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3415 Otis Street
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ; F I Job Address: i i 5 0-7)5 5 1 Permit Number: "Zs07. o7,gc-1� ❑ No one available for inspection: Time /PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector DO NOT REMOVE THIS NOTICE It, � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office e (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � Iv r C 12 1 H v Job Address: oil's Permit Number: r I iV J J � J No one available for inspection: Time ",;, fi&pm 1 1, Re -inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:S V Job Address: -77, � 1 L4 - Permit _Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No' When corrections are complete, schedule re -inspection online. Date: Inspector:: DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY A Approved by: b City of �S? 2-1r,2021 coMMI)iVi'iY DEVEL(7PM1.h1T Inspector Date City of Wheat Ridge Municipal Building 7500 W. 2V Ave. Wheat Ridge, CO 80033-8001 P-. 303.235.2846 F; 303.235.2857 FOUNDATION SETBACK AND ELEVATION CERTIFICATION For Single Family Developments This form, including the Exhibit on the reverse side, must be fully completed by a Professional Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review and approval prior to proceeding with any further construction. DATE: 2'.'- ( '_ -2,0-0 PERMIT# ADDRESS:�� LOT 0 , BLOCK t , l� �-`�'e SUBDIVISION I hereby certify that the elevation and location of the recently constructed structural foundation for the above property described above has been measured by me or directly under my supervision. For the recently formed or constructed building foundation corners, the setback distances have been found by me to be in compliance with City of Wheat Ridge required limits and the elevations as stated herein have been found by me to be in compliance with the Building Permit construction plans as approved by the City of Wheat Ridge, The MINIMUM SETBACK DISTANCES from the property lines have been determined to be: FRONT: REAR: - c SIDE: "^I SIDE: 55-� If in the floodplain, the MINIMUM ELEVATION is determined to be:(NAVD88). The above measurements have been determined on the following location: (Check only one): '/- Top of proposed foundation prior to placement of concrete Top of fo ndation subsequent to placement of concrete The setback and evation measu ent locations are identified on the attached exhibit. Signed Print �� Date Z' Professional Surveyor �� EUGFN7y�% ' • .. gyp:. Qac A 153.2 l www.ei.wheatridge.eoms SUR 0...�,�0 ``��` Rev 11116 181111111 0%, 3415 otis st EXHIBIT z a I ts�r�n >1; on�� ISc> r �'9••iS��na� 5. p i�s�c �C11�EN� v .b UF CQ F 0 NUTICE TU SUl[LVl✓YO1ti:" 1. Elevations shall be shown for ALL foundation corners. 2. Foundation corners with minimum elevation and setback distance shall be identified. 3. Drawing must be properly oriented (North = top of page). 4. Show the roadway in front of the property. �. If drawing is to -scale, provide the scale. If not to -scale show as N.T.S. i CITY OF WHEAT RIDGE Building Inspection,Division (303) 2352285 ,office INSPECTION NOTICE Inspection Type: t,-) r,)" \ Job Address:.��� Permit Number: -0C) 0 C) ❑ No one available for inspection: Time 0 L J AM/PM Re -Inspection required: Yes R( When corrections are complete, schedule re -inspection online. Date: rnspector:"k DO NOT REMOVE THIS NOTICE i a ❑ No one available for inspection: Time 0 L J AM/PM Re -Inspection required: Yes R( When corrections are complete, schedule re -inspection online. Date: rnspector:"k DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: VQ Li A Job Address: I�,4 l 'S'( A t � _ S � Permit Number: � i Lc)(qgq ❑ No one available for inspection: Time Pfl I6"1 AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. r Date: r ' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 1 �4 1` (—JV t S Permit Number: ON) Ua w ❑ No one available for inspection:+ Time AM/PM Re -Inspection required: Yes o f When corrections are complete, schedule re -inspection online. Date: r Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: r Job Address: ' t L Permit Number: . 1 ❑ No one available for inspection: Time - AM/PM Re -Inspection required: �(eg No When corrections are complete, schedule re -inspection online. Date: , �� inspector: DO NOT REMOVE THIS NOTICE � ► � i City of Wheat Ridge Homeowner Addition PERMIT - 202002445 PERMIT NO: 202002445 ISSUED: 01/07/2021 JOB ADDRESS: 3415 Otis St EXPIRES: 01/07/2022 JOB DESCRIPTION: Residential addition of master bathroom and remodel of every room except guest bathroom. Vaulting of main room ceiling tear down of walls. Electrical, mechanical and plumbing throughout home. Sq ft: 238 *** CONTACTS *** OWNER (720)633-6636 ALLEN JANENNE SUB ( 3 03) 929-0246 TERRY KRATZER 202171 KRATZER ELECTRIC LLC SUB (303)779-0781 FRED HAYNES 140248 HAYNES MECHANICAL SYSTEMS SUB (303)455-4307 GREG BARBERO 017178 GOOD PLUMBING SERVICE CO., INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 135,000.00 FEES Total Valuation 0.00 Plan Review Fee 882.57 Use Tax 21835.00 Permit Fee 11357.80 ** TOTAL ** 51075.37 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. As part of the foundation inspections and PRIOR TO proceeding with any further construction/inspections, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. For one- or two-family dwellings, the first twenty-five feet (25') of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. In addition, no less than twenty-five percent (25°%) of the gross lot area and no less than one hundred percent (100°%) of the front yard shall be landscaped. I, by my signatu e, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable build ng codes, and all applicable mu icipal codes, policies and procedu es, 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 conjunctton with this ermrt. I further attest that I am leggally authorized to include all entities named within this document as parties to the work to be performed and that all work to be pertormed is disclosed n this document and or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) 1. This permit was issued based on the information provided in the subectto the compliance with those documents, and all applical 2. This.permit shall expire 365 days after the date of.issuance rega received prior to the date of expiration. An extension of no more Officlal and may be subiect to a fee equal to one-half of the one 3. dtober any new Date rmit application and accompanying plans and specifications and is statutes, ordinances, regulations, policies and procedures. ss of activity. Requests for extension must be made in writing and an 180 days made be granted at the discretion of the Chief Building 1 ermitfee. If of a new permit shall be subject to the standard Re -issuance or extension of expired permits is at the sole discretion of the unlet bunging utnciai ano is not guarantees. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. no change to valuation From: no-reolv(alci.wheatridae.m. us To: CommDev Farm is Subject: Online Form Submittal: Addition to Existing Building Date: Friday, November 20, 2020 5:00:31 PM Addition to Existing Building THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this Residential or Residential - upload Proof of Submission to Sanitation District Commercial? and Water District Upload Proof of Proof Sianed Submission sanitation.odf Submission to Sanitation Department Upload Proof of Submission water Ddf Submission to Water Department PROPERTY INFORMATION Property Address 3415 Otis st Wheat Ridge 80033 Property Owner Name kevin allen Property Owner Phone 720-633-6636 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email kallen3415@yahoo.com Address Attach City of Wheat Electronic-Payment-Form-Blda Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name kevin allen What is your role in the Property Owner project? Contact Phone Number 720-633-6636 (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments kallen3415@yahoo.com Retype Contact Email kallen3415@yahoo.com Address DESCRIPTION OF WORK Detailed Scope of Master bedroom addition roughly 238 sq ft no new plumbing or Work - Provide use of sanitation needed/ just electrical and radiant heat in slab addition (i.e. master bedroom with master bathroom); Indicate mechanical, electrical, plumbing scopes Location of Work remodel of every room except guest bathroom. All new electrical, and boiler radiant heat, new evaporative cooler. vaulting of main room ceiling and knocking down some walls. Remodel of kitchen, living room,den,2nd bedroom , new laundry room Square Footage of 238 Addition Asbestos Report E3C - PLM Samplina Report - 3415 N Otis Street in Wheat Ridae. CO 80033.pdf Engineering Letters, Energy Calcs and Other Letter Size Attachments Construction Plans scanned on 11'x17" or larger Files.zip Allen -FINAL PERMIT PLANS 10 22 2020.pdf Provide Passcode for Field not completed. Plans if locked Project value (contract 135,000 ok bf 12/21/2020 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for kevin allen Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. N'111 City of 'Wh6at'Ridge COMMUNITY DEVELOPME a Official Certification of Property Owner Permit THIS IS TO CERTIFY that 1, the property owner, by my signature, attest that i currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Vic! I P-1 AA) f4 , Project Property:_`�/ i) S, S' 4�'� 7�` (5-0 5-3 3 Notarized signature of Applicant State of Colorado } County ofSO+) } ss The foregoing instrument was acknowledged by me this J_ day of tAWtMbtr, 20 by by REBECCA L ROSEBEARY NOTARY PUBLIC - STATE OF COLORADO NOTARY ID 20184017096 MY COMMISSION EXPIRES APR 19, 2022 My Commission Expires X20_1Z Notary Public T"*1 ked City of .�qrWhcatWidgyc CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.J. 303.237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: Project Address: /c �//� U '11 S S t- W Name of Firm/Individual submitting documents: Project Type/Description: Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT FOR AGENCY USE ONLY ( William P Willis am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) o Wheat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water (3: Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District o Other Agency Notes: Applicant must meet all District requirements and standards including the attached letter. Signature: /_;�_ Date: 11.20.2020 (Ager0y Representative) ./�AMAULT MARTIN/MARTIN 00000"CONSULTING SU LTING ENGINEERS November 17, 2020 Kevin Allen 720-633-6636 Email: kallen3415@yahoo.com Re: Wheat Ridge Sanitation District -3415 Otis St Martin/Martin, Inc Project No.: 17.0633 Dear Mr. Allen, On behalf of the Wheat Ridge Sanitation District (WRSD), Martin/Martin Inc., acting as the District's Consulting Engineer, offers the following in response to the site plan received November 13, 2020, concerning a proposed addition and remodel at the above referenced address. The Wheat Ridge Sanitation District has no objections with the proposed development conditional on the items identified herein are fully addressed. The following are general requirements for sanitary sewer service. Rules, Regulations and Standards of the District must be complied with at all times. The subject lot appears to be entirely within the service and boundary area of the Wheat Ridge Sanitation District. Treatment of sewage generated within the Wheat Ridge Sanitation District is provided by Metro Wastewater Reclamation District. Existing District Sanitary Sewer Mainline(s) Wheat Ridge Sanitation District has the following sanitary sewer mains in the vicinity of the proposed property: • 8 -inch mainline running south to north, east of the referenced property within Otis Street. • 6 -inch mainline running west to east, south of the referenced property within W 33,d Avenue. It appears the property may be serviced by gravity flow; however, the owner/developer is responsible for determining horizontal locations and vertical depths of the existing sanitary sewer main(s) and potential conflicting utilities, to verify if service and gravity flow is feasible or if a private individual sewage ejector (lift station) is required. The issuance of a sewer tap permit by the District does not in any way guarantee that the property can be served by gravity flow. No underdrain or storm sump pump connections to District facilities are allowed. Utility Locates All projects must meet Colorado Revised Statue Title 9 for proper notification to the Notification Association by the Developer's professional engineer. It is also the owner's responsibility to include electronic locators on all new underground facilities, including service lines up to the structure or building being served. Submit details for tracer wire and associated test stations. Proposed Addition If the proposed addition requires a water meter upsizing, the District will need to review and approve plans prior to construction. If a water meter size increase takes place, the District must be informed immediately, and appropriate sanitary tap fees must be paid prior to acceptance. In addition, the District will require review to determine if an additional service connection and associated tap fee is required. Verification of water service meter maybe required. Costs All costs involved are to be deposited in advance—engineering, reviews, legal, construction, observation and inspections — are the responsibility of the Owner/Developer at the then current rate fee structure. Please be aware all connection fees are due prior to connection. MARTIN/MARTIN, INC. 12499 WEST COLFAX AVENUE LAKEWOOD, COLORADO 80215 MAIN 303.431.6100 MARTINMARTIN.COM Wheat Ridge Sanitation District -3415 Otis St November 17. 2020 NAMPIPEZ A verification of water meter sizing for all units/buildings will be required prior to a tap application completion. Full addresses of each sanitary service are also required. A tap application is available online and must be submitted to the District for review. If credits for SFRE's are being requested for existing units(s)/buildings, the Developer must provide existing addresses, meter size, and if applicable, abandon the sanitary tap at the mainline (District observation and fee is required) prior to final new connection acceptance. A minimum 72 -hour notice prior to construction is required following District receipt of all fees. These fee amounts can be paid directly to the District Office prior to connection, payable to Wheat Ridge Sanitation District, which also collects Metro Wastewater's "connection fees'. Any questions regarding this document, please contact us at (303) 431-6100. Sincerely, Bill Willis, PE Cc: Mike Bakarich —Wheat Ridge Sanitation District Page 212 City of W1 xeat CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.f 303237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. ©ate: I � ) 3�Z.o 2-0 Project Address: _7 jl/7 py j t> (AVj t2 i �)(-c Name of Firm/Individual submitting documents: 1C cy o ,✓ A.1 Project Type/Description: Signature of Firm Representative or individual: DO NOT/ WRITE BELOW THIS POINT - FOR AGENCY USE ONLY i �' ✓� �c�s O i L, am a duly authorized representative of the agency in sated be and do, by my signature below, hereby acknoMedge receipt of documents necessary for review and approv I of the project indicated above. Aoency represented: (Please check one) 'Wheat Ridge Water District o Wheat Ridge Sanitation District o Consolidated Mutual Water District o Clear Creek Sanitation District o Valley Water District o Fruitdale Sanitation District o Denver Water o Westridge Sanitation District o Other ja K�"71ency � ' ` " �O let( Ile all // V City of Wheat I� dge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address; �i�J'� 01) S General Contractors -- 06— FORM WILL NOT BE ACCEPTED WITH MISRING INFORMATION CompanyNaule: KratzerElectric, LLC- Contact Phone#:# 303-929-0246 Wheat Ridge Contractor License #: 202171 (required field) State License #: 6382 Master License #: 28158 Terry Kratzer Priutetl Name of Authorized Agent ziiu� 6904--4- 10/28/2020 Signatt0eofAu rfzedAgent Date PjiLlSdl� ,5Irv, City of 6 COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This form must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to pennit issuance. Project Address: General Contractor: Vf,A /Jt'-- I+ORM WH L NOT BE ACCRPTI ll WITH MISSINGINjiORMATION CompanyName:1 Jl'iza.w�cc\ate mntactPhone#��3094�'Sll Wheat Ridge Contractor License #: I go.,q____(required field) Tr -o Teuz,a Printed -Name of Authorized Agent Signature of Authorized Agent !Cl Da e a ..` CIty Of Whe�atKjC COMMUNITY DEVEL,opmENT SUBCONTRACTOR AUTHORIZATION Subcontractor This form must be completed & signed by the PLUMBING SUBCONT)CTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to pen 1i issuance. Project Address: 5 7/�r' CJ T1 General Contractor: Company Name:( wJ Iffik I%nContact Phone tk J Wheat Ridge Contractor License#: �J� 7��7d (required field) State License #: Z)OMffx7 Master License #: 0017 7 7 (F V�-lC_gr �- Printed Name of Authorized Agent ._G Signature ofAuthorized Agent rJ 5366 Godding Hollow Parkway 504 EARTH ENERGY ENVIRONMENT (E3) Local: 30,0080922 Local: 303.478-0922 Industrial Hygiene and Environmental Engineering July 6, 2020 Janenne Allen Home Owner 3415 N Otis Street Wheat Ridge, CO 80033 Subject: Asbestos Sampling Results — 3415 N Otis Street in Wheat Ridge, CO 80033 To Whom It May Concern: On July 7', 2020, an Industrial Hygienist with Earth Energy Environment (E3) performed an inspection and asbestos sampling at 3415 N Otis Street in Wheat Ridge, CO 80033. E3 was retained by the property representative to determine if the materials scheduled for renovation within the property contain asbestos. SURVEY METHODOLOGY An industrial hygienist from E3 conducted the sampling. Materials were grouped into homogeneous sampling areas based on the material type. Among the interior building materials, four (4) distinct homogeneous area within the property was identified and sampled. No other building materials were sampled Homogeneous Material Classifications • A preliminary walk through of the buildings was conducted to determine areas of materials which were visually similar in color, texture, general appearance, and which appeared to have been installed at the same time. Such materials have been termed "homogeneous materials" by the EPA. During this walk through, the approximate locations of these homogeneous materials were noted. • Following the EPA inspection protocol, each identified suspect homogeneous material was placed in one of the following EPA classifications: o Surfacing Materials - Sprayed or troweled on surfaces (walls, ceilings, structural members) for acoustical, decorative, or fireproofing purposes. This includes plaster and fireproofing insulation. o Miscellaneous Materials - Other non -friable products and materials such as floor tile and ceiling tile. o Thermal System Insulation - Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks, ducts, and various other components of hot and cold -water systems and heating, ventilation, and air conditioning (VAC.) systems. This includes pipe lagging, pipe wrap, block, batt, blanket insulation, cements, muds, gaskets and ropes. (These materials were not sampled as part of the survey.) Friability Classifications Friable and non -friable ACM's are defined as follows: • Friable asbestos -containing material: any material containing more than 1% asbestos, determined using PLM analysis, that when dry, can be crumbled, pulverized, or reduced to powder by hand pressure. • Category I nonfriable asbestos -containing material: asbestos -containing resilient floor covering, mastic or asphalt roofing product containing more than 1% asbestos as determined using PLM. • Category II nonfriable asbestos -containing material: any material, excluding Category I non -friable ACM, containing more than 1% asbestos as determined using PLM that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. • Regulated asbestos -containing material (RAC1V1): (1) friable ACM, (2) Category I nonfriable ACM That has become friable, (3) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (4) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the materials in the course of demolition or renovation operations. Sampling and Laboratory Analysis Bulk samples were collected by using various sampling tools (cutting tools, knives and chisels) to cut away or scrape portions of suspect building materials into zip -sealed plastic bags or sampling tubes. The individual samples were labeled by material type and location. Samples were analyzed by Reservoirs Environmental Laboratory located in Denver, CO. The laboratory maintains accreditations through the American Industrial Hygiene Association (AIHA), and National Voluntary Laboratory Accreditation Program (NVLAP). The analysis performed was EPA Method 600/R-93/116. INSPECTION RESULTS E3 collected at least the minimum number of samples from each homogeneous area necessary to meet all regulatory requirements for the quantity of material to be disturbed. Table 1 provides a summary of the homogenous areas. Table 1. Homogeneous and Functional Sampling Areas. HA Material Type Material Physical Classification Samples Description Description Collected A Gray granular plaster 1 Smooth Interior Walls Wall and Ceiling B White plaster w/ off Surfacing 3 and Ceilings System y white/multi-colored paint Materials A White plaster w/ Rough Interior Wall and Ceiling beige/multi-colored paint Surfacing 2 Walls and Ws System Materials 3 Ceilings s B Off white granular plaster A White plaster w/ beige/white 3 Swirl Texture Ceiling paint Surfacing 3 Ceilings System Materials B Off white granular plaster A White plaster w/ beige/multi-colored paint 4 Kitchen Ceiling Tiles Ceiling System B B Brown adhesive Misc. Materials 2 C White/tan ceiling tile The laboratory separated and analyzed individual layers within each sample, if present. According to the laboratory analysis of the materials sampled, asbestos was not detected in any of the materials that are scheduled for renovation. CONCLUSIONS AND RECOMMENDATIONS According to the laboratory analysis of select interior building materials, asbestos was not detected in any of the materials that are scheduled for renovation. The Colorado Department of Public Health and the Environment requires any asbestos -containing material that is friable or will be made friable during demolition/renovation activities be removed prior to demolition or renovation. Any potential asbestos containing materials identified in the future or