HomeMy WebLinkAbout4098 Field DriveCity of Wheat Ridge
Residential Roofing PERMIT - 201702365
PERMIT NO: 201702365 ISSUED: 06/22/2017
JOB ADDRESS: 4098 Field DR EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Duration Storm Brownwood asphalt shingles 32
sq.
*** CONTACTS ***
OWNER (303)808-6165 LAMENDOLA WALTER F
SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing
* * * PARCEL INFO * * *
'LONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,763.67
FEES
Total Valuation 0.00
Use Tax 268.04
Permit Fee 251.85
** TOTAL ** 519.89
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is instal -Led, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding AM -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
INSPECINON RECORD Occupancy/Type
INSPECTION ONLINE FORM: hftp://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Plumbing
Do Not Pour Concrete Prior To Aanroval Of The Above Insnections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
'Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not over Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
'Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For iow voltage permits — Piease be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
CITY OF WHEAT RIDGE 4
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �� I I V
Job Address: 4101ffa *e—ld br
Permit Number: ®176 POS
❑ No one available for inspection: Time iAM)PM
Re -Inspection required: Yes No,
When corrections have been made, call for ection re -ins at 303-234-59
p 33
/
Date: DtP 7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702365
PERMIT NO: 201702365 ISSUED: 06/22/2017
JOB ADDRESS: 4098 Field DR EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Duration Storm Brownwood asphalt shingles 32
sq.
*** CONTACTS ***
OWNER (303)808-6165 LAMENDOLA WALTER F
SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing
*** 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: 12,763.67
FEES
Total Valuation 0.00
Use Tax 268.04
Permit Fee 251.85
** TOTAL ** 519.89
a
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A3�-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€'"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702365
PERMIT NO: 201702365 ISSUED: 06/22/2017
JOB ADDRESS: 4098 Field DR EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Duration Storm Brownwood asphalt shingles 32
sq.
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am leggally authorized to include al[ entities named within this document as parties to the work to be
performed and that all work to be perfotrmed �s disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER CONTRACTOR ircle one) Date v'
1. This permit was issued bas rtktiir rmation 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is t 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick W I � uz�e5---
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 13, 2017 11:11 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Field not completed.
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4098 Field Dr
Walter La Mendola
3038086165
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Bear Brothers Roofing LLC
021170
3034222725
Contractor Email Address ap@bearbrothersroofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
ap@bearbrothersroofing.com
No
Duration Storm Brownwood
Asphalt
Field not completed.
32
M
Field not completed.
z
TOTAL SQUARES of all 32
roofing material for this
project
Provide additional detail House 5/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 12763.67
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Justin Smith
Email not displaying correctly? View it in your browser.
3
Brothers •• •
Proposal / Contract
June 5, 2017
SUBMITTED TO:
Walter La Mendola
4098 Field Dr.
Wheat Ridge Co 80033
Asphalt Shingle Reroof
Upon inspection of the above referenced property,
following work be performed:
7245 Gilpin Way
Unit 280
Denver, CO 80229
303-422-2725 Fax 303-274-2151
Bear Brothers Roofing, LLC recommends that the
1. SCOPE OF WORK - ROOF
Bear Brothers Roofing, LLC shall furnish all labor, materials, and equipment required
completing the following "Schedule of Work."
2. SCHEDULE OF WORK - PULL PERMIT
2.1 Tear off old roofing system down to the decking and haul away.
2.2 Install 255.141f of ice & water shield on all eaves.
2.3 Install
2.4 Install 136.186 901b eltsq of tin allfvalleys.e.
1 u t:, ` r,,r
2.5 Install 2551f of painted metal 2x4 drip edge.
2.6 Install 1251f of ridge vent.
2.7 Install 124.341f of owens comings hip & ridge shingles.
2.8 Install 31.67sq of owens comings I.R.TRUDEF STORM.
2.9 R&R skylight flashing kit.
2.10 Install 2.58sq of base & cap sheet on flat roof.
3. GENERAL REQUIREMENTS
3.1 Clean up all debris from the site.
3.2 Project to start within TBD working days of signed contract date and be completed
within TBD days of start date or sooner weather permitting.
