTE # RUSH STATUS PO# 1644818 No None Line Item # Qty Width x Height UI Description 1-1 1 70.625" X 79.5" 151 Overall Rough Opening: 71.125" X 80" Comment / Room: None Assigned 5106-5100 Series Standard XO 70.625 x 79.5 Call Width = 72, Call Height = 80 Operation / Venting = XO Frame Color = White Barrier XP SC Foot lock Standard Screen U -Factor = 0.28, CR = 54, SHGC = 0.23, VT = 0.53, CPD = ASO -A-39-00449-00001 Rough Opening Line Item Notes: ATTENTION Please note that all weights provided are estimates and subject to change based on actual order shipment. NOTICE. The rating information provided on this quote is based upon the NFRC ratings at the time of quote. Such ratings are subject to changes in the standard by the applicable regulatory agencies and will be finalized at the time of manufacturing. All ratings printed on the NFRC label will supersede the NFRC rating set forth in the quote. Any changes made to an order after submission may also result in changes to the NFRC rating. Customer shall be solely responsible for determining whether the product ordered meets their jurisdiction's requirements. I have reviewed this order and certify that it is correct. 1 understand that this order is noncancellable, nonreturnable, and nonrefundable. By Authorized Representative Page 1 Of 1 Total Unit Count 1 1 cn D c7 O a cn w 3 u m n O CD w c;i =:� I O l< L Q CA) CD O �. 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CD n Cp CD O w W is in v r) ag 1 0 ®�0 G r w UCCi CC O 3 ®io rT :3 rT City of Wheat Ridge Residential Miscella PERMIT - 201709381 PERMIT NO: 201709381 ISSUED: 12/01/2017 JOB ADDRESS: 3795 Independence ST EXPIRES: 12/01/2018 JOB DESCRIPTION: Permit for siding: Remove 2 layers siding and replace with new James Hardie plank. All trim replaced. *** CONTACTS *** OWNER (303)421-7627 WRIGHT JEFFREY L SUB (303)662-8150 Jim Archer 090119 Scottish Home Improvements *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** va,f'.;*, ESTIMATED PROJECT VALUATION: 12,000.00 �:.. FEES Total Valuation i' 0.00 Use Tax 252.00 Permit Fee 236.00 ** TOTAL ** 488.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 ermit. I furt r attest that m legally authorized to include all entities named within this document as parties to the work to be performed t performed is disclosed in this documen and/or its' accompanying approved plans and specifications. io , , Signatu of WNER 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a per all not be La d to be p rmit for, or an approval of, any violation of any provision of any applicable code or any ordinanc or re, lation of thi�,c�icy n. t pproval 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. FOR OFFICE USE ONLY 4 City of Date: �W heat f Wgic 11)-t, (�'I COMMUNiTy DEVELOPMENT Plan/Permit # Building & Inspection Services Division 1, C) I—I L g 3 Y 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us v Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3795 Independence Street, Wheat Ridge CO 80033 Property Owner (please print): Jeffrey Wright Phone: (303)885-1593 Property Owner Email: jeffreywright@yahoo.com Mailing Address: (if different than property address) Address: , State, Arch itect/Enaineer: Architect/Engineer E-mail: Phone: Contractor: SCOTTISH HOME IMPROVEMENTS Contractors City License #: 090119 Phon Contractor E-mail Address: dianne@scottishgroupcompanies.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # (303) 662-8150 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION FI RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑■ OTHER (Describe) Remove 2 layers of siding and replace w/ James Hardie plank 8 1/4" w/ T exposure, Colorplus (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.) Siding Job - Remove and replace 2 layers of siding a replace w/ James Hardie plank 8 1/4" w/ 7" exposure, Colorplus. All trim around windows & doors shall be be replaced with James Hardie trim, Colorplus. Siding to be hung using James Hardie Best Practices. Sq. Ft./LF