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Home My WebLink About4223 Moore Street_. _ nrn rrnt t nnr nFtNFRY • Complete items 1, 2, and 3; Also complete A. Si nat r l ®Agent item 4 if Restricted Delivery is desired. Z / ❑Addressee • Print your name and address on the reverse so that we can return the card to you. Received {Panted Na e) C. Date of Delivery • Attach this card to the back of the mail piece, or on the front if space permits. ..... D. is delivery address different from item 1? ❑Yes ®No 1. Article Addressed to: if YES, enter delivery address below: 41? LLiL Type 3. Service XI Certified Mail ❑ Express Mail ❑ Registered Return Receipt for Merchandise ❑ Insured Mail, C.C.D. l� 4. Restricted Dellverfl 03ft Fee) 0 Yes 2. Article Number 7010 2780 0 02 5833 65[79 (Transfer from Service Labe# PS Form 3811, February 2€ 04 Domestic Return Receipt 102595-02-M-15401 Im [ FOR OFFICE USE ONLY l Building Permit ".-2"7 P roperty Owner (please prtraf : < P hone: Property wner all: o pl te all information on BOTH sides of this far . I # ., it 2 # »yi Sq,FULF 2 : \\ : \`. Btu's ° \< : : - ;. » « \\ Gallon am d2 . . .......... ... w uonsulting HE « »2 #t - |« Mr. Steve Shurtliff DS Consultin& Inc. 36 6 Flatrock Ct TABLE OF CONTENTS PROJECT Introduction Scope of Work 3.0 Certifications APPENDIX A Inspector APPENDIX B Analytical Data N Project Name. 4223 Moore St. Wheat Ridge, CO 0005219 Service: Airborne Spore Trap, Non-Viable Date of Analysis: 9/9/2013 Andrea Robarge, B, Sc. Laboratory Manager, Owner w It 1 Ed • which analysis could be completed, Samples will be discarded 30 days from receipt unless the client requests otherwise. . \ � � �- « . .� � . . :� � � � � \ :� � \ . «\ � � � ,. � � � » � A�� . � � � � »� \�� \� , . ........� \�� \� ��...... ... PROJECT OVERVIEW On September 9, 2013, Mr. Steve Shurtliff with DS Consulting, Inc. (DSC) performed an on-site inspection for visible mold growth and collected non-viable, indoor air quality samples within portions of the residence located at 4223 Moore St, Wheat Ridge, Colorado. 0 . # INNANN111 I I 113111 � I � =g I IN I The airborne mold spore levels within the two sampled areas was either comparable-to or less-than naturally occurring, outside airborne mold levels and no visible mold was observed on any surface or area. However, due to the water damage to the ceiling in the living room, it is recommended by DSC that further ins take place into theseffin UP- dormant mold growth. If mold growth is found in the ceiling cavity of the living room, the area should be placed under containment with air filtration and the mold impacted areas be remediated. Following remediation, it is also recommended that DSC conduct a final ensure a successful remediation of any mold found. 11 11, 11 A # # # I . i W 11 t .. . 0 . . # M APPENDIX A - INSPECTOR CERTIFICATES # p Elm I= N APPENDIX B - ANALYTICAL DATA I MchademamdrX Widespread distribution and found commonly In soils, wood, paper, and decaying vegetation, This fungus can cause allergies and release toxic metabolites. MgdAdi=xtCrjC& Commonly found in cellulose rich damp environments, This genus grows well in soil, on decaying plants, paper, textiles, and wood. Presence of these spores indoors may indicate a water intrusion. This mold is capable of allergenic reactions like hay fever and asthma. Integrity Environmental, LLC - 3000 Your field St,, #263, Wheat Ridge, CO 80215 - results@integrityenviro,corn - o, 303-886-2827 FUNGAL LIBRARY Thisgenus tvDicallv is found-4 t4le il ar n EundumaLtdM. This genus of mold is filamentous and commonly found in adequately wet conditions. These species are soil saprophytes and have the ability to produce mycotoxins in cereal grains, Integrity Environmental, LL C - 3 000 Younglield St,, #263, Wheat Ridge, CO 8 0215 - results@integrityenviro,com - o, 303-886-2827 INSPECTIOI - INSPECTION LINE' Inspections will not be made unless th Call by 3:00 PM to receive inspect INSPECTOR MUST SIGN ALL SPA i .� Nv�acw ion the following 1 site ' FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS CO MMENTS: Footings /Caissons ' Mechanical Stemwall +/ (CEG) Concrete Encased Ground Roof Reinforcing or Monolithic ll Fire Department Weatherproof / French Drain R.O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '. Sewer Service Lines' 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A � CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY, rHF BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION, OF A: CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED Water Service Lines NTIL i Electrical : (U n d e rg ro u n d) Plumbing (Underground) FINALS - Electrical Plumbing Mechanical Roof Budding Fina ll Fire Department R.O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '. Parking & Land SCaping 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A � CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY, rHF BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION, OF A: CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ 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: r Job Address: rte. I T! CND t Permit Number: 11'_1:57~) c: /T?~ n d~ eJP f7 ~r ti r~ u ❑ No one available for inspection: Time SJAM/~M Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-234-5933 Date: ID/C~ Inspector: X' l DO NOT REMOVE THIS NOT ICE WHEgT ~oF q City of Wheat Ridge Building Division Date: 63103J-501e 'a( m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan C~<ORA~p Inspection Line: 303-234-5933 Permit t Building Permit Application PropertyAddiess 70~~3 ~-/y/ Q Property Owner (please print): . Jns ) !1t Phon•OP-A^ (;;A Contractor: Contractor License fi- Sub' Contractors: Electrical City License Company: Exp. Date: Use of space (description): Description of work: +r~rr~f P ( tee ;V/ t~ $ Sq. FL/L.Ft added: Squares BTU's -FOX Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) a>~ all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE: (OWNER)/ (CONTRACTOR) or PERSONAL REPR ENT TIV of WN TRATOR) PRINT NAME: Dmi~y ~~f~( SIGNATURE: R)(C Date: Phone: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Construction Value: $ (as calculated per the Bufldinq Valuation Data sheet) Plan Review (due at time of submittal): $ I Mailing Address: (if different than property address)