during demolition that were not sampled in this, or any other previous survey, should be tested for asbestos content or assumed to contain asbestos before being disturbed. If you have questions or require additional information, please contact me at (303) 902-5851. Sincerely, Eli Willden i Certified Building Inspector No. 20139 Attachment A Laboratory Testing Results Reservoirs Environmental, Inc Effective April 02, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc REI LAB Reservoirs Environmental, lnc_ July 07, 2020 Subcontractor Number: Laboratory Report: RES 467257-1 Project #/P.O. #: 3415 Otis St. Wheat Ridge CO 80033 Project Description: None Given Eli Wllden Earth Energy and Environment Corp. P.O. Box 348 Frederick CO 80530 Dear Eli, Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 467257-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, by Josh Baker Jeanne Spencer President P:(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV F:(303) 477-4275 wwvo.reilab.com Reservoirs Environmental, Inc. Reservoirs Env i re nme ntal GA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 467257-1 Client: Earth Energy and Environment Corp. Client Project Number/ P.O.: 3415 Otis St. Wheat Ridge CO 80033 Client Project Description: None Given Date Samples Received: Julv 07. 2020 Effective ADnl 2, 2018 Q AGAGCALABAReservoirs Env i re nme ntal GA Manual.doc Method: EPA 6001R-931116 - Short Report, Bulk ND=None Detected Turnaround: Priority TR=Trace, <1 % Visual Estimate T re m /Act=Tremolite /Act i n of i t e Date Samples Analyzed: July 07, 2020 Client L Asbestos Content Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R (%) M) (%) (%) Smooth W1 A Gray granular plaster 10 NO 0 100 B White plaster w/ off white/multi-colored paint 90 NO 0 100 Smooth W2 A White plaster w/ off white/multi-colored paint 20 NO 0 100 B Off white granular plaster 80 NO TR 100 Smooth W3 A White plaster w/ off white/multi-colored paint 20 NO 0 100 B Off white granular plaster 80 NO TR 100 Rough W1 A White plaster w/ beige/multi-colored paint 15 NO 0 100 B Off white granular plaster 85 NO TR 100 Rough W2 A White plaster w/ white/multi-colored paint 15 NO 0 100 B Off white granular plaster 85 NO TR 100 Rough W3 A White plaster w/ blue/multi-colored paint 15 NO 0 100 B Off white/tan drywall 15 NO 30 70 C Off white granular plaster 70 NO TR 100 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV F. 303-477-4275 www. reilab. com Page 1 of Reservoirs Environmental, Inc. Reservoirs Env i re nme ntal GA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 467257-1 Client: Earth Energy and Environment Corp. Client Project Number/ P.O.: 3415 Otis St. Wheat Ridge CO 80033 Client Project Description: None Given Date Samples Received: July 07, 2020 Effective ADnl 2, 2018 Q AGAGCALABAReservoirs Env i re nme ntal GA ManLot .doc Method: EPA 6001R-931116 - Short Report, Bulk ND=None Detected Turnaround: Priority TR=Trace, <1 % Visual Estimate T re m /Act=Tremolite /Act i n of i t e Date Samples Analyzed: July 07, 2020 Client L Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R (%) M) (%) (%) Swirl C1 A White plaster w/ beige/white paint 25 NO 0 100 B Off white granular plaster 75 NO TR 100 Swirl C2 A White plaster w/ white/multi-colored paint 25 NO 0 100 B Off white granular plaster 75 NO TR 100 Swirl C3 A White plaster w/ white/multi-colored paint 15 NO 0 100 B Off white granular plaster 85 NO TR 100 Ct-1 A White plaster 25 NO 0 100 B White/tan ceiling tile 30 NO 80 20 C Off white granular plaster 45 NO TR 100 Ct-2 A White plaster w/ beige/multi-colored paint 10 NO 0 100 B Brown adhesive 10 NO 0 100 C White/tan ceiling tile 80 NO 80 20 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. Jo. Bake Analyst / Data QA P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV F. 303-477-4275 www. reilab. com Page 2 of Reservoirs Environmental, Inc Reservoirs Environmental QAManual REI LAB Reservoirs Environmental, lnc_ Effective April 02, 2018 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc RES Job #: 467257 SUBMITTED BY INVOICE TO CONTACT INFORMATION SERIES Company: EARTH ENERGY AND ENVIRONMENT CORP. .................................................................................................................................................................................................................................................. Company: EARTH ENERGY AND ENVIRONMENT CORP. Contact: ELI WILLDEN ......................................................................................................................... -1 PLM PRIORITY Address: P.O. BOX 348 .................................................................................................................................................................................................................................................. Address: P.O. BOX 348 Phone: (303) 902-5851 ......................................................................................................................... .................................................................................................................................................................................................................................................. Fax: ......................................................................................................................... A FREDERICK, CO 80530 FREDERICK, CO 80530 Cell: Project Number and/or P.O. #: 3415 OTIS ST. WHEAT RIDGE CO 80033 Final Data Deliverable Email Address: ................................................................................................................................................................................................................................................... Project Description/Location: NONE GIVEN ELI@E3C-USA.COM (+ 1 ADDNL. CONTACTS) ° - 20 o ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES PLM / PCM / TEM DTL RUSH PRIORITY STANDARD a Air = A Bulk = B s............................................ 61 i e i e i . . . . . E € o za - . M_ a_ ° - 20 o Dust Paint Surface= ................................... = D _ = P SU Food = Soil = Swab_ F .......... S SW CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm Dust RUSH PRIORITY STANDARD :r ` ° 0 ` m = �' o J Cal)Q ...................................... Tape ............................... = T Wipe = ......0 W *PRIOR NOTICE REQUIRED FOR SAME DAY TAT Metals RUSH PRIORITY STANDARD�' _ 0 : E w. CL m € € € N a Drinking Water = DW LoN : 2 _ o .. QQ ` _ 9.B ° .......................................................... Waste Water ..................... = WW Organics" SAME DAY RUSH PRIORITY STANDARD M € + w + € € a € > m o o Q} N V_ fn V) 0 � `� E a C .o 0 o C' N d OE E a o **ASTM El o a 792 approved wipe media ...... only*LU* MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm Viable Analysis"" PRIORITY STANDARD **TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH .ta a E o? .? Q _ 5 0 m o� o E a U ._ 0 a 3 °- Medical Device Analysis RUSH STANDARD ` `� Y a E 0 0 2 m a i i _ 0 _° 0 U U 0 J Q J° ?o. O a � °�: Q: : m 0 U 0 0 �. m w o o Mold Analysis RUSH PRIORITY STANDARD 0? T N Z : d' w: Q d' �o�oo: ?'• o i W o o o a o < : _ o oLo v m? T o .� Q a w o '• ""Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays."` U) _ -6: � : �, �' z : aU Na , u,I .o - � a `� ""a z' wo E a T ' U U : U Laboratory Analysis Special Instructions: a M 3 O a:aa Viables Q L J x v a E o a : Instructions Client Sample ID Number (Sample ID's must be unique) ASBESTOS CHEMISTRY MICROBIOLOGY 1 SMOOTH W1 . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X ..................... ¢......¢......¢........................¢...........................¢......¢...... . . . . . . X .............. ¢...... ¢...... ¢...................¢........................... . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . XB X .............. ¢...... ¢......¢........................¢...........................¢......$...... X . . ¢...... ¢ ...... . . ¢...... $ ...... . . ¢...... $ ...... . . ¢...... ¢ ...... . . . . ¢...... ¢ ...... . . ¢...... ¢ ...... . . ¢...... ¢ ...... . . ........... ........... ....................................... ........................................................................... ...........¢...........¢.........................¢........... ........... ........... ........... ...........¢...........¢.............. . ¢........... . ¢........... . . . . ¢........... . ¢........... . ¢........... . . . B ¢.............. ........... . . B ¢....................................................................................................... . . B . . ........... B . . B . . B ¢.............. ........... . . B ¢.............. ........... . . B ¢....................................... . . B ...........¢........... B . ¢....................... . . ¢....................... . . . ¢........... . ¢........... . . . . ¢.................................................... . . . . ¢.................................................... . . .................................................... ¢ . . ¢...........¢.................................................... . . .......................................................... ¢............ . . ¢................................................................ . . .................................................... ¢............ . . ¢...........¢.................................................... PROG(A) PROG(A) PROG(A) PROG(B) PROG(B) PROG(B) PROG(C) PROG(C) PROG(C) PROG(D) PROG(D) 2 SMOOTH W2 3 SMOOTH W3 4 ROUGH W1 5 ROUGH W2 6 ROUGH W3 7 SWIRL C1 8 SWIRL C2 9 SWIRL C3 10 CT -1 11 CT -2 REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge. relinquished By: ART WILLDEN Date/Time: 07/07/2020 12:24:32 Sample Condition: ACCEPTABLE received By: - ANNEMARIE KIEFFER Date/Time: 07/07/2020 12:24:32 Carrier: HAND P:(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 1-866-RESI-ENV F:(303) 477-4275 Page 1 of 1 vwvw.reilab.com RESIDENTIAL Address: 3415 Otis St Lot Size: 10,452 (site plan) Property in the flood plain? No Subdivision: Pierce Street Related Cases: Rev. 09/2017 Permit- Plan Review Worksheet Zoning: R-2 sq. ft. Lot Width: 75 (site plan) ft If yes, notify PW Floodplain Administrator and add surveying condition FLD Any conflict? (Y/N) Type of project (applicable survey conditions in parenthesis): Maximum Lot Coverage: 40 % 4,180.8 sq. ft. Existing Improvements (footprints): House: 1,672 sq. ft. Shed: sq. ft. Detached garage: 501 sq ft. Other: sq. ft. Total Existing 2,173 sq. ft Lot Coverage 20.8 % Proposed Improvements (footprints): House/addition: 1,988 sq. ft. Shed: sq. ft Detached Garage: 501 sq. ft. Other: sq. ft. Proposed+Existing 2,489 sq. ft Lot Coverage 23.8 % Required Setbacks: FR 25' S 5' S 25' R 10' Provided Setbacks: FR 34.3' S 5.625' S 31'2" R 39.8' For additions or new construction, is the structure within 2 feet of minimum setbacks? Yes If yes, add surveying condition FND. Maximum Height: 35 Proposed Height: -15 (tallest) ft. ft. Maximum Size: Proposed Size: sq. ft. sq. ft. Does the bulk plane apply? (Y/N) No If yes, does it meet on all sides (Y/N): FR S S R (See 26-642 and 26-120.C.1 -applies to all single-family structures (new, addition, accessory) in R-1 C and R-3) Parkland Conditions Does the permit result in a new dwelling unit (new structure or conversion from non -res use)? No If yes, have parkland dedication fees already been paid (eg with a previous land use approval)? If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG. Rev. 09/2017 Streetscape Conditions Does the permit result in any of the following conditions? ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase gross floor area (not just the footprint) by 60% or more (proposed floor area 1 ,988 -existing floor area 1,672 ) /existing floor area 1,672 = 18.9 % increase If any box above is checked... For SF/DUPLEX-Is there existing ❑ Curb ❑ Gutter L]5 -ft+ sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Access Conditions (apply to all new driveways, garages, additions, or new homes/units) ® For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. ® In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. ® For all uses, one access point per property is permitted. Landscaping Conditions (apply to additions and new dwelling units) A For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Frontage of lot —215 - width of driveway —19' ) /70— 3 (round up for required trees) (total of both frontages) Street trees required. 3 Street trees provided: 5 ® 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. ❑ In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Dwelling Unit ❑ Not approved as an independent dwelling unit. INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection R F INSPECTION REQUEST LINE: (303) 234-5933/JZ Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Insoections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service 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 Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 0 L - Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201706958 201706958 ISSUED: 09/06/2017 3415 Otis ST EXPIRES: 09/06/2018 Residential Re -roof to install IKO Cambridge asphalt shingles - 25 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)396-5591 ALLEN JANENNE SUB (720)209-'4635 Michael Lindberg 140280 Pioneer Home Solutions Ir *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / EE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,425.00 FEES Total Valuation 0.00 Use Tax 134.93 Permit Fee 156.75 ** TOTAL ** 291.68 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof f inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be b complete and 25-75 percent of the mid -roof may be complete. 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. 700 N. €ok"do Bind Suite 170 Dovvw, CO $02% 720 209 4615 tlhsdenrer.con+ awe r Ifftophulonvor cam Phone 3a .3 �*9 r Email Jg et # A .A k custotrw 3vt 1 0 �` S T" City A2-.