IJl'""Btu's III A Gallons Amps 17A Squares ' , Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) N /A 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)k (CONTRACTOR) -Pr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Burnside Enterprises, LLC 4030 Zurich Drive Phone: 719-596-4656 Colorado Springs, CO 80920 Website: www.LeadPaintColorado.com Email: JohnBurnside@LeadPaintColorado.com LIMITED ASBESTOS BUILDING INSPECTION Prepared for: Scottish Home Improvements (Contractor) 0 Jeffrey Wright 3795 Independence St Wheat Ridge, CO 80033 Property Address: 3795 Independence St Wheat Ridge, CO 80033 Inspection performed by: John Burnside Colorado Asbestos Building Inspector # 21520 (expires Sept. 10, 2017) Burnside Enterprises, LLC Asbestos Consulting Firm license # ACF -21529 (expires Sept. 18, 2017) Inspection performed on November 18, 2017 3795 Independence St, Wheat Ridge, CO 80033 Page 1 of 5 1 0 j TABLE OF CONTENTS Introduction & Summary II Building Inventory III Bulk Sampling Procedures and Location Selection 1. Determination of sampling location 2. Bulk sample analysis IV Quantities of Asbestos Containing Material to be disturbed 1. Single family residential dwellings 2. All other areas that are not single family dwellings ATTACHMENTS A. Lab Reports 3795 Independence St, Wheat Ridge, CO 80033 Page 2 of 5 SECTION I. INTRODUCTION & SUMMARY On November 18, 2017 Burnside Enterprises, LLC performed a limited asbestos building inspection on the single-family residence located at 3795 Independence St, Wheat Ridge, CO 80033. The purpose of the inspection was to detennine if Asbestos Containing Material (ACM) would be disturbed/impacted during a planned renovation of the property. The area inspected for ACM included the exterior siding. The material tested was the fiberboard siding under the aluminum / polystyrene siding. No other areas were inspected. John Burnside of Burnside Enterprises, LLC performed the asbestos building inspection. The following table summarizes the sampled materials and how each tested for ACM: Sample Description Location Friable/ % Amount No. 7 Non -friable Asbestos of Material SD01 Siding West upper Non -friable ND 0% 800 sf CH — Chrysotile AM — Amosite Asbestos CR — Crocidolite ND — None Detected For the purposes of this report, the siding under the aluminum siding does not contain asbestos. Burnside Enterprises, LLC has made every effort to survey and sample all suspect building material associated with this renovation project. However, in some cases hidden or patched in materials may be present which were not readily observed during the course of this inspection. If untested suspect material is discovered during the course of demolition and/or renovation, we recommended additional inspection and sampling of the new material for asbestos. For surfacing materials, i.e. gypsum walls, stucco, ceilings and so forth, like finishes and materials are separated into groups or homogenous areas. Gypsum walls may have differing finish textures and/or installation dates so similar finishes are tested as a group. It is possible to have several different surface finish groups in an asbestos inspection. The number of samples required are based on total square footage of that group. The following table notes the minimum number of samples required: Size of Homogenous Area Minimum number of samples to be collected Less than 1,000 sf 3 Between 1,000 and 5,000 sf 5 Greater than 5,000 sf 7 SECTION II BUILDING INVENTORY The property located at 3795 Independence St, Wheat Ridge, CO 80033 is approximately 1926 SF and constructed in 1968. The structure is frame construction and has a forced air HVAC system. The structure is in overall good condition. The specific area tested for the presence of ACM includes the fiberboard siding under the aluminum siding. 