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Home My WebLink About3500 Miller StreetCONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address The Cooler Company [0li[cI:Y: 3034225308 coolerco@aol.com Retype Contractor coolerco@aol.com Email Address DESCRIPTION OF WORK What type of Evaporative Cooler replacement unit are you installing? How many tons is the unit? For AC - what is the SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located (for example, rooftop, backyard on ground etc)? 0 1018181 BACKSIDE OF ROOFTOP Is electrical needed for Yes re -hook? Provide Electrical 021365 Contractor's Wheat Ridge License No. Project Value (contract 6500 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. 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. Person Applying for Morgan Adams Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Friday, May 13, 2022 12:29:26 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Is this Residential or Commercial? New Unit Installation Residential Property Address 3500 miller st Property Owner Name Jennifer Zinn Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 3034225308 Property Owner Email coolerco@aol.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" "All work shall comply with the 2018 IRC, 2020 NEC and City of Wheat Ridge Municipal Codes" 'Approved construction plans, and documents shall be on-site for all inspections. 'Work shall not be covered or concealed without inspection. CoZIiiii c paotii Pu-Q^p -interior partitions erected on concrete slab on grade must deal with deflection and slab movement. -Enclosed accessible spaces under stairs shall comply with code section R302.7 -Fire Blocking and Draft Stopping shall be installed in concealed spaces per R302.11 & R302.12 -1 at Floor fire protection of floors shall comply with R302.13 -Bathroom lighting ventilation shall comply with R303.3 -Bathtub and shower spaces per R307.2 and P2710 -Showers shall comply with P2708 -Minimum Ceiling height shall be 7' or accordance with section R305.1 & R305.1.1 -Fixtures in a bathroom shall meet the minimum space required per R307.1 & P2705.1 -Emergency Escape shall comply with R310 -Stair Handrail shall comply with R311.7.8 and guards shall comply with R312.1 -Smoke Alarms shall comply with R314.2.2 -Carbon Monoxide Alarms shall comply with R315.2.2 -Mechanical rooms that communicate directly with bedrooms or bathrooms shall comply with G2406.2 #5 -Combustion, ventilation, and dilution air per G2407 -Glazing and wet surfaces R308.4.5 WSA "REVIEw[u Wn CODE COMPLIANCE r mar mwiaga ware oraii gamer Re awiiub: Wars in Won at the nine or Dahl.Rei mon...... not la treating roma. rat Re angry ping ch thene documents nal net ty, greyhound to by a e ogee iI°rare, nogear man Rerkwer Engage, —506 Locp-vols a 3500 MILLFg. 5T N67E: i l 6xtERll?f- V,/41,45 WILD- — Ai 2xy 1'99* n 3x0 $ILL Nwa SfgIKYs: AGd. W44L Gf�Ri471pL7 IS i' + (� fsX1$71NGL 7'ho/�w�l I /✓r7 QE Mb^ 40� CE��N615 x '� 6W J=Wpq' Rl1F ORHae/A LL Li0/ri WAi=k-3 A'/L.0 D21W4 o i✓ toWEIwill iii T-th,i �'yo>v vsINN 1.x N.V yeaJ�cP to a.,a/ 7l 1"P la ANtl r<tlaoovlL `n T r( Vrt) MN Ks aE 6c Bess wrh4a� GaP j pw Ooo/2 Tpmbs p,Qg Gxi siby PLS F�w.-chrrt,cnL id vP gi to Dr e T ty"CA" U(-p/iT / O O O 14 U✓fN1n I�fJ�I'�� $IM1Cn`LY �`' $MW{t � j I or, I got Val Emergency Escape shall comply with R310 r N `M v vIC"f" 3 EPI W.H uCvx%T 4'd atxci _ y CLYDE` y la44 z�SrE Q Emergency Escape ✓�GR�-F '�� _ -g l f. U (L (G li f'L (A) (Z ;7 L Fl N shall comply with R310 AL1 FRA7Alapi l [r lw/141.3 ege"J L 13G Ov1[TI x.7 µQ.it�M SINI/� TOIL['tj .3F}OWEf1 i5 ROUCAfitSJV )N i;) io 1wlItv(„ FEEL TXAL IS FA15'1/i ANG P4JSE0 j7w PRE✓i.v p)5,e)R,T - Bvl«K $ ogi 09AmA is LX ffii of — AW svm p .0VA)i Exlsf'/Af i j,. toa4'\lit. till a R: AG+ (n rullil Ty SGS 1 N L X13- 4 ti y/— 5 8i6 CvNOiTlv/U -S(7(31,oco-tion/: 35oo MILLF,457 -r— M5790 1e m M5790 Att. 6XtORIoR WiiiitLS rvrLG PSM ZAHrRER%^� )OAya SILT. An.0 SP/KYs; ALL :Vivi GRAIhI), 1 is + 04111RAaK EX�SYINIo+ The/"V'II b, Al pE.✓Hjj• qi.G CE�GN615 9 6�ylt f RRE oRHr✓a GLCp ynv3� yvA S Ani 42/wAr4E0l o RAl5Crja:l !' -YJ�w,tl )2AI5C hi/�Fir VSWO%t Ag4yagl�.1 ;S tolti A. Am/ 7 7o NHE AND rn lLeovg pec arp�b� + R ?Ars wrll +Mh Kl rue EG�1[�5S w�h6a1.�4°A+P h ? tit G2406.2 (303.3) prohibited locations. Appliances shall not be located in sleeping rooms, bathrooms, toilet roams, storage closets or surgical rooms, or in a space that opens only into such rooms or spaces, except where the installation complies with one of the fallowing: 1.The appliance is a direct -vent appliance installed in accordance with the conditions of the listing and the manufacturers instructions. 2.Verned room heaters, wall furnaces, vented decorative appliances, vented gas fireplaces, vented gas fireplace heaters and decorative appliances for installation in vented solid fuel -burning fireplaces are installed in rooms that meet the required volume criteria of Section (32407.5. 3:A single wall -mourned unvented room heater is installed in a bathroom and such unvented room heater is equipped as specified in Section G2445.6 and has an input rating not greater than 6,000 Bab (1.76 kVA. The bathroom shall meet the required volume criteria of Section G2407.5. 4.A single wall -mounted unvented room heater is installed in a bedroom and such unvented room heater is equipped as specified in Section G2445.6 and has an input rating not greater than 10,000 Btulh (2.93 kw). The bedroom shall meet the requited volume criteria of Section G2407.5. S.The appliance is installed in a room or space that opens only into a bedroom or bathroom, and such room or space is used for no other purpose and is provided with a solid weather -skipped door equipped with an approved self-closing device. Combustion air shall be taken directly from the outdoors in accordance with Section G2407.6. f2 SHf6T Rock Ail 9009 7Arv,las III GxrA,4y ALG ilUgc-firlo L is Il Coon i)irNO QAlC a N / i ORyvntti 6°cAN 1/LENT p O O Rv.ls@ FLooR\OARDINI �mRY oil �mox! r O � O 15'-4' y , o5mok r_ a,I a 3�4" '-"6• RAIL r,Fumt� -FANS' TILE P4A /:fL7 RQV UN • 'tp IN' .• .. w rs..a-i. i- ..� - I r.-.,.,.. y__.11 �- v Tar 6T Ew cy �Aql.- W.11 N ICAISE 2 � o2YoE ., 6]ay.-: y a7 of - y RAISE } R i✓ � Er ru57NL(. s;tt, PL hie, 7"OeAng socal . aa� t. t,. FRA MIN Il Cs Ei)l iiiuch/vo �kw Will w11i a0 avieIr _110au,c PeFiIt / l"GAP Fol :({AISeO Fwa2,To l4ov�__--_. m 4./ F♦gdQM glNuf TO14C4j .5r Oo afC 'is ROO(AHC,6 )N wau-5 ^cAAPE� <ARpeTIA4p .Vy RSIkf R�lJR y�lt 17 EAISJ11vSn 3/y iPl/NH 9ethol r� Al fib"O/4 ' G^LkLF$A� is EX15'!/bi ni P9;xbo Ow PRE✓i•V PG,C/n,t aA4 TR,�AJEO EL✓LpR✓9..AHGHoP-0 to — Bi�ILF /@ wrr7;R I}e/j ]Fk /5 LXiST/A/% FrAPP, /[o.E_ R41� SVmi Q✓mps EAi SI�rMn .. d ♦ o o p e a .d F - p d a 4'CCNC RP-lE SLAG ° d a e 1 o 0 0• p , ecAvE = I Ilq 1'IrtSE� F'W oit^cRll f r m: wheatndae co us To: Gxnm�P Miis Sogee: amine win: Surxnitdr: rn::neetinn a pay, airC: WWnW", JuR 2, M213:5028 PM Foundation Repair This application is exclusively for FOUNDATION REPAIRS. YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes Foundation Repair? PROPERTY INFORMATION Property Address 3500 Miller Street, Wheal Ridge, CO 80033 Property Owner Name Zinn, Jennder Property Owner Phone 720-7ee-2097 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email cbs.permits@completebasemenlsystems.net Address Attach City of Wheat When Ridge Payment Form nM Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** CONTRACTOR INFORMATION Contractor Business Complete Basement Systems Name Wheat Ridge 60125 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-507-2777 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email cbs.permits@completebasementsystems.net Address Retype Contractor chs.permits(alcompletebasemeMsystems.net Email Address DESCRIPTION OF WORK Location of Work Basement How is repair being helical repairs done? Piers, strips, etc. # of Piers or Strips e Upload engineer letter Eng inear ino 3500 utiHer St nm or pages on 8 1/2" x 11"only Repair Plan Set on Field not completed. 11 "x17" only - if applicable Project Value (contract 12525 Valuation OK 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 Yee may not begin on this property until a permit has been issued and posted on the property. I certify that I have yea been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Greg Knapp 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 wmadly? view n in your browser. 1* ► � i City of Wheat Ridge '/� E -Res. Sewer/Waterline Repair PERMIT - 202101406 PERMIT NO: 202101406 ISSUED : 06/29/2021 JOB ADDRESS: 3500 Miller St EXPIRES: 06/29/2022 JOB DESCRIPTION: Emergency sanitary sewer spot repair with clean out's, front yard, 15 ft *** CONTACTS *** OWNER ( 3 0 3) 945-1418 Z INN JENNIFER ROSE SUB (300)210-1289 TREVOR WESTON 110115 PREMIER EXCAVATION SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21500.00 FEES Total Valuation 0.00 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 145.85 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 202101406 202101406 ISSUED: 06/29/2021 3500 Miller St EXPIRES: 06/29/2022 Emergency sanitary sewer spot repair with clean out's, front yard, 15 ft 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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/29/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Tuesday, June 29, 2021 10:32:45 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 3500 Miller St Jennifer Zinn 303-548-9658 N/A Electronic -Payment -Form Ddf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Premier Excavation Services ifi[l7dill 6 digit number for the City of Wheat Ridge) Contractor Phone 303-210-9745 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email trevor@premierex.net Address Retype Contractor trevor@premierex.net Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 15' Location of repair Front yard (backyard, frontyard, etc) Provide additional Emergency sanitary sewer spot repair with clean out's. details including installation of clean- o uts. Project Value (contract 2500.00 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. 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. Person Applying for Trevor Weston Permit Email not displaying correctly? View it in your browser. *** All work shall comply with the 2018 IRC and City Municipal Codes. *** **Foundation modifications or repairs shall be verified by the engineer of record and certified tothe building department by a letter of compliance prepared and stamped by the engineer of record, the compliance letter shall be provided to the inspector at the final building inspection." 7� I NE4-!q JEERING AND INSPECTION PLAN OF REPAIR FOR Ms. Jennifer Zinn 3500 Miller Street Wheat Ridge, CO 80033 Job # 8780 June 2, 2021 r is 48386 L DigitaIlysigned by Zachoriah Zachoriah Ballard Ballard Date: 2021.06.02 13:48:01 -06'00' Zachoriah J. Ballard, MICE, P.E. (#48386) There drawings were reviewed under the appl,,dble n effec[ at the Dine of s,b—ll. Reamnable .fforc w as..erased in checking for ,d,—ptiance. The stamping of there d ... -- 9ra11 —b, trued t, be a permit for, or an approval of any n of stat and/" loml mde,, ordinances or mend mems therein. Plan Reviewer: SJ Date: 6!7/21 W heat U m 0 G/�otng p��s� c 1 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@ LEVELINSPECTIONSCOXOM STRUCTURAL GENERAL CONDITIONS Contractor shall maintain comprehensive general liability, workman's compensation, automobile liability and/or other insurance as appropriate for the work performed which will provide protection form any and all construction or completed operations claims. Certificates of Insurance shall be provided to LEVEL ENGINEERING LLC and/or the Client upon request. The limits will not be less than the minimum mandatory amounts required by the State of Colorado. All construction shall be performed in accordance with all applicable codes and standards, and good construction practices. Contractor shall obtain and pay for any and all permit fees, taxes and licenses required by governing agencies to complete the work. Contractor shall be responsible for all labor, materials, equipment, tools, operations and any other item necessary for proper completion of the work. Contractor should visit site prior to bid submittal to fully understand the scope of the project and the conditions at the site. By submitting a bid for the work proposed in this PLAN OF REPAIR, the contractor is implying that they have fully reviewed all associated documents and that they have full understanding of the work to be completed. The Contractor shall conduct a full review of this PLAN OF REPAIR prior to beginning work. If during this review or at any time during the construction process the contractor notes any errors or omissions in the plan, work shall be stopped and LEVEL ENGINEERING LLC shall be contacted immediately. Recommendations and specifications contained herein are based on general assumptions of the conditions, some of which cannot be observed during typical nondestructive visual observations. If unexpected conditions are encountered during the course of work, the Contractor shall contact LEVEL ENGINEERING LLC prior to proceeding. The Client shall provide water and electric hook-ups for temporary use. (Contractor must pre- arrange with Owner.) All utility lines and easements shall be located, marked and protected from damage throughout the performance of the work. Contractor shall call for utility locations unless other arrangements are made. Any damage to utility lines caused by the Contractor shall be repaired at the Contractor's expense. Contractor shall field verify all dimensions and existing conditions prior to commencement of work. Contractor shall notify LEVEL ENGINEERING LLC upon determination of any significant variation of the information provided on the attached documentation for his/her interpretation and decision, and such decision shall be final. Information provided regarding the existing conditions are believed to be accurate, however, Contractor shall be responsible for, and shall only use, his/her own measurements to verify existing conditions. THE REPAIR DESIGN Prepared by LEVEL Engineering, LLC makes no provisions for construction conditions that may arise during the performance of the work. Contractor shall be responsible for maintaining the stability and integrity of existing structures (bracing, shoring, benching, etc.). 2 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM Contractor shall be responsible for the acts or omissions of his/her agents and subcontractors in the performance of their work. The Contractor shall be responsible for the means, methods, techniques, and sequences of construction. Existing material or property outside the scope of work that is damaged during construction shall be repaired to match their pre -construction condition at Contractor's expense. Unless noted otherwise, no substitutions or deviations from the repair plan and specifications are permitted without the express approval of LEVEL ENGINEERING LLC. Unauthorized modifications to the repair plan and specifications may deem the work unacceptable. All unacceptable work shall be promptly correct at the Contractor's expense under the direction of the LEVEL ENGINEERING LLC. Contractor shall maintain safe jobsite. The Contractor is to stack all necessary equipment and materials in a low traffic rea or in an area that will ensure the safety of all individuals potentially present at this site during construction. OSHA standards shall be used as a guideline. Contractor shall keep the jobsite thoroughly clean at the end of each day. All surplus materials shall be safely stacked in a low traffic area or hauled away from the site. Contractor agrees to perform the work in a diligent manner and in full conformance with the repair plan. If a condition arises during the repair process which requires a change in the scope of work, LEVEL ENGINEERING LLC may submit addendums or modifications to the design which may add, delete or modify the scope of repair. Performance of any extra work, or payment for same, shall only be considered upon prior written authorization from Client. This document is for bid purposes only, The Contractor shall be responsible for utilizing a qualified Colorado Licensed Professional Engineer to inspect the repair work and to verify that the repair specifications described within this document are in compliance with local building codes and applicable Manufacturer standards. The proposal shall include a description of the Contractor's Warranty Terms and Conditions was well as Warranty Limitations. The proposal shall also include a description of the system as applicable. CONCRETE All concrete shall conform to the most recent editions of the Building Code and ACI 318 adopted by the governing agencies in which the project is to be completed. All concrete shall have a 28 day compressive strength of 3000 psi. All concrete shall have a maximum aggregate size of and no pea -gravel shall be used without written approval of this office. Minimum concrete coverage for steel reinforcement shall be as follows: Concrete cast against and permanently exposed to earth .......................... 3" Concrete cast in forms and exposed to earth or weather No. 6 bar and larger..................................................2" 3 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM No. 5 bar and smaller ................................................ 1-1 /2" Concrete not exposed to weather or in contact with ground .......................1-1 /2" Non -shrink grout shall conform to ASTM C-1107 Care shall be taken to properly consolidate concrete thoroughly without causing segregation of the materials. STEEL REINFORCEMENT All reinforcement steel shall be deformed bars conforming to ASTM A-615, grade 60. Welding of steel reinforcement shall conform to AWS D-1.4. Provide chairs concrete blocks, spacer bars, ties, etc. As required to securely hold bars in place. When reinforcement must be spliced the bars should overlap at least 24', UNO. Overlapping bars shall be securely tied together with wire ties. Provide a minimum concrete cover of 3" where concrete is cast on the surface of the ground and 1-12" at all other locations, UNO. STRUCTURAL STEEL AND BOLTS All steel fabrication and installation shall conform to the latest addition of the AISC Manual of Steel Construction. All welding shall be completed by a certified welder using an AWS prequalified welding method in accordance with the requirements specified by the AWS in the structural welding code. E70xx electrodes shall be used for welds. All structural steel shall conform to ASTM A-36, UNO. All wide flange beams shall conform to ASTM A-572, grade 50. All pipe columns shall conform to ASTMA-53, grade B or A-501 All tube steel shall conform to STM A-500, Grade B. Bolts and all -thread shall comply with ASTM A-325 Epoxy for epoxy bolts shall be Hilti Hit HY-150 or approved equal. Expansion bolts shall be Hilti Kwik Bolt III Expansion Anchors or approved equal. HELICAL PIERS/SOIL ANCHORS The Helical Pier and concrete contractor shall be fully experienced in all aspects of helical pier installation. 4 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM SPECIFICATION FOR HELICAL PILE FOUNDATIONS COMPRESSION APPLICATIONS 1 SCOPE 1.1 The work consists of designing, furnishing and installing helical piles and load transfer devices used to support compressive loads according to the project Plans and these specifications. 1.2 The parties and contract terms referred to in this specification are asfollows: 1.2.1 The Owner is the person or entity that owns the facility or will own the facility once it is completed. The Owner may have contractual agreements with, and be represented by, other parties such as engineers, architects or contractors that perform services under the direction of the Owner. Where Owner is used in this specification, it refers to the owner or the Owner's contracted representatives separate from the Installing Contractor. 1.2.2 The Pile Designer is the individual or firm generally hired by the Installing Contractor to design the helical piles. 1.2.3 The Installing Contractor installs and tests (if necessary) the helical piles, and possibly performs other tasks associated with the project. 1.2.4 The Plans refer to the contract documents; including but not limited to the drawings and specifications for the project. 1.3 The work may include helical pile load testing. 1.4 The Owner will be responsible for obtaining any right-of-way or easement access permits necessary for the helical pile installation. 1.5 Unless otherwise noted, the Installing Contractor shall provide all labor,tools, equipment and materials necessary to accomplish the work. 1.6 The Owner will provide suitable access to the construction site forthe Installing Contractor's personnel and equipment. 1.7 Unless specifically noted otherwise in the contract documents, the Owner will remove and replace any structures, utilities, pavements, landscaping orother surficial improvements in the work area as necessary to facilitate the work. 1.8 The Owner will be responsible for overall construction oversight to preclude the development of unsafe conditions. 1.9 The Owner will be responsible for a horizontal field survey of the helical pile locations prior to helical pile installation and an elevation survey to determine pile shaft cutoff height subsequent to helical pile installation. 1.10 The work does not include any post -construction monitoring of pile performance unless specifically noted otherwise in the contract documents. 2 REFERENCES 2.1 American Institute of Steel Construction (AISC) 2.1.1 AISC 360: Specification for Structural Steel Buildings 5 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM 2.2 American Society for Testing and Materials (ASTM) 2.2.1 ASTM A36: Carbon Structural Steel 2.2.2 ASTM A123: Zinc (Hot -Dip Galvanized) Coatings on Iron and Steel Products 2.2.3 ASTM A153: Zinc Coating (Hot -Dip) on Iron and Steel Hardware 2.2.4 ASTM A307: Carbon Steel Bolts, Studs, and Threaded Rod 60 000 PSI Tensile Strength 2.2.5 ASTM A325: Structural Bolts, Steel, Heat Treated, 120/105 ksi Minimum Tensile Strength 2.2.6 ASTM A500: Cold -Formed Welded and Seamless Carbon Steel Structural Tubing in Rounds and Shapes 2.2.7 ASTM A513: Electric -Resistance Welded Carbon and Alloy Steel MechanicalTubing 2.2.8 ASTM A572: High -Strength Low -Alloy Columbian -Vanadium StructuralSteel 2.2.9 ASTM B633: Electrodeposited Coatings of Zinc on Iron and Steel 2.2.10 ASTM D1 143: Deep Foundations Under Static Axial Compressive Load 2.3 International Code Council Evaluation Services (ICC -ES) 2.3.1 Acceptance Criteria 358 (AC358): Acceptance Criteria for Helical Pile Systems and Devices 2.4 Society of Automotive Engineers (SAE) 2.4.1 SAE J429: Mechanical and Material Requirements for Externally Threaded Fasteners DEFINITIONS 3.1 The following terms apply to helical piles used to support compressive loads: 3.1.1 Allowable Stress Design: A structural and geotechnical design methodology that states that the summation of the actual estimated loads (nominal loads) must be less than or equal to the allowable design load (required strength). Allowable loads are obtained by dividing a nominal resistance (strength) by an appropriate factor of safety. 