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Home My WebLink About3250 Nelson Street�U VM" (Foy\ `T INSPECTION RECORD 1 �Owt fLI �� INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspector Comments Initials 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 Initials Comments Pier Plumbing. .� Concrete Encased Ground (CEG) Lath /Wall Tie Foundation / P.E. Letter Final Plumbing Rou h_Electnc," Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage ,inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Sewer Service 44 Plumbing. .� Do Not Cover Underground or Below/In-SlAb Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage ,inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Mid -Roof Fire Inspection / Fire Protection Dist. Lath /Wall Tie Final Plumbing Rou h_Electnc," G' (11!6gh Plumbiny/Gas Line Roof ough Mechanical Final Building Rough Framing NOTE: All items must be completed and approved 0 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. 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 I Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved 0 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. *tor low voltage permits — I -'lease be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. For notification of your assigned inspection time window please email insptimerequestL&ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E41 Job Address: 3Z 5o N Z L.S0 S7 Permit Number: 70�--I oZoZ'�; ❑ No one available for inspection: Time O. SS" &/PM Re -Inspection required: Yes (9 When corrections have been made, call for re -inspection at 303-234-5933 Date: 2 6117 Inspector: 6 AP DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: FRJ_- _ Job Address: 2 O N S Permit Number: Z. p/ `% 0 ®� % ❑ No one available for inspections mime AM/PM Re -Inspection required: Ye fNjo When corrections have been made, call for re -ins ti,Q, ''at 303-234-5933 CZ6_11 6cl7 Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:/. Job Address: 2 57-0 /i1 z e_>c� Permit Number: 2 ®f 7 0_Z e is i'2_ r` ❑ No one available for inspection: Time 8 AM/PM Re -Inspection required:Yes No When corrections have been made, call for re-insppotion at 303-234-5933 Date: `f - / % Inspector: DO NOT REMOVE THIS NOTICE 3O11ON SIH13/IOW3hf ION OO :ao}oadsul E86S-b£Z-£0£ le uoi;oadsu►-aa aoj ileo `apew uaaq aney sugl;oaaaoo uagm, ,"ON SGA :paainbaa uoiloodsul-aa Wd/Nd quail :uoijoadsui aol opupene quo ON r 2 ®Z 0// /©Z :aagwnN Mwaad 7:ssaappd qor _ :adAl uoiloodsul 33IlON N01133dSNI xe- J 6E69-21 0(7 (BOE) • a�!��o 558z 5Ez (Coo) augj uoi;oadsul ££69-b£Z (£0£) uoisinia uoiloadsul 6uippe 3Jala 1V3HM d0 A113 City of Wheat Ridge Residential Plumbing PERMIT - 201700776 PERMIT NO: 201700776 ISSUED: 05/22/2017 JOB ADDRESS: 3250 Nelson ST EXPIRES: 05/22/2018 JOB DESCRIPTION: Install drain lines for previous finished basement bath and floor drain properly; reset bath tub; reset water heater 40K BTUs 50 gallons *** CONTACTS *** OWNER (303)279-3178 MCBRIDE LEE D SUB (303)523-9909 Stephen Antonelli 150192 Antonelli Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Total Valuation 0.00 Use Tax 90.00 Permit Fee 125.05 ** TOTAL ** 215.05 *** 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 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 worl�to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 andprocedures 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 ance 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 insptimerequestgci.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 Wheat j, COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aki.wheatridge.co.us FOR OFFICE USE ONLY Date: S , 4J Plan/Permit # D 1 I 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: _-3cqrz oxe_ �5e�,, -s4, Property Owner (please print): L ee, '?5 rt 012, Phone: Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: Phone: Contractors City License Phone: Contractor E-mail Address: civ (- C"o Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # % i r,:), - 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 ❑ RESDENTIAL 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) (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.) rev t o tJ-C 0-5 W -s & w -(c+ '�8 A -A �+ -'(cam 3> `^, Q rif - 5 e-- F�e — S� Sq. Ft./LF Amps wA-k/ gg� Btu's W, U,00 Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 51 e -LT -D 5-0 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) CONTRALTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name):k DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Miscella PERMIT - 201702023 PERMIT NO: 201702023 ISSUED: 06/15/2017 JOB ADDRESS: 3250 Nelson ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Flooded basement remediation and repairs; replacing drains, furnace 100K BTU 95A% eff; water heater 40 gallons; drywall repair 985 sq ft *** CONTACTS *** OWNER (303)718-6067 MCBRIDE LEE D *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 65,000.00 FEES Total Valuation 0.00 Use Tax 1,365.00 Permit Fee 850.30 ** TOTAL ** 2,215.30 *** COMMENTS *** *** CONDITIONS *** No inspections until air quality test is received Work shall comply with 2012 IRC L 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 t e legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfrmed and that all work a performed is disclosed in this document and/or its' accompanying approved plans and specifications. ,Si'gn'ature of O ER or CONTRACTOR (Circle one) I3a'te 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,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 ordinan or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PN 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 _,�4�'AW heat -Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # �1 NJ 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: Property Owner (please print): 150. LLi' , '%C /3,ri1'a,i Phone: Property Owner Email:�. Irk -!mow ( 4,0- , nc,13rntd.0 (P- G-io,,dl I - cos -7 Mailing Address: (if different than property address) Address: City, State, Architect/Engineer: /Z✓g_/_/0 V Fc /7�6_, j Arch itect/E ng 1 neer E-mail: _STT _ a c -a- t 0, A) ve • csr-� Phone: 2.2 D - 479- 6/y/,,7 Contractor: Contractors City License #: % I �5' Phone: Ll Contractor E-mail Address: p? - Sub Contractors: Electrical: f"i�2sv��i�/}��G 66 W.R. City License # Other City Licensed Sub: City License # Plumbing: ��r;�//� �G / � L3i��G Mechanical: j3c- S / �y i✓c< W.R. City License # /SD/9o2 W.R. City License # `l Other City Licensed Sub: 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 ❑ RESDENTIAL 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 EPLACEMENT ,OTHER(Describe) flcrar-0 J3�5 /�> � 2/�wriYJ�'PTl�i� v`- /2—rM;--5 (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.) /f/ Carr ��z�i/c 05 -6 w rz ,�,� �� /✓c �" �}'z S� �C I�% 12iz PL/-�i✓G Tl��; �n%�s� r�;��tJ )}aJ w�,� arc, 6//0 lZ45 ft�),—L JiiG Jg �, wS�e +T/}pT 1�� 13i-�� Vii✓ �l?G>�� . Sq. Ft./LF 7K-5 Btu's 0. ovL' �S pC Gallons Amps Squares Other IProject Value: (Contract value or the cost of all materials and labor included in the entire project) e :i s e 6� 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 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) - Electronic Signature (first and last name): G 'lJ" DATE: 6 - /,5-' / 7 ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Miscella PERMIT - 201702023 PERMIT NO: 201702023 ISSUED: 06/15/2017 JOB ADDRESS: 3250 Nelson ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Flooded basement remediation and repairs; replacing drains, furnace 100K BTU 95A% eff; water heater 40 gallons; drywall repair 985 sq ft **REVISION**Adding reroof - main house 25 squares; install new OC Duration shingles, ,single story; 4/12 pitch; reroof detached garage; 7 squares install new OC duration, single story; 4/12 pitch - 32 squares total; Added valuation $11,500.00 *** CONTACTS *** OWNER (303)718-6067 MCBRIDE LEE D SUB (720)618-1732 Tracey Sarrasin 170118 Front Range Project Mgmt *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 76,500.00 FEES W- arl4k Total Valuation 0.00 Use Tax 1,606.50 _ -----_-f Permit Fee 946.90 ** TOTAL ** 2,553.40 *** COMMENTS *** *** CONDITIONS *** No inspections until air quality test is received 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. 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 one half 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 manufacturer 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 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection_ will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Miseella PERMIT - 201702023 _]�� PERMIT NO: 201702023 ISSUED: 06/15/2017 JOB ADDRESS: 3250 Nelson ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Flooded basement remediation and repairs; replacing drains, furnace 100K BTU 95A% eff; water heater 40 gallons; drywall repair 985 sq ft **REVISION**Adding reroc shingles, single story; install new OC duration, valuation $11,500.00 f - main house 25 squares; install new OC Duration 4/12 pitch; reroof detached garage; 7 squares single story; 4/12 pitch - 32 squares total; Added 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 ermrt. I further attest that I am legally authorized to include alI entities named within this document as parC�es to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 andprocedures 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 andspecific 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 thi iurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Midge 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: permits(a�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # a 0 1 � Ad -3 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Je5 6 tV-1.41 (1 6 t Property Owner (please print): Lee � rI'd e Phone: U3 718" % Property Owner Email: 510oe-Aerr0,1�corl Mailing Address: (if different than property address) Address City, State, Zip: Contact Person: Phone: U ke 5 l� Contractor: Ff Contractors City License #: l', 1,70 lis OWN129 -511-0 �� // t Phone: 30 � — 81 '� u Contractor E-mail Address:,l''I Please Note: Additional valuation must 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 revised/amended work: Alrcok rl)oi,l kou5g-, GAS -'4, , I fie �5C 5;n10- 5-eord , W1.1 e;tele ��rcF Sq. Ft./LF `'' �` D �( Btu's Amps Gallons Squares 3a Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ I I , ,5Z)U , vU OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pen -nit 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) (CONTRACTOR) or AUTHORIZED REPRESENTAT �(OWNER)CONTRACTOR) PRINT NAME: &b ke' 6 u d/e SIGNATURE: DATE: 7 1/ ,:)6/ - 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 DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ FRS Geotech, Inc. 1441 W. 46th Ave., Suite 14 Denver, CO 80211-2338 April 18, 2017 Mr. Klint Meachum Belfor 5085 Kaiamath St. Denver, CC 80221- Re: 0221- Re: Lab Number 122887 Dear Mr. Klint Meachum.: Project: 325C Nelson St. Phone: 303/477-2559 8O0/386-3136 FAX: 303/477-2580 e-mail: frsgeo@ix.netcom.com The bulk samples submitted to FRS Geotech, Inc. have been analyzed by polarized light microscopy (PLM), the EPA -recommended method for determination of fibrous constituents in building materials. The percent of asbestos contained in the samples is a visual estimation based upon comparisons with published charts. The results of these analyses are summarized in the enclosed table. This report relates only to :he items received and tested by our laboratory. According to requirements set by the National institute of Standards and Technology/NVIAP, this report must not be used by the client to claire certification, approval, or endcrsement by NTLAP, NIST, or any agency of the Federal Government. Also, _NVLAP guidelines specify that this report should not be reproduced, except in full, without the written approval of FRS. A copy of your Chain of Custody is attached for your convenience. This report is considered highly confidential. Results will not be discussed with any person not associated with you. Please call if you have any questions about this work. Sincerely, David A. Schroeder, Ph.D. Data Controller Enclosures WILAP Accredited Lab #102078-0 AIHA Accredited Lab #101557 FRS GEOTECH, INC. 144" W. 46th Avenue, Suite 14 Denver, Co 80211-2.338 Phone: 303/477-2559 800/386-3136 Fax: 303/477-2580 RFRT1T,9`S OF BULK AS TOS SAMPiR IlATLT Vc7c av PnT.ARTZRD LIGHT MTVR RPA -6 {jj�%R A3/i1(i Client: Belfor Lab N0.:122887 Project 1D:3250 Nelson St. page. 1 of 2 Percent Sample Sample Number, Asbestos Date Description 1* ND** 04/17/17 Bsmt nor -r wall f4 layers' 1 A1 ND** 04 1711;[White drywalll 1 fB' ND** 04/17/17 [White rrudl 1 [Cl ND** 04117/17 JWhite tane_t 1 fD1 ND** 04/17/17 TWhite text- r.