3795 Independence St, Wheat Ridge, CO 80033 Page 3 of 5 SECTON III BULK SAMPLING PROCEDURES AND LOCATION SELECTION 1. Determining Sampling Locations Locations were selected for representative materials that will or may likely be disturbed by the planned renovation. The EPA divides suspect ACM into three categories as follows: Surfacing Material means material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. Thermal System Insulation (TSI) means material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. Miscellaneous Material means interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. Any samples taken at the site were categorized into one of these three categories. Representative samples were taken from any of these groups of materials that might be impacted by the planned renovation. 2. A total of one bulk sample was collected for this project. Samples were taken from representative materials that are anticipated to be disturbed during the upcoming renovation project. These samples were taken on November 18, 2017 and sent to an accredited lab for ACM analysis. IV QUANTITIES OF ASBESTOS CONTAINING MATERIAL TO BE DISTURBED Prior to any renovation or demolition which may disturb greater than the trigger levels of material identified as a suspect asbestos -containing material pursuant to the EPA "Green Book", Managing Asbestos in Place, Appendix G (1990), the facility component(s) to be affected by the renovation or demolition shall be inspected to determine if abatement is required. Trigger levels means amounts of material as follows: 1. With regard to single-family residential dwellings, the trigger levels are 50 linear feet on pipes, 32 square feet on other surfaces, or the volume equivalent of a 55 -gallon drum. 2. With regard to all areas other than single-family residential dwellings, the trigger levels are 260 linear feet on pipes, 160 square feet on other surfaces, or the volume equivalent of a 55 - gallon drum. 3795 Independence St, Wheat Ridge, CO 80033 Page 4 of 5 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Attention: John Burnside Burnside Enterprises 4030 Zurich Dr. Colorado Springs, CO 80920 Project: 3795 Independence EMSL Order: 221708187 Customer ID: BURN34 Customer PO: Project ID: Phone: (719)596-4656 Fax: (719) 596-4656 Received Date: 11/20/2017 8:30 AM Analysis Date: 11/20/2017 Collected Date: 11/18/2017 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type SDO1 Siding Brown 85% Cellulose 15% Non-fibrous (Other) None Detected Fibrous 221708187-0001 Homogeneous Analyst(s) Timothy Kleehammer (1) Amanda Lang, Asbestos Laboratory Manager or Other Approved Signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard., etc.) are reported as a single sample. Reporting limit is 1 Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 11/20/201719:58:55 ASB—PLM-0008-0001 - 1.78 Printed: 11/20/2017 5:58 PM Page 1 of 1 ACORa CERTIFICATE OF LIABILIITY INSURANCE PATE (MM/DDIYYYY) ��. 3/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Terri Hauk NAME: ISU Insurance Services of Colorado, Inc. PHONE(303)534-2133 FAX , o, Ext): AJC No): (303)892-5579 350 Indiana St. Suite 750 E-MAIL thauk@isuinsurance.com ADDRESS: 9/15/2015 9/15/2018 MED EXP (Any one person) $ INSURER(S) AFFORDING COVERAGE NAIC # Golden CO 80401 INSURERA:Cincinnati Insurance Companies 10677 INSURED INSURER B: Scottish Home Improvements LLC INSURER C: 14251 E Fremont I INSURER D: 2,000,000 INSURER E: Centennial CO 80112 INSURER F, GUVERAGES CERTIFICATE NUMBER:16-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN [REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INS.WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 P_ CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 500 , 000 ENP0278024 9/15/2015 9/15/2018 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 1,000,000 accident) A X ANI' AUTO BODILY INJURY (Per person) $ .ALL OWNED SCHEDULED ENPO''.78025 AUTOS AJTOS 9/15/2015 9 /15/2018 BODILY INJURY (Per accident) $ .NON -OWNED HIRED AUTOS AJTOS PROPERTY DAMAGE $ (Per accident) Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE AGGREGATE $ 2,000,000 DED RETENTIONS ENP0278024 9/15/2015 9/15/2018 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/P.ARTN ER., EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED -1 N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If ves. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) �. q �11� L I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Wheat Ridge ( THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building and Inspection Services Division ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W. 29th Ave Wheat. Ridge, CO 80033 AUTHORIZED REPRESENTATIVE V 19BU-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD, name and logo are registered marks of ACORD INS025 (201 -on Building Permit CITY OF WHEAT RIDGE 7500 West 29TII Avenue Wheatridge, CO 80033 303-235-2855 PerInit Number 19283 10/312005 Inspection Line 303-234-5933 Residential Roofing PROPERTY 3795 Independence St OWNER: Jeffrey Wright Unit: (303) 885-1593 Description Remove I layer conposition roofing, install ice and water-install 21.75 sq 50 year Malarkey Legacy. I IDue 1$97.42 1$144.70 1$242.12 I 1 ILicense # 118582 IFEES IFees IUse Tax IPermit Fee IT otal Fees I ICONTRACTORS IName ICaleb's ManaQement Enterpris 1 IPaid 1$97.42 1$144.70 1$242.12 1 1 IPhone 1303971-02513 Do~umfients from themantlfacturersh~<nF~ onslte orfinal roof inspection which ;;~~;.:: l~ifng mat~rials have been installed to ;;FIz , 1IilPl! tnree-second wind uUst---IBC (0(' i:1PHwmd load--UBC). '" ,>U . Units: Occupancy: Walls: Roof: Stories: Sq Feet: I hereby ~ertiry that ~esetbackdistaIi.ces propll~edby this permIt appUcationareaci:urate.a~ddo riot vioble ap'plicableoriUnllll'ces, rules or regulations orthe Cityiif Wheat Ridge or covenants easements or restri ns ofucord; that aU measurements shown; and allegations made are llecurate;that I have read and agree to abide by all conditions printed 0 Is application, at I assume ful ponsibility for compliance with the Wheat Ridge Building Code (V.D.C.) and all other applicahle Wheat Rid in es rwork un t pernlIt. . SIGNED DATE 2 This pernlIt was issued in aceordance with the provisions set'rorth in ,your application and Is suhjedto the Jaws of the State ofCoJoradoand to the Zoning Regulations and BuUdlng Code of\Vheat Ridge, Colorado or any other applicahle ordinances oCthe CIty. ThIs pennit 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 Cora period oC120 days. . Hthis pennit e.xpires' anew permit ma'ybeacqnired Cora Cee'ofone:-.balfthe amountnormally required, provided no changes have beenor will be made In the original plans and spedfications and any suspension or abandonment has not exceeded one (1) year. If ~hanges are made or iC suspension or abandonment exceeds one (1) year, full fees shall be paid Cor anew permit. No work of any manDer,shall be done that -will change the natDral flow, of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hoors in advance for all inspections and shaUreceive written approval on inspection card before proceeding witb suttessive phases of the job. 3 4 , 6 SIGNED DATE Monday, October 03,2005 Pagel of 1 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPUCATION Pr<lfle<ty-Gwnor: :ref" F Rt.. 'l w R.\ ~ J.I r Property Address: 31lJS , N Dt:.Pe.tJDl:.NeG ~T. Contractor License No.: I S5S1 ~ "-~~ 'liHE".", ~ 0 - '" u '" rel.ORP,Qo Building per1it Number: , Date: Phone: , 313-~8S"- 15'"'t~ I Company: C.JILee{5 Phone: 3l 3-q1/- {JJ.5"~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT r Buildina Dept. Valuatio Figure: $ I J 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 . Value: l>54R~> 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 Permit Fee: I conditions printed on this application and that I assume full responsibility fOf Plan Review Fee $ compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Use TaxFs (OWNER)(CONTRACTOR): SIGNED DATE Total $ I (OWNER)(CONTRACTOR):PRlNTED DATE ! i Use of Space (description): Description of work: P,~.Jt-DVE:. I LFt'iCR... (!J)yt..pD:s ITIDN. RD{)F/~ - INSTALL I <!...f:. '+ /JATE.e..