3.1.2 Bearing Stratum: The soil layer (or layers) that provide the helical pile end -bearing capacity through load transfer from the helical plates. 3.1.3 Crowd: Axial compressive force applied to the helical pile shaft as needed during installation to ensure the pile advances at a rate approximately equal to the helix pitch for each revolution. 3.1.4 Design Loads: A generic and ambiguous term used to describe any load used in design. It is not specific to factored or unfactored loads or any particular design methodology. It is a term; therefore, that should be avoided when specifying load requirements. FSI recommends using the term service load, nominal load or factored load, as described herein, where applicable. 3.1.5 Design Strength: A term used in structural design which is defined as the productof the nominal strength and the applicable resistance factor. An equivalent term typically used in geotechnical design is, also sometimes referred to as factored resistance (Load and Resistance Factor Design). 3.1.6 Extension Section: Helical pile shaft sections connected to the lead section or other extension sections to advance the helix plates to the required bearing depth. Plain extensions (without helix plates) or helical extensions (with one or more helix plates) 6 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM may be used depending upon soil conditions or project requirements. 3.1.7 Factor of Safety: The ratio of the ultimate pile capacity or nominal resistance (strength) to the nominal or service load used in the design of any helical pile component or interface (Allowable Stress Design). 3.1.8 Factored Load: The product of a nominal load and an applicable load factor (Load and Resistance Factor Design). 3.1.9 Factored Resistance: The product of a nominal resistance and an applicable resistance factor (Load and Resistance and Factor Design). 3.1.10 Geotechnical Capacity: The maximum load or the load at a specified limitstate, that can be resisted through the piles interaction with the bearing soils (see also Ultimate Pile Capacity). 3.1.11 Helical Pile: Consists of a central steel shaft with one or more helix-shaped bearing plates and a load transfer device (bracket) that allows attachment to structures. Helical piles are installed into the ground by application of torque and axial compressive force ("crowd"). 3.1.12 Helix (Helical) Plate: Generally round steel plate formed into a helical spiral and welded to the central steel shaft. When rotated in the ground, the helixshape provides thrust along the pile's longitudinal axis thus aiding in pile installation. The plate transfers axial load to the soil through bearing. 3.1.13 Helix Pitch: The distance measured along the axis of the shaft between the leading and trailing edges of the helix plate. 3.1.14 Lead Section: The first helical pile shaft component installed into the soil. It consists of one or more helical plates welded to a central steel shaft. 3.1.15 Limit State: A condition beyond which a helical pile component or interface becomes unfit for service and is judged to no longer be useful for its intended function (serviceability limit state) or to be unsafe (ultimate limit state (strength)). 3.1.16 Load and Resistance Factor Design: A structural and geotechnical design methodology that states that the Factored Resistance (Design Strength) must be greater than or equal to the summation of the applied factored loads. 3.1.17 Load Factor: A factor that accounts for the probability of deviation of the actual load from the predicted nominal load due to variability of material properties, workmanship, type of failure and uncertainty in the prediction of the load (Load and Resistance Factor Design). 3.1.18 Load Test: A process to test the ultimate pile capacity and relation of applied load to pile head settlement by application of a known load on the helical pile head and monitoring movement over a specific time period. 3.1.19 Loads: Forces that result from the weight of all building materials, occupants and their possessions, environmental effects, differential movement, and restrained dimensional changes. Permanent loads are those loads in which variations over time are rare or of small magnitude. All other loads are variable loads (see also Nominal Loads). 3.1.20 Mechanical Strength: The maximum load or the load at a specified limit state that can be resisted by the structural elements of a helical pile. 3.1.21 Net Deflection: The total settlement at the pile head minus the theoretical elastic deformation of the pile shaft during a load test. 3.1.22 Nominal Loads: The magnitude of the loads specified, which include dead, live, soil, 7 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM wind, snow, rain, flood and earthquakes (also referred to as service loads or working loads). 3.1.23 Nominal Resistance: The pile capacity at a specified ultimate limitstate (Load and Resistance Factor Design). See Ultimate Pile Capacity. 3.1.24 Nominal Strength: A term used in structural design which is defined as the structure or member capacity at a specified strength limit state. See Ultimate Pile Capacity. 3.1.25 Resistance Factor: A factor that accounts for the probability of deviation of the actual resistance (strength) from the predicted nominal resistance (strength) due to variability of material properties, workmanship, type of failure and uncertainties in the analysis (Load and Resistance Factor Design). 3.1.26 Service Loads: See "Nominal Loads" above. 3.1.27 Ultimate Pile Capacity: The helical pile capacity based on the least capacity determined from applicable ultimate limit states for mechanical and geotechnical capacity. 1.1 SCOPE OF WORK The work shall consist of the Helical Pile Contractor furnishing all labor, tools, equipment, materials and supervision to install Helical Piles according to the specifications contained herein and shown on the construction drawings. The Helical Pile Contractor shall install the helical pile which will provide a minimum load capacity of 3.500 ft/lbs. of torque unless indicated otherwise on the construction documents/plans. 1.2 DEFINITIONS Some of the terms used in this specification may be unfamiliar to the reader, or may be used with a specific meaning not commonly known outside the helical pile industry. In determining the meaning of any term used herein, a definition contained in the following list shall take precedence. A. Bearing Sfrafum -The undisturbed soil layer at any pile excavation location which provides a significant portion of the axial resistance of an installed helical pile bearing on one or more of the pile helices. B. Confracfor - The person/firm responsible for performing the helical pile work. C. Crowd -Axial compressive force applied to the head (top) of the helical pile shaft during installation as required to ensure the pile progresses into theground with each revolution a distance approximately equal to the helixpitch. D. Exfension - A pile section without helical plates. Extension(s) are installed after the lead section. Each extension is connected with integral couplings which provide a rigid load transferring connection. Their purpose is to extend the lead section with helical plates to a load bearing stratum. E. Helix Driver - A high torque hydraulic motor used to advance (screw) a helical 8 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM pile into the soil to a load bearing stratum. Depending on the capacity of the helix driver, it may be either hand held or machine operated. Helical Pile - A steel pile consisting of one or more helical plates which is torqued into the soil until the lead section is embedded into a load bearing stratum. They're purpose is to transfer structural loads (tension and/or compression) to a load bearing stratum. G. Helix Plafe - A round plate formed into a ramped spiral. When rotated into the soil, the helical shape provides thrust along its longitudinal axis thus aiding in pile installation. After installation, the plate transfers axial load into the soil through bearing. H. Insfallaf ion Torque -The resistance generated by a helical pile when installed into the soil. The installation resistance is a function of the strength properties of the soil the helical piles are being installed in as well as the shaft geometry of the pile shaft and helical plates. I. Lead Secfion - The first helical pile section installed into the soil consisting of one or more helix plates welded to the pile shaft. J. Torque Rafing -The maximum torque energy that can be applied to a helical pile during installation into the soil. 1.3 REFERENCES A. American Society of Testing and Materials (ASTM) a. ASTM -A29 Steel Bars, Carbon and Alloy, Hot Wrought and Cold Finished b. ASTM -A36 Structural Carbon Steel c. ASTM -A53 Welded and Seamless Steel Pipe d. ASTM -A500, Grade C, Cold Formed Welded and Seamless Carbon Steel Structural Tubing in Rounds and Shapes e. ASTM -A307 Carbon Steel bolts and Studs f. ASTM -563 Carbon and Alloy Steel Nuts B. American Welding Society (AWS) a. AWS DI. I Structural Welding Code -Steel C. Society of Automotive Engineers (SAE) SAE J429 Mechanical and Material Requirements for Externally Threaded Fasteners D. International Code Council - Evaluation Services (ICC -ES) a. Acceptance Criteria for Corrosion Protection of Steel Foundation Systems Using Polymer (EAA) Coatings (AC228) b. Acceptance Criteria for Helical Pile Systems and Devices (AC358) c. Evaluation Service Report (ESR) E. International Organization for Standardization (ISO) 9 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM a. ISO 9001:2008 -Quality Management System 1.4 SUBMITTALS A. Five (5) sets of site specific shop drawings sealed by a registered professional engineer. Shop drawings to include: a. Helical pile/anchor identification number and location b. Helical pile/anchor design load c. Type and size of helical pile/anchor shaft d. Helical configuration (number and diameter of helical plates) e. Minimum effective torque required f. Connection details B. Copies of certified calibration reports for all hydraulic gages. The calibrations shall have been performed within one (1) year of the proposed starting date of the pile installation. C. Provide steel manufacturer's mill test reports, covering physical and chemical tests, for all steel piles. D. Provide strength and properties sections of pile sections and calculations bya Professional Engineer demonstrating the pile will meet or exceed the strength requirements of the design loads as shown on the construction documents. a. If applicable, the calculation(s) shall include the load eccentricity on the pile. The eccentricity shall be measured from the vertical face of the footing tothe center of the pile shaft. If the helical pile is deemed laterally unbraced per section 1808.2.5 of the International Building Code (IBC), the allowable load capacity calculation (s) of the pile shall take into consideration the unbraced length of the pile per section 1808.2.9.2 of the International Building Code (IBC). E. Installation Records: Within 7 days after pile installation, submit 2 copies of the installation record for each pile installed. The installation record shall clearly indicate the pile identification number or mark, pile diameter, helix configuration, installation depth, installation torque, ultimate and allowable capacity of pile. b. Where helical piles are being installed on existing structures providefinal lifting force/design load applied to pile, the amount of elevation recovery of each pile. 1.5 QUALITY ASSURANCE A. The Contractor performing the Work of this Section shall have been regularly engaged in pile work for a period of not less than 5 years and shall be properly equipped to execute the Work. If directed, furnish a list of projects of a similar type and magnitude executed by the Contractor. 10 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM B. In lieu of the Contractor achieving 5 years of Helical Pile experience, a certificate of competency can be provided by manufacturer. The certificate should state that the Contractor has been trained and is authorized to install the underpinning pile system or the manufacturer shall provide a letter expressing the ability and intent to provide on-site supervision of the pile installation. C. Design of the helical piles/anchors shall be performed by a professional engineer licensed in the state of the project in accordance with existing building code requirements. D. The helical pile shall be recognized by the International Code Council (ICC) and the manufacturer shall hold a current ICC -ES issued ESR report showing compliance with AC358 and the current International Building Code (IBC). E. The manufacturer shall have been issued an International Organization for Standardization - (ISO) 9001:2008 - Quality Management System Certificate and be compliant. 1.6 DELIVERY, STORAGE, AND HANDLING A. Transport, store, and handle piles in a manner to prevent damage to the piles. Piles shall be stored above the ground surface by pallets, blocking or other means. PART 2 PRODUCTS 2.1 MATERIAL A. Manufacturer: Grip-Tife Manufacfuing Company, LLC 115 W. Jefferson Sf. Winfersef, Iowa 50273 Tel: (515) 462-1313; Fax: (515) 462-3465 www.ciripfife.com See affached Grip-Tife Evaluafion Reporf for full specifications. Nofe: Equivalent systems may be substituted. System equivalence will be determined by comparing a manufacturer's current ICC -ES issued ESR report to ESR -1854. B. The helical piles/anchors shall have a central shaft that is cold formed welded and seamless carbon steel structural round tubing with a minimum yieldstrength of 65 ksi and meeting the dimensional and workmanship requirements of ASTM A500 as well as the following properties: 2 7/8" diameter piling/anchor: Torsional strength rating = 8,000 ft -lbs Ultimate resistance capacity = 72,000 lbs 111 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM a. Shall conform to ASTM A-36 and have minimum yield strength (FY) of 50 ksi. Shall have a minimum thickness of 3/8". C. All other flat plate steel shall conform to ASTM A-36 unless noted otherwise on the plans. D. All coupling connection thru bolts shall be 1/4" diameter and conform to SAE J429 Grade 8 or equivalent. (minimum yield strength (FY) = 130 ksi and minimum tensile strength (F„) = 150 ksi) E. All piling sections and brackets shall be coated with a polymer alloy thermoplastic powder coating, Plascoat PPA 571 ES or equal, in compliancewith ICC -ES acceptance criteria AC228 for corrosion resistance. 2.2 PERFORMANCE REQUIREMENTS A. All helical piles shall be designed to support the design load (s) as shown on the plans. B. Except where noted on the plans, all helical pile components shall be selected to provide a minimum factor of safety against ultimate mechanical failure of two (2). C. The helical pile design shall take into account pile spacing, soil stratification and strain compatibility issues as are present for the project. See drawings for reference for the project geotechnical report. A copy of the project geotechnical report shall be provided to and reviewed by the Pile Contractor prior to bid submittal. D. Where helical piles are subjected to lateral or base shear loads as indicated on the plans, the bending moment and stress from said loads shall be determined using a lateral load analysis program such as LPILE or equal commercially available software. The required soil parameters (c, G, y and k,) for use with LPILE or equal shall be provided in the geotechnical report(s). The allowable lateral deflection of the helical pile shall be limited to one (1 ") inch unless noted otherwise on the plans. E. The helical pile bracket shall distribute the design load (s), as indicated on the plans, to the concrete foundation such that the concrete bearing stress does not exceed those in the ACI Building Code and the stress in the steel plate/welds do not exceed AISI allowable stresses for steel members. Helical piles shall be designed by a licensed professional engineer in accordance with the current International Building Code (IBC) adopted by the local jurisdiction. PART 3 EXECUTION 3.1 PREPARATION 12 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM A. Before entering the construction site to begin work, the Helical Pile Contractor shall provide proof of insurance coverage as stated in the general specification and/or the contract. B. The Helical Pile Contractor shall request markings of underground utilities by an underground utility location service. All efforts shall be made to protect any underground utilities encountered during the excavation and pile installation. Any separations or damage caused to the underground utilities shall be repaired/performed by a licensed professional. C. Mark all pile installation locations as shown on the plans or approved shop drawings. The Engineer of Record shall be notified if the piles are relocatedmore than 12" from the locations shown on the plans or approved shop drawings. Relocation of the piles will not be allowed unless approved by the Engineer of Record. D. A torque indicator shall be used during helical pile/anchor installation. The torque indicator can be an integral part of the installation system or externally mounted in-line. E. A third party inspector shall be retained to oversee all aspects of installation of the helical piles/anchors. The items to be inspected include, but not limited to the following: a. Verify the type of helical pile/anchor being installed is as specified on the shop drawings. b. Verify final embedment depth of helical pile/anchor. c. Verify final installation torque readings as specified on the shop drawings. 3.2 INSTALLATION A. Installation torque serves as empirical verification of pier capacity yielding an onsite load fest for each pier. Therefore, soils testing is not necessary for generating a theoretical capacity. B. The lead section shall be positioned at the location as shown on theconstruction drawings. Battered helical piles/anchors can be positioned perpendicular to the ground to assist in initial advancement into the soil before the required battered angle shall be established. C. The helical pile/anchor sections shall be engaged and advanced into the soil in a smooth, continuous manner at a rate of rotation of 5 to 25 RPMs. Extension sections shall be provided to obtain the required minimum overall length and installation torque as shown on the construction drawings. Connect sections together using coupling bot(s) and nut torqued to snug tight perAISC. D. Sufficient down pressure shall be applied to uniformly advance the helical pile/anchor sections approximately 3 -inches per revolution. The rate of down pressure (crowd) shall be adjusted for different soil conditions and depths. E. The minimum installation torque and minimum overall length criteria as shownon 13 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM the construction drawings shall be satisfied prior to terminating the helical pile/anchor installation. F. If the torsional strength rating of the pile shaft and/or installation equipment has been reached prior to achieving the minimum overall length required, the Contractor shall have the following options: a. Terminate the installation depth obtained subject to the review and acceptance of the Engineer of Record, or: b. Remove the existing helical pile/anchor and install a new one with fewer and/or smaller diameter helix plates. The new helix plate configuration shall be subject to review and acceptance of the Engineer of Record. If re -installing in the same location, the top -most helix of the new helical pile/anchor shall be terminated at least three feet (3'-0) beyond the terminating depth of the original helical pile/anchor. G. If the minimum installation torque as shown on the working drawings is not achieved at the minimum overall length and there is no maximum length constraint, the Contractor shall have the following options: Install the helical pile/anchor deeper using additional extension sections, or: Remove the existing helical pile/anchor and install a new one with additional and/or larger diameter helix plates. The new helix plate configuration shall be subject to review and acceptance of the Engineer of Record. If re -installing in the same location, the top -most helix of the new helical pile/anchor shall be terminated at leastthree feet (3'-0) beyond the terminating depth of the original helical pile/anchor. c. De -rate the load capacity of the helix pile/anchor and install additional helical piles/anchors. The de -rated capacity and additional helical piles/anchors location shall be subject to the review and acceptance of the Engineer of Record. H. If the helical pile/anchor is refused or deflected by a subsurface obstruction, the installation shall be terminated and the pile/anchor removed. The obstruction shall be removed, if feasible, and the helical pile/anchor re -installed. If the obstruction can't be removed, the helical pile/anchor shall be installed at an adjacent location, subject to the review and acceptance of the Engineer of Record. The Contractor shall conduct his construction operations in a manner to insure the safety of persons and property in the vicinity of the work. The Contractor's personnel shall comply with safety procedures in accordance with OSHA standards and any established project safety plan. J. The portion of the construction site occupied by the Helical Pile Contractor, his equipment and his material stockpiles shall be kept reasonably clean and orderly. 14 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM 3.3 FIELD QUALITY CONTROL A. The Helical Pile Contractor shall furnish and install all helical piles per the plans and approved pile design documentation. In the event of conflict between the plans and approved pile design documentation, the contractor shall not begin construction on any affected items until such conflict has been resolved. B. Centerline of helical piles/anchors shall not be more than three inches (3") from indicated plan location unless approved by the Engineer of Record. C. Helical pile/anchor plumbness shall be within 2 degrees of the design alignment. 