- with tar ua-ntl Analyses (percents determined by visual estimation) Sample Number: * 1 [Al 1 fBl 1 (D1 Layer Percent: 100 30 20 25 25 Asbestos Minerals: Arnosite Anthophyllite Chrysotile Crocidolite Tremolite -Actinolite TOTAL ASBESTOS ND** ND** ND** ND** Other Fibrous Materials: Fibrous Glass Cellulose 27 1d 95 Synthetics Other: Nonfibrous Material 73 90 100 5 100 * Composit ra ysis (molt' ayered sample, see individual layer analyses). ** ND means 10 Detected. Analyst: Date: 04 /18 /17 Chris Carbino FRS GEOTECH, INC. 1441 W. 46th Avenue, Suite 14 Denver, CO 50211-2338 i _s I • _zr Client: Belfor Project 1D:3250 Nelson St. Phone: 363/477-2559 800/386-3136 Fax: 303/477-2580 lab NO -:122887 Page: 2 of 2 Percent Sample Sample Number Asbestos Bate Description 2 ND** 04/17/ 17 F3smt south, wall =white plaster /tax ure with multi -colored paints 3 ND** 04/a,7/17Bs:nt (white texture with tan paint] Analyses (percents determined by visual estimation) Sample Dumber: 2 3 Layer Percent: 100 100 Asbestos Minerals: Amosite AnthophylIite Chrysotile Crocidolite Trenolito-Actinoli'-e TOTAL ASBESTOS _ND** ND** Other Fibrous Materials: Fibrous Glass _ Cellulose _ Synthetics 0;,her: Nonfibrous Material '.60 '00 * Composite ar_ s s (multilayered sample, see individual layer analyses). ** ND means No e tected. Analyst: _-- Date: G4/18/17 Chris Carbirc FRS Geotech, Inc 1-303-477-2559 1441 West 46th Ave., Suite 14 1-800-386-3136 Denver CO 80211-2338 1-303-477-2580 FAX e-mail: frsgeoCiuixxetcom.com This report is concerned only with results of tests performed on samples submitted to and tested by FRS Geotech, Inc. Bulk Sample Analytical Procedures Bulk samples of construction materials are analyzed according to the Methodfor the Determination of,,lsbestm in Bulk Building Materials (EPA/600/R-93/116) which the EPA recommends as the "preferred substitute" to the old interim Method, In areas where the "new" Method is silent, FRS follows the "old" Interim Method and/or specific rulings issued by the various regulatory agencies. Each separable layer or portion of the sample is individually analyzed and reported, along with each layer's volume percent as a part of the total sample. Additionally, an arithmetic composite for the total sample, as received by the lab, is reported for layered samples. Information on the nature and quantity of materials at the sampling site, which is unavailable to FRS, must be used by the client to determine whether or not this arithmetic composite of the sample is representative of the materials, as they exist in place. This same information must be used by the client to determine whether or not any layered material, as it exists in place, should be treated as several different materials or as a composite material. Each sample layer is prepared and analyzed in refractive index oils that are certified by the manufacturer, Cargille Laboratories. Refractive indices are measured by the Dispersion Staining, Becke Line, or Oblique Illumination methods, according to which method is most applicable to the sample material. Asbestos content is reported as a percent of the sample, and is a visual estimation based upon gross sample examination and comparisons with published calibration charts during PLM analysis. Sample Ashing Ashing is a preparatory procedure carried out to eliminate many interferents and asbestos "look-alikes." A portion of the sample is placed in a furnace at 500 degrees Celsius for between i and 4 hours: the actual time varies according to sample type. The amount of asbestos present in the original sample is calculated, based upon the weight loss due to asking. If the sample had a 501/o weight loss, and the visual estimation of asbestos present was 20%, the amount of asbestos reported would be I0%. All ashed samples are so noted on the Final Report. Non-Asbestiform Amphibole Minerals Particles of NON-ASBESTIFORM anthophyliite, tremolite, and actinolite with length to width ratios equal to or exceeding 3:1 and overall lengths greater than 5 microns are occasionally detected in some balk samples. While such particles do meet the "old" legal definition of fibers, they do not meet the classical definition of asbestos because they do not occur as bundles of parallel fibers (often exhibiting splayed ends), matted masses of individual fibers, or long, flexible, and/or curved individual fibers. The majority of mineral fibers in a sample must display these characteristics as well as exhibit a length to width ratio of at least 20:1 for the mineral to be designated "asbestos." 'these guidelines are specified in the "New" Method: EPAt6Q0/R-93/116. Our Final Report refers to non-asbestiform anthophyllite, tremolite, and actinolite as either "Non-asbest. tremJactin.", or "Non-asbest. anthophyl.", whichever is appropriate. QA -IOC Procedures and the Vncertainty of Analyses ruj iuuvtaLmy tubo aic puujuu ncu aworaing To r(gla gAiqu guicennes, and analytical results are traceable to known reference standards and procedures. In addition to the legal requirement that 10% of all samples received be re- analyzed, FRS Geotech re -analyzes all samples for which a trace to 3% asbestos is reported. The New Method (EPA/600/R-931116) contains the following Suggested Acceptable Error Table for PLM analyses with quantification by visual estimate over 100 fields of view: Areal Percent Asbestos Acceptable Range of Asbestos Reported- eported1% 1% >0% to 3% 5% 1% to 9% 10% 5% to 15% 20% (or more) plus or minus 10% Environmental Mold Inspection and Sampling Report 3250 Nelson St, Wheat Ridge, Colorado 80033 Presented To: Mr. Ron Sarrasin Manager Front Range Project Management CO PO Box 725 Westminster, CO 80036 303-902-8194 rsarrasin@frpmc.com Performed & Prepared By: Mr. Rich Kreuscher DS Environmental Consulting 12477 W Cedar Dr, Ste 101 Lakewood, CO 80228 (970) 389 - 3408 Project Details: Project Number: 16139 Conducted: April 10, 2017 TABLE OF CONTENTS APPENDIX A APPENDIX B Inspector Certificates Analytical Data PROJECT OVERVIEW 1.0 Introduction 2.0 Scope of Work 3.0 Certifications 4.0 Site Description 5.0 Overview of Findings 6.0 Sampling & Analytical Procedures 7.0 Laboratory Analysis Explanation 8.0 Conclusion & Recommendations 9.0 Disclaimer & Limitations 10.0 Copyright Notice APPENDIX A APPENDIX B Inspector Certificates Analytical Data PROJECT OVERVIEW 1.0 Introduction On April 10, 2017, Mr. Rich Kreuscher with DS Environmental Consulting (DS) performed an on-site inspection for visible mold growth and collected non-viable, indoor air quality samples within a portion of the residence located at 3250 Nelson St, Wheat Ridge, Colorado. Continued water intrusion was apparent throughout the basement level of the residence, resulting in water damage to the flooring and walls as well as visible mold growth on the walls throughout the basement. 2.0 Scope of Work The purpose of the inspection and sampling was to determine the level of airborne mold spores within the basement and main level of the residence when compared to the naturally occurring ambient levels outside as well as to identify the areas that are impacted by mold growth. No other areas within the residence were included in the visual inspection or the air quality sampling. 3.0 Certifications Mr. Kreuscher is a Residential Mold Inspector with DS Consulting, Inc (see Appendix for certification). 4.0 Site Description The residence is a single -level, single-family residence. It has a finished basement and a two -car attached garage. 5.0 Overview of Findings The results of the inspection and sampling indicate that the level of airborne mold spores within the basement level was significantly higher than the outdoor ambient concentrations at the time of inspection and sampling and visible mold was observed. The sampling also indicates that the level of airborne mold spores within the main level was higher than the outdoor ambient concentrations at the time of inspection most likely due to the significantly elevated levels throughout the basement. Visual Inspection The visual inspection within the residence focused on the basement. Dark brown and black mold was observed on the bottom eight inches of drywall in multiple spots throughout the basement level (stairwell, living room, office area, HVAC closet). 3 Visible Mold in HVAC Closet Visible Mold Within Living Room Site Conditions; Visible Mold Behind Baseboard in Office Corner Significant Water Damage at Bottom of Stairwell The relative humidity, temperature and wind speed were collected using a hand held Hygrometer - Thermistor - Anemometer manufactured by Extech. WEATHER TEMPERATURE RELATIVE HUMIDITY Conditions: Sunny Inside: 65° F Inside: 52% Rain: None Outside: 43° F Outside: 28% Snow: None Wind: Moderate Time: Morning 4 Non-viable Air Sampling In addition to the indoor sample(s), an outdoor sample was collected away from the residence to acquire baseline spore levels of the ambient air on the date and time of the inspection and sampling. SAMPLE ID LOCATION VOLUME ELEVATED COUNTS OUT Outdoors 75 Liters -- BASE Center of Basement Level Living Room Towards Hallway 75 Liters YES MAIN Main Level Dining Area, Next to Living Room 75 Liters YES The results of the inspection and sampling indicate that the level of airborne mold spores within the basement level was significantly higher than the outdoor ambient concentrations at the time of inspection and sampling and visible mold was observed. The sampling also indicates that the level of airborne mold spores within the main level was higher than the outdoor ambient concentrations at the time of inspection most likely due to the significantly elevated levels throughout the basement. There are no established regulations designating a safe or normal concentration of airborne mold within indoor air, therefore; the interpretation of indoor air quality samples utilizes a comparison between the samples collected indoors to those collected outdoors. Using this comparison, if the indoor mold concentrations are higher than the outdoor concentrations by a factor of 10 or more, then the indoor airborne mold levels are considered "elevated" and indicate that a contributing mold condition may be present. This comparison was developed by the American Conference of Governmental Industrial Hygienists (ACGIH) and the Indoor Environmental Standards Organization (IESO) for the interpretation of airborne mold spore sampling results. The following mold spores were