3.3 Customer has the right to cancel this contract with full refund within the first 72
hours of signing.
4. WORKMANSHIP
4.1 Bear Brothers Roofing, LLC shall complete the project in a workman like manner.
4.2 Bear Brothers Roofing, LLC shall make every effort to protect the property during the
work process.
5. GUARANTEE
5.1 Bear Brothers Roofing, LLC guarantees all work to be performed in accordance with
the manufacturers' requirements and/or specifications.
5.2 Guarantee shall be as follows:
Bear Brothers Two Year Workmanship Warranty
Manufactures Material Warranty
5.3 Guarantee shall commence upon receipt of payment in full, effective as of date of
completion of project.
6. FINAL
Once Bear Brothers Roofing, LLC have completed the project a walk through with
owner shall be made prior to final payment.
JA20174alter lamendola contract.doc
• Page 2
June 5, 2017
7. PAYMENT TERMS
7.1 Payment shall be due as follows:
Total Contact price of $12.763.67
'/2 due upon delivery of materials.
'/2 due upon completion of project.
7.2 All insurances for Bear Brothers Roofing, LLC (Includes Workmans Compensation and
Liability insurance of Two Million Dollars per occurrence) are furnished for this project.
7.3 Bear Brothers Roofing, LLC proposes to perform the above "schedule" for the sum of.
8. GENERAL CONDITIONS
8.1 This Contract shall become binding only upon written acceptance hereof by the
Contractor or an authorized Agent of the Contractor or upon commencement of the
work.
8.2 This Contract constitutes the entire understanding of the parties and no other
understanding, collateral or otherwise, shall be binding unless in writing and signed by
both parties.
8.3 Bear Brothers Roofing cannot pay for or cover any Insurance deductibles.
8.4 Replacement of rotten and/or deteriorated fascia boards, shingle mold, ventilators,
siding or other materials, unless otherwise stated in this contract, are not included in
the total cost and will be charged additionally on time and material basis.
8.5 Any representation or other communication, not written in this Contract, is agreed to
be immaterial and not to be relied upon by either party, and do not survive the
execution of this Contract.
8.6 Bear Brothers Roofing, LLC workmen shall have access to all building water and 110
volt electricity during the entire work project.
8.7 Owner will provide access to gates and the perimeter of all buildings on the property
for stocking delivery of material.
8.8 Bear Brothers Roofing, LLC will not be held liable for any interior damage incurred
during the roofing process. Or damage to driveways or walkways and mechanical
units or air conditioners, spas, etc. during the project. While we exercise the up most
care and use current industry practices, the re -roofing process is inherently stressful
and potentially damaging to the already compromised existing roof system. The re-
roofing process includes increased roof top traffic and loads, which can damage roof
systems. Therefore we cannot be responsible for the watertight performance of the
existing roofing system during the re -roofing process.
8.9 A SERVICE CHARGE/administration fee of 2% per month will be charged on all
overdue accounts, which shall be defined as all accounts remaining unpaid after their
due date, unless otherwise specified. In the event Sellers directs the use of legal
remedies to collect payment, the Buyers agrees to pay to Sellers all costs and
expenses, including legal fees, incurred in the course of collection or pendency of the
action.
Lenny Thorny o -� Date
Bear Brothers Roofing, LLC
Walter La—Men —dola Date
City of Wheat Ridge
Residential Roofing PERMIT - 201702365
PERMIT NO: 201702365 ISSUED: 06/22/2017
JOB ADDRESS: 4098 Field DR EXPIRES: 06/22/2018
JOB DESCRIPTION: REVISION: Adding 8.33 Squares of decking to existing permit. (Existing
permit is 32 squares)
Residential Re -roof to install Duration Storm Brownwood asphalt shingles 32
sq.