*.4state z'o a -G C' 23. Addre" - AGREEMENT tL fter 'PHS'} agrees to provide the tabor and materials for r `�! F r ✓ `�1 �t {__ pi,p�r HOrt�t'sCititH7n3, LLC (hereinafter Th .with the approximate -commencement' of work he weak tnSllydfli!' ' Clairn tr r terms) The Customer lyes PHS ( Q Ile-rmFSslon to speak and negotiate with their insunrsca canX to tstdtilish a total Replacement Cott Value (RCV� for repairs. The Cuatorner has the right to rescind this Contract within hours Of entering Into It anti can notify Phi$ of re grid tela email, mail, or in person. SpE- IFICATIC3NS OF MAffErrs �tND WORK P rt'S€iMT'-0 RtoM1 ear s�ff, haul 6 dispose of existing rrs0fir+g mati*rtal nttali pipe !asks � It oat yen all } In In the Collar ;rail d felt paper _install lc >l► water shield it required by city code and in�Irl cordance with�Zme drip edge if required by oty gide and in accordance with claim lup property workmanship warranty • Custprrser rs res for all i4OA approvals lin materials and Colo Customer is responsibit for coordinating and schedulirig any satellite dish remounting, realignment and calibration with their Service Provider Additional Work if Sowfi,cation 'l'i're total cost will be equal to time frill and f'inai Replacement Cost value (RCV) as determined between the insurance company and PHS Customer understands that if s/he has ACV coverage for tie repairs, s/he will be out of pocicet the dedudtibW amount and if s/he has Actual Cash value (ACV) coverage, 5/fie will be out of pocket the difference between the ACV and RCv Chang" (supplements. overhead/pront (OSP). permits) from the current RCV to the final RCV will be reflected in the Insurance company's ewmates and loss reports ani! are considered as updates to this agreement: This customer agrees to pay AHS in whole for these additions. The current ACV estimate for the specified work and materials for known 4amages is g 1 t'*5'e�f - .. and progress payments will be paid to PHS as received from the insurance company PNS *M11 hold in trust any payment from the customer until the delivery of materials at the site or has performed a majority of the roofing work on the property. Make ail checks payable to Pioneer home Solutions »al+ down of RCV upon DELIVERY of materials A,emainder of ACV payout upon completion ReMaMder Of RCV, O&P, supplements, permit fees Cttstorvier and PH Customer c,�p Stgrcature Date / FINAL TOTAL/RCV Date Initials € Date initials Date Initials Date Initials _..�..- terms stated herein, on back and suppiements to this agreement. PHS, by Signature Date A 4e City of Wheat Ridge Residential Roofing PERMIT - 201706958 PERMIT NO: 201706958 ISSUED: 09/06/2017 JOB ADDRESS: 3415 Otis ST EXPIRES: 09/06/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 25 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)396-5591 SUB (720)209-4635 ALLEN JANENNE Michael Lindberg 140280 Pioneer Home Solutions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,425.00 FEES Total Valuation 0.00 Use Tax 134.93 Permit Fee 156.75 ** TOTAL ** 291.68 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge r / ` r( Residential Roofing PERMIT - 201706958 PERMIT NO: 201706958 ISSUED: 09/06/2017 JOB ADDRESS: 3415 Otis ST EXPIRES: 09/06/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles Pitch = 5/12 25 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I rther attest that I am legally authorized to include all entities named within this document as parties to the work to be performe�t ill w to b�performihsclosed in this docurnZ,anfl/orlits' accompanying approved plans and specifications. Signature of OWNER or CC-ONTRACTOR (Circle one) Date ' 1 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, po Flans 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicafile'`eyode or any ord ce ororeegt ation 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 Dane Lovett 7,0 1706 q From: no-reply@ci.wheatridge.co.us Sent: Monday, September 4, 2017 2:45 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION �L Property Address 3415 Otis St Property Owner Name Janenne Allen Property Owner Phone 303-396-5591 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed contract Allen.ipg Contract CONTRACTOR INFORMATION Contractor Business Pioneer Home Solutions Name V— Contractor's License 140280 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-209-4635 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 700 N. Colorado Blvd, Suite 170 (Primary address of your business) Contractor Email Address mike@phsdenver.com Retype Contractor Email mike@phsdenver.com Address DESCRIPTION OF WORK TOTAL SQUARES of 25 / the entire scope of work: Project Value (contract �5_Qo.p._ value or cost of ALL materials and labor) V1 Z5 Are you re -decking the No ./ roof? 6 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No Yes 5112 25 IKO Cambridge IR Asphalt Shingle roof SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Mike Lindberg Email not displaying correctly? View it in your browser. 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: �"1 t-� L 1 000_, Job Address: 75415 C,>1i1 S --Ir Permit Number: Son n u e -A 5 b 1L 1, Uor pT-Afn ❑ No one available for inspection: Time I'-2 "-;) AMA& Re -Inspection required: Yes No When corrections have been made, call for -inspection at 403-234-5933 Date: t'7 (� Inspector: DO NOT REMOVE THIS NOTICE 13 1 ` A i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �t Job Address: -} �l iy j Permit Number: r rte? t ❑ No one available for inspection: Time �� A v Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: W/7 Inspector: DO NOT REMOVE THIS NOTICE t rM Y V' 'C'*• 'f k I dW 1 * V Y , , vv"' 11 -- --2 - -o INSPECTION RECORD INSPEC I REQUEST LINE (303) 234-5933 Inspections ill not hepe unless this card is poisted on t prv�jea !Ile, Call the in,"pection rquest line before p.m, to receive an inspv.-tion thcftfflowing busincsx day M W-MI I Lavi t W84 Tie Rough Phimbing Roug"m Mechaniraj . . ...................... . . — i ing Ffnaf Inspections Date ■ . . 4* Ma t s COMMUNITY DEVELOPMENT DEPARTMENT BUILbING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 15978 8/4/2003 Property Owner: MORRIS Property Address : 3415 OTIS ST Contractor License No. : 18136 Company : Vandre Electric Phone : 238-9105 Phone : 777-2318 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the se[back 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 accurete; 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 W heat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge qr9inances; for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATEQ5- t)~J_&. Description : INSTALL NEW 150 AMP SERVICE Zoning Comments,; Approval : Zoning : Building Comt~ents:' Approval : Public Works Cominetnks.:. Approval : Occupancy: Walls Electrical License No : 18136 Company:Vandre Electric Expiration Date : 2/28/2005 Approval : OKIKS Construction Value : $1,600.00 Permit Fee : $7422 Plan Review Fee : $0.00 Use Tax : $1920 Total: $93.42 Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company : Company : Expiration Date : Expiration Date : Approval : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application antl is subject to the iaws of the State of Coioretlo and to the Zoning Regulations and Building Code of W heal Ridge, Coloratlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building authorized is suspended or abandonetl for a period of 120 days. (3) If this permit expires, a new permil may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specificafions and any suspension or abandonment has not exceederl one (1) yeac If changes are made or if suspension or abandonment exceeds one (1) year, fu0 fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the naNral Flow of water causing a tlrainage problem. (5) Coniraclor shall nolify Ihe Building Inspeclor twenty-four (24) hours in advance for all inspections and shall receive written appmval on inspection card before pmceediing with successive phases of the job. (6) The issuance)of a rtn7'~J the approval of drawings and specifications shall not be construed to be a permit for, nor an apOroval o( any violation of ihe provisions of lhEt'~d9~fg~odes or any other ortlinance, law, rule or regulation. 1 ~ ~ ryO~•y,~. Chief Building In ector Please sign Terms and Conditions on reverse side of page. w,Eqr COMMUNITY DEVELOPMENT DEPAR7'MENT Building Perarit Number: P 7~ BtiILDIPIG INSPECTION LIA'E - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 W'EST 29TH AVENliE VVHEAT RIDGE, CO 80215 - (303-235-2855) OR P00 ApPLtCA 7-IbN PropertyOwner: J2V1N42Y Moyrls Property Address: Contractor License No.: -~aL ComP~Y {~6~t2 Phone: Lp31?~' ON'SER/CONTRACTOR SIG\A71;RE OP UNDERSTANDIVG AND ACREEDIENT 1 hereby ceni(y thaI thc setback disunces proposed by this pertnit appliwtion are awurate, and do not violate applicable ordinanccs, ru Ics or regulations of lhe City o(N'heat Ridge or coccnants, easemrnts or resmctions of record; thai all measurements showm, and allegations nudc are accurate: that I have read and agrce to abide by all conditions pnntcd on this application and that 1 assumc full responsibilitv for compliance with the H'hcat Ridgc 6uilding Code (U.E3.C) and all other applicable Wheat Ri dinantts, (or work under this permit. t (OWNER)(CONTRACrOR): Construction Value:$ 460190 Permit Fee:$ Plan Review Fee:S Use Tax:S Total:$ (ON'NERHCO\TRACiOR):PRIITED✓G-•`~ DATE_~" DESCRIPTION: ~~5~ ~ r~D ~r✓t`C~ BUILDING DEPARTMENT USE OnLY SIC: SqFt.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PU6LIC WORNS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Elec[rica] License No: ~-(j Z Plumbing License No: Mechanical License No: Company: (/aPLiliv-4 e /.eC4itC Company: Company: Expiration Date: Expiration Date: Expiration Dare: Approval: ApprovaL Approval: (I) This permit wu issued in accordance wilh 1h< provisions set fordi in wur appliealion and is subjttt b thc laws of de $me ofColondo and to the Zoning ReguWtions and Building Codes of N'heat Ridge, Colondo or any ather applicabk orEinances o(Ne Ciry. This pcrmit shall ezqim if(A) Jro wod: authorized is nm commenced wiNin sizty (60) days from issue dme or (B) Uu building authorized is suspend<d or abandoned fw a penad of I20 days. (3) If tfiis permit ezpircs, a nev permit msy be acquired fm a fee of one-hal( the amount nomially rcquired, prorided w changes hare been or will be mad< in the origiml pWs and syecificaoons and my suspensioo or abandonment hu am exceeded one (1) year, i( changes Iwre been w if suspension or abandonmrnt <n<eeds one (1) yeu. full fra shaii M paid for a new permit . . (i) No ~ork of any manner sha0 be done thn wi0 chmge Me natuni /bw of water causing a Minage probkm. (5) Contrutor shali nodfy dw Building inspeaor twrnry-four (24) hours in advanae for aIl inspccfions and shall rttcive wnnen approral on insyecuon card before Oroeeeding with succative phase of Ihe 1ab. (6) The issuance of a permit or the approval of dnwings and spetifications zhdl not be eonscued io be a permit (or, nor an appmval o( any.iolation of th< pronsions of Lhe building codes or any olhtt ordinmce, hw, mk or rtguhuon. Chief Buiiding Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14213 BUILDING INSPECTION LINE - 303-234-5933 Date : 7/23/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: ESTATE OF PATRICIA RICHARDS Property Address : 3415 OTIS ST Phone : 428-9733 Contractor License No. : Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy 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 restridions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for w rk under this per_ mit. Construction Value : $650.00 Permit Fee : $29.60 Plan Review Fee : $0.00 Use Tax : $13.00 Total: $42.60 (OWNER)(CONTRA(TOR) SIGNED DATE ? - ~%w - 1~.~~..~- Description : FURNACE REPLACEMENT IN CRAWLSPACE BUILDING DEPARTMENT USE ONLY WINIMAYAW-11 SIC : Sq. Ft. : Approval: Zoning : Approval : 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 pertnitwas issued in accordance with the pmvisions set forth in yopur application and is subject to the laws ot [he State of Colorado antl to the Zoning Regulations antl Building Code of Wheat Ridge, Colorado or any other applicable ordinances of ihe City. (2) This permit shall expire if (A) the work authorizetl is not commenced within sixty (80) days from issue date or (B) the building authorized is suspendetl or abandonetl For a periotl of 120 tlays. (3) It this permit expires, a new permit may be acquired for a fee ot one-half the amount nortnally required, provitletl no changes have been or will be made in the original plans and specifcations antl any suspension or abandonment has not exceetle0 one (7) year. If changes are made or if suspension or abandonment exceetls one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the natural flow of water causing a drainage problem. (5) ConVactor shall notiry the Building Inspector hveny-tour (24) hours in advance for all inspeclions and shall receive written approval on inspection cartl before proceetliing with successive phases of the job. (6) The issuamo oF a perm' r the approval of drawings antl specifcations shall not be construetl to be a permit for, nor an approval of, any violation of Ihe pr ts tlodes or any other ordinance, law, rule or re9ulation. Chief Building I pector o WryEqT DEPARTMENT OF PLANNING AND DEVELOPMENT y BUII,DING INSPECITON LINE - 303-234-5933 ~ m CITY OF WHEAT RIDGE 7500 WEST 29TH 9VENTTE R'HEAT RIDGE, CO 80215 - (3,j03-235-2855~y) C~C ORAO~ 4~PP~4'.P~lTION Building Permit Number: Date: , Property Owner: e~S fc, yte O* P R f-/L / C i 0 t G A f.( IZ.Clr. Property Addtess: T~,~ S-/- Phone : Contractor License No.: Ccrt/ .e.G.SQ2°/" ' -'Ko k n.T' C.~' t K vi J- ~ 3O3 `12P?73-J 3b3 :7SP-sErlo Company: :il) j Phone: -S o -1 -7 'fb OWNER/COMIRACTOR SIGNATL7RE OF UNDERSfANDING AND AGREEMENT I hereby aetify ihat the setback diste¢ecs proposed by ihis permit applicadon ere accurate, md do not vio(ate applicable ordinances, mles or reguletions of the Ciry of Wheat Ridge or made are accurate; thaT I have road md agree to abide by all condilions printed on ffiis application md that I assume full responsibiliTy for eompliance wi[h th< Wheat Ridee Building Code (U.B.C) md aIt other app(icable Wheat Ridge Ordinances, for work under Uus pemiG - Construction Va1ue:$ I~ ' Perxnit Fee:$ Plan Review Fee:$ USC 13X:$ TotaL$ (OWNERxCOMRACLOR):SIGNFL DA7E Description: ' /C -'O'~a~C,~ cX 4~~ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: ApprovaL• Zoning: BUILDINO COMMENTS: Approval: PI/BLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Elec4ical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) Tfiis pemut wat issued in aecordance wifh the pmvisions set foith in yow applicafion md is subjec[ to the laws of t6e State of ColoraLo md to the Zqrting Reguta4oas md Building Codes of Wheat Ridgy Colorado ar my oNer applicnble ordinaneu ofthe City. (2) Iltis pamit shall ezp¢e if (A) the work authoriud is ¢ot eommenced witbin sixty (60) days from issue date or (B) the 6uilding authoriud is xuspended or abendo¢W for aperiod of 120 days, (3) If tlus peemit xpircs, anew pwmie may be acqNrod for a fee of one-half the amount uormally roquired VTOVided m changes heve 6ttn or will be made in the original plms md specifi<afions md any suapension or abandonmenthu not exceeded one (1) year. Tfchenges have F«n or ifsnsp<nsion or ahanAnnmmr exceeds one (1) yeaz, full fees shaLL be paid for a uew peauit. (4) No wock of aay mmaer shall ba do¢e that will ehavge the natural flow of water causing a dcainage problem. (5) ConhactorshallnoGfytheHUildinglnspectorhvwty-fow(2A)hoiusinadvanceforallinspectiansa¢dshellreceivewrtttenapprovatoninspeceonexrAbeforc praceedi¢g wiffi sumuriw pliesu af thejob. ' (6) 1Te issuence of a permit or the approval af drawings md spaci5cafions shall not be consmued to 6e a pemit for, nor an approval o$ nny violafion of fie provisons of Ne birilding codu ox any oWer oxd'mmmce, law, rvle or regulation. Chief Building Inspector QEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 7147 BUILDING INSPECTION DIVISION - 235-2855 Date : 5/28/98 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 3415 OTIS CT Phone : 235-6868 Contractor License No. : 19607 Company : Ace Construction, L.L.C. Phone : 433 0440 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $3,163.80 I hereby certify that the setback distances proposed by this permit application are accurate, rules or regulations of the Ciry of Wheat Ridge or ances di bl 0 : Permit Fee $$$$0 00 , n e or and do not violate applica easements or restrictions of record; that all measurements shown, and allegations covenants . Plan Review Fee : , made are accurate; that I have read and ayree to abide by all conditions printed on this and that I assume full responsibility for compliance with the Wheat Ridge Building application t i 47.46 Use Tax : $ , s permi . Code (U.B.C.) and all other applicable W,h~e'a~t Ridge ordinances, for work un er th TOtal : $135.46 SIGNED I ~"~"^ES -oZfJ" OR ) (OWNER)(CONTRACT Use: REMOVE I LAYER OF ROOFING. AND REPLACE WITH 3-TAB Description : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : ~N Approval: Zoning : - Approval: a~ ~u ApProval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanfcai ucense rvo : Company: Expiration Date : Approval: Company : Expiration Date : Approval: Company: Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations antl Builtlina Code of Wheat Ridge, Colorado or any other applicable ortlinances of Ihe Ciry. (2) This permit shall expire if (A) the work authorized is not wmmenced within sixty (60) days hom issue date or (B) the building authorized is suspended or yea~r. , pf cha ges are matle oad suspe sloniloabandonme t abandoned for a penod of 120 days. chan (3) ofri9 nal ~plas eand specification aind any suspension or abandonme t has n t e~zceeded onle (requir excee0s one (i) year, full fees shall be paid for a nev, permit (4) N. work of any manner shall be done that will chan9e the natural flow of water causing a droinage problem. (5) Contreclor shall notify the Building Inspeclor N+enry-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card beFOre oceediing with succes5rve phhases o(the oD. (e)prof the~buldjng codes,pr anytothe rom nao a aw~nNSe ordreg ztfiio°tions shall not be construed to be a permit for, nor an approval of, any violation of the provisions iief Building I ector THIS PERMIT VALID CONLY ALL W 34 5933 24 HOURS PRIOR TO I~NSPE TIONPECTOR AND MAYOR May-27-98 03:OOP DEVREVFAX 303 235 2857 P.01 1-Hx b P`I DEPARTMENT OF PLANNING AND DEVELOPME NT BUILDINGCITY OF WHEAT RIDGE 235-2855 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner Property Address y f'K Building Permit Number : Date : ~ 3 4/S Pnone : X o`?3S"~ ZS Contractor License No. : x J~GO Company : X G' L% ~prj5~l'GG t+v H LPhone : X~f 33' ~Y~/C) OWNEWCONTRACTOR SIGNATURE Of UNOERSTANDING AND AGRI :MENT Construction value : 3 I(o 3, 66 I hereby artify lhat the setbadc distances proposed by Mis pefmit appl'Kalion are ac urate, and do nW violate appliCabla ordinances, tules a feyulatbns of Ma Cily of Wheat Ri pe M wvenants, easements or reslrictioos ot rowM: lhat a11 measuroments shown. and a'a9ations made are accurate; lhat I have read and a8rea lo abide by afl eonditiam prinled on U is application, and that I assume futl responsibil'Ry tor comphance wilh lne Wheat Ridge Building Code (U.B.C.) and all other appliwble Wheat R" otOinanas„for wwk under lhis I ermil. ii fl (OWNER)(CONTRACTOR) SIGNEDLAIALA~I~DATE X RB0vravt° Description : X& I 2~1'4C e /A o X raa-~ ~ N ct~lfh ~-~~nb -as S~- Permit Fee : Use Tax : Total : $0.00 Use: x SIC : Sq. Ft : 9~ Approval: Zoning : ammnstrzc~nt~ Approval : Pmnr~watrr~e~ar~~ Approvai : Occupancy : Wails : Root : Electrical License No : Company : Expiration Date : A roval • Plumbing License No : Company : Expiration Date : qpproval: itories : Residential Units : Mechanical License No : Company : ExpiraGon Date : Approval: PP • (t) 7Tis peime was bsved in aaotdenu wrN tlw 0m'AsiMS fet IoM In yapV/ apDlia~ i id Is ]ublaCl b Ne laws a Ma Stna al CdOnEO md b ItK Zmirq Requbuons ana BuiWinq Coae of VNieat RWqe CobnOO a any ort~n sppiaDk oNin nas ot Iha CMauUarizN b suspe~dM a Oe in ina (p) n.:. ,~....m .na, eadre d(A) U~e work oWia¢a0 ia nd mnvnnrcM wnNm si~ty (601 Ca •11rom Ifsue Ealt at (B) Iha OWOYq (J) (sj (6) , fee a onewa u+e amoum m„dry reaui~ea. v~ca no u++np~. nw. eeen o. waoW .~nawmmenl Ns rot eKaebe one (1) Year. II rhin9a ra ma0a or A wsPe^~^ aband xrmn. IM namal fWw W wa1H nUSiMi 1 dninape Drobl« 1 on NaD~'~ prC belde ,r (24) twws In oevance fa sll In pecuona ana shail rcaiva vrtlnen approv+ Nsions nd sD~ctlmf NNI nol 0e aH ~~:Wed to Ee a Ps^nl /a, nor an WPraval ol, s^Y Ndatan ol Ina Pm or wpuWUOn. Chief Building Inspector - . _..1 11 cicracn av T Fc r Mayor F BUIL,pING IN_SPECTGR A_ND MAYOR ~ ~ - r PR`aP0 AL - sseo ren6yson sveet Denver, CO 80212 (303) 4334W o Z ~ R~sfin~ SIdM 2882 Durerqo Dr. Coloretlo SpArps, CO 80910 COMMERCIAL A E RESIDENTIAL °19>442-0440 4200 W. 11th Street %o,~ , ACE ROPFING & SyDll!i ~ Puemo, co eioos mc1 su-0uo C, C fi(IC PRO OSAISUMI7TED T `--R PHONE a&s-u (r, -r7a~ DATE ~ I STREET 34ls o ~T ~ s JOB NAMET,,C. ~A S CITV. STATE qND ZIPVDE1 ! l~ea Z~ F(to33 JOB LOCATION S me. a 1. Ezisting type of roof 1>/ Gt-w'L 2. Repair or replace with F;bcr 3. Styfe of shingle ~-7/4 i--~ 1~ 4. Color of shingle 14hn~'cc •-re 5. Base felt N)/4, Lace felt _ 6. Valley rype ` - 7. New roof jacks „ Pr 2"d wo,.\A t3r. 8. Metal edge type 2 X--2 - 9. Tear off 1 e- layers A 4 JeAS t 1-Po r Clc 10. Existing number of layers 3 D f0 _ 11. Manufacturer's limited warranty ~o tq- as V/ 12. Company's limited warranty _ 13. Clean up and haul off roofing trash 14. Clean out gutters (roofing trash) ltvpvy 15. Seal around all pipes and vents where needed 16. Lien waiver provided 17. Clean up daily 18. Protect landscape where needed _ 19. Roll magnet thru yard (tear off only) 20. Insurance papers provided 21. Permit Furnished SPECIAI INSTRUCTIONS C SPECIAL NOTE: ROOFING FOREMAN WILL BE ON JOB SITE ALL THE TIMES TO INSURE PROPER ACE Construction, LLC is a licensed and registered Corporation of the State of Coloredo doing business as ACE Pr ose hereb ✓ furnish material a - plete in accordance with a ove specification dolldr ir"tw is quvaMaed 1o be u epecifiM. NI wark to be comD~ i^ a w~mn Ake mrmsr sun0artl Dracticea. All IIIIBl10! EBR19Qe tO EUIIOIIIg5 I.! l)(GUCBE BO CBYt NN pmplelion tlala aM IM owner is notifieC thal any Oamage lo caMeMS will Us qhe reaponaibiNry ol Ihe awnm antl hia inswance canpenY. aI tlamega ro Ma builtlirp wfiich oaurte0 while rooRng wat in procose will be cowre0 Ey ine canlretlw. All preerneMe cmlinqenl uPUn 9tnkea. eCCiCBnU or OBldys DByonM OUr cOnbol. OvmM to ca/ry Are, tOmetlO &itl MhBr nxnsary innurance. Our worken me Nlly cavxeE by Wakman'a Comparrae6on imurv¢e. SchBOUlinp will be OOne bne0 upOn Ceta eigna0 MA limitetl by avulaGilily Iw mtlana4 !ntl orn.:, arie weatnx ooneNOOe. ACCEP7ANCE OF PROPOSAI - TMS Dropoaai bxanea a Ngsl EiMinq coMncl M Iwuro han aab ol accapl+ncs. 11/9'K pw month inixsat will be aEdetl a+ to all xcounb 30 Oays Wel Oue. In aOdluon, wats an0 reaaanabls atlomaye fes iw collxiions may Ee chazgeE on viy accoum paat Eua wer 30 Caya. Payment will be maCS n out4rietl a0ove. Failure lo pay cen conslitute a mechanim lien file0 epanst Ihe praperty. CawellaHOn ol Ihe contrxt mey be achieveC Oy Darn9 a ancenation lee in Ihe amoum ot 5% ol Me crontract Once. Date of Acceptance Authorized Signature 518 ` C the stin tG3.- ~q 6"" NOTE: This proposal may be withdrawn by us if not accepted within _da ' Signature Signature / X, ~~i`u`-07" /Pv