found at elevated levels within the basement and main level of the residence: • Penicillium/Aspergillus at a ratio of 219:0 in basement, 13:0 on main level • Chaetomium at a ratio of 78:1 in basement, 7:1 on main level • Stachybotrys at a ratio of 41:0 in basement Please see Appendix B for the full Laboratory Report 6.0 Sampling & Analytical Procedures The survey and assessment were conducted by a Residential Mold Inspector qualified by experience, education, and training in the recognition and management of elevated indoor mold levels. The survey was performed in accordance with recommended procedures and approved sampling techniques. These procedures call for the visual inspection of the building for suspect mold areas and the collection and analysis of representative samples of suspect areas. A non-destructive building inspection was conducted. Walls, columns, perimeter pipe chases, and other inaccessible areas were not broken into in order to locate hidden mold. It should be noted that additional mold might be located in such inaccessible areas. Roofs and exterior areas were not included in the survey. As mold conditions can continuously change, the quantities and locations of mold identified in this report are approximations and subject to field verification. The results contained within this report are limited to the date and time the inspection was conducted. DS used a high-volume pump manufactured by GAST, calibrated to 15.0 liters per minute with a high- volume rotameter prior to collecting the first air quality sample. Each air quality sample was collected by drawing air through spore -trap cassettes for a total of 5 minutes per sample for a total volume of air equal to 75.0 liters per sample. The calibration of the pump was also checked after the last air quality sample was collected. Collected samples were analyzed by a Colorado Registered Microbiological Laboratory. Analysis of the samples was performed on the "date reported," as listed in the sample analysis report. 7.0 Laboratory Analysis Explanation For each sample, the first column is labeled "Raw Count." This is the actual number of each mold spore found for the amount of air collected. The next column, labeled "Spores/M3," is mathematically extrapolated from the "Raw Count" column and the volume of air collected. For example, assume that one sample has collected 0.1 cubic meters of air, and one spore is found in that sample. Assuming an even distribution of spores, 1.0 cubic meter of air would then contain 10 spores. 8.0 Conclusion & Recommendations Due to the existence of significant amounts of visible mold and the high levels of airborne mold spores present throughout the basement, it is recommended that area undergo a professional mold remediation. The main level should also be a part of this remediation however; no visible mold was observed during the limited inspection on the main level. Cleaning and air scrubbing should be conducted throughout the main level. As some people are more susceptible than others to mold -related health problems due to factors such as age, relative overall health, allergies, existing respiratory ailments, etc., even small levels of mold spores can be potentially dangerous. Potential health effects and symptoms associated with mold exposures include allergic reactions, asthma, and other respiratory complaints. There is no practical way to eliminate all molds and mold spores in the indoor environment; the way to control indoor mold growth and prevent mold growth is to control moisture levels and fixing the source of the water problem. Taking measures to reduce indoor humidity to 30%-60% will reduce the chances of mold growth. The underlying moisture problem within the residence/building must be corrected to prevent recurring mold growth. Indoor moisture can result from numerous causes, such as: facade and roof leaks; plumbing leaks; condensation; and high relative humidity, etc. An emphasis should be placed on ensuring proper repairs to the cause of the moisture problem so the water intrusion and moisture accumulation is stopped and does not recur - resulting in additional mold growth. 9.0 Disclaimer & Limitations Currently there are no government regulations for evaluating potential health effects of mold contamination and remediation. This information is subject to change as more information regarding mold becomes available. This report, the information and the interpretations contained within, are designed to follow currently known industry guidelines and recommendations for the interpretation of microbial sampling, analysis, and remediation. Since interpretation of mold analysis reports is a scientific work in progress and is reliant on the inspector's expertise, experience and historical data, these interpretations may change at any time without notice. The client is solely responsible for the use or interpretation. DS Environmental Consulting makes no expressed or implied warranties as to health of a property or the health effects of any mold situation present, only a medical doctor can offer health advice. 0 10.0 Copyright Notice © DS Environmental Consulting 2017. All Rights Reserved. This document contains material protected under Federal Copyright Laws. No part of this document or any of its contents may be reproduced, copied, modified or adapted, without the prior written consent of the author and DS Environmental Consulting 7 APPENDIX A - INSPECTOR CERTIFICATE Certificate of Completion This is to certify that dick Krewcher has successfully completed a one -day seminar on Mold: Health Effects, Sampling, & Data Interpretation, Allergens, Bacteria (including Legionella and MRSA), and Risk Communication We will ensure that lAQ industry professionals succeed on their quest for knowledge. Date: Saturday, May 19. 2012 David F Gallup or Hamer Burge Co -Founder, EMLab P&K Director of Aerobiology, EMLab P&K APPENDIX B - ANALYTICAL DATA M INTE6RITY environmental 2807 Zang Way 4/11/2017 Golden, CO 80401 P: 303.886.2827 www.integrityenviro.com Consulting Company/Project Contact: DS Environmental Consulting, Inc. Rich Kreuscher Project Details: Project Name: 3250 Nelson St. Wheat Ridge, CO IE Lab #: IE - 0006706 Service: Airborne Spore Trap, Non -Viable Date of Analysis: 4/11/2017 Signatory Approval: z Andrea Robarge, B.Sc., M.S. Laboratory Manager, Owner Any samples received in an unacceptable condition will be noted in the report comments. Blank correction of results was not performed. The attached report relates only to the samples submitted and of which analysis could be completed. Samples will be discarded 30 days from receipt unless the client requests otherwise. This report is confidential and the sole -property of the company listed above. Integrity Environmental, LLC does not discuss results with any other party. This report is not to be reproduced unless in its entirety. Integrity Environmental, LLC is not liable for interpretation of these results. No laboratory results are meant for the diagnosis or treatment of any medical condition or disease. integrity Environmental, LLC does not offer medical advice, or medical diagnosis. Laboratory results may be used solely at the client's discretion. If you have questions about this report please contact the consulting company for interpretation. CLIENT: DS Environmental, Inc. CONTACT: Rich Kreuscher PROJECT NAME: 3250 Nelson St. Wheat Ridge, CO IE LAB #: IE - 0006706 DATE RECEIVED: 411012017 INTE6RITY DATE ANALYZED: 4/11/2017 environmental DATE REPORTED: 4/11/2017 IE - 0006706 - 1 Client Sample ID: BASE OUTSIDE Sample Location: Raw Count I S ores/W Laboratory Sample #: IE - 0006706 - 2 IE - 0006706 - 1 Method of Analysis: Airborne Spore Trap, Non -Viable Airborne Spore Trap, Non -Viable Sample Volume (liters): 75 75 c - uyrn ueuns uerec 3 - Substantial debris 4 - Excessive debris 'Percentages have been rounded to one tenth of a point. "Accuracy of analysis is likely affected if background debris rating is 3-4 Spores of Penicillium and Aspergillus are similar in size and shape and are grouped together in this report. Spore types listed without a raw count or data entry were not detected during the analysis of that particular sample. The limit of detection is the analytical sensitivity multiplied by the sample volume divided by 1000. The analytical sensitivity is the spores/m I divided by the raw count. RawCountj Sporesirn' I %Tubi' Raw Count I S ores/W �'✓ Total' In/Out Alternaria 8 1 107 1 1.6% 1 ; Arthrinium 1 Ascospores 1 13 1 0.27/6 1 Basidiospores 6 80 1 1.2% 2 27 4.5% 3.0:1 Beitrania 1 1 1 Bipolaris/Drechslera-like 1 1 1 1 Bot tis Cercospora-like 1 Chaetomium 78 1 1040 1 15.6% 1 ' Cladosporium 98 i 1307 1 19.6% 39 1 520 1 88.6% 2.5:1 Curvularia 1 1 Epicoccum 1 13 0.2% Fusarium 1 1 1 Fusicladium Ganoderma 1 1 1 Memnoniella Nigrospora 1 1 Oidium 1 1 Other Brown 1 ' Other Colorless Penicillium/Aspergillus-like 219 1 2920 1 43.9% 1 1 Peronos ora ' Pestalotio sisfPestalotia 1 1 1 Pithom ces 1 1 1 1 Polythrincium 1 1 1 1 Rusts 1 Smuts, Periconia, Myxomycetes 47 1 627 9.4% 3 1 40 1 6.8% 15.7: 1 Scopulariopsis 1 1 S e azzinia S orormiella ; Stachybotrys 41 1 547 1 8T-/ 1 Stem h lium Taeniolella Tetra loa Torula 1 ' Trichoderma 1 1 Ulociadium 1 1 1 l SPORE TOTALS 499 6,683 100% 44 587 100% .—Non -Biological Background Debris Ratin 0-4): 3 2 Hyphai Elements 40 533 1 13 Pollen 5 1 67 1 1 13 Background Debris Rating Key: 0 - No debris detected 1 - Trace of debris detected Comments: Comments: c - uyrn ueuns uerec 3 - Substantial debris 4 - Excessive debris 'Percentages have been rounded to one tenth of a point. "Accuracy of analysis is likely affected if background debris rating is 3-4 Spores of Penicillium and Aspergillus are similar in size and shape and are grouped together in this report. Spore types listed without a raw count or data entry were not detected during the analysis of that particular sample. The limit of detection is the analytical sensitivity multiplied by the sample volume divided by 1000. The analytical sensitivity is the spores/m I divided by the raw count. CLIENT: DS Environmental, Inc. CONTACT: Rich Kreuscher PROJECT NAME 3250 Nelson St. Wheat Ridge, CO IE LAB #: IE - 0006706 DATE RECEIVED: 411012017 INTE6RITY DATE ANALYZED: 4/11/2017 environmental DATE REPORTED: 4/11/2017 Sample Volume (liters): Client Sample ID: MAIN OUTSIDE Sample Location: % Totar Laboratory Sample #: IE - 0006706 - 3 IE - 0006706 - 1 Method of Analysis: Airborne Spore Trap, Non -Viable Airborne Spore Trap, Non -Viable Sample Volume (liters): 75 75 G - L gHL UCU115 UULUCICU 3 - Substantial debris 4 - Excessive debris 'Percentages have been rounded to one tenth of a point. "Accuracy of analysis is likely affected if background debris rating is 3-4 Spores of Penicillium and Aspergillus are similar in size and shape and are grouped together in this report. Spore types listed without a raw count or data entry were not detected during the analysis of that particular sample. The limit of detection is the analytical sensitivity multiplied by the sample volume divided by 1000. The analytical sensitivity is the sporeslm 3 divided by the raw count. Raw Countj SporesftW I % Totar ftwCountj S oresim' I % Total* i In1Out Alternaria 1 Arthrinium 1 1 Ascospores ; Basidiospores ; ; 2 27 ; 4.5°l0 Beltrania 1 t 1 Bipolaris/Drechslera-like 1 1 1 Bot is i Cercospora-like ; Chaetomium 7 1 93 i 6.5% t 1 Cladosporium 82 1093 1 76.6% 39 520 1 88.6% 2.1 :1 Curvularia ' Epicoccum 1 ; Fusarium t 1 Fusicladium ; Ganoderma i Memnoniella Ni ros ora 1 ; Oidium i1 Other Brown t ' Other Colorless Penicillium/Aspergillus-like 