*** CONTACTS ***
OWNER (303)808-6165 LAMENDOLA WALTER F
SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing
*** 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: 13,313.67
FEES
Total Valuation 0.00
Use Tax 279.59
Permit Fee 267.70
** TOTAL ** 547.29
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A1/ -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702365
PERMIT NO: 201702365 ISSUED: 06/22/2017
JOB ADDRESS: 4098 Field DR EXPIRES: 06/22/2018
JOB DESCRIPTION: REVISION: Adding 8.33 Squares of decking to existing permit. (Existing
permit is 32 squares)
Residential Re -roof to install Duration Storm Brownwood asphalt shingles 32
sq.
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 thispermit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all,work to be perfor i closed in this document,�/or its' accco panying approved plans and specifications.
Signature of ONTRAC Date
I. This permit was issued base o e m`formation 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of 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 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.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City Of
h6at iAc COMMUNITY DEVELOP; ENT
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: perm its(d)-ci.wheatridge.coms
FOR OFFICE USE ONLY
Date: Uf 2A �i
1e7
Add to Permit #
— ez'--r� 11 (3 Z -
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: JOQo i4a'c % PR
Property Owner (please print): A%&EF [ 4 � N DO c,R Phone: 30 3 - 8 08 - 6 /bs
Property Owner Email;
Mailing Address: (if different than property address)
Address: —<AIVIE
City, State, Zip: S-q-rn rE
Submitting Company: SE -a e- n�> P-cTf-1 CRs ��-q)n G LLC-
ContactPerson: �� s'ft� �rK Phone: 30-3-92-2 -a 72S
Contractor: �J'Fq-k 13,•at%erS
Contractors City License #: 0 .117 O v Phone: 3Of - �� 2 - X72 S
Contractor E-mail Address: q* OV btAr b r6 t1-1rs rbo-C-'I •w, • COW-)
Please Note: Additional valuation lust include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revisedlamended work: oper%4A r -00C Sec+16n
r eeGtS -10 5.t re c{t Chea 8.32 %Q,)A9,E S Oy-ded
y5 S 1..c of S 05B 30 c7 25d rs Tom-
,77 CRE/5?SE _$ SSO
Sq. Ft./LF
Amps
Btu's
Gallons
Squares $ ' 33 Other
Additional -Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
4 S.5d
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.
CIRCLE ONE: (OWNER) O T—R�A�CT ) or ( THORWED REPRESENTAT ) of (OWNER) (CONTRACTOR)
PRINT NAME: JU Str r SIGNATURE: DATE: 6 V5J17
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
OCCUPANCY CLASSIFICATION_
Building Division Valuation: $
i CITY OF WHEAT RIDGE
Building Inspection Division
►/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F1,
n a 1
Job Address: 4 a 9 a
Permit Number: 3 v 1 �r 0 a 3 b S
fl
not
❑ No one available for inspection: Time `=?0DIVI
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: -y /& Inspector: -` f_\
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.2352855 F-. 303.23T8929
Owner/Occupant
4098 Field Dr.
RE: Previously permitted project plans available for retrieval — Pe it ##201400634 (2 Additions & Interior
Remodel)
Owner/Occupant,
This letter is being sent to you because a project for which a permit was issued by the City of Wheat Ridge
Building Division and plans and/or other documents were required was recently completed and approved. In
accordance with the Buildin,2i Division's document retentio
are scheduled for disposal.
We are writing to offer you an opportunity to retrieve those approved plans and/or documents prior to their
disposal by the Building Division. The plans and/or documents are available for retrieval for a period of 15
working days (3 weeks) from the date of this letter and must be retrieved in person at the Building Division
offices. This letter must be presented at the time of retrieval of the plans and/or documents. Plans and/or
documents available for retrieval CANNOT be mailed and plans and/or documents will NOT be available for
retrieval after the expiration of the retrieval period, which is 60 days from the date of this letter.