3.4 CLEAN UP A. Within seven (7) days of completion of the work. The Helical Pile Contractor shall remove any and all material, equipment, tools, building materials, concrete forms, debris or other items belonging to the Contractor or used under the Contractor's direction. END OF SPECIFICATION QUALIFICATIONS OF INSTALLING CONTRACTOR AND DESIGNER 4.1 The Installing Contractor and/or Pile Designer shall submit to the Owner, a proposal including the documentation required in this Section. Work shall not begin until all the submittals have been received and approved by the Owner. All costs associated with incomplete or unacceptable submittals shall be the responsibility of the Installing Contractor. 4.2 Evidence of Installing Contractor's competence in theinstallation of helical piles shall be provided to the Owner's satisfaction and may include any or all of the following: 4.2.1 Pile manufacturer's certificate of competency for the installation of helical piles, 4.2.2 A list of at least three projects completed within the previous three years whereinthe Installing Contractor installed helical piles similar to those shown in the project Plans. Such list to include names and phone numbers of those project representatives who can verify the Installing Contractor's participation in those projects, and/or 4.2.3 A letter from the pile manufacturer or manufacturer's representative expressing ability and intent to provide on-site supervision of the pile installation. 4.3 A listing of all safety violations lodged against the Installing Contractor within the previous three years and the current status or final resolutions thereof. Descriptions of safety improvements instituted within the previous three years may also be submitted, at the Installing Contractor's discretion. 4.4 Evidence of Pile Designer's competence shall be provided to the Owner's 15 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM satisfaction and may include any or all of the following: 4.4.1 Registration as a Professional Engineer or recognition by the localjurisdictional authority, 4.4.2 A list of at least three projects completed within the previous three years wherein the Pile Designer designed helical piles similar to those shown in the project Plans. The list shall include names and phone numbers of those project representatives who can verify the Pile Designer's participation in those projects, and/or 4.4.3 Recommendation from the pile manufacturer or manufacturer's representative. PRE -CONSTRUCTION SUBMITTALS 5.1 Within 2 weeks of receiving the contract award, the Installing Contractor and/or Pile Designer shall submit the following helical pile design documentation: 5.1.1 Certification from the Pile Designer that the proposed piles meet the requirements of this specification. 5.1.2 Qualifications of the Installing Contractor and Pile Designer per Section8. 5.1.3 Product designations for helical lead and extension sections and all ancillary products to be supplied at each helical pile location. 5.1.4 Individual pile nominal loads, factors of safety, -RFD load and resistance factors and required ultimate torque correlated capacities, where applicable. 5.1.5 Individual pile loading requirements (if any). 5.1.6 Manufacturer's published allowable system capacities for the proposed pile assemblies, including load transfer devices. 5.1.7 Calculated mechanical and theoretical geotechnical capacities of the proposed piles. 5.1.8 Minimum pile termination torque requirements. 5.1.9 Maximum estimated installation torque and allowable installation torque rating of the proposed piles. 5.1.10 Minimum and/or maximum embedment lengths or other site specific embedment depth requirements as may be appropriate for the site soil profiles. 5.1.11 Inclination angle and location tolerance requirements. 5.1.12 Load test procedures and failure criteria, if applicable. 5.1.13 Copies of certified calibration reports for torque measuring equipment and load test measuring equipment to be used on the project. The calibrations shall have been performedwithin one year of the proposed helical pile installation starting date or as recommended by the equipment manufacturer. 5.1.14 Provide proof of insurance coverage as stated in the general specifications and/or contract. 16 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM PLACEMENT REQUIREMENTS Helical piles shall be installed within 3 -inches of the indicated plan location. 6.1 Helical pile shaft alignment shall be within 2 -degrees of the inclination angle shown on the Plans. 6.2 Top elevation of the helical piles shall be within 2 -inches of the design vertical elevation. 7 PILE/PIER INSTALLATION 7.1 Installing Contractor shall furnish and install all helical piles per the project Plans and approved pile design documentation. In the event of conflict between the project Plans and the approved pile design documentation, the Installing Contractor shall not begin construction on any affected items until such conflict has been resolved. 7.2 The Installing Contractor shall conduct their construction operations in a manner to insure the safety of persons and property in the vicinity of the work. The Installing Contractor's personnel shall comply with safety procedures in accordance with OSHA standards and any established project safety plan. 7.3 The Owner shall request marking of underground utilities by an underground utility location service as required by law, and the Installing Contractor shall avoid contact with all marked underground facilities. 7.4 The portion of the construction site occupied by the Installing Contractor, including equipment and material stockpiles shall be kept reasonably clean and orderly. 7.5 Installation of helical piles may be observed by representatives of the Owner for quality assurance purposes. The Installing Contactor shall give the Owner at least 24 hours' notice prior to the pile installation operations. 7.6 The helical pile installation technique shall be such that it is consistent with the geotechnical, logistical, environmental, and load carrying conditions of the project. The lead section shall be positioned at the appropriate site survey stake location as determined from the plan drawings. 7.7 The helical pile sections shall be advanced into the soil in a continuous manner at a rate of rotation less than 25 revolutions per minute (rpm). Sufficient crowd shall be applied to advance the helical pile sections at a rate approximately equal to the pitch of the helix plate per revolution. The rate of rotation and magnitude of down pressure shall be adjusted for different soil conditions and depths. Extension sections shall be provided to obtain the required minimum overall length and minimum torsional resistance as shown on the project Plans. 17 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM TERMINATION CRITERIA 8.1 The minimum final torsional resistance and/or any required pile length and embedment depth criteria, as specified in the Pre -Construction Submittals, must be satisfied prior to terminating the pile installation. In the event an helical pile fails to meet these production quality control termination criteria, the following remedies may be suitable if authorized by the Owner: 8.1.1 If the installation fails to meet the minimum torsional resistance criterion at the minimum embedment length: 8.1.1.1 Continue the installation to greater depths until the torsional resistance criterion is met, provided that, if a maximum length constraint is applicable, continued installation does not exceed said maximum length constraint, or 8.1.1.2 Demonstrate acceptable pile performance through pile load testing, or 8.1.1.3 Replace the pile with one having a different helix plate configuration. The replacement pile must not exceed any applicable maximum embedment length criteria and either: (A) be embedded to a length that places the last helix plate at least equal to its own diameter beyond the depth of the first helix plate of the replaced pile and meet the minimum torsional resistance criterion; or (B) pass pile load testing criteria. 8.1.2 If the torsional resistance during installation reaches the helical pile'sallowable torque rating prior to satisfaction of the minimum embedment length criterion: 8.1.2.1 Terminate the installation at the depth obtained, or 8.1.2.2 Replace the pile with one having a shaft with a higher torsional strength rating. The replacement pile must be installed to satisfy the minimum embedment length criterion. It must also be embedded to a length that places the last helix plate at least equal to its own diameter beyond the depth of the first helix plate of the replaced pile without exceeding any applicable maximum embedment length requirements and it must meet the minimum final torsional resistance criterion, or 8.1.2.3 Replace the pile with one having a different helix plate configuration. The replacement pile must be installed to satisfy the minimum embedment length criterion. It must also be embedded to a length that places the last helix plate at least equal to its own diameter beyond the depth of the first helix plate of the replaced pile without exceeding any applicable maximum embedment length requirements, and it must meet the minimum final torsional resistance criterion. 8.1.3 If the installation reaches a specified maximum embedment length without achieving the minimum torsional resistance criterion: 8.1.3.1 If allowed, remove and reinstall the pile at a position at least three times the diameter of the largest helix plate away from the initial location. Original embedment length and torsional resistance criteria must be met. The pile repositioning may require the 18 1 320 N. CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM installation of additional helical piles with nominal loads adjusted for these spacing changes, or 8.1.3.2 Demonstrate acceptable pile performance through pile load testing, or 8.1.3.3 De -rate the load capacity of the helical pile based on default or site specific torque correlation factors and install additional piles as necessary. 8.1.3.4 Replace the pile with one having a different helix plate configuration. The replacement pile must be installed to satisfy the minimum and/or maximum embedment length criterion and it must meet the minimum final torsional resistance criterion. 8.1.4 If a helical pile fails to meet the acceptance criteria in a pile load test: 8.1.4.1 Install the pile to a greater depth and installation torque and re- test; provided that, if a maximum embedment length constraint is applicable, continued installation will not exceed said maximum length constraint, or 8.1.4.2 Replace the pile with one having more and/or larger helix plates. The replacement pile must be embedded to a length that places the last helix plate at equal to its own diameter beyond the depth of the first helix plate of the replaced pile without exceeding any applicable maximum embedment length requirements. The replacement pile must be re -tested, or, 8.1.4.3 De -rate the load capacity of the helical pile based on the results of the load test and install additional piles. Additional piles must be installed at positions that are at least three times the diameter of the largest helix plate away from any other pile locations. 8.1.5 If a helical pile fails a production quality control criterion as described in this Section or for any reason other than described in this Section, any proposed remedy must be approved by the Owner prior to initiating its implementation at the projectsite. INSTALLATION RECORD SUBMITTALS 9.1 The Installing Contractor shall provide the Owner copies of the individual helical pile installation records within 24 hours after each installation is completed. Formal copies shall be submitted within 30 days following the completion of the helical pile installation. These installation records shall include, but are not limited to, the following information: 9.1.1 Date and time of installation 9.1.2 Location of helical pile and pile identification number 9.1.3 Installed helical pile model and configuration 9.1.4 Termination depth, pile head depth, and length of installed pile 9.1.5 Actual inclination of the pile 9.1.6 Final torsional resistance 19 1 320 CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM 9.1.7 Calculated geotechnical capacity based on final torsional resistance 9.1.8 Comments pertaining to interruptions, obstructions, or other relevantinformation 10 FIELD COMPRESSION LOAD TESTING 10.1 If field compression load testing is required, the Installing Contractor shall furnish all labor, equipment and pre -production helical piles necessary to accomplish the testing as shown in the approved pile design documentation. Installing Contractor shall apply the specified loads for the specified durations and record the specified data, for the specified number of piles. No deviations from the test plan (s) will be allowed without explicit approval in writing from the Owner. Pile testing shall be in general accordance with the ASTM D1 143 quick test method and the following criteria: 10.1.1 Failure criteria shall be in accordance with AC358 and is when plunging occurs or when the net deflection exceeds 10% of the average helix plate diameter, whichever occurs first. 10.1.2 An alignment load equal to 5% of the anticipated failure load or maximum anticipated test load may be applied prior to the start of the test to take out slack in the load test frame. 10.1.3 Loading increments shall be performed at 5% of the anticipated failure load or maximum anticipated test load with a minimum hold time of 4 minutes at each increment. 10.1.4 Upon completion of the maximum test load hold increment, the pile shall be unloaded in 5 to 10 even increments with minimum hold times of 4 minutes at each increment. 10.2 Installing Contractor shall provide the Owner copies of raw field test data within 24 hours after the completion of each load test. Formal test reports shall be submitted within 30 days following test completion. Formal test reports shall include the following information: 10.2.1 Name of project and Installing Contractor's representative (s) present duringload testing. 10.2.2 Name of manufacturer's representative (s) present during load testing, if any. 10.2.3 Name of third party test agency and personnel present during load testing, ifany. 10.2.4 Date, time, duration and type of the load test. 10.2.5 Unique test identifier and map showing the test pile location. 10.2.6 Pile model and installation information including shaft type, helix configuration, lead and extension section quantities and lengths, final pile tip depth, installation date, total test pile length and final termination torque. 10.2.7 Calibration records for applicable pile installation and test equipment. 10.2.8 Tabulated test results including cumulative pile head movement, loading increments and hold times. 10.2.9 Plots showing load versus deflection for each loading/unloading interval. 20 1 320 CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM LIMITATIONS This repair design does not represent a complete analysis of the entire structure; it addresses conditions covered under the structural warranty provided by the contractor. The interpretations of the distress to be repaired are based on the visual observations of the structure. No detailed study was made of the structural elements of any part of the building. Therefore, no opinion is presented or shall be implied concerning the structural integrity of those elements not subject to visual inspection. Investigation and analysis of other portions of the structure are beyond the scope of this design at this time. LEVEL Engineering, LLC will not be responsible for 1) knowledge of subsurface conditions away from the existing borings, if any, without extensive geotechnical information supplied by a competent geotechnical engineer, 2) knowledge of distresses, or differential displacements that have occurred in an area which had not been exposed for visual observation during our site visit and 3) any other elements such as joists or beams and other structural members that are not readily visible. LEVEL Engineering, LLC assumes that all information provided by the Client, Contractor, or other Consultants is correct, accurate, and may be acted upon accordingly, and shall have no liability for the validity of information provided. LEVEL Engineering, LLC shall have no liability for acts or omissions of the Contractor or any other agents performing the work on this project or for the failure of the Contractor to carry out the work in accordance with the plans and specifications if not inspect as intended. LEVEL Engineering, LLC shall not be responsible for the construction means, methods, techniques, sequence, procedures, or safety precautions related to this project and its execution that is under the control or direction of the Contractor. This PLAN OF REPAIR is to be used with the accompanying drawings. Do not rely on one or the other, all materials contained in THE PLAN OF REPAIR including but not limited to the cover letter, notes, plans, details, shall be used together to perform the proposed remedial construction. WORK DESCRIPTION For the purposes of this report, the front of the home is considered to face West. The structure of the single story, single-family home is a conventionally framed residence. The home has a basement and is accessible through an interior stair. The basement has a concrete slab placed on grade. The foundation system consists of reinforced concrete basement height walls. The work area consists of portions of the south and west basement concrete foundation walls (see plan). The repairs shall consist of installing helical piers to reduce foundation wall movement. Areas of the concrete walls of the foundation structure are settling. These issues are causing unevenness of the roof and floor structures. Helical underpinning is part of this work. This area of repair is referenced in the attached drawings. (see plan). Once the piles are installed, all restoration of finishes exterior and interior flatwork shall be restored in kind and in accordance with the owner's approval. The contractor is responsible for coordinating these type of repair scopes with the contractor. The contractor is required 211 320 CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM to coordinate these expectations with the owner and include the necessary work items in their bid proposals. REPAIR RECOMMENDATIONS 1. The concrete slab and walls are to be braced as required during the repair process by the Contractor. 2. Remove decks, pavers, slabs etc. to excavate the soil required to install the new helical foundation devices, in accordance with drawings prepared by Level Engineering LLC. 3. Excavate the soil required to install the helical piers and anchors in accordance with drawings prepared by Level Engineering LLC. 4. Install nine (9) helical piles/piers to a depth of 25 ft. and 3500lbs/sf torque. Coordinate location with engineer per support works specifications and recommendations and drawings including specifications prepared by Level Engineering LLC. 5. Restore all finishes exterior and interior in accordance with agreements with owner. PROPOSED COMPLIANCE OBSERVATIONS All observations shall be conducted by a qualified Colorado Licensed Professional Engineer. More than one observation may be conducted during a site visit. The contractor is to determine the number of site visits required to do the observations and include this information in the bid documents. LEVEL Engineering, LLC is willing to complete the observation under contract. 1. Pre -Construction Meeting 2. Attachment of brackets to foundation walls. 3. load tests 4. Epoxy Injection of foundation wall cracks (directed by owner) 5. Review pier logs 6. Final 22 1 320 CLEVELAND AVENUE, LOVELAND CO 80537 1 MAIN: 720.408.0119 1 ADMIN@LEVELINSPECTIONSCO.COM Ok\Nheal 0� W heat. Existing Ceiling/Floor Joists 4/b,'-5�0 �g [jam Existing Basement Wall a a Basement ° Temporary excavation around pier locations a Q. Basement slab (existing) &, 1Z Can be installed on exterior of wall a Remove section of footing for flush installation RDS 2875 Helix Pier (see Plan for locations) 1 Helical Section Do L�CFi�� 1/2" 49 •. - r: 48386 SIONA\- Zinn Section Helical Pier � 441 Residence Project number 9071 3500 Miller St, Wheat Ridge, CO 80033 S2.2 Date 6/2/21 www.levelinspectionsco.com Drawn by ZJB Checked by ZJB Scale 1/2" = 1'-0" 6/2/2021 1:07:02 PM City of Wheat Ridge Residential Foundation Repair PERMIT - 202101171 PERMIT NO: 202101171 ISSUED: 06/07/2021 JOB ADDRESS: 3500 Miller St EXPIRES: 06/07/2022 JOB DESCRIPTION: Residential Foundation Repair - 9 piers Helical repairs in basement *** CONTACTS *** OWNER ( 3 0 3) 945-1418 Z INN JENNIFER ROSE SUB (303)805-8751 RODNEY MARTIN 060125 COMPLETE BASEMENT SYSTEMS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,525.00 FEES Total Valuation 0.00 Plan Review Fee 163.70 Use Tax 263.03 Permit Fee 251.85 ** TOTAL ** 678.58 *** COMMENTS *** *** CONDITIONS *** 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. Inspection by Wheat Ridge Building Inspector required prior to backfill. Observation letter from Engineer to be provided to Wheat Ridge Building Inspector at Final Inspection. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Foundation Repair PERMIT - 202101171 202101171 3500 Miller St ISSUED: 06/07/2021 EXPIRES: 06/07/2022 Residential Foundation Repair - 9 piers Helical repairs in basement 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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/07/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Foundation Repair Date: Wednesday, June 2, 20213:50:28 PM Foundation Repair This application is exclusively for FOUNDATION REPAIRS. YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes Foundation Repair? PROPERTY INFORMATION Property Address 3500 Miller Street, Wheat Ridge, CO 80033 Property Owner Name Zinn, Jennifer Property Owner Phone 720-788-2097 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email cbs.permits@completebasementsystems.net Address Attach City of Wheat Wheat Ridae Payment Form.