13 173 12.1 Peronos ora 1 I 1 Pestalotio sis/Pestalotia 1 1 I 1 Pithom ces 1 1 Polythrincium 1 ; Rusts 1 13 1 0.9% 1 1 Smuts, Periconia, Myxonnycetes 4 1 53 1 3.7% 3 t 40 i 6.8% 1.3 :1 Scopulariopsis 1 1 Spegazzinia ; S orormiella Stachybotrys Stem h lium 1 Taeniolella Tetra loa Torula t ' Trichoderma ' Ulocladium t i SPORE TOTALS 107 1,427 100% 44 587 100% "Non -Biological Background Debris Rating (0-4): 2 2 Hyphal Elements 3 40 1 13 Pollen 1 13 Background Debris Rating Key: 0 - No debris detected 1 - Trace of debris detected Comments: Comments: G - L gHL UCU115 UULUCICU 3 - Substantial debris 4 - Excessive debris 'Percentages have been rounded to one tenth of a point. "Accuracy of analysis is likely affected if background debris rating is 3-4 Spores of Penicillium and Aspergillus are similar in size and shape and are grouped together in this report. Spore types listed without a raw count or data entry were not detected during the analysis of that particular sample. The limit of detection is the analytical sensitivity multiplied by the sample volume divided by 1000. The analytical sensitivity is the sporeslm 3 divided by the raw count. a FUNGAL LIBRARY 0 Alternaria s eo cies: A genus of fungi in the Ascomycota genera. This genus is ubiquitous in nature. This is one of the most abundant fungi worldwide. Often found growing indoors. Can be major plant pathogens and a common allergen to humans. Ascospores: This fungus is ubiquitous in nature. Grows on a wide range of substrates. Produced inside of an ascus fruiting body that usually contains eight spores. Can cause some allergic response. Basidiospores: A reproductive spore produced by Basidiomycete fungi and formed on a basidium. These fungi include puffballs, mushrooms, bracket fungi and other macro fungi. Often located in soil and on cellulose substrates such as wood. t Chaetomium species: Commonly found in air, soil, and plant debris. Grows well on wet cellulose substrates such as sheetrock, paper, textiles, and plasters. Can be an infectious agent to humans and cause allergic reactions. Cladosporium species: Common genus of fungi found outside and indoors. This genus is abundant in the air and on dead organic matter. Found indoor on shower walls, wood substrates, moist window edges, and decaying food. Curvularia species: Commonly found in tropical and temperate zones. This genus typically is found in the soil or on dead plant material. These species are saprophytes and weak plant pathogens. Fusarium species: This genus of mold is filamentous and commonly found in adequately wet conditions. These species are soil saprophytes and have the ability to produce mycotoxins in cereal grains. Integrity Environmental, LLC — 3000 Youngfield St., #263, Wheat Ridge, CO 80215 -- results@integrityenviro.corrr o. 303-886-2827 FUNGAL LIBRARY Memnoniella species: This genus is found in moist environments growing on damp cellulose substrates such as paper, wallpaper, and textiles. Species can also be seen in soil and decaying plant material. Can be an indicator of water related conditions. This fungus has the ability to produce toxic metabolites. <� i•, Nigrospora_ s cies: This genus is not typically found growing indoors but on decaying plant material and in the soil. Found in warm climates. Penicillium/Aspergillus species: Unless condiophores are present under microscopic examination it is not possible to tell the difference between these two species. These genera are ubiquitous and commonly identified in soil, decaying plants and food materials, and in the air. Increased counts of may indicate location of water -damaged materials. Some species are capable of mycotoxin production. Niiv"- St,c ybotrvs species: This genus is often referred to as "black mold" Closely related to the genus Memnoniella. Often found on water damaged building materials such as paper, wallboard, textiles, and other cellulose rich substrates. This genus does not grow on plastic, concrete, ceramic tile, or vinyl. These spores are not easily airborne suggesting bulk or swab sampling for identification. This genus is capable of producing mycotoxins. Trichoderma species: Widespread distribution and found commonly in soils, wood, paper, and decaying vegetation. This fungus can cause allergies and release toxic metabolites. W, 15 Ulocladium species: Commonly found in cellulose rich damp environments. This genus grows well in soil, on decaying plants, paper, textiles, and wood. Presence of these spores indoors may indicate a water intrusion. This mold is capable of allergenic reactions like hay fever and asthma. Integrity Environmental, LLC — 3000 Youngfield St., #263. Wheat Ridge, CO 80215 -- results@integrityenviro.com — o. 303-886-2827 Environmental Sewer Release Testing Report 3250 Nelson St, Wheat Ridge, Colorado 80033 Presented To: Mr. Ron Sarrasin Manager Front Range Project Management CO PO Box 725 Westminster, CO 80036 303-902-8194 rsarrasin@frpmc.com Performed & Prepared By: Mr. Rich Kreuscher DS Environmental Consulting 12477 W Cedar Dr, Ste 101 Lakewood, CO 80228 (970) 389 - 3408 Project Details: Project Number: 16139 Conducted: April 10, 2017 TABLE OF CONTENTS PROJECT OVERVIEW 1.0 Introduction 2.0 Scope of Work 3.0 Site Description & Observations 4.0 Certifications 5.0 Sampling & Analytical Procedures 6.0 Overview of Findings 7.0 Conclusion & Recommendations 8.0 Copyright Notice APPENDIX A Analytical Data 2 PROJECT OVERVIEW 1.0 Introduction On April 10, 2017, Mr. Rich Kreuscher with DS Environmental Consulting (DS) performed an on-site inspection and sampling for possible sewage (fecal) residue/bacteria within the basement level bathroom of the residence located at 3250 Nelson St, Wheat Ridge, Colorado. The sewage screening was attempting to locate any bacteria that were indicative of human feces. The screening was cultured to find Fecal Coliforms, E. Coli. Fecal Coliform bacteria live in the digestive tracks of warm-blooded animals, including humans, and are excreted in the feces. E. Coli is a part of the group of Fecal Coliforms. The purpose of the inspection and sampling was twofold. One was to determine if any sewer residue/bacteria was present within the air of basement level. Two was to determine if any sewer residue/bacteria were present on the impacted surfaces of the basement following the recent sewer loss. Air Samples A single air sample was collected from the basement level bathroom (where the pipe break took place). The screen was cultured to find Total Coliforms and E. Coli within the air, which none were found. Surface Swab Samples One surface swab sample was collected from the basement level bathroom floor. The sample collected from the bathroom was negative for Fecal Coliforms and E. Coli. 2.0 Scope of Work The scope of the limited inspection and sampling was limited to specific areas of the residence as affected by the original sewer loss/pipe break. These areas included the basement level bathroom where the break took place underneath the shower pan. 3.0 Site Description & Observations The floor was removed within the bathroom shower to expose the pipe and one foot flood cuts were made around the shower pan. Small amounts of debris were found within the bottom plates of the walls in the bathroom shower pan and were also found sporadically throughout the bathroom. 3 4.0 Certifications The sewer release testing was conducted by Mr. Rich Kreuscher with DS. Mr. Kreuscher is an Industrial Hygienist (IH) with DS. 5.0 Sampling & Analytical Procedures A non-destructive building inspection was conducted. Walls, columns, perimeter pipe chases, and other inaccessible areas were not broken into in order to locate hidden damaged or other visual evidence. It should be noted that additional sewage might be located in such inaccessible areas. Roofs and exterior areas were not included in the survey. The results contained within this report are limited to the date and time the inspection was conducted. DS used a high-volume Thomas pump manufactured by Asbestos Analytics for the air-quality samples. Mr. Kreuscher calibrated the pump to 28.0 liters per minute for the bacterial sample with a primary standard device prior to collecting the sample. The calibration of the pump was also checked after the sample was collected. The swab samples were collected using approved swabs for sewage screening purposes. The swabs were wetted using the reservoir at the base of the provided sampling tube, then ran along the surface of the floors in each area sampled covering approximately one square feet of area each. Collected samples were analyzed by Aerobiology Laboratory Associates, Inc., a Colorado -State -Certified Microbiological Laboratory, with EMLAP Accreditation #102977. Analysis of the samples was performed on the "date reported," as listed in the Aerobiology Laboratory sample -analysis report. M 6.0 Overview of Findings Air -Quality Samples Surface Swab Samples 7.0 Conclusion & Recommendations Following the inspection and sewer release sampling on April 10, 2017, it has been determined that no fecal coliforms or E. Coli are present within the basement level bathroom. 8.0 Copyright Notice © DS Environmental Consulting 2017. All Rights Reserved. This document contains material protected under Federal Copyright Laws. No part of this document or any of its contents may be reproduced, copied, modified or adapted, without the prior written consent of the author and DS Environmental Consulting 5 APPENDIX A - ANALYTICAL DATA AEaobiolocy LAboRAToRy ASsocIATEs, INCORPORATED Certificate of Analysis AIHA-LAP EMLAP# 192683 Expertise Since 1997 DS Environmental Consulting 12477 W. Cedar Dr., Suite 101 Lakewood, Colorado 80228 Attn: Rich Kreuscher Project: 3250 Nelson St, Wheat Ridge, CO Condition of Sample(s) Upon Receipt: Acceptable Client Sample #: 1 Sample Location: BATH Test: 1006, Surface/ Wipe Bacterial Count w/ Complete Genus ID SOP 2.3 Results: 20350 CFU/swab Organism(s) Isolated: Actinomycete group Bacillus species/Bacillus group coryneform bacteria group/Corynebacterium group Stenotrophomonas maltophilia Stenotrophomonas rhizophila Comments: Fungi detected on sample. 780 Simms St Suite 104 Golden, Colorado 80401 (866) 620-9348 www.aerobiology.net Date Collected: 04/10/2017 Date Received. 04/10/2017 Date Analyzed: 04/20/2017 Date Reported: 04/20/2017 Project ID: 17009968 29 Page 1 of 2 Lab Sample #: 17009968-001 Area: Swab Raw Count CFU/swab % Total MRL 3 300 1 1 6 6000 29 1 14 14000 69 1 1 10 <1 1 4 40 <1 1 28 20350 -100% Human/Environment Client Sample #: 2 Sample Location: BATH -Air -1 / BATH -Air -2 Test: 1005, Bacterial Count w/ Complete Genus ID: SOP 2.2 Positive Hole Corrected Result: 666 CFU/m3 Organism(s) Isolated: Achromobacter denitrificans Actinomycete group Bacillus species/Bacillus group bacteria Coag -negative Staphylococcus species coryneform bacteria group/Corynebacterium group Micrococcus species Lab Sample #: 17009968-002 Positive Hole: 400 Air Volume: 98 (L) MRL: 10 Raw Count CFU/m3 % Total Reservoirs 1 10 2 1 10 2 Soil 15 153 25 Environment 16 163 27 1 10 2 Human 19 194 32 Human/Environment 7 71 12 Human 60 611 -100% Comments: Fungi detected on sample. 