You may retrieve plans and/or documents between the hours of 7:30 a,m. and 3:30 pm., Monday through Friday'.
at the Building Division offices located at 7500 W. 29th Avenue in Wheat Ridge.
am=
Chief Building Official
7500 W. 29th Avenue
Wheat Ridge, Colorado 80033
Office Phone: 303-235-2853
Fax: 303-234-2857
mmy-ci,wheatridze-co.us
www.ei.wheatridoP,rn,.nv
! • MC • . 1t •
)unt of materials ACS be used, x # t &. t e LA e
_
c w k ! ,. �' .. G " , ,
Lck
Sq. FULF Btu's Gallons
Amiss Squares Other
MMIEZZ
rFOR Date: O FFICE U ONLY
Cit � 1 1 .
�'rWh6atfkd
Property Address. 1 43
M,"'
I
Addre
OUR
• s
s s
Com plete 1'
Sq. FWLF Stu's Gallons
Amps Squares Oth
k ,
IM11 mmm
Address: Zoning:
Lot Size: LB
s Lot Width. 0 ( ft,
Property in the flood plain° f yes, add surveying condition FLD,
Type of project (applicable survey conditions in parenthesis):
Existing Improvements:
House: sq. &
Shed: sq. ft.
Detached garage: sq ft.
Other: ___g_i sq, ft.
Total Existing _,?,7,24 sq. ft
Lot Coverage 1j5 %
Proposed Improvements:
House/addition:
_sq, ft,
Shed: sq. ft
Detached Garage: sq.
Other: sq.
Total Proposed 1. sq. ft
Lot Coverage
%
Maximum Heiaht: 3, ft, Maximum Size:
Landscanina Notes
MM
Maximum Lot Coverage: % Aj;_� sq. ft.
City of Wbeat Ridge Municipal Building 7500 W. 29' Ave.
am=
David Neb
Northland Construction, Inc.
wheat Ridge, CO 80031-8001 P: 301235,2855 F: 303.237.8929
I was just reviewing a plan set for small additions and remodel work at the above address and need the
following to complete the plan review.
1. Provide an asbestos abatement report. Information can be obtained at the Department of Public Health
& Environment (303) 692 -3100
Once I receive the above information I will be able to continue the plan review.
If you have any questions feel free to contact me.
Kirk Cadotte
Senior Combination Inspector/Plans Examiner
7500 W. 29 Avenue
Wheat Ridge, CO 80033
Office (303) 235-2850
Fax (303) 235-8929
www.ci.wheatridge.co.us
1EMMEM
Northland Construction
APPROVED
SubjW to Field Inspections
Attached is the report for the asbestos survey and bulk sampling of suspected asbestos-
containing building materials at 4098 Field Drive, Wheat Ridge, Colorado.
This investigation was conducted on behalf of and for the exclusive use of Northland
Construction (client), solely for use in a limited asbestos survey of the property. This
report and the findings herein shall not, in whole or in part, be disseminated or conveyed
to any other party, nor used by any other party, in whole or in part, without prior written
consent of Boulder Environmental Management.
If VOU have any questions regarding the contents of this report, please do not hesitate to
contact us.
Z�
Chris Maron
Project Manager
*Asbestos*Lead *Industrial Hygiene* Safety*Fina I Air Testing*
*Health and Safety Training*
BULK SAMPUNG REPORT
4098 FIELD DRIVE, WHEAT RIDGE, COLORADO
On May 15,2014, Boulder Environmental Inc.'s building inspector, Derek D'Avignon,
conducted bulk sa der the direction
of our client.
Sampling:
This inspection was limited to walls and ceiling materials in the living room, master
bedroom, north bedroom and northeast bedroom.
*Asbestos*Lead*Jndustrial Hygiene*Safety *Final Air Testing*
*Health and Safety Training*
The following materials are presumed to be asbestos containing:
PRESUMED ASBESTOS CONTAINING MATERIALS
ped around forced air heating due
taped duct scams, and wall
er hoots
The following materials were analyzed and determined to be non asbestos-containing
utilizing polarized light microscopy (PL,M).