- 1t-l:s1""ALL .,;1,1,,5 ~4IJfl~ 5D '/R. "^-.1}LARKE:.'I L.~Ftc.'" Sq. Ft. added . BUll.DING DEPARTMENT USE ONLY SIC: Sq.Ft.: ONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: ~JRE DEPARTMENT COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units Electrical License No: Company: Plumbing License No: Company: I Mechanical LirenSe No: Company: ExpiratiDn Da e: A roval: Expiration Date: A roval: Expiration Date: A roval: (4) (5) (6) This permit was issued in accordance with the provisions set torth 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 appll ble ordinances of ~~ . l This permit shall expire if (A) the work authorized is not commenced within sixty (90) days from issue daj or (B) the building authorized Is suspended or abandoned for a period of 180 days. ~ If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, p vlded no changes have been or will be made In the original plans and speCifications and any suspension or abandonment h s not exceeded one (1) year. If changes have been or if suspensIon or abandonment exceeds. one (1) year, full fees shall be p id for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage prob m. Contractor shall notify the Building Inspector twenty-tour (24) hours In advance for all inspections and hall receive written approval on Inspection card before proceeding with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be f permit for, nor an approval of, any violation of the provisions of the buf1dlng_codes or any other ordinance, law, rule or regula 'on. All plan review is subject to field Inspections. . ! (1) (2) (3) Chief Building Official ~""'''''''''''''''" ,,,,,,.,~~,,,,,,!41L ..' ./pEP:u~~i~Tlg;~'t,!tg~Ngl~~lb~:~~~~:~5ENT Building Permit Nu bar: " CITY OF WHEAT RIDGE ate: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 4824 4/4/97 Property Owner: Property Address: 3795 INDEPENDENCE ST Contractor License No.: 18141 Company: Denver Burglar Alarm Co. Phone: 421-7627 Phone: 292 2222 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR) SIGNED DATE To I: $529.00 $45.00 $0.00 $0.00 $45.00 Construction Val e: Permit F Plan Review F Use T x: I hereby certify lh.llhe .etbad< distances proposed by this permn .pplication .re .ccurale, .nd do not viol.te appticabie ordinance., rule. or regulation. of the City of Wheat Ridge or covenants, e....ments or ra.lri(:tions Of record; Ihet a" me.surements shown, and alleg.tio/1$ m.de a,e .ccurate; Ihat I h.ve "'ad .M agree to abide by .11 conditions prtnled On Ihis .pplicalion, aM thai I assume full responsibility for compli.nce with the Whe.t Ridge Building Code (U.B.C.) .nd all other applicable Whe.tRldge ordin.nces, for work under Ihis permit. Description: SECURITY ALARM BUILDING DEPARTMENT USE ONLY SIC: q. Ft.: Approval: Occupancy: Walls: Roof: Stories: Residential nits: Electrical License No : Company: Plumbing License No : Company: Mechanical Li nse No : Company: . Expiration Date: Approval : . Expiration Date : Approval : . Expiration Date : Approval: (1) ihis-Permlt wasia&ued Inaccordance with the provisions set forth in yopur appJicatlon and is subiect to the laws of the state of Co R.egUlationsand BulIdtngCOde of'Nheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permilshall elcplre If (Al the work authorIZed is not commenced within sixty (60) days from Issue date or (S) the buDding au1h abandoned for a periOd of 120 daYs. . (3) If this. permit expires, a new permit maybe acquired for a fee of one-halfthe amount normally required, provided no changes have or will be made in the onginal plans.and specifications and anyauspenslon or abandonment has not exceeded one (1) year. If changes are made or 11 s spension or abandonment exceeds one (1) year, fulffees shell be paid for a new permit. (4) No work Of any manner shall be done that will change the natural now of water causing a drainage problem. (5) Contractor.. ifythe BuUdlng Inspector twenty-four (24) hours