16 CFUs of bacteria could not be isolated for identification. AERObiology LAbORATORy assoclArEs, wcorrnoRAiED Certificate of Analysis AIHA-LAP EMLAP# 192683 Expertise Since 1997 DS Environmental Consulting 12477 W. Cedar Dr., Suite 101 Lakewood, Colorado 80228 Attn: Rich Kreuscher Project: 3250 Nelson St, Wheat Ridge, CO Condition of Sample(s) Upon Receipt. Acceptable 780 Simms St Suite 104 Golden, Colorado 80401 (866) 620-9348 www.aerobiology.net Date Collected: 04/10/2017 Date Received: 04/10/2017 Date Analyzed: 04/20/2017 Date Reported: 04/20/2017 Project ID: 17009968 26% to 75% of the trace occluded with Page 2 of 2 Footnotes and Additional Report Information Debris Rating Table 1 Minimal (<5%) particular present Reported values are minimally affected by particulate load. 2 5% to 25% of the trace occluded with Negative bias is expected. The degree of bias increases directly with the percent particulate of the trace that is occluded. 3 26% to 75% of the trace occluded with Negative bias is expected. The degree of bias increases directly with the percent particulate of the trace that is occluded. 4 75% to 90% of the trace occluded with Negative bias is expected. The degree of bias increases directly with the percent particulate of the trace that is occluded. Greater than 90% of the trace occluded with Quantification not possible due to large negative bias. A new sample should be 5 particulate collected at a shorter time interval or other measures taken to reduce particulate load. 1. Penicillium/Aspergillus group spores are characterized by their small size, round to ovoid shape, being unicellular, and usually colorless to lightly pigmented. There are numerous genera of fungi whose spore morphology is similar to that of the Penicillium/Aspergillus type. Two common examples would be Paecilomyces and Acremonium. Although the majority of spores placed in this group are Penicillium, Aspergillus, or a combination of both. Keep in mind that these are not the only two possibilities. 2. Ascospores are sexually produced fungal spores formed within an ascus. An ascus is a sac-like structure designed to discharge the ascospores into the environment, e.g. Ascobolus. 3. Basidiospores are typically blown indoors from outdoors and rarely have an indoor source. However, in certain situations a high basidiospore count indoors may be indicative of a wood decay problem or wet soil. 4. The colorless group contains colorless spores which were unidentifiable to a specific genus. Examples of this group include Acremonium, Aphanocladium, Beauveria, Chrysosporium, Engyodontium microconidia, yeast, some arthrospores, as well as many others. 5. Hyphae are the vegetative mode of fungi. Hyphal elements are fragments of individual Hyphae. They can break apart and become airborne much like spores and are potentially allergenic. A mass of hyphal elements is termed the mycelium. Hyphae in high concentration may be indicative of colonization. 6. Dash (-) in this report, under raw count column means 'not detected (ND)'; otherwise 'not applicable' (NA). 7. The positive -hole correction factor is a statistical tool which calculates a probable count from the raw count, taking into consideration that multiple particles can impact on the same hole; for this reason the sum of the calculated counts may be less than the positive hole corrected total. 8. Due to rounding totals may not equal 100%. 9. Analytical Sensitivity for each spores is different for Non-viable sample when the spores are read at different percentage. Analytical Sensitivity is calculated as spr/m3 divided by raw count. spr/m3 = raw counts x (100/ % read) x (1000/Sample volume). If Analytical Sensitivity is 13 spr/m3 at 100% read, Analytical Sensitivity at 50% read would be 27 spr/m3, which is 2 times higher. 10. Minimum Reporting Limits (MRL) for BULKS, DUSTS, SWABS, and WATER samples are a calculation based on the sample size and the dilution plate on which the organism was counted. Results are a compilation of counts taken from multiple dilutions and multiple medias. This means that every genus of fungi or bacteria recovered can be counted on the plate on which it is best represented. 11. If the final quantitative result is corrected for contamination based on the blank. the blank correction is stated in the sample comments section of the report. 12. Analysis conducted on non-viable spore traps is completed using Indoor Environmental Standards Organization (IESO) Standard 2210. 13. The results in this report are related to this project and these samples only. 14. For samples with an air volume of < 100L, the number of significant figures in the result should be considered (2) two. For samples with air volumes between 100-999L, the number of significant figures in the result should considered (3) three. For example, a sample with a result of 55,443 spr/m3 from a 75L sample using significant figures should be considered 55,000. The same result of 55,443 from a 150L sample using significant figures should be considered 55,400 spr/m3. 15. If the In/Out ratio is greater than 100 times it is indicated >100/1, rather than showing the real value. Terminology Used in Direct Exam Reporting Conidiophores are a type of modified hyphae from which spores are born. When seen on a surface sample in moderate to numerous concentrations they may be indicative of fungal growth. Suzanne S. Blevins, B.S., SM (ASCP) Laboratory Director © 2017 Aerobiology Laboratory Associates, Inc. All rights reserved. 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: P U 6 -- Job Address: 0 N,/ s 4'j S Permit Number: a i "� Gy "1 ? F�r;' Pd U -� ❑ No one available for inspection: Time 3 5 AM/PM Rednsp ction required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f -T P/---, �' �` Job Address: `Z 5-0 N<' S7 - When i Re -Inspection required: Yes *When corrections have been made, call for re-inspeftion-at 303 -234 - Date: !'� �/� ;. ; . Inspector:-/! DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax IP CION NOTICE Inspection Type: �- Job Address: Permit Number: �? C) %''/ 0 Z Cl 2 -3 ❑ No one available for inspection mime 0 V ~ AM/PM Re -Inspection required: Yesl N_�) When corrections have been made, call for re -inspection at 303 -234 - Date: (d'' � � � Inspector: a DO NOT REMOVE THIS NOTICE 4' 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 v A7 Job Address: Z2_50 Permit Number: lid /^7 O ©'i No one available for inspe ion: Time f / AM/PM CYes.)No Re -Inspection required: When corrections have been made, call for re -inspection at 303-234-5933 i Date: Inspector:/,// DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: fm 1?a0e_'4y lotcl -� Job Address: S -G /1 ff&_. Okv S Permit Number: 20/ 7 Da E3 No one available for inYes" on: Time ' J AM/PM Re -Inspection required:No When corrections have been made, call for re -in Vection at 303-234-5933 6 -- Date:, p Ins ector:/ L_!� r' DO NOT REMOVE THIS NOTICE Permit#:201400945 Issued: 10/22/2014 Stipulations: 11 x 25 Patio Room with Hot Tub and New Electrical. This certificate verifies that the building constructed and/ the use proposed of the building and/or premises, under t above permit number and on property described below, does comp with the Wheat Ridge Building Code and development standards • the zone district in which it is located and may be occupie All other licensing requirements for the City must be met. Owner: MCBRIDE LEE D 3250 NELSON ST WHEAT RIDGE CO 80033-5550 Contractor: Paul Bonow 10000 E 45TH AVE DENVER CO 80238-5000 Z o H i Eni s t �ra t o 5r� Dial Y OF WHEAT RIDGE \.ate $« < »»* Inspect +» Division ? <f © « z + >« I ns p e c tion in :¥: 2a ©: 4 «w < » -. < INSPECTION ? # «l inspection Typ, . Job Address: Permit Number:, 2L! L ::L:211L I oil Contr actors City Lice M. I, Y -> - Phone: � ww C .rN� / C-> Complete all information on BOTH sides of this form 'nouns oT maieri s iQ oe ";u5ep, rib .) P v,� r cP , if"?" r s °r w� Sq. FULL Btu's Gallons Amps "� ter., Squares Other 3250 Nelson Street, 201400945 Note: Re ev m ustvtav with Plan Wiring of hot tub per section 680.43, 2011 NEC In Accordance with 2006 — I RC, safety glazing is Wheat Ridge Building Department App roved required where indicated on 11 " e plans. Z � BUILD[ CIAL DATE Refer to original red-fine Th � e sua it Validgy of permic T suance of a permit or spprovat of pians, sp"jo no tes. and tomputations shall riot be a pe f of go gWova Of, any vi 01skm to �OY Of the Provisions of the building code or of &nvCijv ordinances. t .. cz F _.. •.m ry. «A.. nxmxxm +.wn�wxnvm +w.:uw�wwwwwnw.y n w kilt City of Wh6atf (jg C C0nMXA XItUNITYD EVE LOP M ENT • 0 =mom ME 6*4000�� Emma Address: Pt tie, i Sub Contractors: Electrical: Z61VCo 46iE-O�Rl C Plumbing: Mechanical: W.R. City License # W.R. City License # WR City License # Other City Licensed SW Other City Licensed Sub: City License # City License # ' Ah y g, FU F Btu's Gallons Amps Squares Other Type of project (applicable survey conditions in parenthesis): Existing Improvements: House: sq. ft. Shed: sq. ft. Detached garage: 6.c>q sq ft. Other: Total Existing sq. ft Lot Coverage % Proposed Improvements: House/addition: - sq. ft. Shed: - sq. ft Detached Garage: _ sq, ft. Other: 7 � 7A5 _,% ft. Total Proposed sq. ft Lot Coverage % e Maxi mum Lot Coverage: % sq. ft. L IN Akavocd JP� ke� A 4 0 Work shall COMPly with lhc�� following code 2006 IRC, 2006 IECC & 201 NEC,` ati ne requirea in jilarms sm each sleeping room and outside each sleeping area per 2006 IRC, Section 3 13. NOR* WWI" Wit" SiS l2i 13irect connectstnoke alamis are. requirecl, Cafborl monoxide detector(s) requirt-A within 15 ft of all siecq)ing areas, ZT a 07/11/14 10 p P aw 40 coelvfelef Ave to ............... ORDER NO: 1575 ITEM: I DATE: 06/30/14 I j I I 1 1 / / 1' I Attachment Height: 96 " B Wall Height: 86.25 B Wall Width: 295 Roof Overhang: 6 " 6.5625" (Corner Post) + 5,7188" (Foam) + 0,625" (WINDOW PLATE) + 63,5" (2 Lite Window) + 5,0625" (Wall Mullion) + 63,5" (2 Lite Window) + 5.0625" (Wall Mullion) + 635' (2 Lite Window) + 5,0625" (Wall Mullion) + 615" (2 Lite Window) + 0,625" (WINDOW PLATE) + 5.7188" (Foam) + 6.5625" (Corner Post) PAGE: 1 of F 603 3 ORDER O: 1575 ITEM: 1 DATE: 06,f3014 Wall 132 " 3 tmensi n 5v" Attachment Height, 36 B Wall Height: 66.25 pAYa A Wail Width: 132 Roof Overhang. 6 " F NX ./ L V L 17.625" (BASE PLATE) + 51.5" (Affiliate Supplied Window) + 5.0625" (Mall Mullion) + 615" (2 Lite Door) + 0.625" (WINDOW PLATE) + 4.125" ( Oarn) + 6.5625° (Corner Past) !\ }\ >�2 � « CHISHOLM CONSULTING SERVICES LTD, 1074 S, Alkire St. Lakewood, CO 80228 DESIGN LOADS: WHF471 f�f SNOW LOAD 30 PSF VVIND LOAD 1 MPH, EXPOSURE C EXISTING RAFTER NEW ROOF PANEL. ?X RAFTER X 12", SLUE AND NAdL WITIj 2-8d NAILS TO RAFTER. - 2X4 STUD WALL )R BRICK WALLS TWO VYTHES. 2-1/4" 0 X 3 1/, SDS SCREWS AT 2 XI TIN SHEATHING, ND BRICK. SECTION A EXISTING RAFTER NEW 2X PIECE. 2-1/4" 0 X 3 112" SII SON SDS SCREWS AT 24" O.C. NuuF CONNECTlu S JOB CONSUL , L SHEET Structural Engineers 1074 S. Alkire S t. 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ZAAAC KAJjjK D" rGWo"5- rA5fl'ENo('5 DE`-`,oCC -Pa, KY I F As re, P, 5 1 i\ C a4W, r VA fl T �s%,PT� 3F A it P L!, 'J *',A,� P.' 5 rA N, 5 1 - e 6 5 F. � V I rrr r1i P 611. 5 1 RA, M 221 'T Nag am 'u ' (4- 0 0 W 0: 1- 0 0 2 P 0 W Z z 4i MFd U 'T Nag am 'u ' (4- F INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234- 5933 Inspections will not be made unless this card is posted on the building site r Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION. INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Mid Roof `.... Stemwall/ (CEG) Concrete Encased Ground .Rough Electric Reinforcing or:Monolithic _ Rough Plumbing Weatherproof; French Drain Gas:Piping Sewer Service Lines Water Service Lines - - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) - - Plumbing (Underground) Heating (Underground) Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ` : .:ROUGHS Sheathing Electrical °.Lath) Wall tie Plumbing Mid Roof `.... . Electrical Service .Rough Electric Roof _ Rough Plumbing Building Final Gas:Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw :FINALS Electrical Plumbing '.Mechanical Roof Building Final Fire Department R.O.W & Draina e g 'INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking .&. Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFOREA:.' CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL: INSPECTION BY THE BUILDING DIVISION DOES: NOT CONSTITUTE AUTHORIZATION' " OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY N OT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED DMl1 C� TUIC l AMM 010(IIIA TUC \A /C ATUCM ♦ 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: Job Address: �5� �Sdn✓T Permit Number: 14t' / ❑ No one available for inspection: Time •'Y29 AM Re- Inspection required: Yes MOP "When corrections have been made, call for re-inspection at 303 - 234 -5933 Date: 2e! sa Inspecto �' DO NOT REMOVE THIS NOTICE City of Wheat Midge COMMUNITYDEVELOPMENT 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 Building Permit Application Property Owner (please print): J` 1~7 / )yam IG Mailing Address: (if different than property address) Address: 131 k,/- RDIn/ City, State, Zip: Z-1,46 Date: Plan # Permit # Phone: '5k,"aueo qt91; 7 CorfYactdr: License 1() - 0 -Ct 5zlq suurcontractols Electrical: Plumbing: Mechanical: City License # City License # City License # Teic3ava~# w~~a1nF~~r~wL.S all t toi >,,-1 tn~tv~~ryr,/5 L'~ > $ contract value: Oeml VYtAl t t/h~ow`7 ~~tcL lY 0lM > 4 ( WllSL 11`7 Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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. CIRCLEONE (/OWNER) (CONTRRAA-~C~TO,.R,)/jr (AUTHORIZED REPRESENTATW-Eg R) (CONTRACTOR) PRINT NAME: corX 7 C-P SIGNATURE: 7 DATE: FIRS DEPARTMENT ❑ approVedw/ CArnmQntSr D dssappioved DOT8v10W required Bldg Valuation $ . ~ rr CaeE 034 0, 131 1 0.57 C,£ Tin 0.34 0.21 0.33 LC-35 CazE HV 0.33 0.23 0.53 Cb£ 0.34 0.31 ~ 057.` CbzE Tint 0 35 0.21 D 33 R-20/LC-25/LC C.zE HV 0.33 0,23 +-'053 C:E 0.31 033 0.63 C£ Tin[ 0.32 0.23 0.36 C-40 C -E HV 0.31 0.25 0.58 CiE 0.34 0.29 D:55 ' CzETint 0.35 0.21 nal" LC-35 CazEHV 0.33 022 C -E 0.35 0.29 0.55 C ETIn1 0.35 020 I 0.31 R-20AC-25 C -E HV 033 0.22 0.51 C6£ 032 0.31 '.057 C£ Tm 0.33 0.21 :r 0,33 , LC-25 C.ZEHV 031 0.23 Your Authorized AMSCD Windows Dealer. CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 100720 Issued: 04/29/10 Stipulations: Remodel portion of Home, including Kitchen and Bathroom This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 3250 NELSON ST Parcel Number: 39-281-18-003 Owner: Billy Nalax 13982 W. Bowles Ave Ste 200 Littleton CO 80123 Contractor: For the Following Pu Co` Editions t/ 2003 ICC/2005 NEC _ 2003 ICC/2002 NEC 1997 UBC/2002 NEC Sprinkler System rpose: Residential Remodel NO change shall be made in the USE of this building without prior notice and a new Certificate of Completion from the City of Wheat Ridge. Inspector Zoning Administrator FICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 04/30/10 09:14:31 City of Wheat Ridge Page 1 bp701-1s PERMIT INFORMATION - 100720 mmackey PERMIT INFORMATION: Permit#: 100720 Address: 3250 NELSON ST Permit Type: Residential Remodel Parcel Cd: 39-281-18-003 Permit Dt: 03/22/2010 OWNER: Billy Nalax Expires: 09/18/2010 Address: 13982 W. Bowles Ave Ste 200 City/St/Zip: Littleton CO 80123 LAND PARCEL INFORMATION: Zone Cd: Unassigned DO: 1 SetBacks-Front: 0.0 Funct Use: Unassigned Last Zone Dt: Left: 0.0 Subdivision: ROLLING HILLS ELKS 6 Annex Dt: Right: 0.0 Cent Type: Miscellaneous Lot: Block No: 0 Back: 0.0 Legal: JOB DESCRIPTION: Remodel portion of home, kitchen, bathroom, doors, trim FEES QTY DUE PAID: Investigative Fees .00 613.74 613.74 Permit Fee 32,500.00 613.74 613.74 Plan Review Fee .00 330.66 330.66 Plan Review Addtiona .00 68.27 68.27 Total Valuation 32,500.00 .00 .00 Use Tax 32,500.00 585.00 585.00 2,211.41 2,211.41 CONTACTS: owner Billy Nalax 13982 W. Bowles Ave Ste 200 Littleton CO 80123 3035501211 sub CL3 Highlander Remodeling & Constr Chris Fiser 6732 W. Coal Mine Ave. Littleton, CO 80123 3039726945 sub CL9 Credible Air Michael Gentile 200 S. Wilcox St. PMB 433 Castle Rock, CO 80104 3036634100 PARCEL INFORMATION: 10 Structure Type RANG 20 Year Built 1958 30 Property Type REBID PERMIT CONDITIONS: Fees doubled for work without permit. RP:MUSt comply w/ 2003 IRC & 2005 NEC. Subject to field inspections. Finished and covered up without inspections, inspector may require removal of finish material to conduct inspections to verify compliance with applicable codes. APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 03/22/10 CREATED FROM APPL# 10-0079 03/19/10 Given to RP for review INSPECTION INFORMATION: # TYPE CONTR# CALLED CNCL WHO PRO DT INS DT STATUS 1 cou:COUrtesy 10-0088 03/25/10 no rp 03/29/10 03/29/10 COMPLETE 2 eri:Electrical Rough Ins 10-0088 04/21/10 no kc 04/22/10 04/22/10 INCOMPLETE 04/30/10 09:14:31 City of Wheat Ridge Page 2 bp70l-ls PERMIT INFORMATION - 100720 mmackey 3 mri :Mechanical Rough Ins 10-0088 04/21/10 no kc 04/22/10 04/22/10 INCOMPLETE 4 pri :Plumbing Rough Tnsp. 10-0088 04/21/10 no kc 04/22/10 04/22/10 INCOMPLETE 5 fri :Framiag Rough last. 10-0088 04/21/10 no kc 04/22/10 04/22/10 INCOMPLETE 6 pfi: Plumbiag Final Insp 10-0088 04/28/10 no kc 04/29/10 04/29/10 COMPLETE 7 mfi: Mechanical Final 10-0088 04/28/10 no kc 04/29/10 04/29/10 COMPLETE 8 efi: Electrical Final Ins 10-0088 04/28/10 no kc 04/29/10 04/29/10 COMPLETE 9 bfi: Building Final Insp 10-0088 04/28/10 no kc 04/29/10 04/29/10 COMPLETE CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line ; (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Ate. rkl4wT ` Job Address: ;7 Permit Number: rs�o R F R GPJ fY - (d /'Y Li , Y/l j� J'i lJFt�l�.'Jl'y1 ft�/ LAdYK� ? Pi+C ❑ No one available for inspection: Time AM /PM Re- Inspection required: es No * When corrections have been made, call for re- inspection at 303-234-5933 Date: z� Inspecto DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE f j Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: / U Job Address: 56 r6)e `7 7 —. Permit Numbers l!J 5 3 C) It ❑ No one available for inspection: Time AM /PM Re- inspection required: Yes No When corrections have been made, calf for re- inspection at 303- 234 -5933 Date: I 'Inspector: D© NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Far INSPECTION NOTICE Inspection Type: f d~ Job Address: >0~5l~ J j v Permit Number: 00/X/3/%,O „ h i i ❑ No one available for inspection: Time y.'~~ rAM/ M Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 l ~r Date: /A I /f) Inspector: DO NOT REMOVE THIS NOTICE ♦ 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: LI,LtvI Job Address: <n~~ Permit Number: / tt~U L, G, x.1~~,4,OtJ fA~ TEr~irn !~Y✓/P,.v `Y t 31 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection ~ at 303-234-5933 Date:. 5 c ' Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: AZ-, FFT , PF a3 Z Job Address: 3-95® .z!y~sDa~ s7- Permit Number: 16~27a4> il~~ ISSUED: 03/22/2010 `EXPIRES: 09/18/2010 of home, ;kitchen, bathroom, doors, trim r Nalax * FEE SUMMARY ESTIMATED PROJECT VALUATION: 32,500.0.0 FEES Investigative Fees 613.74 Permit Fee > '.613.74 Plan Review Fee 330.66 Plan Reviewz Addtiona `68.27 Total Valuation .00 INSYECTIUN XL''.(ZUEST LINE: (dU3)lb4-5933 BUILDING OFFICE: (303)235-2855 4< MOUNTAIN STATES STRUCTURAL, Inc. 636 Leyden Street Denver, CO 80220-5332 Ph: 303-825-1572 Fx:303-484-2376 structural.engineer@yahoo.com April 21, 2010 Attn: Mr. Chris Fiser Highlander Construction and Remodeling 6732 W. Coal Mine Ave. - #410 Littleton, CO 80123 Re: Structural Engineering for the Egress Windows for the House at 3250 Nelson St. iso7:zo Wheat Ridge, CO MSS Project #10-067 Dear Mr. Fiser: We were asked to consult on the installation of (2) egress windows in a basement wall (at the gable end) of the subject house. We advised that, if you cut the concrete wall straight down at the existing window and fit in the new window, the wall would not require remedial strengthening. We recommended that each window be blocked out with a 2x6 vertical on each side, and a (3) 2x4 header beam bearing on the 2x6 verticals. The new window is less than 36-inches wide. We have reviewed photographs of the completed work and, in our opinion, it was completed in compliance with our recommendations. If you have any questions or comments, please call. Sincerely, Alan C. Stepneski, P.E. Principal 3250 Nelson St " Mountain States Structural, Inc. Page 1 of I p J'v 41 City of Wheat RiduP >ERMIT NO: 100720 4ISSUED: TOB ADDRESS: 3250 NELSON ST EXPIRES: )ESCRIPTION:-Remodel portion of home, kitchen, bathroom, CONTACTS /wner 303.:/550-1211 Billy Nalax .,,Y. ten' /ao o_co'r nl -4 a: ~n 'nn o`er. UMMARY ESTIMP F gative Fees 613 Fee 613 view. Fee 330 view Addtiona 68 aluation 585 L 2,211 /22/2010 /18/2010 S, trim LanderRemodel'ina & Constr .Y Xvaava ua u. \s vs/~sz sass .nv nn iiw vrr i~.n . lava/co.~ c,v ss:. REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ! City of Wheatjgge 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 Building Permit Application ProuertvPddiess ;A2 4%) 1nn0r n.n it " J - Date: Plan # Permit # j~ Property Owner (please print)` Y A) S1 1~- N~1 Phone:30-$3p-)2 Mailing Address: ~ (if different than property address) Address: 1 3q i6 2 LV, Bjuw P5 yL I~ ...City, state Zip: `j` Contractor: [ l wv9l~p ITV ~jyL l i Contractors City License Phone: 503-Wcl C(5U0( Sufi Contrac#ors% Electrical: Plumbing: Mechanical: City License # City License # City License # bes~bni 6f. work G R~Ok ` ~n$,~~vl r Y Jw~~ U~(~w ~-F~c \ 1. Contract Value;- Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. 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 thatI 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. (CONTRACTOR) o O CIRCLEONE: (OWNER (AUTHORIZED REPRESENTAT aj ER) (CONTRACTOR) ' PRINT NAME: U i j y IEiye(' SIGNATURE: DATE: r DEPART~IAN 1J~SE ON) Y 's a~ ' awe E t r ~r l FIRE EP raproved w/pcom~7`er IIappve] no review required Bidg Valuation: z ~ r r s Z7 z. f> °,j r Y v F ~ Z 'Al r 3 e O w ~ A N~ Vt ~ ~ J a . r o l~ 06 Bong 2 D C Era N 3 N C 'n. b t0 O ` O - m N m Q n s~A n a a & n K' C f, y 3 n n a o n o O ~ p n n a H n n v o a ~ = = K yN d a N . O 'J S. A w A d =i R. P O d r I II m N Q W ~ CD _ n } c Q -p to N ) O S 7:3 n F m tn 0 Iv 3 J1 z4 m~ : r Ny ~ It i~ ~ ~ 6 .d~. ~ ~ ~ ~ I s ~ • 4tii r1 ~ I `'J ..258•'._...__. 9•• ~._~0~~. 22"-~ -34i'-.._ -55'x-_~_._qga.. .-9T.-. t~ .....18........I ....33........ ...24•x.. y .__.2p,. y12,,.~:. 2T, ..•I .12':~I 42 i•~ 53e„ „ I W1838• ...rO.~......,,»~ 40648 1888-R .._W4236......,,-.. w ..,r....... • -a-e ~d - . 12-L 21 KHDD26 Y12• • Kw 8276 i 842 ~ ~•L ...,,J~Dl6:;. 720.38'-3032 bill 303.8734800 metro brokers office :a Iw ~ . . P ~ i -I as ~p RANOEa 821•L M _.........,m... 2i 1,Q W2138•L Ll 109499M IMP , Iii ~r7(lC~IEjN~.+FEfJ~~.lr~<..... 90u 30n. 21„ SeV T 30" 3b" •21" „ 38" ....r. Vie D llII ~HVD1 'AHV530 IAHVOt I , All dlmensleee AU0 ddnlgnotlons given are Subject to verification on job size and n4joslment to tlt,job 00ndlcions. J'~..P 7'hls =2 ginal design and must Designed: 12/912059 rec ~w~na not bd or copied unteSS Printed: 1127/20 L0 opplimbla fee has been paid or job ardor i Ordar placed. I- v h.T.v rnanty 3.55n.1411.1dr ♦ i CITY OF WHEAT RIDGE fj Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ))%J kco7 Job Address: C f 1. .ate 5 Permit Number: r. f. k" ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, calf for re-inspection at 303-234-5933 Date: 14Inspector: DO NOT REMOVE THIS NOTICE U of W"Eq?