NON ASBESTOS-CONTAINING MATERIALS
Drywall and joint I Northeast bedroom, north wall 15-15-DD-01
Sample analyses results are reported in percentages of asbestos and lion-asbestos
components. The EPA defines any material that contains greater than one percent (I %)
asbestos, utilizing PLM, as being an asbestos containing material. Materials that are
identified as "none detected" are specified as not containing asbestos.
If asbestos removal is required: (Asbestos removal permits and notifications):
*Asbestos*Lead*lndustrial Hygiene*Safety *Final Air Testing*
*Health and Safety Training*
Boulder Environmental Inc. 4
2400 Broadway St., Unit B, Boulder, CO 80304
Phone: (303) 382-1175 Fav 1 (866) 699-4121
Please note that walk-in business address for CDPRE is different from the mailing
address on C HE forms. Their physical address is 700 South Ash Street, Denver,
Colorado.
*Asbestos*Lead * Ind ustrial Hygiene* Safetyr*Fin al it Testing*
*Health and Safety Training*
The following materials were determined to be asbestos containing:
* The paper tape on boots in the attic (may be found in wall cavities)
Workers disturbing asbestos containing materials must be OSHA/EPA trained and
asbestos containing materials must be disposed ofin a land-fill approved by the EPA to
receive asbestos waste.
The results of this survey pertain only to materials tested. The laboratory reports
supporting these findings above are attached. Please contact Boulder Environmental
Management, Inc. if you have any questions or concerns regarding this report.
Chris Maron
Project Manager
*Asbestos*Lead*industrial Hygiene* Safety*Fin at Air Testing*
*Health and Safety Training*
Reservoirs Environmentai, Inc
Reservoirs Environmentai QA Manuat
Efferfive January 1, 2014
TAQAQCNLatAReaervoirs Enwronmental QA Mlanual,doc
REI LAB 1Je_qerVL71rqEnV1 Inc.
Laboratory Report:
Project
Project Description:
NA
RES 289677-1
None Given
IMM&AW
Chris Mar♦n
2400 Broadway, Unit B
Boulder CO 80304
for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the Americ
Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contra-
Microscopy (PCM) analysis, This laboratory is currently proficient in both Proficiency Testing and PAT progra
respectively. I
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request, The
.-,nalysis has been completed in general accordance with the appropriate methodology as stated in the attached
7nalysis table. The results have been submitted to your office,
Sincerely,
6 , 4.A64-V'n
Julia Jackson for
5801 Logan Street, SOW 100 Denver, CO 80216
1-8%-RM-ENV
mm.reilab,com
R."— E--oMW, i- Eftdl. J ... ly v 2014
Re*e—n E--.MW QA M..w RESERVOIRS ENVIRONMENTAL, INC. I 4AQC\L.0Ro.-.,w QA M— d.
NVLAP Lab Code 101896-0
TDH Licensed Laboratory # 30-0136
RES Job Number:
RES 289677-1
Cfient�
Boulder Environmental, Inc,
Client Project Number P.0 None Given
Client Project Description:
4098 Field Drive
Date Samples Recehied�
May 16, 2014
Method
600/R-931116 - Short, Bulk
Turnaround:
24 Hour
Date Analyzed:
May 16, 2014
-----------
TR - T race, � I % \A% u W E W imal%
rac
Client
Lab
Non
Non
Sample
ID Number
A
Scab
Sub
Asbestos
Fibrous
Number
Y
Physical
Fibrous
Components
E
Description
0)
(%)
Mineral
Components
(%)
R
Estimate
5-15-DD-01
EM
1178372
A White compound
15
ND
01
100
B White/tan drywall wl off white/multi-colored paint
85
ND
20
80
6-16-DO-02A
EM
1178373
A Gold/multi-colored wall covering
33
ND
85
15
B White texture wt green paint
33
ND
0
100
C Whife/multi-colored paint w/ tan fibrous material
34
ND
50
50
6-16-DD-03A
EM
1178374
A Tan fibrous material wl green/multi-colored paint
100
ND
75
25
5-16-OD-04A
EM
1178375
A Tan/white drywall
15
ND
90
10
B White texture w/ green paint
15
ND
0
100
C Whitelmufti-colored paint w/ tan fibrous material
35
ND
45
55
D Goid/multi-colored wall coveting
35
ND
85
15
6-15-DD-05
EM
1178376
A Brown fibrous material
100
ND
85
15
P 3019".Igff"
F 30 , M, 4175
5801 L%P SV.0, SUBS 100 0--, CO K06
1-66&-REW.ENV
~'ebD .",
C 0
R.S. EnV, Mc Eftt e Jmwy 1. 2014
Renom Env6rammo W RESERVOIRS ENVIRONMENTAL, INC. T �QAQC%AbWe",m,, EwmntW QA NWw! 4�c
NVLAP Lab Code 1018q6-0
TDH Licensed Laboratory # 30-0136
RES Job Number:
RES 209677-4
Client:
Boulder Environmental, Inc.