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Complete Basement Systems Name Wheat Ridge 60125 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address 720-507-2711 cbs.permits@completebasementsystems.net Retype Contractor cbs.permits@completebasementsystems.net Email Address DESCRIPTION OF WORK Location of Work Basement How is repair being helical repairs done? Piers, strips, etc. # of Piers or Strips 9 Upload engineer letter Engineering 3500 Miller St.odf or pages on 8 1/2" x 11" only Repair Plan Set on Field not completed. 11'x17" only - if applicable Project Value (contract 12525 Valuation OK 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 Greg Knapp 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. City of Wheat Ridge E -Res. Electrical Service PERMIT - 202101206 PERMIT NO: 202101206 ISSUED: 06/07/2021 JOB ADDRESS: 3500 Miller St EXPIRES: 06/07/2022 JOB DESCRIPTION: Electrical Service upgrade - Adding 6 -outlets for triple -safe pumps *** CONTACTS *** OWNER ( 3 0 3) 945-1418 Z INN JENNIFER ROSE SUB (303)805-8751 RODNEY MARTIN 060125 COMPLETE BASEMENT SYSTEMS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31232.00 FEES Total Valuation 0.00 Use Tax 67.87 Permit Fee 109.20 ** TOTAL ** 177.07 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Electrical Service PERMIT - 202101206 202101206 ISSUED: 06/07/2021 3500 Miller St EXPIRES: 06/07/2022 Electrical Service upgrade - Adding 6 -outlets for triple -safe pumps 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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/07/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Monday, June 7, 2021 10:58:11 AM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for No electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3500 Miller Street, Wheat Ridge, CO 80033 Property Owner Name Zinn, Jennifer Property Owner Phone 720-788-2097 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Wheat Ridge Payment Form Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Complete Basement Systems Name Contractor's License 60125 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-507-2711 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email cbs.permits@completebasementsystems.net Address Retype Contractor cbs.permits@completebasementsystems.net Email Address DESCRIPTION OF WORK Scope of Work Adding 6 -outlets for triple -safe pumps. (CHECK THAT THIS SUBMITTAL HASN'T BEEN DUPLICATED) Location of work basement (garage, house, etc) Provide additional n/a details, if needed. Project Value (contract 3232 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. 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. Person Applying for Greg Knapp Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (3031-235-2855 Office INSPECTION NOTICE t Inspection Type: Job Address:• Permit Number:' 6 \ Ci s M IS ,) I c ❑ No one available for inspection: Time AM/PM Re -Inspection required: Cel No When corrections have been made, schedule for re -inspection online at: httpJ/www. ci, wheatridge, co, ualinspection Date: '-' ' `� 1 Inspector: k DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _ Job Address:�C Permit Number: ❑ No one available for inspection: Time u, AM/PM Re -Inspection required: Y&s No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. whea tridge. co. usrinspection Date:_(-` I :j, �' ��" 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: 1' Job Address: < 0 C> yoys, o S Permit Number: -;'d L) No one available for inspection: Time AM/PM Re -Inspection required: Yes IJo When corrections have been made, call for re -inspection at 303-234- Date:-L-" 03-234- Date:L-" Inspector: DO NOT REMOVE THIS NOTICE 1* � A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Ey_�\ !4 , 1:x— - Job Address: (_Z,l3 M, C f Permit Number: - c,; 1 i t,�1 5---q tt S ti x,':=14 d1i',L �..!`.•f,$..f i� 1.�. ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge. co. uslinspection DateLr 1�j da o Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: `�'� i"��►�- JobAddress: Permit Number: ❑ No one available for inspection: Time PM Re -Inspection required: Yes NQ" When corrections have been made, schedule for re -inspection online at: httpYlwww.ci.wheatridge.co.u-Qlippent+oli""'"" ..I Insp t A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 8 Inspection Type: Job Address:��t Permit Number: i C'>\ C-0 rr,f0-( oc)�N- �:, t ❑ No one available for inspection: Time ''. i -- AM/PM Re -Inspection required: Yes$ No When corrections have been made, call for re -inspection at 303 -234 - Date:[ U 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: Permit Number: ❑ 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- Date.- d .c?o,�. Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE L��.-b-C' �,.� Inspection Type: S��, ( ek �_ Job Address: az s= U\4 it %..,l rs Permit Number: Opp r ❑ No one av V:., 4!5 f U, ( Re -Inspection rr ire : Yes N� When corrections have been made, http://www.ci. wheatridge.co. us4nspi (t,(":y for re -inspection online at: FDX ENGINEERING LTD. Structural Engineering Consulting www.foxstructural.com - 720-666-8888 TO: CO Construction and Demo LLC RE: Beam Loading 3500 Miller St. Wheat Ridge, CO 80033 S�-- Per your request I have reviewed the loading on (4) existing beams supporting the ceiling joists and several roof kickers at the above referenced address. Fox Engineering Ltd. did not design the original beam installation and was hired to review the installed beams for structural adequacy. Design Criteria: 2018 IRC w/ City of Wheat Ridge Amendments Attic Live Load - 20 psf Ceiling Dead Load — 12 psf Roof Dead Load — 20 psf Snow Load — 30 psf Beam #1 — (2) 1-3/4" x 16" LUL spanning 19'-5" supporting approximately 8'-5" (tributary width) of the ceiling joists and (2) roof kickers. This beam was found to be adequate for the applied loads. Beam #2 — (2) 1-3/4" x 9-1/2" LVL spanning 7'-4" supporting one end of Beam #1 in a face -mount hanger. This beam was found to be adequate for the applied load. Beam #3 — (2) 1-3/4" x 16" LVL spanning 14'-10" supporting approximately 11'-6" (tributary width) of the ceiling joists and (4) roof kickers. 1. This beam was found to be adequate for the applied loads provided that a Simpson AC4 post to beam hardware is installed on the south column support. Beam #4 — (1) 1-3/4" x 11-7/8" LUL spanning 9'-0" supporting approximately 5'-6" (tributary width) of the ceiling joists. 1. This beam was found to be adequate for the applied loads provided that the hanger on the west end of the beam is replaced with a hanger meant to support an 11-7/8" member. I recommend a Simpson IUS1.81/11.88 or an equivalent hanger. With Respect, {� Dillon Fox, P.E. 720-666-8888 dlllOD@foxstructural.com (' Dillon Digitally signed Dillon Fox Date: 2020.03.30 F o X 18:46:14 -06'00' Exp. 10-31-21. �4AQ0t �' S 125 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Pry-, t Job Address: % Permit Number: ❑ No one available for inspection: Time ,` 'y AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: ` Inspector: g,L DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Ly", 12 C, Job Address: 'V Permit Number: ry'f,�i On Ll No one available for inspection: Time AM/PM Re- Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge. co. usfinspection Date:- Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 1 t y ❑ No one available for Re -Inspection required: `� ✓ f1 jrs (Z, 4 on: time r d ``� AM/PM No When corrections have been made, schedule for re -inspection online at: http //www.ci. wheatridge. co. us4nspection Date: e j Inspector: 13 - I P L. i DO NOT REMOVE THIS NOTICE 1* � A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE s�- Inspection Type: 2 0" �G i Ci U I V Y Job Address: �s� Permit Number: ❑ No one available for inspection: Time �``AM/PM Re -Inspection required: Os No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge. co. us/inspection Date: a> t 1 10 Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Y -Y) ��- Job Address: SV Permit Number: ❑ No one available for inspection: Time AM/PM i Re -Inspection required: /Ue No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: Inspector:: DO NOT REMOVE THIS NOTICE FOX ENGINEERING LTD. Structural Engineering Consulting www.foxstructural.com - 720-666-8888 Floor Joist Repair 3500 Miller St. Wheat Ridge, CO 80033 On February 13th, 2020 at 8:00 am a site visit was conducted at the above referenced address to review several holes cut in the existing 2"x10" floor joist for plumbing and other utilities. Upon review, I have determined that holes in (5) joists do not follow the requirements of IRC Section R502.8. Additionally, the contractor plans to cut a 4" hole in a joist for a plumbing line, which would not comply with IRC Section R502.8. Please see the following for my repair recommendations. Design Criteria: 2018 IRC with City of Wheat Ridge Amendments Floor Dead Load - 12 psf Floor Live Load — 40 psf Walls — 10 psf Recommendations: 1. For the (5) joists with existing holes, I recommend supplementing the floor with (5) additional 2"x10" joists. These joists are to be "sistered" to the existing joists or installed within 16" of the existing joists. If "sistered", I recommend stitch nailing with (2) 10d common nails at 24" 0. C. The new joists are to match the end bearings and spans of the existing joists. This reinforcement will be adequate for the applied loads. 2. For the proposed 4" hole, I recommend reinforcing the bottom face of the 2"x10" joist with a Simpson Strong -Tie LSTA36 36" galvanized steel strap tie. Attach the strap tie to the joist with a minimum of (4) 8d common nails on each side of the proposed hole. This reinforcement will be adequate for the applied loads. The means and methods of all installation is the sole responsibility of the contractor. Should you have any further questions, please feel free to contact me. `S-�11. T®�;., With Respect, I Digitally signed r / �--- Dillon by Dillon Fox 55125 Q' Date:t p �; Dillon Fox P.E.2020.02.24 , . ti ' r, 720-666-8888 FOX 12:01:04-0700'f, •.....N•�'' dillon@foxstructural.com�j 5 Exp. 10-31-21 A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:i�-a 1 -� Job Address: 6� Permit Number: ' y) 1 �ff :x ❑ No one available for inspection: Time AM/ M Re -Inspection required: Yes Nor, When corrections have been made, schedule for re -inspection online at: http✓/www. ci, wheatridge.co. uslinspection Dater. Inspector: DO NOT REMOVE THIS NOTICE 7pe I E— I M of MTh6atj�idge hAMLThtTfY I)EVEIAPMENT 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 permit issuance. Project Address: 3500 Miller Street , Boiler S General Contractor: Mile High Custom Builders FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: d ' I ET� M�C(40 t cc-� Contact Phone #: '� q0 ?c QD Wheat Ridge Contractor License #: (:)8025'Z- (required field) LL Printed Name of Authorized Agent /A— re of Autho ' ed Agent z-- z6-ZU2-a Date A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V- i�, \ U +nn6 Job Address: Ob C t Permit Number: Q1 (� — (�. I e' - S ❑ No one available for inspection: Time AM/PM Re -Inspection required:,/,,Yep No When corrections have been made, call for re -inspection at 303-234-5933 Date: i �� 0 Inspector DO NOT REMOVE THIS NOTICE January 22, 2020 Wheat Ridge Building Division 7500 W 29th Avenuew Denver, CO 80033 noon RE: Change of General Contractor & Sub Contractors 3500 Miller Street Wheat Ridge, CO 80033 To Whom it may concern: I am writing this letter to inform the building department that I intend to change the general contractor and his sub -contractors that are presently listed on Permit No. 201901508. The new general contractor will be Mile High Custom Builders. Regards, Joshua Crochet Real Estate Investor From: Jozette Vigil <jozette@coconst.com> q 0 Sent: Friday, February 7, 2020 7:10 AM 11 � J To: CommDev Permits l Subject: 3500 Miller st To whom it may concern, Moving forward on this project the list below are the new named and only contators doing work on this project. All others listed can be removed. We would also like to be issued a new permit with these contactors listed. GC: Milehigh Custom Builders - managing project throughout construction A. Framing B.insulation C. Flooring D. Painting E. Cabinet installation Electrican: GE Electrical Controls - responsible for all electrical work on project A. Install new romex and devices thru out house B. Trim out all fixtures and devices Plumber: Voag plumbing - Responsible for all plumbing on project A. Under ground plumbing B. Rough plumbing to all fixtures (water and wastelines) C. Trim out all fixtures D. Gas to boiler,waterheater,stove E. Waterheater HVAC: TBD - Responsible for all Mecanical and boiler work on project A. Install boiler B. Install heat registers C. Run new flu to boiler D. Vent water heater Respectfully, I i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ,'�-o. Pit - Job Address:,, Permit Number: 92=i t i "'N, ❑ No one available for inspection: Ti Re -Inspection required: YesN When corrections have been httpYAvww.ci. wheatridge.co. u Dat Ins M/PM for re -inspection online at: City of .A.0 Wh6at �idg CMe OMUNITY 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: 54 90 490 General Contractor: jo ✓ all FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: c*�kontact Phone #: `7"2;R 3-1 Wheat Ridge Contractor License 2-C% 7 C% (required field) State License #: x%07 ( 3 Z Master License #: t% 02 « �f0 OL�101/C5 Printed Name of Authorized Agent ignature of Authorized Agent EjZ �v Date A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: r? UX cl U t Ll 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 3V 2.,, v Inspector: DO NOT REMOVE THIS NOTICE City of Wh6,atP,,1.j.,.d9C COMMUNITY DEVELOPMT SUBCONTRACTOR AUTHORIZATION FORM Plumbing Subcontractor This form must be completed & signed by the PLUMBING SUBCONTRACTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address:�- General Contractor: 7 r,, swu — L, ch�� FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name:yl& �q j2 f„ „g t, � cr i a, Contact Phone #: "S O ,�- -,sq le: (o 3 --2- Wheat z Wheat Ridge Contractor License #: i o 2-7� (required field) State License #: � �A 19 Master License #: �j-7o _.Tl L, ams`s)V -C& d Printed Name of Auth rized Agent Signature of Authorized A t Date City of Wheat Ridge Residential Remodel PERMIT - 201901508 PERMIT NO: 201901508 ISSUED: 10/03/2019 JOB ADDRESS: 3500 Miller St EXPIRES: 10/02/2020 JOB DESCRIPTION: SWO Full interior remodel including relocation of walls in kitchen and basement -3,100 sq ft total; Replace boiler *** CONTACTS *** OWNER (303)945-1418 NOON MTN LLC SUB (303)550-9702 JEFF E GREENWOOD 190288 GREENWOOD SERVICES LLC GC (720)628-2067 MARC A SHUTTO 022043 ABOVE ALL CLEANING & RESTORATI SUB (303)573-7300 SHANNON MONAHAN 160018 SERVICE EXPERTS SUB(303)667-2650 JUAN RAMIREZ 160274 ALL CITY PLUMBING & SEWER INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 126,511.00 FEES Total Valuation 0.00 Plan Review Fee 849.03 Use Tax 2,656.73 Permit Fee 1,306.20 Investigative Fees 1,306.20 ** TOTAL ** 6,118.16 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all ,applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. . City of Wheat Ridge Residential Remodel PERMIT - 201901508 PERMIT N0: 201901508 ISSUED: 10/03/2019 JOB ADDRESS: 3500 Miller St EXPIRES: 10/02/2020 JOB DESCRIPTION: SWO Full interior remodel including relocation of walls in kitchen and basement -3,100 sq ft total; Replace boiler I, by my signature, do hereby attest that the work to be oorfo rmed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal odes,policby the legal owner oftheropertyand amauthorzed toobtan thisthis permit.Ifurtherattesthatam legallyauthorized include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 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, regula ions, 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 maybe subject to a fee equal to one-half of the original permit tee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinangeaor regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY Cil'y of Date: q Plan/Permit # Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan Review Fee: }J( Inspection Line: 303-234-5933 Email: permits@d.wheatridge.co.us Building Permit Application ** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3500 MILLER ST, WHEAT RIDGE, CO, 80033 Property Owner (please print)NOON MTN LLC phone: 303-945-1418 Property Owner Email: JOSHUA@NOONMTN.COM Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 9888 W BELLEVIEW AVE #5075 City, State, Zip: DENVER, CO, 80123 Arch itectlEngineer: STUDIO 8.18 ENGINEERING _ DSTEWART@STUD10818ENGiNEERING 303-255-3664 Architect/Engineer E-mail: _ hone:_ I Contractor Name: HOS DE �LC t tpu` City of Wheat Ridge License VV #: i _�_ Phone; 970-409-8322 v Contractor Email Address: HOFFERDENVERBUILDS@GMAIL.COM Icor Plan Review Questions & Comments (please print): CONTACT NAME (please print): JOSHUA CROCHET Phone: 303-945-1418 CONTACT EMAIL(p/ease print): JOSHUA@NOONMTN.COM Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City L icensed Sub City License # City License # ❑COMMERCIAL XRESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. //V Sq. Ft./LF 3100 SQ FT BTUs Gallons Amps Squares For Solar: KW _.—_ _# of Panels Requires structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) 100,000 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) CONTRACTOR or (A'%THORIZED ] EPI?ESENT.4TlhE) of (OWNER) (CONTRACTOR) Sienature (first and last name): (4,, d -H -H 11 ; a '� 1" nATE: 7/24/2019 PrintedNatne: GREG "HOFFER" HOFFIUS DEPARTMENT L ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEP MENT MME S:� Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 3 City of Wh6atPsj,,d ge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: (�(� 1 � Permit #: General Contractor: Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Plumbing Sub -Contractor Company Nam Phone # � '(� Z- ,� (pS 1 State License #:l,0b 3q� � Master Wheat Ridge License #: e oz? (required field) r JAS 19nature of Authorized Agent Date Mechanical Contractor Company Name: Wheat Ridge License #: Signature of Authorized Agent Phone: (required field) Date c1ty of Wh6atR, idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: �'U� vc�t ��'2 �T Permit #: General Contractor: Electrical Sub -Contractor Company Name: G/oe�u 5e,',), Phone #: State License #: Master #: 006�_ Wheat Ridge License #: Lip 0 2- 5� (required field) /D d Signa r Au horized Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: Signature of Authorized Agent (required field) Date Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Friday, September 20, 2019 12:22 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Follow Up Flag: Follow up Flag Status: Flagged Categories: STOP WORK ORDER, Kim Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. fo Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address 3500 Miller St J I Property Owner Name Aaron Medina Sa Property Owner Phone 303-856-5015 Number (enter WITH I� dashes, eg 303-123-4567) l� Property Owner Email Field not completed. Address C Attach Credit Card 3500 Miller St CC auth.r)df Authorization Form - **DO NOT ATTACHED RANDOM FORMS** CONTRACTOR INFORMATION 1 Contractor Business Service Experts Name Contractor's License 19814 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-573-7300 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address robin.cole@serviceexperts.com Retype Contractor Email robin.cole@serviceexperts.com Address DESCRIPTION OF WORK What type of unit is being Boiler installed? Number of BTUs 185000 What is the efficiency 80 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 9100.00 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. 2 I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. 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. Person Applying for Robin Cole Permit Email not displaying correctly? View it in your browser. NOON MTN. LLC 3500 Miller Street, Wheat Ridge, Colorado 80033 June 18, 2019 SCOPE OF WORK 1 Contractor will utilize the following scopes of work in conjunction with the project construction drawings, project specificiations, and bid form to bid the work for this project. 2 Contractor will provide and manage all materials, labor, tools, equipment, permits, and inspections by local authorities as oulined in the contract documents Contractor shall field verify locations, conditions, available access points, impediments, sizes 3 and quantities of work required to complete all of the scopes of work for the project as described by the documents outlined above. The contractor must inspect the property. Submission of a bid is presumptive evidence that the 4 bidder has thoroughly examined the site and is conversant with the requirements of the local jurisdiction. All quantities stated in the attached scope of work for this address are for the contractor's convenience and must be field verified by the contractor at a mandatory site inspection prior to 5 bid submission. Discrepancies in quantities found by the contractor must be communicated to the Owner prior to the submission of a bid. Claims for additional funds due to discrepancies in quantities shall not be honored if submitted after the bid submission. 6 All work shall be conducted following the local building departments established regulatory code requirements. 7 8 9 10 L--oniract Landscaping 2 tH Contractor wilt pertorm Demolition EDW -D101 Remove front door and storm door Perform ID# Scope of Work I Qnty I Unit Notes Remove exterior wood porch door, storm door and Construction :Contractor will perform Perform ID# Scope of Work Qnty Unit Notes Ex erior Boor & Windows EDW -D103 Remove aluminum windows throughout home 18 EA Demolition Perform ID# Scope of Work Qnty I Unit Notes L--oniract euvv-uluu ttemove extenor w000 aoor (tsasement) 2 tH Contractor wilt pertorm Contract EDW -D101 Remove front door and storm door 1 EA Contractor will perform Remove exterior wood porch door, storm door and 1 EA :Contractor will perform Contract EDW -D102 frame Contract EDW -D103 Remove aluminum windows throughout home 18 EA Contractor will perform Contract EDW-D104Remove glass block window 4 EA Contractor will perform Construction Perform ID# Scope of Work Qnty Unit Notes Page 1 of 6 Contract EDW -1 Install sliding glass vinyl doors 1 Contract EDW -2 Install front door 1 Contract EDW -3 Install steel basement door 1 Contract EDW -4 'Install steel door in garage 1 Contract EDW -5 Install door hardware w/ dead bolt 3 7 Qnty I Unit Kitchen windows 2-(23"x15 1/4"), 1-(27 7/8"03 3/8") 3 Contract EDW -6 Construction Living room window 1-(76"x 45 1/2"), 1-(23"x 22 Perform ID# 2 Contract EDW -7 1/2") Contract EDW -8 Dining room 1-(76"x 45 3/8) 1 Contract EDW -9 Front room 2-(60"x 45 1/2") 2 Contract EDW -10 Master bedroom 2-(60" x 34") 2 Contract EDW -11 Master bathroom 1-(60" x 34") 1 Contract EDW -12 Bedroom #12-(44 1/2 x 21 1/2") 2 Contract EDW -13 Bathroom #1 1-(31112" x 23 1/8") 1 Contract EDW -14 Bathroom #2 1-(313/4" x 17") 1 Contract EDW -15 Mechanical room 1-(313/4" x 17") 1 Contract EDW -16 Open room 2-(36" x 25") 2 Contract EDW -17 Bedroom #2 1-(36" x 36") 1 Contract EDW -18 Bedroom #3 2413 " x 36) 2 EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA .Owner will purchase, Contractor will install EA ':Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install LF Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor wilt install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install FA nwnpr will ni irrhacp r-nnt—tnr-ill in tall k-onuaca w-uiuu Kemove garage aoor opener, aoor, ana springs 1 EA Contractor will pertorm Construction Perform ID# Scope of Work I Qnty I Unit Notes Contract GD -1 Garage Doors Only- 16'x7' door 1 EA Owner will purchase, Contractor will install Contract GD -2 Garage door opener Contract GD -3 Replace garage door springs 1 EA 'Owner will purchase, Contractor will install 1 EA Owner will nurchase. Cnntrartnr will in -tall Roofing Siding Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform ID# Scope of Work Demolition LSC Ext. Items Perform ID# Scope of Work 7 Qnty I Unit Notes Construction Perform ID# Scope of Work Qnty Unit Notes Decking & Patto Demolition Perform ID# Scope of Work Qnty Unit Notes Construction Perform ID# Scope of Work I Qnty I Unit Notes Garage Doors Demolition Perform ID# Scope of Work 7 Qnty I Unit Notes k-onuaca w-uiuu Kemove garage aoor opener, aoor, ana springs 1 EA Contractor will pertorm Construction Perform ID# Scope of Work I Qnty I Unit Notes Contract GD -1 Garage Doors Only- 16'x7' door 1 EA Owner will purchase, Contractor will install Contract GD -2 Garage door opener Contract GD -3 Replace garage door springs 1 EA 'Owner will purchase, Contractor will install 1 EA Owner will nurchase. Cnntrartnr will in -tall Contract Prltl-utut Kemove existing aownspouts ano gutters 45 LF Contractor wilt pertorm I Perform( ID# (Scope of Work Qnty I Unit lNotes I Contract MEI 4 Repair downspouts 35 LF Contractor will purchase materials and install I Demolition I Perform ID# IScope of Work I Qnty I Unit lNotes Page 2 of 6 Roofing Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform ID# Scope of Work Qnty Unit Notes LSC Ext. Items Demolition Perform ID# Scope of Work Qnty Unit Notes Contract Prltl-utut Kemove existing aownspouts ano gutters 45 LF Contractor wilt pertorm I Perform( ID# (Scope of Work Qnty I Unit lNotes I Contract MEI 4 Repair downspouts 35 LF Contractor will purchase materials and install I Demolition I Perform ID# IScope of Work I Qnty I Unit lNotes Page 2 of 6 Contract FWC-D100 Remove entire wall system 25 LF Contractor will perform Contract FWC-D101 Open wall for new door, window, or entrance 20 LF Contractor will perform Contract FWC--DIOL Remove 112 of watt system 25 LF Contractor will perform Construction Perform ID# Scope of Work I Qnty I Unit Notes Install watt framing, R-30 insulation, gypsum board, „ r I . , , . I. Contract FWC-1 and finish Contract FWC-2 Install structural support columns Contract FWC-3 Refinish gypsum board as needed Contract FWC-4 Install water resistant wallboard Contract FWC-5 Refinish block walls Contract FWC-6 Install new hand rail for stairs to basement Contract CC -4 Construct wood soffit over new MEP along outside Contract FWC-7 wall Contract FWC-8 Stair tread replacement 1 LS Box in existing MEP lines in main room of the Contract FWC-9 basement Contract FWC-10 Frame out chases in island for electrical moi.. 1. —1-1 11-1 vv iii N -I 11 IPJC II1P lCi ld 11 dl 1U 1111-1 1 EA Contractor will purchase materials and install 950 SF Contractor will purchase materials and install 500 SF `Contractor will purchase materials and install 250 SF Contractor will purchase materials and install 1 EA Contractor wilt purchase materials and install 120 LF Contractor will purchase materials and install 15 SF Contractor will purchase materials and install 100 LF Contractor will purchase materials and install 12 IF Contractor will nurrhacp matprialc anri install it inets & Countertaps Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform ID# Scope of Work I Qnty I Unit Notes ---I II I „i -,. —1 1. u 1111y v ter, —I- Wilt PLI I(.I 1d�tl, l.v IILI d(.LUi WILL If 1�,UAL Contract CC -2 Kitchen Upper Cabinetry 2 EA Owner will purchase, Contractor will install Contract CC -3 Kitchen Pantry Cabinet 1 EA Owner will purchase, Contractor will install Contract CC -4 Kitchen 15" cabinet 1 EA Owner wilt purchase, Contractor will install Contract CC -5 Install kitchen hardware 1 LS Owner will purchase, Contractor will install Contract CC -6 Quartz countertops 60 EA Owner will purchase, Contractor will install Contract CC -7 Vanity cabinets 3 EA Owner will purchase, Contractor will install Contract CC -8 Vanity quartz countertop 30 EA Owner will purchase, Contractor will install Contract CC -10 Install bathroom hardware 3 EA Owner will purchase, Contractor will install Doors & T—nm Demolition Perform ID# Scope of Work I Qnty I Unit Notes Contract DT -D100 "Remove garage wooden interior door 1 EA Contractor will perform Contract DT -D101 Remove window casings throughout 12 EA Contractor will perform Contract DT -D105 Remove door trim througout 5 EA Contractor will perform Baseboard 1"x6' throughout 200 Remove existing door naraware (LEAVE UUUKJ DT -7 Door casings/trim 11 Contract DT -D107 FRAMES) 6 EA Contractor will perform Construction Perform ID# Scope of Work I Qnty Unit Notes Contract DT -1 Interior closet doors 4 EA Owner wilt purchase, Contractor will install Contract DT -2 Door hardware 8 Contract DT -3 Bedroom tockset 4 Contract DT -4 Bathroom lockset 3 Contract DT -5 Baseboard doorstop 8 Contract DT -6 Baseboard 1"x6' throughout 200 Contract DT -7 Door casings/trim 11 Contract DT -8 Window casings/trim 13 Contract DT -9 Window sills 11 Contract DT -10 Crown molding 20 Contract DT -11 Wall accent & trim 100 Contract DT -12 Wood columns 2 Contract DT -13 C lncPt zhplvinn rtnranp anri hanninn rnric F, EA Owner wit[ purchase, Contractor will install EA'.Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install EA Owner will purchase, Contractor will install LF Contractor will purchase materials and install EA 'Contractor wilt purchase materials and install EA Contractor will purchase materials and install EA .Contractor will purchase materials and install LF Owner will purchase, Contractor will install LF Contractor will purchase materials and install EA Contractor will purchase materials and install FA C -trait --ill -.-h— —t-i�l, —4 {r,+,II pp nces- Demolition Perform ID# Scope of Work Qnty Unit Notes Construction Page 3 of 6 Perform I ID# IScope of Work I Qnty I Unit lNotes Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform I ID# Scope of Work I Qnty I Unit lNotes Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Performl ID# IScope of Work I Qnty I Unit lNotes Demolition Perform ID# Scope of Work Qnty Unit Notes Construction Perform ID# Scope of Work Qnty Unit Notes ason - Demolition Perform ID# Scope of Work Qnty I Unit Notes Contract MS -D100 Remove brick for new sliding door on back porch 1 SF Contractor will perform Contract MS -D101 Remove water damaged block finish in basement 4 SF Contractor will perform Construction Perform ID# Scope of Work r Qnty I Unit Notes Contract MS -1 Brick wall repair- tuck pointing 20 SF Contractor will perform Contract MS -3 Steel lintels above sliding patio door 1 EA Contractor will purchase materials and install Caulk all penetrations and openings in brick where Contract MS 4 20 EA Contractor will purchase materials and install appropriate I,sce neous- Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform ID# Scope of Work Qnty Unit Notes I.UnU at.l M31..-1 Datll accessV RCS, LUWeI uar, LUttet Ulsp, ea uauiruUrll 3 L3 VWner WILL purcnase, l.oniracior WUL Ln STatl Contract MSC -2 Bathroom mirrors 3 EA Owner will purchase, Contractor will install Contract MSC -3 install battery powered smoke/CO detectors in each 8 EA Owner will purchase, Contractor will install rnnms Carpet & Resr cant -CR# Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform I ID# Scope of Work Qnty Unit Notes k,-unudu L -n-1 ; vvaterpruui, uuutateu vtriyt rLdim i ue .30u 3r uwner WILL purcnase, loniraCTOr WILL tnstaLL ............ Contract CR -2 Caroet 900 SF Owner will nurchase. Contractor will inatAl Hardwood ooring- Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform ID# Scope of Work I Qnty I Unit Notes k.UnuaL_L nr-1 cnyuieereu rtuurtny 4UU -)r owner wilt purcnase, t-oniracior wttt tnsiaLL Contract HF -2 Floor refinishinq 1000 SF Owner will purchase, Contractor will install Page 4 of 6 Demolition Perform ID# IScope of Work I Qnty I Unit lNotes Construction Perform ID# Scope of Work I Qnty Unit Notes L.Vnu al_L i c-1 nuuieiI uaLnnpLd�lI of >r UV9ner WLR purcnase, i-oniractor WUL Lnstau Contract TL -2 Ceramic floor the on kitchen floor 75 SF Owner will purchase, Contractor will install Contract TL -3 Tile shower basin 225 SF Owner will purchase, Contractor will install Contract TL -4 Tile on walls in master bathroom 100 SF Owner will nurrhasP_ Cnntrartnr will install Painting Stain exture- Demolition Perform ID# Scope of Work I Qnty I Unit Notes Construction Perform I ID# Scope of Work I Qnty I Unit Notes l-UIIUQU r.]I-1 r01.I1L CIIUIC CALCILUI UI lilt IC�lUti 1 Contract PST -6 Paint window & door trim throuhgout 400 Contract PST -7 Paint ceilings throughout 3100 Contract PST -8 Paint living room 300 Contract PST -9 Paint dining room 200 Contract PST -10 Paint kitchen 50 Contract PST -11 Paint master bedroom 500 Contract PST -12 Paint bedroom #1 400 Contract PST -13 Paint bedroom #2 400 Contract PST -14 Paint bedroom #3 & common area 300 Contract PST -15 Paint master bathroom 300 Contract PST -16 Paint bathroom #1 100 Contract PST -17 Paint bathroom #2 150 Contract PST -18 Paint laundry, storage, mechanical 350 Contract PST -].9 Paint baseboard trim 400 Contract PST -20 , Paint doors 11 u wnuauur WUL purcnase matenals ana LnstaLL LF Contractor will purchase materials and install SF Contractor will purchase materials and install SF Contractor will purchase materials and install SF Contractor will purchase materials and install SF Contractor will purchase materials and install SF Contractor will purchase materials and install SF Contractor will purchase materials and install SF ;Contractor will purchase materials and install SF Contractor will purchase materials and install SF Contractor will purchase materials and install SF Contractor wilt purchase materials and install SF Contractor wit[ purchase materials and install SF Contractor wilt purchase materials and install LF Contractor wilt purchase materials and install EA Contractor will purchase materials and install Contract PL-ulub Remove hotwater heater 1 EA Contractor will perform Construction Perform ID# Scope of Work I Qnty I Unit Notes Contract PL -1 Shower faucets, heads, and controls 7 EA Owner will purchase, Contractor will install Contract PL -2 Demolition 1 EA Perform ID# Scope of Work I Qnty Unit Notes Contract PL -D103 Remove boiler lines 1 EA Contractor wilt perform Contract PL -D104 Isolate main water source outside of home 1 EA Contractor wilt perform Relocate gas hot water heater, 40 gallon 1 Remove/Isolate remaining plumbing lines for new Contractor will perforin Contract Contract PL -D105 2.5 work LF Contractor wilt perform Contract PL-ulub Remove hotwater heater 1 EA Contractor will perform Construction Perform ID# Scope of Work I Qnty I Unit Notes Contract PL -1 Shower faucets, heads, and controls 7 EA Owner will purchase, Contractor will install Contract PL -2 Install tub 1 EA Owner will purchase, Contractor will install Contract PL -3 Install sinks 4 EA Owner will purchase, Contractor will install Contract PL -4 Install toilets 3 EA Owner will purchase, Contractor will install Contract PL -5 Relocate gas hot water heater, 40 gallon 1 HR Contractor will perforin Contract PL -6 Garbage disposal 1 EA .Owner will purchase, Contractor will install Contract PL -7 Hookup dishwasher 1 EA Contractor will perform Contract PL -8 Water supply line for refrigerator 1 EA Contractor will purchase materials and install Contract PL -9 Sump Pump 1 EA Owner will purchase, Contractor wilt install Contract PL -10 Rework plumbing for new master bathroom layout 1 EA Contractor will purchase materials and install Contract PL -11 Rework plumbing for new basement bathroom layou 1 EA 'Contractor will purchase materials and install Install new plumbing drains and water supply lines Contract PL -12 for new bathroom 2 EA Contractor willurchase materials and install p VA -HV Demolition Perform ID# Scope of Work I Qnty I Unit Notes Contract HVC-D100 'Remove boiler 1 EA Contractor will perform Contract HVC-D101 Remove boiler flue 35 LF Contractor wit[ perform Contract HVC-D102 ; Remove exhaust vent kitchen/bathroom 3 EA Contractor will perform Page 5 of 6 Construction Perform ID# Scope of Work Q-ty Unit Notes Contract HVC-1 Programmable thermostat 1 EA Owner will purchase, Contractor will install Contract HVC-2 Kitchen/stove exhaust vent 1 EA Owner wilt purchase, Contractor will install Contract HVC-3 Bathroom exhaust vents 3 EA Contractor will purchase materials and install Contract HVC-4 Replace boiler and vent system 1 EA Contractor will purchase materials and install Contract HVC-5 Relocate baseboard heating system 3 EA Contractor will purchase materials and install Contract HVC-6 Install new swamp cooler/attic fan system 1 EA Contractor will purchase materials and install wnudu rc-ULUI+ nernove cm�i ouuet i LA Contractor will perform Construction Perform ID# Scope of Work Qnty Unit Notes Contract EL -1 Replace light fixtures throughout 21 EA `Owner will purchase, Contractor will install Contract EL -2 Demolition 15 EA Owner will purchase, Contractor will install Perform ID# Scope of Work I Qnty Unit Notes Contract EL -D100 Remove existing light fixtures throughout 14 EA 'Contractor will perform Contract EL -D101 Remove light switch 12 EA Contractor will perform Contract EL -D102 Remove 2 & 3 way electrical outlets 25 EA Contractor will perform Contract EL -D103 Remove ceiling fan 2 EA Contractor will perform wnudu rc-ULUI+ nernove cm�i ouuet i LA Contractor will perform Construction Perform ID# Scope of Work Qnty Unit Notes Contract EL -1 Replace light fixtures throughout 21 EA `Owner will purchase, Contractor will install Contract EL -2 Install/Replace light switches 15 EA Owner will purchase, Contractor will install Contract EL -3 Install/Replace GEI outlets 6 EA Owner will purchase, Contractor will install Contract EL -4 Install/replace 15 amp recepticle throughtout 20 EA Owner will purchase, Contractor will install Contract EL -5 Install/replace 20 amp recepticle throughout 15 EA Owner will purchase, Contractor will install Contract EL -6 Install Can lighting throughout first floor 16 EA 'Owner will purchase, Contractor will install Contract EL -7 Relocate a single 110v and single 220v electrical out[ 1 EA Owner will purchase, Contractor will install Page 6 of 6 IV � 4 s_ CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: CI "' � e ,,, - Job Address: C-00 n-. 1 r 1 Permit Number: 6ZCIO Ca ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http-IAvww.ci. wheatridge.co. uslinspection Date: . `1 s Inspector: � I, �, DO NOT REMOVE THIS NOTICE * City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201901376 PERMIT NO: 201901376 ISSUED: 07/03/2019 JOB ADDRESS: 3500 Miller St EXPIRES: 07/02/2020 JOB DESCRIPTION: Residential asbestos abatement. State permit #19JE4003N Square footage: 1,697 *** CONTACTS *** OWNER (303)945-1418 CROCKET JOSHUA SUB (720)219-8356 ALLEN GALLOGLY 190179 OAK ENVIRONMENTAL, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,575.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 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 at 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 �ermt-Irthe e legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thifur attestthatIamlegallyauthorizedtoinclude alperrmed and that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications. Signature of OWNER c,(- '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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of 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 a required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issu a or granting a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica " e de r any o 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. X, City of `JAI heat age COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 7 Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 -12-6 o Y-� , l I t ,, S t, Property Owner (please print): a s h u Q C v c ,- k `4 Phone: 3 0' J Property Owner Email: �J o 5 6 V 0.(' A o®;" m Tenant Name (Commercial Projects Only) N A Property Owner Mailing Address: (if different than property address) PV! "% Address: Lv %ellev:e - ;V 5"o.5 Kki �o 6,01a3 City, State, Zip: nebA&/c"/ C o rr o I 93 Architect/Engineer E-mail: Contractor Name: O o City of Wheat Ridge License #: Not') Phone: Phone: Contractor E-mail Address: ,-+ q u g 1 "l �- a For Plan Review Questions & Comments (please print): CONTACT NAME (please print): L L ► I`�t Phone: 3 ° 3 W �' y CONTACT EMAIL(p/ease print): { ► c �+ Y�uc o�w�}� • Wit' Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. [—]COMMERCIAL [�d RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. S L•� 7u S 4i �� w•a I /1 ' L, C( i 5 i' O "1 V L-) ytn o, ..� y �-" �- l l% �'�' d. �c ; � G 4. cr i C ; - q `t - c o u 5 � ✓� t ...; t -- i j t� �i'_y4cv:,� v'l ir.i�Y:�/ �'�t,.�-)< <.� 4�� c.i�....� yvc:,.� lc..._I (J:.��c•,�� l�+chc» s Sq. Ft./LF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) .� 3 1`t Si¢nature (first and last name): � –, r-9�» DATE: Printed Name: h' ))—, (:� I 1 `,) 1`1 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Colorado Department of Public Health and Environment Air Pollution Control Division — Stationary Sources Program — Indoor Air Unit 4300 Cherry Creek Drive South, APCD-SS-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100 — Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS APPROVAL NOTICE This notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 16, 2003, and effective March 2, 2005, the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). It is only for the purpose of allowing asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Unit of project modifications by fax (number above) or a -mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos approval notice is valid beginning 7/1/2019 through 11:59 PM on 7/10/20I9. The actual scheduled work dates are from 7/11/2019 through 7/10/2019. Approval issued on: 7/2/2019 Record number: 150061 Notice Number: 19JE4003N For the location specified below: SFRD Mutliple locations 3500 Miller St. Wheatridge Jefferson County This notice has been issued to: Oak Environmental, LLC 5351 E. 78th Ave. Commerce City, CO 80022 Amount paid: $80.00 Check number: CC 5879 COF- Issued by: CA 9 www.tar-tiierea.com June 19, 2019 Mr. Josh Crochet Noon Mtn 9888 Belleview Avenue, #5075 Denver, Colorado, 80123 RE: Asbestos -Containing Building Materials Survey 3500 Miller Street, Wheatridge, Colorado Farmer Project No. 5235.01 Dear Mr. Crochet: Farmer Environmental Group, LLC (Farmer) performed the asbestos -containing building material survey of the residential site (Site) located at 3500 Miller Street in Wheatridge, Colorado for asbestos -containing building materials (ACBM) on June 7, 2019. Colorado Department of Public Health and Environment (CDPHE)-licensed Asbestos Inspector Kurt A. Pierce (License #14063) conducted this survey under an agreement between Farmer and Noon Mtn. The purpose of the survey was twofold: 1) determine locations and conditions of asbestos -containing products at the Site; and 2) assist in obtaining the necessary building permits with the State of Colorado in accordance with Colorado Regulation #8. Based on the laboratory analysis of the bulk samples collected, the following materials sampled are identified as containing asbestos at the Site. • Texture (Smooth) on Drywall (Gypsum Board), (2% Chrysotile) located on ceilings and walls throughout basement • Floor Tile (5%-6% Chrysotile) located in the main level kitchen and dining room including closet under laminate flooring, but on top of beige sheet vinyl flooring (Non -Detect) • Floor Tile (3% Chrysotile) located in the main level bathroom under the laminate flooring, but on top of green sheet vinyl flooring (Non -Detect) • Floor Tile (10% Chrysotile) 9"x 9" located throughout the basement (Mastic Non - Detect) All accessible areas within the Site were viewed and suspect materials touched by the inspector to determine the location, condition, and friability of observed asbestos material. All bulk samples were submitted for PLM analysis. When suspect material was initially sighted, bulk 8120 Sheridan Blvd„ Ste. A306 • Westminster. CO 80003. Office- 303 468 8763 3500 Miller Street, Wheatridge, Colorado Asbestos Report June 19, 2019 Page 2 samples were usually collected. By definition, a homogeneous area means an area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture, and is installed within the same period. Farmer has had extensive experience with older buildings that have been abated during demolition or renovation projects. Occasionally, additional asbestos is discovered during demolition of concealing ceiling, wall, or flooring materials. Sample analysis reported as "None Detected" should be interpreted as meaning no asbestos was observed in the suspect material above the reliable limit of detection, (1% by visual estimation) for the PLM method. The following materials did not contain asbestos: • Texture (Smooth) on Plaster (Rough and Skim) located on ceilings and wall on the main level • Texture (Swirl) on Plaster (Rough and Skim) located on the ceilings of the main level living room • Sheet Vinyl Flooring (Beige) located in the main level kitchen and dining room including closet • Sheet Vinyl Flooring (Green) located in the main level bathroom Any product containing more than I% fibrous asbestos, when analyzed by PLM, is considered a potential hazard by the Environmental Protection Agency (EPA). PLM is the EPA -recognized method for determining fibrous bulk asbestos content. Additionally, the EPA indicates that further analysis by point counting be performed to confirm asbestos content for friable materials found to contain less than ten percent asbestos by visual area estimation. Point counting analysis may be omitted if the material is assumed to contain more than one percent asbestos and is then handled accordingly. All samples collected by Farmer were analyzed by EMSL Analytical, Inc.'s NVLAP-accredited laboratory in Denver, Colorado. Sample locations are presented in Appendix I. The PLM Report in Appendix II indicate the results of PLM analysis for bulk samples collected in the scheduled demolition areas. The PLM Report shows the room or area in which the sample was collected and provides a description of the sampled material. Based on observations made at the Site, and results of the analysis of bulk samples collected during the survey, Farmer recommends the following: Collect additional bulk samples from previously concealed materials that may be revealed during demolition activity, or from materials outside the original survey scope of work. "Suspect" material includes any material serving as a sprayed -on or troweled -on acoustic or fireproofing surface; floor and ceiling tiles; transite panels, siding or shingles; thermal insulation or any material associated with mechanical 14F�RNm R GROUP 3500 Miller Street, Wheatridge, Colorado Asbestos Report June 19, 2019 Page 3 systems; or any binding agent such as tar sealant, mastic adhesive, roofing tar, caulking, et cetera. Colorado Regulation #8 requires bulk samples in public buildings be collected by a licensed Asbestos Inspector. 2. Friable ACBM that is in good condition and is not disturbed does not require additional action. However, if the friable material becomes disturbed, or is in poor condition, then stabilization measures need to be taken. No friable materials observed during this investigation require stabilization at this time. 3. If ACBM are to be removed or disturbed as part of renovation/demolition activities the ACBM should be removed under abatement conditions before renovation begins. 4. According to Colorado Regulation #8, CDPHE must be notified for all demolitions of all facilities and all asbestos abatement projects that exceed the trigger levels, whatever is the lesser quantity. The notification requirements apply to both friable and non -friable asbestos materials. Notifications must be postmarked or delivered at least 10 working days before initiating abatement activities, and must be made using CDPHE forms. Forms can be obtained by contacting the CDPHE Asbestos Notification and Information Section at 303-692-3100 or online through the CDPHE website at www.cdphe.state.co.us. 5. If any material cannot be positively identified as non -asbestos -containing by the analytical results of samples collected during this inspection, it should be treated as asbestos until a sample of the newly identified suspect material can be collected and analyzed by PLM. 6. The building owner should be aware that removing ACBM does not discharge ownership. During transport or after burial in an EPA -approved landfill, any contamination throughout the lifetime of the material remains the responsibility of the building owner. Farmer has endeavored to inspect the existing conditions within the affected areas using CDPHE inspection protocols. Regardless of the thoroughness of a survey, it is possible that some areas containing asbestos were overlooked or inaccessible. This report presents general descriptions of various construction materials and the general locations where these materials were encountered. If questions arise during the planning for renovation, demolition or other construction, Farmer should be notified to permit us to review the situation and present recommendations. This report has been prepared on behalf of and exclusively for the use of Noon Mtn. The conclusions expressed by Farmer regarding the conditions of the site are based solely on the observations made on June 7, 2019, the data collected during this inspection, and the laboratory results of the samples collected and analyzed. The beneficiaries are hereby advised that conditions observed are subject to change. This report and the findings contained herein shall not, tFARMErR GROUP 3500 Miller Street, Wheatridge, Colorado Asbestos Report June 19, 2019 Page 4 in whole or in part, be disseminated or conveyed to any other party or be used or relied upon by any other party, in whole or in part, without Noon Mtn's or Farmer's prior written consent. Farmer appreciates this opportunity to provide asbestos consulting services to Noon Mtn. We have enjoyed working with you on this project and look forward to meeting your needs in the future. Should any questions arise concerning this report, please contact us at (303) 468-8763. Sincerely, Kurt A. Pierce CDPHE Building Inspector #14063 Farmer Environmental Group, LLC aFMM NR GROUP APPENDIX I TABLES AND FIGURES 3500 Miller Street, Wheatridge, Colorado Asbestos Report June 19, 2019 Page 5 FARMS� EMHIROMMEMTAL GROUP J J CL � m o � F c A 0 E E E o� N C � W G al A LL ci Q CD m N d ik 0 LL c J II LLJ (D a) LL ca or v) II LL v) Q) a a O C7 zz w i z O z W w w Q LL C C N N d a) C LL o 0 CO CO O O O O m ca E E N w —cc c d c d 13 0 Q Q c Z >i cc � m E __ � ° ° d m fa co c O c O W E 0 W W 8 O N C c a> a> c c c c 0 0 o 0 � z o 0 o Z E 0 y E z ?� o m m m Co co co fo U U C O O 8 E ca C C m C m C C C C C c o L° x 'D o 2 —°'° Q m c _ E E E E E E E E E E E E c_ o m a m E co co fa o fa O co fo co m O Y LL �i m - W _ m N li v N y N y - X N K- m N c a) 'O c a) o t c C _ - - - C C C C C C 0 C C c O C O> > O O O O O O O O O O O O E E E E IL ' > > > > > > > C C C C C > 0 > 0 > > > > > C > C '> > > N N N N a) a1 a7 N a) N a) a1 N a) a1 c a1 c m a) a) > a) J J J C M J C fa J C fo J C N J C fa J C lD J C f9 E a) N E N fo E N f0 E a) N E a) fNa C C f0 ,C C C N C d C L O .•°_. 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X F 7 O p C , e m r� ECL Q x O LLL m m c �J 11 J N N LL m cr 7 I U) U J a 6 N IL o a �� 1/�1 I �' 3500 Miller Street, Wheatridge, Colorado Asbestos Report June 19, 2019 Page 6 APPENDIX II BULK SAMPLE ANALYSIS FARMER ENVIRONMENTAL GROUP EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com EMSL Order: 221904519 Customer ID: FARM50D Customer PO: Project ID: Attention: Jennifer Day Phone: (303) 468-8763 Farmer Environmental Group, LLC Fax: 8120 Sheridan Blvd Received Date: 06/07/2019 9:40 AM Suite A306 Analysis Date: 06/10/2019 Westminster, CO 80002 Collected Date: 06/07/2019 Project: 5235.01/ 3500 Miller St, Wheatridge Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type A19362 -Skim Coat Plaster w/ Texture White 10% Ca Carbonate None Detected (Smooth) Non -Fibrous 90% Non-fibrous (Other) 221904519-0001 Homogeneous Inseparable paint/ coating layer included in analysis HA: 1-1 A19362 -Plaster Plaster w/ Texture White 5% Ca Carbonate None Detected (Smooth) Non -Fibrous 95% Non-fibrous (Other) 221904519-0001A Homogeneous HA: 1-1 A19363 -Skim Coat Plaster w/ Texture White 10% Ca Carbonate None Detected (Smooth) Non -Fibrous 90% Non-fibrous (Other) 221904519-0002 Homogeneous Inseparable paint / coating layer included in analysis HA: 1-2 A19363 -Plaster Plaster w/ Texture White 5% Ca Carbonate None Detected (Smooth) Non -Fibrous 95% Non-fibrous (Other) 221904519-0002A Homogeneous HA: 1-2 A19363 -Drywall Plaster w/ Texture Brown/White 15% Cellulose 65% Gypsum None Detected (Smooth) Fibrous 20% Non-fibrous (Other) 221904519-00028 Homogeneous HA: 1-2 A19364 -Skim Coat Plaster w/ Texture White 10% Ca Carbonate None Detected (Smooth) Non -Fibrous 90% Non-fibrous (Other) 221904519-0003 Homogeneous Inseparable paint/coating /ayerincluded in analysis HA1-3 A19364 -Plaster Plaster w/ Texture White 5% Ca Carbonate None Detected (Smooth) Non -Fibrous 95% Non-fibrous (Other) 221904519-0003A Homogeneous HA: 1-3 A19365 -Skim Coat Plaster w/ Texture White 10% Ca Carbonate None Detected (Smooth) Non -Fibrous 90% Non-fibrous (Other) 221904519-0004 Homogeneous Inseparable paint/ coating layer included in analysis HA: 1-4 A19365 -Plaster Plaster w/ Texture White 5% Ca Carbonate None Detected (Smooth) Non -Fibrous 95% Non-fibrous (Other) 221904519-0004A Homogeneous HA: 1-4 A19365 -Drywall Plaster w/ Texture Brown/White 15% Cellulose 65% Gypsum None Detected (Smooth) Fibrous 20% Non-fibrous (Other) 221904519-0004e Homogeneous HA: 1-4 A19366 -Skim Coat Plaster w/ Texture Tan/White 10% Ca Carbonate None Detected (Smooth) Non -Fibrous 90% Non-fibrous (Other) 221904519-0005 Heterogeneous Inseparable paint/coating layer included in analysis HA: 1-5 Initial report from: 06/10/2019 14:16:46 ASS_PLA4_0008_0001 - 1.78 Printed: 6/10/2019 12:16 PM Page 1 of 4 Initial report from: 06/10/2019 14:16:46 ASB—PLM-0008-0001 - 1.78 Printed: 6/10/2019 12:16 PM Page 2 of 4 EMSL Analytical, Inc. EMSL Order: 221904519 Customer ID: FARM50D 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 Project ID: http://www.EMSL.com / denverlab@emsl.com Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous %, Type A19366 -Plaster Plaster w/ Texture Beige 5% Ca Carbonate None Detected (Smooth) Non -Fibrous 95% Non-fibrous (Other) 221904519-0005A Homogeneous HA: 1-5 A19366 -Drywall Plaster w/ Texture TanN/hite 20% Cellulose 65% Gypsum None Detected (Smooth) Fibrous 15% Non-fibrous (Other) 221904519-00058 Homogeneous HA: 1-5 A19367 -Texture Plaster w/ Texture Tan/White 98% Non-fibrous (Other) 2% Chrysotile (Smooth) Non -Fibrous 221904519-0006 Heterogeneous HA: 1-6 A19367 -Tape Plaster w/ Texture Yellow 98% Cellulose 2% Non-fibrous (Other) None Detected (Smooth) Fibrous 221904519-0006A Homogeneous HA 1-6 A19367 -Joint Plaster w/ Texture White 98% Non-fibrous (Other) 2% Chrysotile Compound (Smooth) Non -Fibrous Homogeneous 221904519-0006B HA: 1-6 A19367 -Drywall Plaster w/ Texture Tan/White 15% Cellulose 65% Gypsum None Detected (Smooth) Fibrous <1% Glass 20% Non-fibrous (Other) 221904519-0006C Homogeneous HA: 1-6 A19368 -Drywall Plaster w/ Texture Tan/White 20% Cellulose 65% Gypsum None Detected (Smooth) Fibrous 15% Non-fibrous (Other) 221904519-0007 Heterogeneous HA: 1-7 A19369 -Floor Tile FT 9x9 Red Red 94% Non-fibrous (Other) 6% Chrysotile Non -Fibrous 221904519-0008 Homogeneous HA: 2-1 A19369 -Mastic FT 9x9 Red Tan 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0008A Homogeneous HA 2-1 A19369 -Leveler FT 9x9 Red Tan 20% Cellulose 80% Non-fibrous (Other) None Detected Non -Fibrous 221904519-00088 Homogeneous HA2-1 A19369 -Backing FT 9x9 Red Gray 98% Cellulose 2% Non-fibrous (Other) None Detected Fibrous 221904519-00080 Homogeneous HA: 2-1 A19370 -Floor Tile FT 9x9 Red Brown/Red 95% Non-fibrous (Other) 5% Chrysotile Non -Fibrous 221904519-0009 Homogeneous HA' 2-2 A19370 -Mastic FT 9x9 Red Yellow 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0009A Homogeneous HA: 2-2 A19371 SVF Beige Beige 70% Cellulose 30% Non-fibrous (Other) None Detected Fibrous 221904519-0010 Homogeneous HA: 3-1 Initial report from: 06/10/2019 14:16:46 ASB—PLM-0008-0001 - 1.78 Printed: 6/10/2019 12:16 PM Page 2 of 4 EMSL Analytical, Inc. EMSL Order: 221904519 Customer ID: FARM50D 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Initial report from: 06/10/2019 14:16:46 ASS_ Pitt". 0005 0001 - 1.78 Printed: 6/10/2019 12:16 PM Page 3 of 4 Non -Asbestos Asbestos Sample Description Appearance %, Fibrous %, Non -Fibrous %, Type A19372 -Flooring SVF Beige Beige 15% Cellulose 85% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0011 Homogeneous HA: 3-2 A19372 -Mastic SVF Beige Tan/Yellow 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0011A Homogeneous HA: 3-2 A19372 -Backing SVF Beige Gray/Green 40% Cellulose 30%u Non-fibrous (Other) None Detected Fibrous 25% Synthetic 221904519-00116 Homogeneous 5% Glass HA: 3-2 A19373 -Mastic 1 FT 9x9 60 S Pattern Tan 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0012 Homogeneous HA: 4-1 A19373 -Floor Tile FT 9x9 60 S Pattern White 97% Non-fibrous (Other) 3% Chrysotile Non -Fibrous 221904519-0012A Homogeneous HA: 4-1 A19373 -Mastic 2 FT 9x9 60 S Pattern Tan 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-00128 Homogeneous HA: 4-1 A19374 -Flooring FT 9x9 60 S Pattern Beige 97%u Non-fibrous (Other) 3% Chrysotile Non -Fibrous 221904519-0013 Homogeneous HA: 4-2 A19374 -Mastic FT 9x9 60 S Pattern Yellow/Clear 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0013A Homogeneous HA: 4-2 A19375 -Flooring 1 SVF Greue Pebble White 97% Non-fibrous (Other) 3%u Chrysotile Non -Fibrous 221904519-0014 Homogeneous HA: 5-1 A19375 -Mastic SVF Greue Pebble Tan 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0014A Homogeneous HA: 5-1 A19375 -Flooring 2 SVF Greue Pebble Green/Beige 40% Cellulose 60% Non-fibrous (Other) None Detected Non -Fibrous 221904519-00146 Homogeneous HA: 5-1 A19376 -Flooring SVF Greue Pebble Green/Beige 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0015 Homogeneous HA: 5-2 A19376 -Backing SVF Greue Pebble Various 65% Cellulose 20% Non-fibrous (Other) None Detected Fibrous 15% Synthetic 221904519-0015A Homogeneous HA: 5-2 A19377 -Skim Coat Plaster with Texture White 10% Ca Carbonate None Detected Swirl Non -Fibrous 90% Non-fibrous (Other) 221904519-0016 Homogeneous Inseparable paint / coating layer included in analysis HA: 6-1 Initial report from: 06/10/2019 14:16:46 ASS_ Pitt". 0005 0001 - 1.78 Printed: 6/10/2019 12:16 PM Page 3 of 4 EMSL Analytical, Inc. EMSLOrder: 221904519 Customer ID: FARM50D 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http:/Ywww.EMSL.com / denverlab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Analyst(s) Mollie Shreck (28) Timothy Kleehammer (21) do C Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method'), but augmented with procedures outlined in the 1993 ('final') version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSLAnalytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 06/10/2019 14:16:46 ASB Pl h` 0005000 1 - 1.7s Printed: 6/10/2019 12:16 PM Page 4 of 4 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type A19377 -Plaster Plaster with Texture White 5% Ca Carbonate None Detected Swirl Non -Fibrous 95% Non-fibrous (Other) 221904519-0016A Homogeneous HA: 6-2 HA. 6-1 A19378 -Skim Coat Plaster with Texture White 10% Ca Carbonate None Detected None Detected Swirl Non -Fibrous 90% Non-fibrous (Other) 221904519-0017 Homogeneous Heterogeneous Inseparable paint/coating /ayerincluded in analysis Inseparable paint/coating layer included in analysis Analyst(s) Mollie Shreck (28) Timothy Kleehammer (21) do C Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method'), but augmented with procedures outlined in the 1993 ('final') version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSLAnalytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 06/10/2019 14:16:46 ASB Pl h` 0005000 1 - 1.7s Printed: 6/10/2019 12:16 PM Page 4 of 4 HA: 6-2 A19378 -Plaster Plaster with Texture White 5% Ca Carbonate None Detected Swirl Non -Fibrous 95% Non-fibrous (Other) 221904519-0017A Homogeneous HA: 6-2 A19379 -Skim Coat Plaster with Texture White 10% Ca Carbonate None Detected Swirl Non -Fibrous 90% Non-fibrous (Other) 221904519-0018 Heterogeneous Inseparable paint/coating layer included in analysis HA 6-3 A19379 -Plaster Plaster with Texture Beige 5% Ca Carbonate None Detected Swirl Non -Fibrous 95% Non-fibrous (Other) 221904519-0018A Homogeneous HA: 6-3 A19380 -Mastic 1 FT Basement 9x9 Tan 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0019 Homogeneous HA: 7-1 A19380 -Floor Tile FT Basement 9x9 Tan 90% Non-fibrous (Other) 10% Chrysotile Non -Fibrous 221904519-0019A Homogeneous HA: 7-1 At 9380 -Mastic 2 FT Basement 9x9 Black 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-00199 Homogeneous HA7-1 A19381 -Floor Tile FT Basement 9x9 Tan 90% Non-fibrous (Other) 10% Chrysotile Non -Fibrous 221904519-0020 Homogeneous HA: 7-2 A19381 -Mastic FT Basement 9x9 Black 100% Non-fibrous (Other) None Detected Non -Fibrous 221904519-0020A Homogeneous HA 7-2 Analyst(s) Mollie Shreck (28) Timothy Kleehammer (21) do C Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method'), but augmented with procedures outlined in the 1993 ('final') version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSLAnalytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 06/10/2019 14:16:46 ASB Pl h` 0005000 1 - 1.7s Printed: 6/10/2019 12:16 PM Page 4 of 4 OrderID: 221904519 EMBL ANALYTICAL, tNC. Asbestos Chain of Custody EMSL Order Number (Lgb use Only): l� a� flat EMSL ANALYTICAL, INC. 1010 YUMA STREET, DENVER, CO, 80204 PHONE: (303) 740-5700 FAx: (856) 8584960 Company: Farmer Environmental Group. LLC EMSL-Bill If Bili to is Different Third PayX Billing requires to: N Same ❑ Different note instructions in Comments" written authorization from third party Street: 8120 Sheridan Boulevard Ci!y: Arvada I State/Province: CO Zi /Postal Code: 80003 Count : US Report To (Name): Jennifer Day Fax #: Telephone #: 303-468-8763 i Email Address: Jennifer.day@farmereg.com, kurt lerc armere .com Project Name/Number: �IJ.Oi 7J�SL�b w -A r .iii Please Provide Results: Fax [I Em 11 Purchase Order: U.S. to Samples Taken: Turnaround Time TA Options* — Please Check ❑ 3 Hour I ❑ 6 Hour 119 24 Hour ; ❑ 48 Hour I ❑ 72 Hour I ❑ 96 Hour 1 Week I El 2 Week 'For TEM Air 3 hr through 8 hr, please call ahead to schedule. `There is a premium charge for 3 Hour TEM AHERA or EPA Level /J TAT. You will be asked to sign an authortzation form for this service. Anal iscom 'leted in accordance with EMSL's Terns and Conditions located in the Analytical Prim Guide. PCM - Air ❑ NIOSH 7400 ❑ w/ OSHA 8hr. TWA TEM — Air ❑ 4-4.5hr TAT (AHERA only) ❑; AHERA 40 CFR, Part 763 O'NIOSH 7402 [:]'EPA Level 11 ISO10312 TEM- Dust ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM D6480 [I Carpet Sonication (EPA 600/J-93/167) PLM - Bulk (reporting limit) PLM EPA 600/R-93/116 (<1'/a} [� PLM EPA NOB (<I%) Point Count ❑ 400 (<0.25%) ❑ 1000 (<0.1%) Point Count w/Gravimetric [:1400 (<0.25%) ❑ 1000 (<0.1%) ❑ NYS 198.1 (friable in NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ NIOSH 9002 <I% Soil/Rack/Vermiculite ❑ PLM CARB 435 - A (0.25% sensitivity) ❑ PLM CARB 435 - B (0.1% sensitivity) ❑ TEM CARB 435 - B (0.1 % sensitivity) ❑ TEM CARB 435 - C (0.01% sensitivity) ❑ EPA Protocol (Semi -Quantitative) ❑ EPA Protocol (Quantitative) TEM - Bulk ❑ITEM EPA NOB ❑'NYS NOB 198.4 (non -friable -NY) ❑Chatfield SOP ❑ITEM Mass Analysis -EPA 600 sec. 2.5 TEM -- Water: EPA 100.2 Fibers >10pm ❑ Waste ❑ Drinking AIIIFiberSizes ❑ Waste ❑ Drinking Other: ❑ ❑ Check For Positive Stop — C1 rly Identify HornogenQu4 Gro p Samplers Name: !Curt A. Pierce i Samplers Signature. Sample # Sam le Description Volume/Area ir) HA # Bulk Dateffime Sampled ,- �S 3 t'� A�q nq I ,< Q -,,,a �! a 2 -1 Client Sample # s : Total # of Samples: Relinquished (Clien Received (Lab): I Date: , I Date' Q! Time: Time- qo Comments/Special lnstruc o : U t ¢c,tmued Document—Asbestos c0c—f:2-1nz20fa Page 1 of � pages Paqe 1 Of 2 OrderID: 221904519 BMBL ANALYTICAL, INC. W oMio fir. rnoouan. Tww+a i i Asbestos Chain of Custody EMSL Order Number (cab use Only): EMSLANALYTICAL, INC. 1010 YUMA STREET, DENVER, CO, 802042 PHONE'. (303) 740-5700 FAx: (856) 858-4960 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information Sample # Sample Description Volume/Area (Air) HA # (Bulk) DatelTime Sampled q 3qD 4d q VIC, 3 � tq 1 V4 "Comments/Special Instructions: I Page a of 9' pages CoNroned DopRmm - Asbaaw COC - ra - V122010 122010 Paqe 2 Of I EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Attention: Jennifer Day Farmer Environmental Group, LLC 8120 Sheridan Blvd Suite A306 Westminster, CO 80002 Project: 3500 Miller St/ 5235.01 EMSL Order: 221904702 Customer ID: FARM50D Customer PO: Project ID: Phone: (303) 468-8763 Fax: Asbestos Received Date: 06/12/2019 3:36 PM Analysis Date: 06/13/2019 Collected Date: 06/12/2019 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy HA: 1-48 A19383 -Drywall Texture w Drywall Non -Asbestos Asbestos Sample Description Appearance % Fibrous %, Non -Fibrous %, Type A19382 Texture w Drywall Tan/Beige 20% Cellulose 65% Gypsum None Detected (smooth) Basement Fibrous 15% Non-fibrous (Other) 221904702-0005 221904702-0001 Heterogeneous Inseparable paint / coating layer included in analysis HA: 1-4B A19384 Texture w Drywall HA: 1-3B 15% Cellulose A19383 -Texture Texture w Drywall Tan 15% Ca Carbonate 2% Chrysotile (smooth) Basement Non -Fibrous 83% Non-fibrous (Other) (LOP) 221904702-0002 Heterogeneous Homogeneous 221904702-0005A Inseparable paint/coating layer included in analysis Homogeneous Inseparable paint / coating layer included in analysis HA: 1-48 A19383 -Drywall Texture w Drywall Tan/Beige 20% Cellulose 65% Gypsum None Detected Texture w Drywall (smooth) Basement Fibrous 10% Ca Carbonate None Detected 15% Non-fibrous (Other) (LOP) 221904702-0002A Homogeneous 221904702-0005 Homogeneous Inseparable paint / coating layer included in analysis HA: 1-4B A19384 Texture w Drywall Brown/White 15% Cellulose 65% Gypsum None Detected Texture w Drywall (smooth) Basement Fibrous 5%u Ca Carbonate None Detected 20% Non-fibrous (Other) (LOP) 221904702-0003 Homogeneous 221904702-0005A Homogeneous Inseparable paint / coating layer included in analysis HA: 1-7A A19386 -Drywall HA: 1-5B Brown/White 15%u Cellulose A19385 -Skim Coat Texture w Drywall White Fibrous 15%u Ca Carbonate None Detected 221904702-00058 (LOP) Non -Fibrous 85% Non-fibrous (Other) 221904702-0004 Homogeneous HA: 1-6A A19385 -Plaster Texture w Drywall Beige 5% Ca Carbonate None Detected (LOP) Non -Fibrous 95% Non-fibrous (Other) 221904702-0004A Homogeneous Initial report from: 06/13/201918:22:29 ASB_PLA9_0008_0001 - 1.78 Printed: 6/13/2019 4:22 PM Page 1 of 2 HA: 1-6A A19386 -Skim Coat Texture w Drywall White 10% Ca Carbonate None Detected (LOP) Non -Fibrous 90% Non-fibrous (Other) 221904702-0005 Homogeneous Inseparable paint / coating layer included in analysis HA: 1-7A A19386 -Plaster Texture w Drywall White 5%u Ca Carbonate None Detected (LOP) Non -Fibrous 95% Non-fibrous (Other) 221904702-0005A Homogeneous HA: 1-7A A19386 -Drywall Texture w Drywall Brown/White 15%u Cellulose 65% Gypsum None Detected (LOP) Fibrous 20% Non-fibrous (Other) 221904702-00058 Homogeneous HA 1-7A Initial report from: 06/13/201918:22:29 ASB_PLA9_0008_0001 - 1.78 Printed: 6/13/2019 4:22 PM Page 1 of 2 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-57001(303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Analyst(s) Mollie Shreck (4) Timothy Kleehammer (5) EMSL Order: 221904702 Customer ID: FARM50D Customer PO: Project ID: tc_ PC C (1-10 L Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final") version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 06/13/2019 18:22:29 ASB—PLM-0008-0001 - 1.78 Printed: 6/13/2019 4:22 PM Page 2 of 2 OrderID: 221904702 Asbestos Chain of Custody EMSL Order Number (tab use Only): EMSL ANALrnCAI. INC. EMSL ANALYTICAL, INC. 1010 YUMA STREET, DENVER, CO, 80204 PHoNE: (303) 740-5700 FAx: (856) 858-4960 Company: Farmer Environmental Group, LLC EMSL-Bill to: ® Same ❑ Different If Bill to is Different note instructions in Comments" Third Paq Billing re vires written authorization from third party Street: 8120 Sheridan Boulevard City: Arvada I State/Province: CO Zi /Postal Code: 80003 Country: US Rs ort To (Name): Jennifer Day Fax #: Telephone M 303-468-8763 Email Address: jennifer.day@farmereg.com, kurt. fierce farmere .com Project Name/Number: llsbb GM \\.0 i'�-Q Please Provide Results: ❑ Fax Email I Purhaso Order: U.S. State Samples Taken: Turnaround Time TATO tions" — Please Check El Hour ❑ 6 Hour 24 Hour I ❑ 48 Hour I ❑ 72 Hour I ❑ 96 Hour I El 1 Week I El 2 Week For TEM Air 3 hr through 6 hr, please call ahead to schedule. 'There is a premium charge for 3 Hour TEM AHERA or EPA Level 1! TAT. You "I he asked to sign an authorization torn for this service. Analysis com leted in accordance with EMSL's Terms and Conditions located in the Analytical Price Guide. PCM - Air ❑ NIOSH 7400 ❑ w/ OSHA 8hr. TWA TEM — Air ❑ 4 4.5hr TAT (AHERA only) ❑ AHERA 40 CFR, Part 763 ❑ ' N10SH 7402 ❑ EPA Level 11 ❑ ISO 10312 TEM- Dust ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM D6480 ❑ Carpet Sonication (EPA 6001J-931167) PLM - Bulk (reporting limit) PLM EPA 600/R-93/116 (<1%) PLM EPA NOB (<1%) Point Count ❑ 400 (<0.25%) ❑ 1000 (<0.1%) Point Count w/Gravimetric [J 400 (<0.25%) ❑ 1000 (<0.1%) ❑ NYS 198.1 (friable in NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ NIOSH 9002 <1% Soil/RockNarmiculite ❑ PLM GARB 435 - A (0.2511/a sensitivity) ❑ PLM CARB 435 - B (0.1 % sensitivity) ❑ TEM CARB 435 - B (0.1 % sensitivity) ❑ TEM CARB 435 - C (0.01% sensitivity) ❑ EPA Protocol (Semi -Quantitative) ❑ EPA Protocol (Quantitative) TEM - Bulk ❑ TEM EPA NOB ❑ NYS NOB 198.4 (non -friable -NY) ❑ Chatfield SOP ❑ TEM Mass Analysis -EPA 600 sec. 2.5 TEM —Water: EPA 100.2 Fibers >10prn ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking Other: ❑ ❑ Check For Positive Stop — Clearly Identify Hom9ggLaolis Oroup Samplers Name: Kurt A. Pierce Samplers Signature. Samp�ljer# *ample Description Volume/Are Air) HA # Bulk DatelTime Sampled / i,� - 6 I 1,qA Client Sample # (s): - Total # of Samples: Relinquished (Client): Date: 'x107 —,%or Time: Received (Lab): ate:LY if 2 11 9 Time: CommentsiSpecial lnstructions: (.t) ) corookc! ooran*M -AsbW- CM— 112— vuRMIC Page�1 of pages Page 1 Of 1 3500 Miller Street, Wheatridge, Colorado Asbestos Report June 19, 2019 Page 7 APPENDIX III LICENSES & ACCREDITATION GROUP cr fz IQ 00 ft Oil cr CD cn rz w ro 0 0 rr"o J;e .. ..... ..... .. fCS —W,1191- ts. v ru-1 Z3 N U Ln C: N NO v N Q 00 E N 0 ¢ 0 U 7- Ln 0 - > > > a a) o cm �0Na LO -0 ¢ 0 0 0 U t7 w O V, u o Lf) L -- N 4- V v) Q O fa � O to � U O N Q. D f� (n U_ a X LU O V ~ 4---'-+ O O— }, o O N Q � E O OV U N O t6 � N v N o ° O _ O 4J U L. - Q) N � N — N L N L 00 O'1� O p N N C!� ce w w O O U U p O O d' w w Q � p O Z w LU U w U Ir !IA ' ❑�f"❑ 0 Z v �O o v ��.. U v w 00 c � � c 00 u U � 2 J U Ir !IA ' ❑�f"❑ o � v n m N 0 Ln u � � J a � ao cz O 'C 5 QJ 0 i U LUU Ir !IA ' ❑�f"❑ 2017062,q Z INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type 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 nn incnPrtinn tl,a-F-11.,..4— a__. ** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Wall Sheathing Concrete Encased Ground (CEG) Foundation / P.E. Letter n_ Mid -Roof Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Rough Inspections Date Inspector Initials WI I Ila MLJVVC rlls uctlons Comments Wall Sheathing Mid -Roof Lath / Wall Tie --- Rough Electric - Rough P!unibing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. • ---- -- • • �-ZJ UViuFnGLCU II VIII me nre uisinci ana electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridg, i • Residential Roofing FES _ 0292 PERMIT NO: 201706292 ISSUED: 08/18/2017 JOB ADDRESS: 3500 Miller ST EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 36 sq *** CONTACTS *** OWNER (303)888-8226 DARDANO JEANNETTE SUB (303)507-0842 Gumercindo Nunez 090215 GN Roofing, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,375.00 FEES Total Valuation 0.00 Use Tax 343.88 Permit Fee 315.25 ** TOTAL ** 659.13 *** 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. 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. i CITY OF WHEAT RIDGE 9�(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTIIONN7NOTICE Inspection Type: Job Address: Permit Number: � N- ❑ No one available for inspection: Time t` ! `> AM/Pm Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: , i Inspector- DO nspectorDO 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: N 10 Job Address: I l-1 " . "r; Permit Number: j U 62cl Z / A -.,'A ❑ No one available for inspection: Time I ' I ��AMPM Re -Inspection required: Yes No When corrections have been made, ca -for re -in p ction at -2 4-5933 Date: c7 ( ba/l } Inspector: DO NOT REMOVE THIS NOTICE 0i r City of Wheat Ridge Residential Roofing PERMIT - 201706292 PERMIT NO: 201706292 ISSUED: 08/18/2017 JOB ADDRESS: 3500 Miller ST EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 36 sq *** CONTACTS *** OWNER (303)888-8226 DARDANO JEANNETTE SUB (303)507-0842 Gumercindo Nunez 090215 GN Roofing, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATIONM y6'7 FEES h Total Valuation 0.00 Use Tax 343.88 J Permit Fee 315.25 ** TOTAL ** 659.13 *** 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. 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. 41, City of Wheat Ridge Residential Roofing PERMIT - 201706292 PERMIT NO: 201706292 ISSUED: 08/18/2017 JOB ADDRESS: 3500 Miller ST EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 36 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved pians and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this pernrt. I further attest that I am legally authorized to include all entities named within this document as pames 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 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 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 amanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. d5. The permit ho iy er 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 BUIT(fing Official "�(` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINB4S DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett -w�06 y From: no-reply@ci.wheatridge.co.us Sent: Tuesday, August 15, 2017 4:49 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application 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. v IT A cA C� 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 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. p Is this application for a Yes U161 `"1,'�(-&� IN I residential roof? �S1rtd How many dwelling units Single Family Home uL �X�ir�� are on the property? PROPERTY INFORMATION M j Property Address 3500 MILLER ST WHEATRIDGE, CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) JEANNIE DARDANO 303-888-8226 C Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes 3500 Miller Street contract sing.pdf CONTRACTOR INFORMATION Contractor Business GN ROOFING,INC Name TIL Contractor's License -15OL9-- Number (This is a 5 or 6 (/ moll J digit number for the City of Wheat Ridge) Contractor Phone 303-507-0842 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 6403 E, LAGUNA CIRCLE HIGHLANDS RANCH, CO 80130 (Primary address of your business) Contractor Email Address gnroofing@aol.com Retype Contractor Email gnroofing@aol.com Address DESCRIPTION OF WORK TOTAL SQUARES of 36q tear of existing asphalt shingles and install back gaf 30 the entire scope of work: yrs timberline Project Value (contract 037 value or cost of ALL materials and labor) Are you re -decking the No roof? 2 Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater 30 pitch)? Provide any additional ROOF PITCH IS 5/12 detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and 3 GN Roofing, 6403 E, Laguna circle Highlands Ranch, CO 80130 CUSTOMER Phone 303-507-0842 Fax 720-282-5786 Web. Gnroofing.net email. gnroofing@aol.com ASPHALT SHINGLES Qty/SQ OR PCS DESCRIPTION OF MATERIALS 36.00 TEAR OFF EXISTING ONE LAYER ASPHALT SHINGLES 9.00 TAMKO ICE SHIELD INSTALL ON BOTTOM EDGE AND VALLEYS 3.00 FELTEX UNDERLAYMENT 3.00 COIL NAILS 32.00 NEW DRIP -EDGE METAL 1.00 STEP FLASHING 1 BUNDLE 37.00 OWENS CORNING 30 YRS SHINGLES) DURATION 3.00 BUNDLES STARTERS 8.00 BUNDLES OF RIDGE SHINGLES (DOBLE RIDGE) 37.00 LABOR CHARGE 1.00 PERMIT 10.00 NEW ROOF VENT 1.00 NEW ROOF JACKS 1.00 REPLACE ROOF SMALL STORAGE ROOF QUOTE Date: Jure 6. 2017 JEFF SCOTT 3500 MILLER ST WHEAT RIDGE, CO 6/6/17 Unit Price Total $ 55.00 $ 1980.00 70.00 630.00 140.00 420.00 65.00 195.00 13.00 416.00 56,00 56.00 110.00 4,070.00 65.00 195.00 75.00 600.00 50.00 1,850.00 450.00 450.00 19.00 190.00 140.00 140.00 980.00 980.00 ADDITIONAL LAYER COSTS $15 TOTAL 12.172.00 All material is installed according to the manufacturer's recommendations. If there are any changes during the time this job is being completed, there will be extra charges which will be written. Sales Representative Gutner Nunez G.N. Roofing, Inc. is hereby authorized to furnish all materials and labor required to complete the work mentioned in the above proposal for which I, agree to pay the amount mentioned ($ ) in said proposal and according to the terms thereof. I am also aware that the given price may change at any given time due to material prices raising, extra labor, etc. Signature DateT/ an you or your usiness. � that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Gumercindo Nunez Email not displaying correctly? View it in your browser. SrCL1T8ILT� c. July 18, 2017 Attention: Jeannie Dardano RE: Hail Damage Contractual Agreement for 3500 Miller Street, Wheat Ridge, Colorado 80033 Contractual Agreement Notes: -All pricing and scopes subject to change upon demolition and subsequent discoveries. -Estimate assumes only 1 existing layer of tear -off Residence and Shed Repairs -remove existing dimensional roof material on residence and shed -Install new Tamko Ice and Water Shield on bottom edge and valleys -install new Timberline 30yr Duration roof material in Copper Canyon color -install new roof vents and HVAC caps as needed -paint all hail damaged areas -trash removal -City of Wheat Ridge permit fees We hereby propose to furnish material and labor complete in accordance with the above specifications for: $15,375.00 (sixteen thousand three hundred seventy five) Undersigned understands and agrees that there are certain unknowns in all construction phases, and that Scott-Bilt, Inc. reserves the right to make changes in the event of complications. In the event of complications, Undersigned agrees to pay Scott-Bilt, Inc. above and beyond this contract as needed to correct any complications, provided Undersigned agrees to such corrections, which agreement shall not be unreasonably withheld. (cont) 1782 5wadley 6t. Lakewood. CO. 60215 303.279.7195 oMce/fax 303.898_8306 moblle Page 2 Dardano Contractual Agreement July 18, 2017 Undersigned agrees to the following payment schedule: $8,188.00 upon signing of this contract and $8,187.00 upon project scope completion. In the event that an item(s) is not completed due to non -controllable delays or events, Undersigned understands and agrees to pay Scott-Bilt, Inc. for all materials and labor costs executed to that date. Project to start on or before August 28, 2017 and to be completed by or before September 4, 2017. Undersigned understands all additional work orders and change orders are to be prepaid without exception. Undersigned agrees to binding arbitration in the event of non-payment. In addition, Undersigned agrees to pay a 1.5% interest rate accrued monthly on the outstanding balance until paid in full. Undersigned is made aware of Scott-Bilt, Inc. workdays as Monday through Friday. Undersigned understands that any item(s) not mentioned in this contract is NOT included UnnZiersigned date All matter is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alternation or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond Scott -gilt, Inc. Owners understand and agree to hold Scott-Bilt, Inc. harmless for any delays in reference to this job, caused by the owner or the non-availability of labor and or materials. If requested, Scott-Bilt, Inc. agrees to provide Owners with copies of certificates of liability insurance and worker's compensation for himself and subcontractors involved for the completion of this project. Worker's compensation is not necessary if agreement waivers are signed releasing Scott-Bilt, Inc. and Owners from any and all liability for injury or loss of property occurring, during, or arising in connection with this project. If requested, Scott -gilt, Inc. agrees to provide Owners with a mechanical lien release waiver upon the completion of all the above mentioned work. JeO Scott, President (date) Scott-Bilt, Inc. FOR OFFICE USE ONLY City of Date; ' Wh ?COM7MUNITY DEVELOPIV plawperm" # tlfliNs-idgle Building &Inspection Services Division 6 e } 7500 W. 29th Ave., Wheat Ridge,CO 8 033 Plan Review Office: 0-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building er it Application Pleasetomplets all highlighted moss on both at of this form. Incomplete 41*11cations may not be processed. Property Address.* ro rtyOwnr �` % print :Phone:14,0 30 Property Owner mall Mailing Address: . (if different than property address) Address. City, State, 'Zi rchitectfE In r E-mail.- _ Phone: Contractors City License #: Phone.. ContractorE-mail Address: tush Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.k City License # W. t. City License Other City Licensed Sub: Other City Licensed tib: City License # City License Complete all information on BOTH sides of this for $2� �2■»?�.:©-�-©� �®� � y .�_. w ©� � �.»:�+�. $2;-�-»\#:\«%�2\/ \\§j§ $ <■\\�� \■e\\ $»■:��-�\ y\ 22e*, �--->®�2ww*. \.�,-» \\ $ e«\� <■}m.\ �^... ,..:.�.. . ... .. »».. mm o 7m,rmslo eoetc.) . . . ...». - �.\. .... Sq. FULF \ w. � . ^ .k . \ . \ \ /� \� loons \ ^ \ :,p». . . . .. .. ©Squares- her . . . . . w Proposal # 010060! Date: 12/14/2015 c. 12273 W. 48th Ave. Wicat Midge, CO 8 033 (303) 215-1348 fax. (303) 278-8518 'die uridct r�auiid gzns PROPOSAL SUBMITTED TOWORK TO BE PERFORMED T; Jeannie Dardanta 3500 Miller at 3500 Miller at Wheat Midge, CO 80033 Wheat R1 e, CO 80033 (303) STY= Excavation and repair of the 4sanitary sewer line at the break in the front yard (up to 5' of pipe). Installation of a 4" cleanout to grade, with landscape covers Compaction of backfill, relaying of existing landscape, repair of cut sprinkler lines as needed Haulln and disposal of detiris, site cleanup All applicable pernfits and inspections Sanitary sewer line carries a 5 year wArran Proposal is based on information provided by the customer. Price and scope of work subject to verification of tine location by ea Plumbing. Pne lode utff ty locates to identify gas line water seRlce locationsAll material is guaranteed to be as sDocifled, and the "ova work M #' Two Thousand Four Hundred Thirty Dollars And No/I 00 $ $2,430.00 with payments to be made a$ follows. One half of total balance due upon scheduling work. Second lf of total balancedue uponcomplitlon. Jerry Middleton Apex Plumbing (Apex) will Y to restore the existing !. ! best of our shot We—will —repair—onlyy ,... s' Y a. .. l... • x a .M—Wer —lines cut during the excri vationdescribed on this proposal, Apex Is not responsible sprh*kr system or privow utilities, or for datrujit or delays caused by unstable soil, cave-ins, unnoticed private, or otia-located public Utilities or any other unforeseen complications, Additional work beyond that dcsctibed on " Proposal will be subject to additional chruges. Invoice balance is due in full upon completion of work as described on this proposal. Any invoice rot paid when due, will accrue micrestat ft rate of 18% per Annum, Apex is entitled to an award of c c tot f and any and all costs incurred to COIL -01 All unpaid balanccsA cancellation fee or 10% will apply, oil ction foes. at acys ecs, ACCEPTANCE OF PROPOSAL « above .#. #.. a prices, w. #e..w#. n •conditions are satisfactory and are a +♦# accepted, # ::.: are authorized to # r • rk as specified. Payments Will be made as outlined above. ;� � k�i 1 � C �: t 1Ry. '� �, � �.. sN� Sa Y � chat N. � 1 'iiS " t h � 1 ,,. ,.... ,... , ., .,y,... ,7�, �, � ,3 �. ,� ,....5, � inh`"S� .,. ,k� � i ��'3�U, ,. �. z�kw a �, ..,. � ,,. i,lt „�,,r �. ,', 1,�s , „n A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: c7 i6© M I LLE?' Permit Number: 2j ❑ No one available for inspection:. Time AM/PM Re-Inspection required: Yes No "When corrections have been made, call for re-ins action at 303-234-5933 Date: o " O Inspector: i , / _ DO NOT REMOVE THIS NOTICE e = Building Permit Application Date: Plan Permit Property Address'. Z00 /tll' i;/1 S.7 Property Owner (please print): f /1'P yC (D , /~~M 4 J Phone: 3~ 3 y2 z- Mailing Address: (if different than property address) Address: City, State, contractor: C &5 L4 /f City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Contractor License 0 T - O f ST Phone: 7 2 o y 2 7 / 3'/L Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): 400 Construction Value: $ /0 . F 7 iS Description of work- (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ 155~ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER'CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certiry 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 field ins ection. CIRLCE ONE.: (OWNER) (C N RRACTQR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) q PRINT NAME: _j7 ii~~ ..5 S z SIGNATURE: t-~G/ Date: 1 ~Zg 0c, ♦~~4' -r~ City of Wheat Ridge Residential Plumbing PERMIT - 081463 PERMIT NO: 081463 JOB ADDRESS: 3500 MILLER ST DESCRIPTION: replace water heater ISSUED: 12/24/2008 EXPIRES: 06/22/2009 CONTACTS owner 303/422-1748 Harry Boorman gc 303/937-8369 Joseph R. Cronen 02-0388 Cronen Plumbing and Heating PARCEL INFO ZONE CODE: UA SUBDIVISION: 0635 USE: UA BLOCK/LOT## : 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 975.00 FEES Permit Fee 50.40 Total Valuation .00 Use Tax 17.55 TOTAL 67.95. Comments: 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 Buildinc; Code (I.B.C) and all other a - i Ord' ces, for work under this permit. Plans subject'to field inspection. zo /m r' /,-z _2&1_Og Signature o contractor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 100 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a diainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, `~}ny 1o tion of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review ~l ~06 'set to field inspections. - f Signature of Chief uilding Official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. M City oP Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, GO 80033 Office: 303 235 2855' Fax: 303-235 2857 Inspection Line: 303234-5933 L R Properly Address: Properly Owner (plea Mailing Address: (ifdfffwvtt than prapeRy address) Address: City, State, Zip_ Date: Plan # Pwmlt Contractor: MCr~SI ~Ltm)PirXL ~~~t C nr -1 Contractor License tY Phone sub Contractors: Mechanical City license it Electrical City License # Plumbing City License # Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Ap roval: Approval: Co P~ P t t natructlon Value: i Use of space (description): Y c o~afeQ par the l u eaedna vduadon DAM ahee0 (as Deecrip*m of woric plan Review (duo at Om ofauEmkf il: llSq. FtIL.Ftadded: Squares BTU's Gallons AMPS OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 Mnby certify that the setback dbbnwa prnposad by d" Pam aptAcatlon an a=mlo. and do not oblate apptkab66 ordlnanaa, roles or ragu66tbne oT Iba Cdy of Wlwat Ridge or covanarft. aaaemeMa or restnefions of [sand- that all reaasuramerds shown. and all-9. wridianna printed an this appltion and msponorrs mWa ors awrnn with lM Wheat Ridge aoddk+g Coda (1 B C) and all *dwr applicable V"a Ridge Ordinancesafor Work U'araiNlity tar Wrripld ands[ rids pamdt. Plane subiect to Mid lmpaetlon. CIRLCE ONE:: PRINT NAME: zoNINGcOMMENr$. Zonke: RW4~ puUm v.0M CCMMIRIM Rw66wer: SIGNATURE: DEPARTMENT USE ONLY aULDNO DEPARTVOC COMMENT& Re*wwar: FIRE OWARTMENI O approved rlr oormrwb O Aaapprasad 0 110 100660 '"bW or NTRATOR) ~J;.r14•W Onto; Bldg Valuation: LOO In 9NIONfilid NHNOND VL99LC6COC Ydd LOOT 8002/V9/ZT Building Permit Application ~~oF WHEqT~io COMMUNITY DEVELOPMENT DEPT. ~ m Inspection Services Division (303) 235-2855 COIORAO~ Correction Notice Job Address: -3,500 M I LLER ST, RM4- i1✓so4C77o.v (5D ~ ~ ~/rlEOWiV~.~ .Sl.~9TZ-zD To A1F- rJ5~.9T'.s~~ JQ1A3 ,tla T //Ai✓T ~~tG~OlQiv When corrections have been made, call for re-inspection at 303-234-5933. ~ Date: Inspector DO NOT REMOVE THIS NOTICE pF `NHEqT,D~ COMMUNITY DEVELOPMENT DEPT. Inspection Services Divisian ~ (303) 235-2855 Correction Notice 0 cO(ORA~ M I LL~ Job Address: 7 When corrections have been made, call 303-2_ 3 Z4 re-inspection at .s .,w . u~i . ~f.ar BuildingPermit penWtNls76s CiTY OF vVHEATRIDGE 5/25/2005 7500 w~ z~ n.~~ wheah;d8e, co 80033 /nspection Llne 303-235-2855 303-234-5933 Residential Roofing PROpER'[Y 3500 Miller St Unit: oWNER: Mr. Boorman (303) 422-1748 DescrlpUon Removalbf all layers. Instali 30# base. Install Laminated slringles complete. FEES Fees Due Paid ~ Use Tax $137.00 $137.00 Permit Fee $199.30 $198.30 Total Fees 336.30 $336.30 COtdTRACTORS Name License # Phone Rock's RoOfinp 17908 4251083 Documents from the man+4jacturer shall be o"s;te for ffnal roqf inspecNon which specify rooftv+8 mphovfnfa Nave beo installed m meet 110 Dd'1Y tMra-Md►d wtnd Sust---IBC (90 MPH wtwd ted~t~~)• Units: Occupancy: Walls: Roof: Storlesc SqFcet: 0 I herWY tatlly tEM IYe ssW'ekMatereii mPosed bY tW PmOt aPPYUIbs ue aaerety md do wt vbhle aPPkabY eNlefux% nls Nrepleflow, s(ft ChyN WhwtRldVweu-bruxsmbmra[htlomofroeord:Wtallmeu.abshowarud.0e4otl^ae oWeue.b:IWtihavewdudWub~ltleby .uro.dumm Mama.. w..pfale.a.a..e u.t I .we rm ~e.pe•~mry ro. ~pu.o«.un m. ww.tem, s.oame coa. (U.a.c.)..a.n.m. ypkwk. NhatRlayeeMl+auFkrwatyaerteupermU. . IOWIVEIW(CONITACT08) SIQiED DA1'6 . . 1 1b4 RAN w41YoqIM aWedYea w11h Wa pmvbbu eet WrW ia yoar applkatlon taA 4 eWlect to the brn ofthe 31ate MCalendo W b W 7eab` . Pe{eWbuoelHaltlis{COEeo(WheatRitlee,CobndooraoYONnapptlmbkoMlvanwaftheCky. . 2 Th4pmNdm9eapbeM(A)WeworlcmatEeAU06eNmnmeoatlwMAlvtlaty(6o)d.y,6emWoeJw or(6)dee boitlti{aullaelamidYmymMder . ' . abeMwdfermtWl^AMiSOd~ . J IfWYPw'Wt eiWa+. aewParde m96eu9a4adfw. faeofonshWtheme.utnmm+lYroWtntclrVmvltledwehuWWveEeaorwHMvadekM¢ . origiulWue..asoMM+mu.nawvniaubnu..wnau.mmteunae:eaDeuone(1)y....IfN..eenemdewus"waW.or.n..ms~..t . . ese«a. au(l) 7.5 he ka.e.a ne p.w ur.OM pe.mlL . 4 NeworkefuywteeeerYU06edaaslhatwmehuesetheoatmed flowofnatxeoaWg aMioYeymblem. . S CMtr~M[sWaalUyWsBvONqla'PCtmMm1Y-fovr(N)hwnioW. foraYieqeNemudAtleaelvewApm~pprvlJ. loqstlraud►eM . . pnad4qwlbWe[biwpYYa . . 6 1LS ~pprov.lof ud~pMMntlows1u11.wEemeelrvMabe. pemllfor,vor. lpprovtla4atrlvbYMmNW . . . pn or ordlo~nee.hw.rdewre~uYtba . . . . . ytudVd SIQVIDDAT[ Wednaday. Mag 25, 2005 Page 1 of l c, 5., r7'eFIARTME'WUF N'LHiiFDWARUDE riEL r~9'"MEiii-B-dHcTinj-T'err HUILbING (NSPECTION bIVI510N • 235-2855 cltY oF WHEAt FtIbGE 7500 WESt 29tN AVENUE WHEAt I21bGE, CO 80215 AppLICAT16N Number : ^ bate : Property Owner : r(}r , 3D~xrnc~C-c~,~,Q Properly Address ~jo~ m I I I~ ~ ~l C.e+ Phone :~4ZZ- I S Conlraclor License No. : Company S R~~q 1~C • Phone :303- 4Z6" I bg3 nWNFR/CONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT I hereby cerlify Ihal lhe selbaek dietances proposed by Ihle permll 6pptlcsllon Arb lecurdle, snA do nol violate ep Ilcable ordinancea, rulea or regulallone of the Clly ol Whesl Rldpe of covenanls, eeeemenPa or reelddlone ol record; lhel ell me9luremenle shown end ellegellori! Ii'AJP. A!C ACCUf11Il; thal 1 hnve reed and apree lo eblde by atl condllion! prlnled on Ihli Ucallon. 9nd Ihat I aeeume full reeponsiblilty for comFIlance wilh the Wheal Rldqe 9ulMing jMe (U.B.C.) aad all olher applica~~ h~rdl~el ork Under (hle vermk. (!)WNER)(CON7f2ACTOR) SIGNE c5~ DAtE-S XS d5 ~ ConstrucUon Value : 76,11' ~ petmit ree : US@ TeX : $ ' Tolal': U58: oe9crlPllon :~P y+ioliJ<n,L ~~'t' c~U Le r: S<'~1l Lc~.u..cn~:.tPicl ;(zi J(~S Co.~~rct° BUILDING DEPARTMENT USE ONi-Y ~ a ~in I I Approvai: Zoning : Blil Approval: p~Tlbl Approval: Occupancy : Walls SIC : Sq. Fl. : ftool : StorleS : F2tsldpntial UnIIS : [leclrical Ucense No : Cornpany : Plumbing Llcense No : c;ompany : Cxpiralfon l7ate : Expiration bgfe : Approval: Approval: ( q llde parmll wN qeued In iewrdarws wnh the provhtoro ael fodh M yepur appllnlbn md b 6 aepu~suone dnd eundinp Code ol Vuheal Rid7e, Cobrado w ury Wher opplkebls otdlninel1 (21 Thif pe~mi{ fhsA aMplrs 0(A1 Ihe wak aulhorfe6d if rrol MnxnenCed wIIhM flKly (A0) Aiy1(roM 1! ebendaied f« ~ pe~bd of 140 daye. If Ihi~ pemAl exqre~, ~ new pemnl mdy b! eoqulrld fa ee ol onlhtld dM ImoUnl hbrAilMy ol the bulMlnq codef or trry olher adlnsnce, I'w, mie a repuletlon. Mechgnical Licpnse No : odpi~al plen~ snd spedNptbn, and any ~wp!nfbn a ebarrdonmeril INf no1 lwteMlyd nna ~1) e~ceedf ona (1~ yeer, NII leef ehell Ae psid fa s new (4) No werk ol erry manner ah~N be done thnt wm ehenpe he nalurll Mh'v 6I Weld~ dulMQ ~ ddINQA Is~ Caihecior eh~ll nolify M~e Buildlrp Inapecla Iwenly-four (2~) Iroun in ~dWnce for ~X InepeeNOne pIxetAllnp wNh ~uccl'eivA phaeee ol lhe lob. (A) lha lesu~nce d e pemd~ or ihe eppmva1o/drewlnq! end lpeclAeelbn5lhlfl nol bll eonllruld 16 boMpany : rxplr~0on bafe : Apprbv&1: ubk~i ro MA I6w1 M Ihe Sidte or Cdoredo 6d ro me Zonhq 01 tleue eTia a (A) N,~ bU~dnnp bue~eO:aa u ~ueae~eed ar f8qukld, (Itovldld ~Ig 6hdnpef hlvb 6dbn a w1A be med! In me yeer. H cheiqee tre mede a M ~uep6nebn er sbmdmmant e~ihsn Mtllve wrlNln epbrovel nn M!pl~Mon urd Aefore b11 plrmil fM. nar 6n Ippmil of. e~ry vbleUa~ el lhe pnor.ione ChIe1 Buliding Inspector ~ 1361 Alps Road Wayne NJ 07490-3689 February 23, 2005 Mr. Chad Root, Building Official Wheatridge Build'mg Dept. 7800 W 29'h Avenue Wheetridge, CO 80033 3506 RE: Wind Ralang: City of Wheatridge, CO Mr. Root: M, i~e~ Thia letter is to conSrm that GAF Materiels Corporation (GAFMG) will provide taLwab wind wananty on 75mberlinem Select 4pTM SLinglee for the above r~'erenced pmjects onty, end appliee to areae where high wind w meet the 90 uiremente. Thie apprwal ie valid when ehingtes are ineteIled with eix 6 each and in strict aacordmce with GAFMC's written application inetructions for the 15m6erline* Select 40'M Shinglee. Additionally, GAF will honor thie apprwel for 75mbarliaeS Select 90'"' Shinglea inetalled thmugh December 2005 end will werrant againet blow-off or wind demage for a period of 5 yeare from date of completed ineteltation and not the full warranty period of the Timberlineg Select 40TM Shinglee. If you Lave any furthaz queetione pleaee call 1-800•766-3411. T6ank you for chooeing GAF Roofing Syeteme. Sincerely, Matt Munro Technical Servicee Repreeentaiive GAF Materials Corporation Cc M. DiStefano ` TO: GAFMC Steep o ~ 0 o g OM Slope Sales Team, ~ I ' ~ ~°!U t]L:J LJ1~ Cerlifred Contracwrs ~,on ~ FROM: 'OuaNyYarfbreTnutSir.+s iBBB..JfOIONpMhI18l(ek 11 ~ 1~1 ~ ~O O ~ l:wl QvermStiY1 ~dT~ M1~"~"Or Date: 5/20/04 Ntonber: CTU 04-06 COMPLIANCE WITH THE HIGH WIND REQUIREMENTS OF THE 2003 INTERNATIONAL RESIDENTIAL CODE@ In recent weeks, these has beert a growFwg cowcww amaxg brildieg cade ofilCiels re8arding complianca widY du ktA wiwd pravisinxs of the 20037eternatwnal Residartial CoaTe4D(L2C). Spec fcally, officials in those areas of the country where the basic wind speed is 80 mpk orgreater have arpressed conesrn rtgarAing Bie gl°ss asPkalt shiwglea to perjorm rwder dlrese eoadiNows. abdity of fiber What are the kigk wind TTie IRC aecompasses all ospects ofconsduction. Tk¢ requiriements for the use of reqrrinnienu njthe fiberglass aspGalr shingles include an attachment medwd tested in accordmuae LgC? with ASTMD3161 (standasd speed of 60 mpJe.). However, for those areas ojthe country where the basic wind speed (as dascri6ed u' the LRC) is 110 mpk or greater, the shingles and their medwd of attachment must teste :n acc; witli ASTMD314L mod.ced m IIO mvh.(lRC sediae jR ~ Do GAFMC shiwgles med these rrqwirementsP cjCie(~ YES! Each of tke following GAFb1C shingles have been tested in accordance with UL 497 and ASTMD3161 modified w 110 mph.: Senti►eel(ID Royal SovereignOD Marquisg Weathermmcg T'unber ' eberline~l Sel~t 40 FzmberlirteQD 77/traO Jumbo Roya1 SovereignO Slatelinee(D Grand SequoiaOD Grand Can}wn7e+ Country Mansiong Country FstatesT*' Grmrd Slate"' CamelotTM An spscial nailiag ND! Eacl+ of the listed skingles was tesued wing a standard forv-nai! instaUation meihod8 ~~essa?YT panern. However. some jgrisdic7ions may require a six- nail ixstallation pauern. You must still use six nails per shingle in those jrvrsdictions that reqttire it. Co6et rnd Totl+aB UP,ow a►eFY661aMed N GAFA[C CowtKeforSenitee Aq qioobma iederdlwa dYdr oaatewt skoald be dhrad ro CarVecuarServfm at 1-818-766 3417 PaBe 1 of 1 CTU 04-06 IRC SNingla Compliance 7500 West 29th Avenue Wheat Ridge, Colorado 80033 3031235-2855 Fax:303/235-2857 March 6, 2003 Edward Goldinger, dba Oasis hardwood Decks 7371 VJ grant Ranch Blvd 42323 Lakewood, CO 80123-2662 Re: 3500 Miller Street - Fence installation Deaz Mr. Goldinger, The City of Wheat .)Wdge It has come to our attention you installed a fence located at the above referenced address and did not submit for a building permit prior to installation. You appeaz also not to be licensed with the City as a contractor to perform such work. Please contact our office within seven (7) days of receipt of this letter to correct these violations. Failure to comply with the time frame indicated will result in further enforcement action being taken. The City of Wheat Ridge strives for voluntary compliance regarding these issues and your cooperation would be greatly appreciated. Should you have any questions or comments please contact me at 303-235-2853. Sincerely, Darin o an Codes ministrator Cc address files 7500 West 29th Avenue Wheat Ridge, Colorado 80033 3031235-2855 Fax:303/235-2857 The City of Wheat Ridge March 6, 2003 Edward Goldinger, dba Oasis hardwood Decks 7371 W grant Ranch Blvd 42323 Lakewood, CO 80123-2662 Re: 3500 Miller Street - Fence installation Dear Mr. Goldinger, It has come to our attention you installed a fence located at the above referenced address and did not submit for a building permit prior to installation. You appear also not to be licensed with the City as a contractor to perform such work. Please contact our office within seven (7) days of receipt of this letter to correct these violations. Failure to comply with the time frame indicated will result in further enforcement action being taken. The City of Wheat Ridge strives for voluntary compliance regarding these issues and your cooperation would be greatly appreciated. Should you have any questions or comments please contact me at 303-235-2853. Sincerely, ~ ~ Darin M an Codes A inistrator Cc address files ✓ m ~ p ~ O `v W/ -.0 ~ V W ~ ~ Z ~ W o Q m ~ ~OU N ~ W 3 a, r N = 3 Cf . ~ ~ a. m. ~ cy ^ ~v ~ ~ kp. ~JE ~ " ' n ~I.: NW a ~ ~3 W N W Q W C W Q Z Q 7 R ~ 4 ' ,_.•9 !.I ~jN . . . . -~Ul.1 'o ' N3Yttld . i WU r1 II RIZWT ~ : O [7Um mL ZN UI O 0 Q'a m ortO NQZ- w ~ 4 VJYUO N owi, 1 N}N3o C OLH 3 •rl HHU1-i'L b N}-Qh~ aoom< 0 pz..rJ I b N a w o w c ,e~a ~ V* 9? v. V T i1Y ~ J 1 ~ r 7500 West 29th Avenue Wheat Ridge, Colorado 80033 303/ 235-2855 Fax: 303/235-2857 The City of Wheat Rldge February 5, 2003 Edward Goldinger, dba Oasis Deck and Fence 7855 W Manstleld Pkwy #103 Lakewood, CO 80235 Re: 3500 Miller Street - Fence installation Dear Mr. Goldinger, It has come to our attention you installed a fence located at the above referenced address and did not submit for a building permit prior to installation. You appear also not to be licensed with the City as a contractor to perform such work. Please contact our office within seven (7) days of receipt of this letter to correct these violations. Failure to comply with this time frame could result in further enforcement action being taken. The City of Wheat Ridge strives for voluntary compliance regarding these issues and your cooperation would be greatly appreciated. Should you have any questions or comments please contact me at 303-235-2853. Sincerely, i~ Darin Morg i Codes AdmP.-Strator Cc address files / - COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15106 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 2/7/03 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 • (303-235-2855) Property Owner: HARRY BOORMAN Property Address : 3500 MILLER ST Phone : 422-1748 Contractor License No. : Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,655.00 I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee : $60.10 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 Plan R0vi0w Fee : $0.00 made are accurate; that I have read and agree to abide by all conditions printed on this ' 10 Use Tax : $33 for compliance with the Wheat Ridge Building application, and that I assume full respon . Code (U.B.C.) and all other applicable rye . idge orqirn3r~e. , or work under this permit. / i ~ .~/ltlT23f(TE/I~ -D (OWNER)(CONTRACTOR) SIGNE Total : $9320 ~ Use: Description : 6' WOOD FENCE SOUTH & EAST SIDE OF PROPERTY BUILDING DEPARTMENT USE ONLY Zoning Commqnts: Approval : MP Zoning : R-2 2I7I03 SIC : Sq. Ft. : Building Comril,eots: Approval: BG Public Work$ CommenYs: Approval : Occupancy: Walls 217103 Roof Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval: Stories : Residential Units : Mechanical License No : Company: Expiration Date : Approval : (1) This permit was issued in accordance with ihe pmvisions set fotlh in yopur application and is subject to the laws of the State af Cobrado and to ihe Zoning Regulations and Building Code of W heat Ridge, Colorado ar any other applicable ordinances of the Ciry. i2) This permit shall expire if (A) the work authorized is not commencetl within sixry (60) days from issue tlate or (B) ihe building authorized is suspentled or abandoned for a period of 120 days. (3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pmvided no changes have been or will be made in the original plans and specifications and any suspension or abandonmenl has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall 6e done thal will change the natural flow of water causing a drainage problem. (5) Contreclor shall nolify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a permit or lhe appmval of drawingsand specifcations shall not be conslrued to be a permit for, nor an approval of, any violation of the provisions f the Giltling codes or any other ordinance, law, rule or regulation. Chief Buildin spector COMMUNITY DEVELOPMENT DEPARTMENT Building Pertnit Number: oF WHE4T.p BiJILDING INSPECTION LINE - 303-234-5933 Date: ~ ~ m CITY OF WFIEAT RIDGE 7500 WEST 29TH AVENUE COC ORP~~ WHEAT RIDGE, CO 80215 -(303-2H3p5-2~p85~5,~) p AH-L'i"i~l4.P~TiOp~~ 4 Property Owner: ,e,2Y L7 ~'UG'O~Zdvtl1 Property Address: 35G( Phone :`-t;x 'R- ~ 14Ci Contractor License No.: Company: Phone: OWNER/CON2RACTOR SiGNATURE OF I7NDERSTANDWG AND AGREEMEN'C I hemby cerlity that the setback distanccs proposed by this pemut applicalion are accumte, and do not violate appiicable ordinances, mles or ngutaHons ofthe Ciry of Wheat Ridge or made are ucurate; tUat I have read and agree to abide by all conditions printed on this application and that I assume ful] responsibility for compliance with the Wheat Ridge Building Code (U.H.C) and all other applicable Wheat Ridge Ordinancu, for work under rnts pe}mic. Construction Value:$ /G SY 9~- Pernut Fee:$ 60; 1U Plan Review Fee:$ Use Tax:$ Total:$ DESCRIPTION: !u ~ /~/a~IJ r'E.tYG 11o07P $(Cftsr ,~io~ a~ P-~a j~~rz=lY BTJII,DING DEPARTMENT USE ONLY ZONIN6 COMMENTS: yl,7I I~ Approval: ~ ~ 1 zoning: (Z-2 BUILDINO COMMENTS: Approval: PYBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Elech-ical License No: Company: SIC: Sq.Ft.: ~ ~ RECEIVED F r8 0 7f1n~ Roof: Stories: Resi 'al Units: Plumbing License No: Mechanicz Company: Company: Expirarion Date: Expuation Date: Expuarion Date: Approval: Approval: Approval: (1) TLis pelmit was issued iu accordance with the provisioas set forth in your applicafion and is subject to the laws of t6< Smx of Colondo avd m the Zoning RegWaROas end Building Codu of4Vheat Ridgq Coloredo or any other applicsble ordinances ofthe Ciry. (2) Inis pertnit shall expue if (A) the work authonzed is aot commenced within sixty (60) days 5om issue da2 or (B) the building authmized is suspmded or abandoned for a period of 120 days. (3) If this pmmit expires, a new peemit may be acqu'ved for a fre of one-Lalf Ne amomt ummslly requirtd provided m changes Lave been or will be made in the origiualplaus and specifications andanysuspension orabandoame¢tLas ¢otezceededone (t) yeaz. Ifchenges have b<en orifsuspension orabendonmmt eaceeds one (i) year, full fees shell be paid for a vew pe*mit (4) No work oFauy menner shall be dnne that will change 0e uanual flow of water causing a dninage pmbiem (5) ConhacMrshallnotifytheBuildinginspectortwenty-fow(24)hoursiuadva¢ceforallinspectionsandshillrtceivewrittenappmvaloninspec¢oncardbeforo proceeding with successive phases af fhejob. (6) Thc issuance of a permit or the approval of dnwings md specificatons shall not be construed to be a pemtit for, nor an approval of, any vioffitlon of the provisions o, the b' ding codes or any other ordineuce, Iaw, mle or regulafioa 4Z G>I ChiefBuildin pector U lL- ~ ~ R ~ z ~ ~ S~ o~ 0 ~ I~K\ - n rxa2~- ~ pl2`a? QwaZ3 j a d FO 1~ I~ p4WO I y Z O ~~ahaK W W VLZ z ~ O UW~2 Q Q O Uz r p ~ W Z w ~ w K 0 UN z Z UN Ur2V Z S w . 1 ,i ~ ~ ] i G W Z mr ..O , ~ . ~ G ZW 5O mO~~ UQrtt ~ i ~ _ ~ L J Om m 10 , ~ ~ W~ N 4 N O r p > W ~ ~ ~ O w Vo W N tt U~ Q w W O N o¢ N w w Z W O Q W S O O 6 Z o , ~ O JU V Z Z~ QN~rO O V O ZQQ9} 2 T I . -O~O~~ . Um NOQNm~ ~N <N ~WLLd - N O Z V ~ Q N Oi y~ J N CD O~ O Z r- ~ W U I w n'K Ll lD Z O Y t/1 Z N ~ Zo o2 L ? N w . Z Q Q ~ J Z ~ ..m . D J~ O w Qp i ~ IZ z ~ a p n ~ Z uz a W 03 ~ O > ~n . 0 ~N 3 f Q wo u o z'o i 00'O S1.0 fl Ot ~ iM 0 N N ,00'SZ I~ ~ Lo , „ , ~ i w - z° i z ~ o° I ma a ~ W ~ N O a I -a ~ ^ :o zr w i U m~ N I~W 0 ~ ~t0 c U i 4 W r m W 0~ W O N w Z \ - ~ a V O ' a .oz w ' . o I x z 3~ ~ " p x ` ~w ~ ww ~7p ~ttm 0 0 luw xz , ~w b~ oaz m zw- ia 0 . 5~ o w s. ~w N , z o0 ~ ~a ' o a II WW Z Zry Ul Z ~ I 1 a ` U Q UZV t J ~ 3CN ' Vl r Vl C] Uuw 7w¢2 wVQi n F w a: c O-~ w a ~zno z 7500 West 29th Avenue Wheat Ridge, Colorado 80033 303/ 235-2855 Fax: 3031235-2857 The City of Wheat Ridge Februazy 5, 2003 Edwazd Goldinger, dba Oasis Deck and Fence 7855 W Mansfield Pkwy #103 Lakewood, CO 80235 Re: 3500 Miller Street - ce installation Deaz Mr. Goldinger, It has come to our attention you installed a fence located at the above referenced address and did not submit for a building permit prior to installation. You appear also not to be licensed with the City as a contractor to perform such work. Please contact our office within seven (7) days of receipt of this letter to correct these violations. Failure to comply with this time frame could result in further enforcement action being taken. The City of Wheat Ridge strives for voluntary compliance regarding these issues and your cooperation would be greatly appreciated. Should you have any questions or comments please contact me at 303-235-2853. Sincerely, Dazin Morg Codes Adm 'strator Cc address files Rr . . - ~Edwazd Goldinger dba Oasis Deck and Fence 7855 W. Mansfield Pkwy 103 Lakewood, CO. 80235 303 949 3222 Bid for: Harry G. Boorman 3500 Miller St. Wheat Ridge, CO. 80012 303 422 1748 This bid will serve as our contract provided you use me to do your project. This bid is for your fence. It is very close to the actual cost. Provided we stick to what was discussed. It will take a week to complete. Your fence will be the same as what you have now and as high. Six inch pickets will be used instead of four inch I am licensed and insured Yow fence is approx. 225ft $121f Back fence will be built 6 foot 6, stopping at the post in the north east comer of your yazd There is a$500 chazge for removal and disposal of the old fence Total for your project is $3310 '/z Down pa pent $1655 '/z After Com letion $1655 Edward Harry Boorman ~r,/ ~ Goldinger/Oasis Deck & Pence 7160 3901 9844 0808 0943 ~ Quicklnfo - Full RecQrd Display & Page 1 af 1 . 4bmc databxses FtaGch the Doq , Scarcb.llkmey ' Buy Credib Hdp Search credits: Badc ca Fekfi ProNes Eker OpNoris llve Nelp ~ $26.50 _ Colorado Businesses Printable version of this Qage Mateh 2 oat ef 22 trit{s) A ,r Resulis 14 First Rec 4 Prev Rec ~ Hext Rec 4 Last Rec Fi1e Key: LI519938 start Datec 0810111949 TyQe: Source: Dept of Revenue WOODPECKER DECK & FENCE CO 6099 W PROGRESS AVE LITTLETON, CO 80123 Officers: GOLDINGER EDWORD J 6099 W PROGRESS AVE LITTLETON, CO 80123 History: Date Type Name Add this to cutrent profile LY~rc SEFFERSON Directors/Owners(Dept of Revenue): Jump to record r- jDatabase List jResults List First Record] [Prev_RecordJ [NextRecord~ LLast Reco~ L Search] If you have problems or questions, please send email to info"iclpnf_o.:net. ome atabase List [_Fetch the Wonder pog] fNew Seazch LSearch Historyj jBu Search CreditsJ [User Optipns] lPr4f les] jH"l l 0 2001 e-InfoData.com 1033 Walnut SL Suite 200, Boulder, CO 80302 (303) 391-2260, 'rd[ ftee (sss} 259-6173 Switch to FlatRatelnfo.com databases MCOUt"tS,ci 1+1WnimNoMlor ¢ SrtftrCatorade Visit CoCourts.com https://www.quicldnfo.net/srch/dosearch.cfin?sid=Fl2/2 83 9 82 1&mode--f&recno=2 3/17/2003 F1atRateInfo.com - Full Record Display Page 1 of 2 Welcome, bonded Search Credits. $26.50 Seleck from a list of databases: Select One... . 1-Ag OR Search multiple databases with Fetch I Show Databases National People Locator Printable version of this_page [Res4lts List] Add_all records on thiage to prQfilg pasaible DQg: 01/1967 fhher IIfTWs Listed: 1977 (Estimatet}) Aliases: CZECHMANN, SONJA Add this to current profile Name: GOIDINGER, SONJA Possible Currrnt Address Address: 6099 W PIIOGRESS AY SSN; 623460142 LIT'FLETON, CO 80123- File Since Date: 09/01/1991 Birth mont6/year: 01/1967 Valid SSN - issued by Caiifornia Telep6one: 7972711 Date ReQorted: 09/01/1999 Search Name in: Fetch the Wonder pog _Phone Direct~ Real_Time Search Address in: Fetc.h_the Wonder po¢ Phone Directory Real Time Same Address Nei¢hbors Search SSN in: Fetch the Wonder pog Gcnerate an Omni_Track_Dossier Add this to cunent rQf le Name: GOLDINGER, SONJA Possible Current Address Address: 4533 S LOWELL BV # B SSN: 623460142 DENVF.R, CO 80236- Vaiid SSN issued by California File Since Date: 09l0111991 Birt6 month/year: 01/1967 Telephone: 7972711 Date Reported: 05/01/1997 Search Name io: Fe[c_h the Wonder D~ Phone Direc[ory.Real Time Searc6 Address in: Fetch the Wonder_DQS Phone Directorv Real Time Same Address Search SSN in: Fetch the Wonder Dog Generate an OmniTrack Dossier https: //www. fl ataatein fo. com/srch/do search. cfin? SID=29'73 &mode=f&recno=l &s=s 1&v--... 3/ 17/2003 .FlatRateInfo.com - Full Record Display Page 2 of 2 Add this to current orofile Name: GOLDfNGER, SONJA ~ Additional Address Addreas: 69 N WII.LARD ST SSN: 623460142 SAAF 30SE, CA 95126- File Since Date: 09/01/1991 Vatid SSN - issued by Catifomia Telephone: 7972711 Bir[h month/year: 01/1967 Search Name in: Fetch..the Wonder pog Phone DirectorX_Real Time Search Address ia Fetch the_W_.onder Dog Phone pirectoryReal Time S_am__e Address Nei bors Search SSN in: Fetch the Wonder poe Generate an OmniTrack Dossier Add this to cucrent orof le Name: GOLDINGER, SONJA Additional Address Addreas: 15 WASH[NGTON ST # 302 SSN: 623460142 DENVER, CO 80203- Valid SSN - issued by Califomia Telephone: 7972711 File Since Date: 09101/1991 BirCh month/yesr: 1977 - Es[imated Search Name in: Fetch the Wonder po¢ _P.hone Directory Real Time Search Address in: Fetch the Wonder poe Phone Directory Real Time $ame Address Search SSN ia: Fetch the Wonde_r pog Generate aa OmniTrack Dossier swHch to SEWAfidI.art aieEabaaea If you have problems or questions, please email us. [Home] [Profiles] [Search History] [IJser Options] [Buy Search Credits] [OmniTrack] [Help] Cci 2002 e-InfoData.com No reproduction wrthout wrrtten permrssion. https:l/www.flatrateinfo.com/srch/doseazch.cfin?SII~=2973&mode=f&recno=l &s=s 1 &v=... 3/17/2003 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: M, % k c r � - Permit Number:- u ` � o �� oil— ❑ No one available for inspection: Time L)> 1) AM/PM Re -Inspection required: Yes12j When corrections have been made, schedule for re -inspection online at http✓/www. ci. wheatridge. co. uslinspection Date: `' " ' ' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: `�U�_NC Job Address: bb f -I 4 M c rr C k - Permit Number: 1) Q:� r4 0 0 \ N_ ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. usrnspection Date:-' ' 4 Inspector:" DO NOT REMOVE THIS NOTICE