In advance for all inspections and shall receive written approva on inspection card before prooeedllng . , ph.... of th.IICoIl. . (-6) The issua . of. permit the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval any violation of the provisions of the bu Ing flY other ordinance, law, rule or regulation. ~ Chiefuilding Inspector IS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION NO MAYOR Property Owner: Property Address: Contractor License No. : Company: Margaret Wright Residence 3795~StfiOO~ 18141 BUi~~ing- pe~mi~ Number: I Date: 3/28/97 I I I I P~one:RI421-7627 I I I Pone: 292-2222 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION. 235.2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Denver Burglar Alarm Con{><ony, Inc. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Constructio Value: Per nit Fee: {~/t?JY l se Tax: Total: $ $ 529.00 45.00 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 responslbility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. 3/28/97 DATE $ 45.00 (OWNER)(CONTRACJ~IGNED L. tml'V~ Description: SOOJRITY ALARM CliILY. BUILDING DEPARTMENT USE ONLY .d'IJ11IJ'r!!tt)1l11lf ]\i~ 1- Approval: Zoning: ::~ ~ l! ~f:h1 \1\." ~ Approval: I'lllbJ[C';;\'!();!:Iill.OlmIt1l.Illlts~ Approval: Occupancy: Walls: Roof: Stories: Reside tial Units: Electncal License No : Company: Plumbing License No : Company: MechaniC I License No : Company ! Expiration Date: Approval: -1IP[ii~S.R~l!Ulted::".1 Exp~ration Date: Approval: .3 PIl~ns Required Expiration Date: Approval: .I (1) This permit was issued in accordance WIth the provISions set forth in yopur application and is subject to the laws of the Stat of Colorado and to the Zoning Regulations and Building Code of lIVheat Ridge. Colorado or any other applicable ordinances of the City (2) This permit shall exprre if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the buildin 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. provrded no change have been or will be made in the onglnal plans and speCIfications and any suspenSion or abandonment has not exceeded one (1) year. If changes are mad or If suspensIon or abandonment exceeds one (1) year. full fees shalt 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 BUlldmg Inspector twenty.four (24) hours In advance for all Inspections and shall receive wntten a proval on inspection card before proceedllng With successive phases of the Job (6) The Issuance of a permit or the approval of draWings and specifications shall not be construed to be a permit for, nor an ap rovalof any Violation of the proVISions ~:'ldmgles.JJ~~;:;Z:;;;:: or regulation ~BUlldlng Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECT R AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION . ",=.,"".."~~""""""".",,, ,,,JA,,,4l;I,",,y.. "' . , ,'1>EP"".....liNT OF PLANNING AND DEVELOPMENT Building Permit Nu ( BUILDING IlfSPeCTION DIVISION - 235-2855 CITY OF ~EAT RIDGE 7500 weST 29TH AVENUE WHEAT RIDGE, CO 80215 Property. Owner: WRIGHT MARGARET L Property Address: 3795 INDEPENDENCE ST Contractor License No.: 18505 Company: BARTELS HEATING & AIC 3905 9/24/96 Phone .421-7627 Phone 422-3589 (1) ~=-==:$....~~.::oS::::~~~'=:'lI:'ht.!he_of!he_of (2) ~.~ ;p ~ Is not comme"cod within sixty (80) doya from issuo _ or (B) !he building (3) W~pejlllit... 0 _ _be ocquIrod lor a foe of ono-haII!he amount ncomally raqulrod, lll'OYIdOd no cI1angoO haw origIhiil pIInI.nd and elly.........,..or _ has not_ one (1) yeor. lIc11angoO.... m8do orW ...........,.(1)'... fuII_s"",,bopotdlbranaw_. l4) No work 01_......._ bo. done lhel wIIJ chanGO lho _ tIow of_ caual!'P a draJnage problom. 5) ~ _ nollIy!he llulkIinQ _ twanty.rour (24) hours in _lor aD ,i1SPOClIOnS and _ IllCOlve wrttton approval inapocIIon card -. ~1llI.....-w.=ol!he.J:' ~(8) of ~,,'wa~~ D=::Z==Drd_notbocon_mboa~rrnijlor,n<<an-- any_of!he~ I f Buiklll19 Inspector .. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I henlby certIfY lIla! lhe ~ dlslanc.a proposed by this penn. application a", accurate, and do not ~ IIIlDIklable 0IdlniI.' nces. '. Il!