Client Project Number / P,O None Given
Client Project Description
4098 Field Drive
Date Samples Received�
May 16, 2014
Method:
EPA 600IR-931116 - Short Bulk
Turnaround.
24 Hour
Date Analyzed�
May 16, 2014
NO-None Detected I
TR-Trace, 1, t% Visual Estimate
Trem-Act-IfemoMeAC11nolde
Client
Lab
L
Non
Non-
sample
ID Number
A
Sub
Asbestos
Fibrous
Number
y
Physical
Part
Fibrous
Components
E
Description
Mineral
via-'
Components
R
Estimate (%)
It%)
5-16.OD-068
EM 1178377
A Gray granular plaster
35
NO
TR
100
B Off white/mufti-colored paint w/ white plaster
65
NO
0
100
5-16-DD-07B
EM 1178378
A Gray granular plaster
10
NO
TR
100
B White plaster w/ off whitelmulti-colored paint
90
NO
0
100
6-15-DD-088
EM 1178379
A Tan granular plaster
20
NO
TR
100
B White plaster w/ tan/multi-colored paint
80
NO
0
100
TEM Analysis
recommended for organically bound material (i.e. fl oor tile) if PL M results are <1%.
Analyzed by
l' J",
Asigo
Data QA:
6 1
Terry
,is Jackson
P acs - 964
F 303-477.A275
5801 L m Susie 1111 Cw,m, CO 8D2 In
Page 3 of 3
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(,,04 WFIEgT~iQ City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
- ° Inspection Line: 303-234-5933
ORP~
Building Permit Application
Property Address:
Property Owner (please print): ;cbC.~4 t AS'
Mailing Address: (if different than property address)
Address:
State,
Date: V-!)
Plan
Permit 7-
Vn
Contractor: 'l" fC L rr~
Contractor License V 19 V Phone: t) }7` -.2
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Mechanical City License
Company:
Exp. Date:
Use of space (description): A)F" 00V AJ Construction Value: $ -;Iv, ffZTs
DeSCYIptiOn'Of'wOriCS. (as calculated per the Building V luation Data sheet)
7t J t CJ L (A7r1
Plan Review (due at time of submittal): - 197l J
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
b
od
o.
mm
i
w
Q
N
I,
1-
p
G APPROVED
e Subject to Field Inspections
Wheat Ridge Building Dept.
l1 L~P Date 9 fJ~
Signed: ..Plan chi r
~j 15z
6
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P.
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55718
O °~~DO Jim Everson
-TY , E_. L a , Jefferson County Assessor
s i 100 Jefferson County Pkwy
" ' Golden, CO 80419-2500
THIS IS NOT A TAX BILL
303- 271-8600 - Information
303-271-8616-Fax
303- 271-8601 - TDD
LAMENDOLA WALTER F
VANDEMARK NANCY R
4098 FIELD DR
WHEAT RIDGE, CO 80033-4358
III .IIIaIILnulgill III Ili lIII III [dill III 11191 is IIIII Is
026247 4098 FIELD DR
BEL AIRE
(appraisal date June 30, 2008)
251,950 `
026247
'f: PFR' i Y CLP:SS
RESIDENTIAL 1212
I i d_ay.t4 -u'1"
069400 0021
sF YEAR A"CITU'AL It=-LU}
(appraisal date June 30, 2006)
266,250
Regular Office Hours:
7:30 AM - 5:30 PM, Mon. through Fri.
Appeal Period Extended Hours:
7:00 AM - 5:30 PM May 20 & 27
7:00 AM - 7:00 PM June 1
02
2406
rv}i ~iV" -
3139
,r
SLv 4 VN FZHN3 i
22 03 69
14,300-
Your property was valued as it existed on January 1 of the current year. Appraisal data used to establish current year
actual value was from the 24-month period ending June 30. 2008. We are required to use this appraisal date by law. The
tax notice you receive next January will be based on this value. If the senior citizen or disabled veteran property tax
exemption applies to your property, it is not reflected in the value shown above. Your right to appeal the classification
and/or value ends on June 1, 2009.
Neighborhood sales used to develop residential Current Year Actual Values may be viewed at httaJ/assessor.ieffco.us
PLEASE REVIEW THE PROPERTY INVENTORY BELOW (if any), MAKE ANY NECESSARY CORRECTIONS, AND
RETURN TO THE JEFFERSON COUNTY ASSESSOR'S OFFICE.
RESIDENTIAL INVENTORY:
DESIGN: RANCH YEAR BUILT: 1948
ITEMS NO. AREAS CONST. SQFT ADJ. CATEGORY SQFT
MAIN BATH 1.0 FIRST FLOOR MASONRY 1791 HOT WTR HEAT 1791
3/4 BATHS 1.0 COVERED PORCH 326
--MAT-N F1REPt{E -._4$ ATTAEH--GARAGE--MASONR-Y--_609-__.._--'-
MAIN BEDROOM 3.0
~111!1III111!"~~'H!~l"'; !!II ,_ ",h"",""~,,,,,,,,",,"~,,,,,".I!l!I,,,,,,~,,,., ,,,,,,,,,"_,~.. " ',M' ~...,,_ ,""'"~"....,_ "",,,,,,,_~,",,,,",,,~~__,.,JIDll
City of Wheat Ridge
Residential Mechanic PERMIT - 080129
PEliMIT NO:
JOalADDRESS:
DESl:RIPTION:
080129
4098 FIELD DR
REPLACE 50 GALLON GAS FUELED
ISSUED:
EXPIRES:
WATER HEATER
02/13/2008
08/11/2008
,***
CONTACTS u*
303/421-2161
'303/940-0095
01-7835 Blue Sky Plumbing
GC
O~
WALTER LE MENDOLA
u' PARCEL INFO
ZONE CODE:
S1J$pIVISION:
U
UA
0284
USE:
BLOCK/LOT# :
UA
0/
permit Fee
To~al Valuation
USe Tax
** TOTAL **
ESTIMATED
FEES
50.40
.00
17.55
67.95
PROJECT VALUATION:
975.00
"",:e'EE SUMMARY U
Cdd-~)o'o
C'#ll1lents:
SUBaECT TO FIELD INSPECTIONS
Ine~eby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
6~~rance8, rules ortegulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
m~~s~rements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
aJJlP:Ucation and that I assume full responsibility for compliance with the Wheat Ridge Building Code (LB.C) and all other
iifiipl';i.cable wheat Ridge Or for wo under permit. Plans subject to field inspection.
date
'&-01'
l~ :~his permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge. Colorado or any other applicable
otdinances of the City,
2~ ~his permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
,d$te, An extension may be granted at the discretion of the Building official.
3 : i'f this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no
:dhanges have been or will be made in the original plans and specifications and any suspension or abandonment has not
':exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
b~ paid for a new permit.
4. No work of any manner shall b~ done that will change the natural flow of water causing a drainage problem.
5.'; C<;liltractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
~ritten approval on inspection card before proceeding with successive phases of the job.
6.: Tbe issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for. nor
'r'q,t'l approval of. any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is subject to f el i spections.
S~~ture of Chief Building Of
t~PBCTION REQUBST L
R1!:!:iUESTS MUST BE MAD
date
(303)234-5933 BUILDING OFFICE: (303)235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS ,DAY.
COMMUNITY DI!VELOPMI!NT OI!PARTMI!NT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WESr 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
MINOR. APPUCA.TION
PropertyOwncr: Wc>.lw LA.Mendoia
Property Address: lfoCf~ ~ield OlL,
Conll"aclor Lieense No.: \ r~65
Company'"Bll.l..Q. ~~ p,~;~ ~1-!e.o;ti1'1;;9
~' ~H A,
~ :?'d
- "
... '"
93 o,.,..oC)
Building Perm~ Number:
Dele:
I PLAN #
Phone:3-qt.lo~ooq ~
Phone: (~;3)~:2.t -'2.iQ.-/. i
oWNiRlCONTRACTOR SIGNATtiR~ OF UND5RSTANOINC AND AClRE5M5NT I BuilcHna Deoi. Valuation Figure: $
I here~y cerllfy that the selbac~ dlslances propoeed bylhls pa<mil application are
accurate, and do not violate appliC<lble ordinances, rules Of r09ulatlol\O of lI1a City of
Wheat RidgE! or covenants, easements or restrictions of record; that all measurl!ments
shown I and allegations made are accurst!!: that 1 navEl read and agree to ablda by all
oondlUons printed on thie appllcaUon and that I ""sume full responslbJ111y for compliance
with lhe Wheat Ridge Building Coda (loB. C) and all other opplicable Wheat Ridge
Ordina_s, lor work under this permit. Plans subj""! to field ;nsp..,tlcn.
(OWN"")(CONTRACTO"): SIGNED ~~~~j~A~T" ~H~-o8
(OWNSR)(CCNmACTOR):PRlN1EC S.httl~ t1.t;.e_'iJ_DATE~-' ;l-o~
Use of Space (description):
Description of work;
r-cplcue SO 5cd nctf-urC'l.( 94~
Sq. Ft. added
Value:$ tf'18. Do
Permit Fee:$
Plan Review Fee:$
pse Tax:~
Total: $
W~ t-cr hca:.f e.r
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Appreval:
pueLIC WORKS COMMENTS:
Appreval:
IRe OEPARTMENr COMMENTS:
Approval:
Electrical License No:
Company:
Plumbing License No:
company:
Mechanical License No:
Company:
Expiration Date: Expiration Date: Expiration Date:
~proval: Approval: Approval:
(1) This p"rm~ was Issued in eccordanca with the provlolons set forth in your application and is subject to the laws of t~o state of
ColoradO and to tho Zoning Regulations and Building Code. of Wheat Ridge, Colorado or any other applicable ordinances of the
Cily.
(2) This permit shall expire 1 SO days from t~e issue dat.. Re~uest. for an extension must be reoeived prier to expiration dllle. An
oxtension ""'y be granted at the cflSCretion of the Eluilding Officlal.
(3) If this permit expires, a new permit 1'T1i\Y be ljlcquired fora Eee of one-ha.lfthe amount nOr1'1'l8lly r~irsd, provldl!ld hO changes haw
been orwlll be mada In the originall'lana land speoifications and any auspenslcn orabQndonment. has. not e)(CElQded one (1)year. If
changes have been or if suepension or ebandonment exceeds one (1) year. full fees shaU be paid for. new permit.
(4) No worK of any manner shall be done that wlil change lhe nalural flow 01 waler caueing a dTlllnage pn:>blem.
(5) Ccnlnlotor shall notify the Building lnepeotortwenty-four (24) hours in odvance lor en inspoctlens end shaU receive _n approval
on Inspection card before prooeeding with sucos$$ive phaSes of ~ jClb.
(S) Tho Issuance of a perm~ or the epptoval of drawings ond apeoifioations shall not b. construed to be 0 pennit for, noron approval of,
any violation of the ~rov1eion& of' th~ building oodes or any oth\!!r ordinancet law, rule or regulation. All plan r@view is subj~t to
field inspections.
Chief Building Official