~ City of Wheat Ridge Building` Division m 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 c o Inspection Line: 303-234-5933 OGORP~ Date: Plan Permit #:16-0:53-0 Building Permit Application Property Address: 3aso IV&on sk. Property Owner (please print): C-le 0fgf- kAotlq,X Phone: 3O3- 990- Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: {J s({ Contractor License Sub Contractors: Electrical City License Company: t 93 Phone: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: w Use of space (description): Construction Value: $ 11JO. Description. of work: (as calculated per the Building Valuation Data sheet) ~Q rosy I DjQ~t yv ~nnA 1 Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to spec CIRLCE ONE:: (OWNER) ( ONTRACTOR) or RSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: ^-A S f SIGNATURE: Date: 3`0-16 DEPARTMENT: USE ONLY ZONINGCOMMENTS? Zoning;.' Reviewer:- PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENTCOMMENTS. Reviewer:: - FIRE DEPARTMENT[: 0 approved wl comments ❑ disapproved no review required. OCCUPANCY: 6?58- (-td -1-170% 11 City of Wheat Ridge y; Residential Electric PERMIT - 094310 PERMIT NO: `094310 (ISSUED:' 12./02/2009 JOB ADDRESS: 3250 NELSON ST '.EXPIRES: 05/31/2010 DESCRIPTION:200 amp service change, :.relocate sub panel, lights, ou: CONTACTS Us I a% 108.30 .00 r, 17'77'7~ 45.00 cV~l1"✓l! 153.30 , ~oF""Tq City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 inspection Line: 303-234-5933 Building Permit Application Date: Plan A Permit#:~ Property Address: --32,? 5-V Property Owner (please print): j' J y ~ ~QV Phone 3yG j !26 Mailing Address: (if different than property address) fZ4v) Address: / City, State, Zip: Contractor: Contractor License Phone: Sub Contractors: ePq' e~ly Electrical City License Company: Exp. Date: ©~/y fly Approval: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: -Use of space (description): Construe ' n Value: $_;z5 d a Description of-Work: I' ~ s (as calculated per fheeBuil f q Valuation Data sheet) J6Q"VW (,E 'f.., O GGX e g Plan Review (due at time of submittal): $ <3zsur~E Sq. Ft./L Ft added:""- Squares BTU's Gallons Amps OWNE ' TRACTOR SIGNATUREOF UNDERSTANDING AND AGREEMENT hereby 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements 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 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. FRL-C-E-ONE ---"-((1O~~WNER)) (CONTRACTOR) or PERSONAL REPR ENTA IVE/oO/yVtyER) (CONNFATOR) } PRINTNAMEG°t,V'owe:C Ik_ SIGNATURE: Date: / O BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at J25~o You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date DO NOT REMOVE for Bullding Dept. FORM WR&22 1 have this day inspected this structure and these premises and have found the foilowing violations of City and/or State laws gov- erning same: ~v N o K o °m N 0 L N c ~ co d ~ \ a ~ y EU m c d ' - ci r ~ . € o a 3 > ~ t0 E ~ O a y ~ F_~ y c ~ N E H a m ~ c o~ U U W ~ C7 2 ~ ~ 0.'~o a~ ~ r I~ H Q m ~a C t O o ~ Z O U 3 N ~ c ~ t d o o W n ~ LL o° °N a oax o m ❑ o ~ ~ U 3 m= n ~ a b m ~ W ~ aRi N CI d V W C .t, N ve y VJ O n 3 °ui~ d' N a ~ D 0- 0 ~ Z U~ VJ M y m o ~ o A? p_ O ~ ko ir cr O ,..,.i 2 ~ O Q ~ O i m a U ~ LL u a w W a r W ~ E Z ~ a Q H Z L O ~ W ~ F - v m O U a J O LL v a `o m ~ C U m a `m ~ ~a nm s3 0 r `o 3 aD ~U v a H E O V N C ~ n ~ U t. U C o N E a N c U O z g s N C C o a ~9 Q m CI 0 C t C U N 6' Date: D'd /b9 A Certificate of Occupancy or Completion has been requested for: ADDRESS: 50 Ke (3-C, Y) PURPOSE OF cSTRUCTURE: Building Department Approval: Remarks: Zoning Approval: ~ Remarks: Public Works Approval: Remarks: Fire Marshail Approval: (If Applicable) Remarks: Sanitation District Approval:_ (lf Applicable) Remarks: Water District Approval: (If Applicable) Remarks: . . . . . - R ~ L( . INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 INSPECTION RECORD . . ~ JOBADDRESS BUILDING PERMIT N0. DATE ISSUED OCCUPANCY OWNER ;'wI Y?cZS ~7 1 CANTRAC70R ~'~•,Itit wi- SETBACKS FROM PROPERTY LINES: NORTH ~ SOUTH EAST WEST INSPECTOR MUST SIGN ALL a°p:rF~ ~EkTi♦iivi":."a TO THIS JOB INSPECTION DATE INSPECTOR Foundations Footings d 1 ' . ~ Caissons Reinforcing or Monolithic o(, l I 4 O Weatherproofing POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Floor: Electrical (Ground Work) 7~ - c Z- Plumbing (Ground Work) Heating (Ground Work) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Rough Electrical Rough Plumbing Air Test Gas Piping Rough Heating & Ventilation (above must be signed prior to framing irtspection) Framing Insulation Drywall nailing Roofing Refrigeration Electrical underground Final Electrical dl o r Q~- G Plumbin Heatin & Ventilation Frame ~ fi/OrA R.O.W. & Drainage Fire Department Parking & Landscaping 6.0 OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED - PROTECT THIS CARD FROM THE WEATHER : BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at 5-0 S- I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: , You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. i ~ Date FORM WRB-72 f % . Inspeetw fw BuiWing Dept. DO NOT REMOVE THIS TAG 2. Atlide Number 7160 3901 1544 6528 3134 ' 3. Service Type CER7IFIED MAIL ~ 4. Restricted Delivery? (Exbe Fee) ❑Yes ' 1. Artide Addressed to: Mr. Thomas B. Gillen 3250 Nelson St. , Wheat Ridge, CO 80033 ' RE: Garage July 2001 . .....e...e r.. ~ / ❑AgaM A ❑ nadreseee D. Is tlervery eCCrase AlXerant irom 0am 17 ❑ Yea If VES, enter delivery atldress balow: E-1 No Retum The City oi 7500 WEST 29TH AVENUE ~Wh e at WHEAT RIDGE, CO 80215-6713 (303) 234-5900 City Admin. Fax ri 234-5924 Police Dept. Fax # 235-2949 ~idge June 7, 2002 Mr. Thomas B. Gillen 3250 Nelson Street Wheat Ridge, CO 80033 Deaz Mr. Gillen: Certified Article Number - SENDERS RECORD It has come to the attention of The City of Wheat Ridge that, the garage under construction located on your property located at 3250 Nelson Street, Wheat Ridge, Colorado, and is also known as schedule number 048958, is being used for storage of vehicles and tools. The gazage has not been issued a certificate of occupancy. Without a certificate of occupancy the structure may not be used for any purpose. In order to obtain a certificate of occupancy, all requirements of the permit must first be met. Therefore, regard this letter as official Notice and Order to abate the following violations: 1. Install driveway as required by permit within thirty days from receipt of this notice. 2. Repair retaining wall on North property line within thirty days from receipt of this notice.. 3. Complete all requirements for a certificate of occupancy within 180 days from receipt of this notice.(U.B.C., Section 109)1997. 4. Remove vehicles and miscellaneous items from the partially constructed garage within thirty days from receipt of this notice. (U.B.C. Section 104.2.5)1997. If you have any questions, feel free to contact me a(303) 235-2850, or at the Building Department at Wheat Ridge City Hall. Sincerely, IV Bob Gasp Wheat Ridge Building Inspector cc: Darin Morgan File rj RECVCLED PAPER BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at 3250 S-/ I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. I Date FORM WR6-]2 DO NOT REMOVE THIS TAG Building Permit Number: :12663 Job Address . 3250 NELSON ST ~ _ - Description of Permit' 20' X 30' DETACHED GARAG~ Inspection List Number T e Date A rova Remarks 32854 FOOTERS/SOUTH SIDE 10/29/01 OK/BG 32982 FOUNDATION ENTER SO. GA 11/8/01 canc. 32987 FOUNDATION 11/9/01 OK/BG 33740 FRAMING-Ca111stTom303-922 1/28/02 dis/b 33830 RF 2/6/02 OK/BG 35108 ROOF 6/3/02 dis/b ~ Barbaza DelGadillo, 10:58 AM 6/4/2002 -0600, Council request X-Sender: barbarad@ci.wheatridge.co.us X-Mailer: QUALCOMM Windows Eudora Version 4.3.2 Date: Tue, 04 Jun 2002 10:58:03 -0600 To: Alan White <alanw@ci.wheatridge.co.us> From: Barbara DelGadillo <barbarad@ci.wheatridge.co.us> Subject: Council request Hi Alan. The following has been added to the Council status report: 1. 3rd house north of 32nd and Nelson. 32~7 /veAot, Does dirt driveway meet code? AW( Page 1 of 1 ~ nlle c^- ~ I G.9+t i 4g z Li 3) Printed for Alan White <alanw@ci.wheatridge.co.us> 2 4 ~ ,nkU( aJv ~ 6/4/2002 BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at _RZ50 klf_)--SG'7 I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call tor inspection. Date DO NOT REMOVE THIS w" oapt- FONM WR6-Y2 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE ~ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 12663 8/21 /01 Property Owner : Property Address : 3250 NELSON ST Contractor License No. : Company : Phone: 922-3840 Phone: 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 wnditions printed on this application, and that I assume full responsibility for com lian ith the Wheat Ridge Building Code (U.B.C.) and all other applicable Whea~idge oran~for work under this permit. (OWNER)(CONTRACTOR) SIGNEDF4--44,112P2DATE q-23~I Description : 20' X 30' DETACHED GARAGE Construction Value : $10,000.00 Permit Fee : $181.25 Plan Review Fee : $0.00 Use Tax : $250.00 Total: $431.25 Use: BUILDING DEPARTMENT USE ONLY ffl, SIC: Sq.Ft.: 600 Approval : MLC COMPLIES W/ R-1 REGS Zoning : R-1 Sxtion-2b501 (D,1) Fo► onsor nvo-family dwellings, the J1ratlwen(yftw 8175101 fip (15) ojdrlvewaY omu fmm the existln8 sdgr Qt ApprOVal: BG pyanm(lntothesilesha!lbesurfacedwithconcmft nrp►wlf, 6iickpavem or similar materida. . , s Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permi[ was issued in accortlance with the provisions set forth in yopur appliwtion and is sub1'ec[ to the laws of the State of Coloratlo and to the Zoning Regulations antl Builtlin~ Code of Wheat Ritlge, Coloredo or any other applicable oMinances of the Ciry. (2) This permit shall expire d(A) the work authorrzed is not wmmenced within sixty (80) dayslrom issue date or (B) the building authorized is suspended or abandonetl for a period of 120 days. (3) If this permit expires, a new pertnR may be acquired for a(ee of one-half the amount notmally requireq provitletl no changes have been orwill be made in the original plans antl speciflcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or d suspension or abandonment exceeds one (1) year, tull fees shall be paia for a new permit. (4 No work of any mannar shall be done that will change the natural Flow of water causing a dreinage problem. (5~ Contrector shall notify the Building Inspeclor hventy-four (24) hours in advance for all mspedions and shall receive written approval on inspection card before proceetliing with successive phases of theob. (e) The~~5,uance of a permit or the approval of drawings and specifcations shall not be wnstrued to be a permit for, nor an approval of, any violation of the provisions o4pfe puilding coQq6 or any other ordinance, law, rule or regula6on. Please Note: Owner / contrmeWr is responsible for locati^ *^--r ii1es and conswcting improvements acca c:,^.pr~ved plan and required development - City is not respnnsible for inaccurate r:tt°ti svithia the plan set and any ca . _:;i s resuiting from inaccura[e infor;:. DFPARTMEVT OF P[,AYVING:4VD pF."1'F.1_OP"yIF_VT °nilriin, ~^•,,•{~:irr,ti,... BUILDING INSPECTION LINE - 3113-234-5933 D.i[c CITY OF WHE:1T RIDGE 7500 WEST 29TH AVE`!UE WHEAT RIDGE, CO 80215 - (303-235-2855) APPLICA770N Proper[v Owner: V C ~ L4,y Propem Address: 325b NaL$oi.✓ ST M~M)p Plione ~ Contractor License No. ~ y 3 ~3 $ 2a- 1 Compam: Phony 4 3s - 14lU OW:\ER/COb'IRACTOR SIGYd7'GRE OF L~-DERST,0DLYG YNr[) AGREEbIEN-I' I heatbv rertifv tha[ the xtback distanc_s preposed bv this pznnit appli<ation are a:curate, mu do not I iolatz applica hk ordinnnc<s, rules or regi lu[ions oi trte Cir. uf Wheat Ridge or covcnants. aysemznts ur r.sttittioas of record: tha[ al; me:vsursmznG shuwn, and alizga[ions mada are acauratz: tha[ i havz read snd narae to abida hv all :onditions pr.ntrd on thfs ipolicatlorts tnd that [,ysume (uil rosponsibilicv tbr complience with the b4'hzat 2idgz Building Code (L'.B.C) xnd all othu applicabla Whzat Ridge Ordjnanczs, tor wo~~c ugoer this pemtit. cot,hEaxcour,zAcroa;: srcNEr-elf~ 111 aar S-4--G, / lizsctip«on:1.1 Br 3o uction ValuePermit FeeReview Fee: 7Plan T'^p TqY' T01dl. zoning comme~u: Approval: l~C Zoning: Buiidistg Cc>nnuents: / Approval: ~S/O/ Public 1Varks Comiuents: Approval: BUTI.DING D PARTMENT USE ONLY ~mpt~as wR,` ~Q~S SIC ~ Sq.FL. ~ Pln~e Not~ 9 9 U^ " Omw es and~tractor is rosponsibte for locaNng ~~-~~O lin ~ P~ andn8 ~~P~rovem ~axoid• ? Tlu City Is not ~es d deve! ~Oj ble for Inecc~ • the plaa set aod auy cons~po ul'ai l~p~ ftOql i~8CclfgpC ipfp}~j~ • _ _ . . _ . . L' _ ' OccupBncy: Walls: RooF. Stories: Rzsidential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Espiration Date: Expirauon Date: Expiration Date: ApprovaC ApP[OVdl: Aonrnvnl- (U Th~s pertnic waz iuuetl in accordance wirh the provisions s<e iorc.h in vour applicat~on anE is sub~¢t to thc laws ol the S~nc ol' Colorado uiA ro the Zoning Rcyvlauoess and Buildin5 CoEe oI Whea1Ridge. Cobrado or anv oNer applicable orAinanees o(ihc Cim This permii shall expve ii (A) ohe work authoriud is m[ commeneed wiihin sitry (60) dacz ;iam issue daie or IB) .Se buddiny amhorized is sucpendeA or abandoncd:or n penod af i0 davs. (3) I! this permit crpves, a new pertnit may be acu,uirzd 1'or n Ice o1 onehalf;he amount mrtnalty myuircd, orovided no cnmiges h:rve been or wdl be made m Ihe onyinal plarts.vid snecitications and any susp<.-ision or abandowncnt haz not cxceedcd one ( I) year, Il changes have b«n or dsuspension or abandomnena exceeds onc (7) year, (ull fees shail be paid I'or a new pcmv[. (1) No work oCanv marmer snall he donc d:at Hil1 <Sanye .hc nuvral L`ow oCwaie: :ausing a drainayc problem. j , Wena-~burf24) hows in adrnna tbr all uispemior~s nnd snall n[~ con' p, o«redmy- wiN suc csshve~ huu o[ Lh< o ~e..erve.yrn ,~FPrwnl on inspecnon c.vd betore (6) The issuance ol a pcrtn¢ ar aie aoproval of dnwings arid speNicanons zhall not bc canswed co be a pcrtr,u ior, nor nn approval oL anV viola:wn of the provisioiu of:he bwld g codes or 3ny oiyer ordmance, low, rule or rcgulation. Cliief Building spector `To M Gi4N 3266, gIr-- Building Guide Colorado Chapter of the International Conference of Building Officials At least three completed documents must be provided to apply for a building permit: 1 C0111plet8 tI11S BUIItllllg GUIfIB by filling in the blanks on page two and three, and indicating which construction details will be used. 2 Provide a Floor Plan (site plan) showing dimensions of your project or addition and its relationship to existing buildings or structures on the property and the distance to existing property lines. 3 rll~ ~ ~~ilding pripomil appilcUfleiiis The majority of permit applications are processed with little delay. The submitted documents will help determine if the project is in compliance with building safety codes, zoning ordinances and other applicable laws. The Colorado Chapter of the Intemarional Conference of Building Officials is a professional organization seeking to promote the public health, safety and welfare relative to building construction. We appreciate your feedback and suggestions. To obYain a master copy of this Building Guide, please write to Colorado Chapter of the Intemational Conference of Building Officials, P.O. Box 961, Arvada, CO 80001. This handout was developed by the Colorado Chapter of the International Conference of Building Officials as a basic plan submittal under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check with your Building Department for additional requirements. City of Wheat Ridge Building Division 7500 W. 29" Avenue Wheat Ridge, CO 80215 (303)-235-2855 r~f ~ 9 0 U Of WI/~ 1 How to Use this Guide 6/97 Directions 1. Fill in the blanks on pages 2 and 3 with dimensions w ~,t S9n/ S'J' and mateiials which will be used to build the A 09e, c~ ~(~p~j 3 structure. Please printlegibly. 2. Indicate in the check boxes on page 3 which detail from page 4 will be used. Overall width 2XSf "knpcA Show door and window header sizes and location and size of landing in front of door Slope 31/2" minimum concrete slab ~ ~ Header size l~ x!t (exemps:/2)2x70 h~UTA Gh Note: If roof trusses or rafters bear on header, special header design may be required door Double 2x4 or 2x6 trimmers each End otovertread door header Garage door opening width 16_ This handout was developed by the Colorado Chapter of the Intemationai CoMerence of 8uilding Officials as a basic plan submittal under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check with your Building Department tor additional requirements. fi/97 NOTE: Roof not to exceed 24 foot span 1 /1 vSSc r we: 1 x 12) iilding Sectio Provide solid 2x blocking / between rafters or trusses Note: Pre-e~,gineered roof trusses w;'truss ciips aid hardened naifs may be used in lieu ofi rooi structure shown. Diagonal wind bracing or plywood shear panels @ corners and each 25' of wall. ~ z ~;en A . ❑ Foundation Detail A )(,F o u n dat i o n-Detai I 8 • (see pege 4) This handout was developed by the Colorado Chapter ot the Intemational Conterence of Building Officials as a basic plan submittal under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check with your Building Dapartment for additional requirements. 2x rafters spaced_ " O.C. (example: 2 x 10 Raflers Spacetl24' O.C.) Minimum lx_ridge boazd exem (ezamp/e: Roof covering 3v~,6 S ti/;5ls (exemple: Class A 3 fab shingles) 7 Underlayment WL3 ~'77- (example:2layers iSHlelf) F p tch ~l oists @ _O.C. x e o za• o.c.) ~top plate /e: 2 z a) ~ HI(Memple.23-5-) Ceiling height 4 ` 6 " (example: 8) $iding V ' ll l (example: lap orT-111) Wail sheathing -111 2x-q-studs @ L4 " O.C. fexample: 2 x 4 O 24' O.CJ B . Cont. 2x-LL-si11 plate (example: 2x 4) Footing size ~ x_!t_ (example: 9•x 16•) ,57. k-, /s. 15:~- 131 e Lap siding over foundation a minimum of 1 / 6" min. Finished grade ~ min ~ Note: Check with local bwlding department for swelling soils. - Caissons may be required. ~ I g° I Lap siding over foundation a minimum of 1 1~ 1/2" diameter steel anchor bolts 6-0" O.C. max., 7" min. penetration max. 12" from comer and 12" from each end of plate. Bottom plate shall be treated wood or Foundation redwood 31h" Minimum Concrete Slab #4 rebar min. cont. top 8 bottom '/z" diameter steel anchor bolts 6'-0" O.C. max., 7" min. penetration max.12" from corner and 12" from each end of plate. Bottom plate shall be ireated wood or Foundation redwoed 6' min Pinished grade g k ~ S 3 Vz" Minimum concrete slab ~ . . 1r6 ~r ~ Fiberboard expansion joint '.4 To below frost line f. Note: Check wRh local building ~ department for swelling soils. ' Caissons may be required. Provide #4 rebar vert. 0 4'-0" O.C. insert rebar into concrete footing or key way 3" #4 rebar min. continuous top of stemwall & at footing This handout was developed by fhe Colorado Chapter of the IMemational Conference of Building OHicials as a basic plan submittal under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check with your Buiiding Department tor additional requirements. ~ ~ co ~ , . , . i ~ ; ! o 'S's It _ - - - ~ _ _ . x91 =nWAX ..osm.26-501 (D. 1) w.«...,~,~d..AWA "A.+ ~~•"~"~'~~o 3 2,~o n~.L s~.~ s, %a ~ ~ ~ ~ ~ ~ ~ • G ~ ~ 10 ~ C ~ V ~rr 0 I i I~•~ ! I 1~ ~ ~ ,t . /G A TT : A A ;N M ~25G,~ AS P(:k ov~ co N IU N o N G~b Le tv Net-So~v si wti~.7 i;'lnge cd 9UJ33 ~303) ~t5s- ty~~ rflY ^ ~ ~•`.~.~~'~n . rli i 4V Ar. ~ iaawao•ab-sol (u. t) lbwrwAro-*n14'dmtu+e~ owpwnwn4lhw ~wd lllo~sft&ana,.eow.w ls1 G 5-~- c~i 1~ h 6%I.~ew i C ) y,, r t / frc. ~ !'j ' '(y ' 11 f ~ 1 t " , .v....---- _ - _----_:z---~. ` 1 / _ _ - P' . i~Sr, s ~ Q r r,~, r 1 I TOM 3 i6v 0) Li'3b 1`. ~ , ~K ~t r iI t~J~ ,,c ;r ~ ni.. . , , WARRANTY DEEll 'PtI1S DliGR Mxde this 28 th day of .7une . 2001. between Richard J. Lamk> and Betty Lamb ~ R ofUieCounty oE JefEerson andStateof Colorado gnaitor,and Thomas E. Gillen and Debra A. Gillen whoselegaluddmssis 3250 Nelson Street, Wheat Ridye, CO 80033 ufWeCounty oE Jefferson andStateof Colorado ,gr:mtees: WPfNLSS, Tluit Ule grtntor, for:md in consideiation of llie sum of `PWO H[JNDRED FIF'PY NINE 'PHOUSAND NINE HUNDRED AND NO/100------------------------------------------------------ DOLLARS.($259,900.00 ).Uieroceiptmtd sufticiency of wliich is hereby acknowledged, htis• granted, bwgidned. .;o(d anU conveyed, and by Urese preseuts Aocs gmnt, barv g.un, sell, convey.md confiin, unto tlle grantzes, oieir liciis :uid tusigac (orever, no[ iu teuaucy iu cunmiun but in juint lenuncy, all uie re:il properiy togetlter wilh improvemenGs, if:uiy, siNale, lying auid being uilhe County o E Jef Eerson , and Stute of Coloradq desqibed iks follows: Lot Twelve 1121, Block Eight (8), Rolling Hills Blocks 6, 7 and 8, according to the Plat of said subdivision as amendedby Certificate recorded March 21, 1957 in Book 1052, at Page 67, County of Jefferson, State of Colorado alsokno~vnbystreet:mduwnberas 3250 Nelson Street, Wkieat Ridye, Colorado 80033 'COGE"PIII;R wiU~ ull mid singul;u' q~e hcreditmnents tmd appurtenw~ces lhereunto belonging, or in unywis'e appertnu~ing, m~d tlie reversion mid reversioiu. remainder :md remziindeis, rents, issues uud prol'its llicrzof, wid :JI t6e estute. right, tillc, imerest, cluim iu1d denumd wlwUOever o( lhe grunlor, eitlier in luw or equity, o[, in wid ta tlie ubove burguinc<I premi>cs, with Uie }ieredit.unents and appurtenances. "PO IIAVC AND 7'O ffOI.D the suid premises above b.ugained imt] described, with lhe xppurteuances, wito tlie y.mtees, their heirs emd assigns forever. And the SixWOr, for huruelf. Itis Leirs.md pci-sonal repcesenwlives, does covenant, grmit, burguin and ugree to nmd willi We grantees, their Le'us xnd assign>, tha[ a[ ILe Wne oC the tnseuling tmd dalivery of tliese preseut>, he is wetl seizeU oF the premises above conveyed, ]ias good, sure, per('ect, absolutz aiid iudeleasible estoitc oY uilberitwncc, un law, in &e simple, nnd h:s guocl righl, full power and lawful authoi'ity lo gr.wl. b:u'guun, sell and couvcy thc s:unc in nuumcr emA fomi us xforesaid, :m4 tllut the s.une nre li'ec :mil clear from aII Fonner mid utlier grwus, b:ubxins, s.des, licns. laxes, usscssincnl., encwnbnmces and restiictions of wliatever kind or nnlure soever, cxcept (or faxcs 1'ur lhc currcut yeur, :i lini Lu[ uut yct due nud payublc, cascmeuts, reslrictimu, reservatiuiu, rovenauts and rights-of-way uf rucurd, if uuy. The grmlor +luill imd will WARI2ANT AND POIiEVBR DEI'PND tlie abovc-0tag&inecl premises in tlic quiet and peuceUble posses- sion of the grmtees, the'v lieirs and :usigns. ugauust ull and every person ur persons lawfully cluiming the wholr or xny pwt thcreoL T7m singutrw immber s6idl include thc plurtil. Ule plural lhe singular..md ihe use oF.my gender shull be upplicablc ro aJl genders. IN WITNGSS W11GRG0F, the grmtorlitts executed this deed on the dsie set forth ahove. e r Richard S..Lamb _1.('/~,G~ c.T~`~)VE Be ty L4mb i 1Z8ietiv perkBfy 11l18 10 b@ S trua and voct cOPy of th STATEOF COLORADO ) ss. COUN'CYOP Jefferson ) r Tlie foregouig instruident wau xcknuwledgeci befom me Ulis• Z 8 th (7,ly of June , 20 Q,1,; Richard J. Lamb and Betty Lamb b]yCuimnissiouexp've,: October 15, 2001 ~tnessmyh:iud.mdol c'• C3 Nol. Public . J~![.crYyrnan . .,d. _ VVAlUtANTY UCLV Qu Join1't'muwls) Iwu.uintn~ rii~n uc43091uoi ~ 0