/ea or reg\llatlona of the CIly of Wheat Ridge or covenants, _irill.or reslncuonaof /eCOId: _ all measurements ahown, and allegations "'. are~;.lIla! I have (8Od~and rea to ablde~ all condlllons orinled on this ~, and lIla! I asaume II.lII fOr com enee with the Wheal Ridge Building Code (U.B.C.) and 811_ applicable Wheat Idge Old ances, fOr wort< under Ihls penn.. Construction Val Permit F Plan Review F UseT (OWNERXCONTRACTOR} SIGNED DATE Description : REPLACE FURNACE BUILDING DEPARTMENT USE ONLY SIC: Approval : Occupancy : Walls: Roof: Stories : EleCtrical License No : COmpahy : Plumbing License No : Company: Mechanical Li se No : Company: Expiration Date : Approval: . Expiration Date: Approval: . Expiration Date Approval: . q. Ft.: $1.300.00 $44.00 $0.00 $15.60 $59.60 one! m the Zoning ~ suoponded or ",will bomadeln!he or abendcnrnenl .';.-:':;;~~<~; ;,~~:~~::;~;~~~:::':i' :';' ~t~~;;;:;~,.,~,:: ,::~::,;~~;<~~,-:s\;,~~~~':"i;'~;'" ~:-i:'" ",' ", .,,",::''iN'.,'':';, "'-"':.s":"':::,."'-;'~>:"'">,,, :,;,.":~.::;,\-.-",:;;."~~;,:",,,, ""... ......."':- ^-"~.,,, ",' "'.~' "', ' DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pe it Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO tl0215 ! ~1 ;,' Property Owner: CO f.\O/tt: Property Address: 3,Cl ~ ;:mclepenance ~. Contractor License No. : \ ~,50'S Company: \lJQ r ~ \ 'i:> \-IlU11 rg (lU, d Ale.- Phone: 4.;1 t.'" !oJ! Phone :L(Qa. -3s8C1 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construct on Value: P rmit Fee: Use Tax: 1300"" l.\ 1..\ ro \ s(oo I hereby certify that the setback distances proposed by this permtt application are accurate. and do not violate applicable ordinances. rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of record; that all measurements shown. and allegations made are accurate: that I have read and agree to abide by all conditions printed on this application. and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable ~R" eo ances. for work under this pe!"mit. (OWNER)(CONTRACTOR) SIGNED C_ 1. . - DATE <?h1iYy~ Total: 5C1 100 Description: ,Jx\ sitt II l-<..p'1acemen t- '\o,ClC.C' \VTlj f(lIDNe BUILDING DEPARTMENT USE ONLY I I I I I I I .. I I , , ! i ] ~: :,: \:i ~i~ n;;1 /.:: '}1l1l'~"J,' "'\1 II> j< Approval: Zoning: '. , _: '~Ll rol ',"~'" TI~"" ; 1'. r' Approval: ~. ...J.J.J~~\.l~.,e..!,dHJ,l.)-d,ili Approval: Occupancy : Walls: Roof: Stories: Resi ential Units: Electrical License No : Company: Plumbing License No : Company: Mechani al License No : Com pan Expiration Date: Approval: .Jl ,prlnll:R!4.qIff!(l~~.2.81 Expiration Date: Approval: a lPl@.!!s..S!iquirid .J Expiratio Date: Approva ill (4) (5) (6) Thls'permlt was issued in accordance 'o\'ith the prOVIsions set forth in yopur application and IS subject to the laws of the S te of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge. Colorado or any other applicable ordinances of the City. This permrt shall expire If (A) the work authonzed is not commenced WIthin SIXty (60) days from issue date or (B) the buil iog authorized is suspended or abandoned for a penocl of 120 days. If this permrt expires. a new permit may be acquired for a fee of one.half the amount nonnally reQuired. provided no chan es have been or will be made in the original plans and specmcations and any suspension or abandonment has not exceeded one (1) year. If changes are m de or jf 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 aU inspections and shalt receive wrille approval on inspection card before proceediing with succeSSIve phases of the jOb. The issuance of a permIt or the approval of drawings and specifications shall nol be construea to be a permit for. nor an pproval of. any violation of the provisions of the building codes or any other ordinance. law. rule or regulation (1) (2) (3) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPE TOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION