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Home My WebLink About10880 W. 41st Place1* � � i City of Wheat Ridge �� Residential Roofing PERMIT - 202001999 PERMIT NO: 202001999 ISSUED: 10/06/2020 JOB ADDRESS: 10880 W 41st Pl EXPIRES: 10/06/2021 JOB DESCRIPTION: Re -roof with OC asphalt shingles. Square: 13; Pitch: 4/12 *** CONTACTS *** OWNER (303)365-7343 STROHMEYER TRINA D SUB (303)487-0156 JACK BRITTINGHAM 090103 JTB QUALITY GUTTERS & ROOFING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41819.50 FEES Total Valuation 0.00 ** TOTAL ** 0.00 *** COMMENTS *** *** CONDITIONS *** ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an approved mid -roof inspection, conducted when 25-750 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 25-750 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. COMMERCIAL ROOFS: 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. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 202001999 202001999 10880 W 41st Pl ISSUED: 10/06/2020 EXPIRES: 10/06/2021 Re -roof with OC asphalt shingles. Square: 13; Pitch: 4/12 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: CommDev Permits TO: Dina Kemp Subject: Fw: Online Forth Submittal: Roofing Permit Application Date: Sunday, December 13, 2020 5:57:36 PM From: no-reply@ci.wheatridge.co.us <no -reply@ ci.wheatridge.co.us> Sent: Tuesday, October 6, 2020 11:08 AM To: CommDev Permits Subject: Online Form Submittal: Roofing Permit Application Roofing Permit Application THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this property Residential Commercial or Residential? How many dwelling units are on the property? Single Family Home PROPERTY INFORMATION Property Address 10880 West 41ST Place Property Owner Name Trina Strohmeyer Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address 720-365-7343 Field not completed. Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business JTB Exteriors LLC Name Contractor's License 090103 Number Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address Retype Contractor Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) 303-487-1568 jtbexteriors@yahoo.com jtbexteriors@yahoo.com CITY OF WHEATRIDGE.odf 13SQ 4819.50 Are you re -decking the No roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Pitched roof (2:12 pitch or greater) EMPA 13 Describe the roofing Owens Corning Oakridge materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional House detail here on the description of work. (Is this for a house or garage? 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 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 Jack Brittingham Permit Email not displaying correctly? View it in your browser. CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 90P Job Address: 4 9 9 0 fit/ Permit Number: Z0 20 O / c 7 ❑ No one available for inspection: Time ,�:� �� AM Re -Inspection required: Yes ledule When corrections have been made, s for re -inspection online at: http✓/www.ci, wheatridge.co. uslinspection Date: /O /`/-?0?VInspector: .5/o 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: ❑ 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 F Dater d J Inspector: DO NOT REMOVE THIS NOTICE ' FwVLO CR re C0K S V_ t%ln,0 sere% ceS, LLC i1.318 FOWLer AYLVC - Wrthot K.K, COL00010 80233-3249 July 8, 2019 q0 Meridian Abatement LLC �I Rob Soyars PO Box 460894 Aurora, Colorado 80046 RE: Post Remediation Verification Inspection and Air Sampling 10881 West 41" Place — Wheat Ridge, CO, Colorado 80033 Enviro Care Project Number: 062419-1 Dear Mr. Soyars Enviro Care Consulting Services LLC (Enviro Care) is pleased to submit this Post Remediation Verification (PRV) report for microbial remediation at the above -referenced address. The purpose of this inspection and sampling was to assess and sample the home to verify microbial remediation was completed. The inspection process is to visually assess the remediation area for visible microbial colonization, and to perform spore trap air sampling. This report details the fieldwork completed and analytical results of samples collected. This work was authorized by you on June 24, 2019. 1.0 FIELD ACTIVITIES Following the remediation Mr. Dalton Lopez of Enviro Care inspected the home for completion of microbial remediation. The area appeared to be free of microbial colonization and the anti- microbial encapsulation had been applied Enviro Care collected spore trap air samples to verify the project was complete. Two (2) air samples were collected from inside the home, one in the master bedroom and one inside the garage at the attic port. The air samples were collected by obtaining a volume of 15 liters of air for five (5) minutes using a high volume pump collecting through a spore trap cassette. In addition, a "background" air sample was collected outside the home to be representative of mold conditions in outdoor ambient air. This "Control Sample" was also collected with an air flow rate of 15 liters per minute of air for a period of five (5) minutes. Microbial spore counts identified in the indoor sample is compared to the spore counts in the Control Sample. The industry standard considers spore counts from indoor air samples to be reflective of normal ambient conditions unless the inside levels exceed the Control Samples either qualitatively (individual species) or quantitatively (total counts). 2.0 LABORATORY ANALYSIS Samples were analyzed by Hayes Microbial Consulting in Midlothian, VA (EMPAT) ID #188863. A trained microscopist conducted analysis using the American Society for the Testing of Materials (ASTM) D7391-09 — Standard Test Method for Categorization and Quantification of Airborne Fungal Structures in an Inertial Impaction Sample by Optical Microscopy. The laboratory results are summarized in the Table 1 below and reported as spores per cubic meter (spores/m3); the Hayes Laboratory Report is attached to this document with a detailed breakdown of the analytical results. TABLE 1— MOLD SPORE SAMPLE RESULTS Spore Trap Air Sampling Event 1 Sample # Date Microbial Air Samples Results 2161733 06/25/19 Inside Garage at Attic Port 413 Spores/m 2161720 06/24/19 Inside Garage at Attic Port 67 Spores/m3 AP 53 S ores/m3 SB 2161714 06/24/19 Master Bedroom 213 Spores/m3 2161382 06/24/19 Outside Control Sample 546 Spores/m3 Score Trap Air Sampling Event 2 Sample # Date Microbial Air Samples Results 2161733 06/25/19 Inside Garage at Attic Port 400 Spores/m3 2161728 06/25/19 Outside Control Sample 1,400 Spores/m3 3.0 FINDINGS AND CONCLUSIONS The initial air samples collected inside the garage at the attic port had analytical results that were not consistent with normal indoor air. Specifically Aspergillus Penicillium (AP) and Stachybotris (SB) were present in the sample collected in the garage. These spores were not detected in the outside control sample, therefore the first set of samples failed to meet clearance criteria for the garage and attic. A second cleaning of the area was conducted and a small patch of colonization was found on the back side of the kitchen wall. This was cleaned with anti- microbial cleaners and encapsulated with anti -microbial encapsulating liquid. Two (2) additional samples were collected one (1) inside the garage at the attic port and one (1) outside control sample. This second sampling event cleared the area for re -occupancy and re -construction of the structures roof and finished surfaces in the living area. Additionally a visual inspection was conducted for the OSHA drywall removal during the remediation. The visual inspection found that dust dirt and debris were cleaned up and the area was clean. N 4.0 LIMITATIONS The sampling conducted was a non -intrusive examination with sample results exclusively representing conditions present at the time of the inspection and limited to areas described in the report. This report was prepared for the sole use and benefit of the client pursuant to the contract between Enviro Care and the client. That contractual relationship included an exchange of information about the subject property that was unique and between Enviro Care and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between Enviro Care and the client, reliance or any use of this report by anyone other than the client, for whom it was prepared, is prohibited and therefore not foreseeable to Enviro Care. No warranty is made or implied. Should you have any questions, please contact me at (303) 945-0091 or my mobile number (303)681-6435. Sincerely, Enviro Care Consulting Services LLC Dalton Lopez Industrial Hygienist Attachments: Hayes Lab Reports 3 Analysis Report prepared for Enviro Care Consulting Services LLC 11318 Fowler Drive Northglenn, CO 80233 Phone: (303) 945-0091 062419-1 10881 West 41 st Place Wheat Ridge, CO 80033 Collected: June 24, 2019 Received: June 25, 2019 Reported: June 25, 2019 HAYES MICROBIAL CONSULTING #19024598 We would like to thank you for trusting Hayes Microbial for your analytical needs! We received 3 samples by FedEx in good condition for this project on June 25th, 2019. The results in this analysis pertain only to this job, collected on the stated date, and should not be used in the interpretation of any other job. This report may not be duplicated, except in full, without the written consent of Hayes Microbial Consulting, LLC.. This laboratory bears no responsibility for sample collection activities, analytical method limitations, or your use of the test results. Interpretation and use of test results are your responsibility. Any reference to health effects or interpretation of mold levels is strictly the opinion of Hayes Microbial. In no event, shall Hayes Microbial or any of its employees be liable for lost profits or any special, incidental or consequential damages arising out of the use of these test results. Steve Hayes, BSMT(ASCP) Laboratory Director Hayes Microbial Consulting, LLC. Ja�SED STgrfs + O`:` ` �Q DPH 390= ; �2r41 PROSELL_ anek wru EPA Laboratory ID: VA01419 Lab ID: #188863 NVLAP Lab Code: 500096-0 DPH License: #PH -0198 Hayes Microbial Consulting, LLC. 3005 East Boundary Terrace, Suite F. Midlothian, VA. 23112 (804) 562-3435 contact@nhayesmicrobial.com Page: t of 5 Dalton Lopez 53 12.9% 67 16.1% 062419-1 1 Enviro Care Consulting Services LLC 10881 West 41 st Place 120 11318 Fowler Drive 14 Wheat Ridge, CO 80033 12 Northglenn, CO 80233 75.0% 15 i 200 (303) 945-0091 Sample Number 1 2161720 2 2161714 3 �— 2161382 Sample Name Garage Inside Master Bed Outside / Control Sample Volume 75.00 liter 75.00 liter 75.00 liter Reporting Limit 13 spores/m3 13 spores/m3 13 spores/m3 Background 1 2 6.3% 2 2 Fragments 27/m3 ND ND Organism Alternaria Ascospores AspergiIIuslPen icillium Basidiospores Bipo larisl Drechslera Chaetomium Cladosporium Curvularia Epicoccum Fusarium Memnoniella Myxomycetes Pithomyces Stachybotrys Stemphylium Torula Ulocladium —�I Total 4 5 53 12.9% 67 16.1% 3 40 18.8% 1 13 2.4% 9 120 22.0% 14 187 451% 1 12 160 75.0% 15 i 200 36.6% 4 4 53 12.9% 53 12.9% 1 13 6.3% 16 213 39.0% 100% 100% i 41 i 546 31 413 100% 213 16 #19024598 Spore Trap SOP -HMC#101 Water Damage Indicator Common Allergen Slightly Higher than Baseline Significantly Higher than Baseline Ratio Abnormality Collected: Jun 24, 2019 Received: Jun 25, 2019 Reported: Jun 25, 2019 H A Y E S Project AnalystDate Reviewed By. Date MICROBIAL CONSULTING A"i Dev--i, MS 06-25-2019 Steve Hayes, BSMr 17 06-25-2019 �I ,v 3005 East Boundary Terrace, Suite F Midlothian, VA. 23112 (804) 562-3435 contact@hayesmicro al.com Page: 2 of 5 Dalton Lopez 062419-1 #19024598 Enviro Care Consulting Services LLC 10881 West 41 st Place 11318 Fowler Drive Wheat Ridge, CO 80033 Northglenn, CO 80233 Spore Trap Information (303) 945-0091 Reporting Limit The Reporting Limit is the lowest number of spores that can be detected based on the total volume of the sample collected and the percentage of the slide that is counted. At Hayes Microbial, 100% of the slide is read so the LOD is based solely on the total volume. Raw spore counts that exceed 500 spores will be estimated. Blanks Results have not been corrected for field or laboratory blanks. Background The Background is the amount of debris that is present in the sample. This debris consists of skin cells, dirt, dust, pollen, drywall dust and other organic and non-organic matter. As the background density increases, the likelihood of spores, especially small spores such as those of Aspergillus and Penicillium may be obscured. The background is rated on a scale of 1 to 5 and each level is determined as follows: NBD: No background detected due to possible pump or cassette malfunction. Recollect sample. (Field Blanks will display NBD) 1 : <5% of field occluded. No spores will be uncountable. 2 : 5-25% of field occluded. 3 : 25-75% of field occluded. 4: 75-90% of field occluded. 5 : >90% of field occluded. Suggested recollection of sample. Fragments Fragments are small pieces of fungal mycelium or spores. They are not identifiable as to type and when present in very large numbers, may indicate the presence of mold amplification. Control Comparisons There are no national standards for the numbers of fungal spores that may be present in the indoor environment. As a general rule and guideline that is widely accepted in the indoor air quality field, the numbers and types of spores that are present in the indoor environment should not exceed those that are present outdoors at any given time. There will always be some mold spores present in "normal" indoor environments. The purpose of sampling and counting spores is to help determine whether an abnormal condition exists within the indoor environment and if it does, to help pinpoint the area of contamination. Spore counts should not be used as the sole determining factor of mold contamination. There are many factors that can cause anomalies in the comparison of indoor and outdoor samples due to the dynamic nature of both of those environments. Blue: These molds are commonly seen in conditions of prolonged water intrusion and usually indicate a problem. Water Damage Indicator Green: Although all molds are potential allergens, these are the most common allergens that may be found indoors. Common Allergen Orange: The spore count is slightly higher than the outside count and may or may not indicate a source of contamination. Slightly Higher than Baseline Red: The spore count is significantly higher than the baseline count and probably indicates a source of contamination. Significantly Higher than Baseline Violet: The types of spores found indoors should be similar to the ones that were identified in the baseline sample. Significant increases (more than 25%) in Ratio Abnormality the ratio of a particular spore type may indicate the presence of abnormal levels of mold, even if the total number of spores of that type is lower in the indoor environment than it was outdoors. Color Coding Fungi that are present in indoor samples at levels lower than 200 per cubic meter are not color coded on the report, unless they are one of the water damage indicators. HAYES MICROBIAL CONSULTING 3005 East Boundary Terrace, Suite F. Midlothian, VA. 23112 (804) 562-3435 contact@hayesmicrobial.com Page: 3 of 5 Dalton Lopez 062419-1 #19024598 Enviro Care Consulting Services LLC 10881 West 41 st Place 11318 Fowler Drive Wheat Ridge, CO 80033 Northglenn, CO 80233 Organism Descriptions (303) 945-0091 Altemaria Habitat: Commonly found outdoors in soil and decaying plants. Indoors, it is commonly found on window sills and other horizontal surfaces. Effects: A common allergen and has been associated with hypersensitivity pneumonitis. Alternaria is capable of producing toxic metabolites which may be associated with disease in humans or animals. Occasionally an agent of onychomycosis, ulcerated cutaneous infection and chronic sinusitis, principally in the immunocompromised patient. Ascospores Habitat: A large group consisting of more than 3000 species of fungi. Common plant pathogens and outdoor numbers become very high following rain. Most of the genera are indistinguishable by spore trap analysis and are combined on the report. Effects: Health affects are poorly studied, but many are likely to be allergenic. AspergilluslPenicillium Habitat: The most common fungi isolated from the environment. Very common in soil and on decaying plant material. Are able to grow well indoors on a wide variety of substrates. Effects: This group contains common allergens and many can cause hypersensitivity pneumonitis. They may cause extrinsic asthma, and many are opportunistic pathogens. Many species produce mycotoxins which may be associated with disease in humans and other animals. Toxin production is dependent on the species, the food source, competition with other organisms, and other environmental conditions. Basidiospores Habitat: A common group of Fungi that includes the mushrooms and bracket fungi. They are saprophytes and plant pathogens. In wet conditions they can cause structural damage to buildings. Effects: Common allergens and are also associated with hypersensitivity pneumonitis. Cladosporium Habitat: One of the most common genera worldwide. Found in soil and plant debris and on the leaf surfaces of living plants. The outdoor numbers are lower in the winter and often relatively high in the summer, especially in high humidity. The outdoor numbers often spike in the late afternoon and evening. Indoors, it can be found growing on textiles, wood, sheetrock, moist window sills and in HVAC supply ducts. Effects: A common allergen, producing more than 10 allergenic antigens and a common cause of hypersensitivity pneumonitis. Myxomycetes Habitat: Found on decaying plant material and as a plant pathogen. Effects: Some allergenic properties reported, but generally pose no health concerns to humans. HAYES MICROBIAL CONSULTING 3005 East Boundary Terrace, Suite F. Midlothian, VA. 23112 (804) 562-3435 contact@hayesmicrobial.com Page: 4 of 5 Dalton Lopez 062419-1 #19024598 Enviro Care Consulting Services LLC 10881 West 41 st Place 11318 Fowler Drive Wheat Ridge, CO 80033 Northglenn, CO 80233 Organism Descriptions (303) 945-0091 Stachybotrys Habitat: Commonly found in soil and on decaying plant material. It is cellulolytic, and can be found indoors on wet materials containing cellulose, such as wallboard, ceiling tile, and other paper-based materials. It is found outdoors on decaying plant material although it is rarely detected on outdoor air samples. Effects: Allergenic properties are poorly studied and no cases of infection have been reported in humans. They do however produce potent tricothecene mycotoxins. The toxins produced by this fungus can suppress the immune system affecting the lymphoid tissue and the bone marrow. The mycotoxin is also reported to be a liver and kidney carcinogen. HAYES MICROBIAL CONSULTING 3005 East Boundary Terrace, Suite F. Midlothian, VA. 23112 (8 04) 562-3435 cotitact@hayesmicrobial.com Page: 5 of HAYES MICROBIAL CONSULTING #19024970 Analysis Report prepared for We would like to thank you for trusting Hayes Microbial for your analytical needs! We received 2 samples by FedEx in good condition for this project on June 26th, 2019. Enviro Care The results in this analysis pertain only to this job, collected on the stated date, and should not be used Consulting Services in the interpretation of any other job. This report may not be duplicated, except in full, without the written consent of Hayes Microbial Consulting, LLC.. LLC This laboratory bears no responsibility for sample collection activities, analytical method limitations, or your use of the test results. Interpretation and use of test results are your responsibility. Any reference to 11318 Fowler Drive health effects or interpretation of mold levels is strictly the opinion of Hayes Microbial. In no event, shall Northglenn, CO 80233 Hayes Microbial or any of its employees be liable for lost profits or any special, incidental or Phone: (303) 945-0091 consequential damages arising out of the use of these test results. 062419-1 44�w /?. *1r4-' 10881 W 41 st Place Wheat Ridge, CO Steve Hayes, BSMT(ASCP) Collected: June 25, 2019 Laboratory Director Received: June 26, 2019 Hayes Microbial Consulting, LLC. Reported: June 26, 2019 �m 0 rW a o DPH Q D2 ��191 PROI"< N MkIN EPA Laboratory ID: VA01419 Lab ID: #188863 NVLAP Lab Code: 500096-0 DPH License: #PH -0198 Hayes Microbial Consulting, LLC. 3005 East Boundary Terrace, Suite F. Midlothian, VA. 23112 (804) 562-3435 contact@hayesmicrobial.com Page: 1 of 4 Dalton Lopez 062419-1 Enviro Care Consulting Services LLC 10881 W 41st Place 11318 Fowler Drive Wheat Ridge, CO Northglenn, CO 80233 (303) 945-0091 Sample Number 1 2161733 2 2161728 Sample Name Garage Inside Outside Sample Volume 75.00 liter 75.00 liter Reporting Limit 13 spores/m3 13 spores/m3 Background 2 2 Fragments ND 13/m3 Organism Raw Count Count / m3 % of Total Raw Count Count / m3 % of Total Altemaria 17 227 16.2% Ascospores 16 213 53.3% 32 427 30.5% AspergilluslPenicillium Basidiospores 3 40 10.0% 4 53 3.8% Bipoladsl Drechslera Chaetomium Cladosporium 11 147 36.7% 52 693 49.5% Curvularia Epicoccum Fusarium Memnoniella Myxomycetes Pithomyces Stachybotrys Stemphylium Torula Ulocladium #19024970 Spore Trap SOP -HMC#101 Total 30 400 100% 105 1400 100% Water Damage Indicator Common Allergen Slightly Higher than Baseline Significantly Higherthan Baseline Ratio Abnormality Collected:Jun 25, 2019 Received: Jun 26, 2019 Reported: Jun 26, 2019 H A Y E S Project Analyst 11,dal.tl Date Reviewed By /p{' Date Shareef pbdelgadir, MS �r 06-26-2019 Steve Hayes. ssMr /�Q,4 �06-26-2019 MICROBIAL CONSULTING //3005 East Boundary TerraceSuiteian, VA. 23112 (804) 562-3435 contact@hayesmicro al.com Page: 2 of 4 VA Dalton Lopez 062419-1 #19024970 Enviro Care Consulting Services LLC 10881 W 41st Place 11318 Fowler Drive Wheat Ridge, CO Northglenn, CO 80233 Spore Trap Information (303) 945-0091 Reporting Limit The Reporting Limit is the lowest number of spores that can be detected based on the total volume of the sample collected and the percentage of the slide that is counted. At Hayes Microbial, 100% of the slide is read so the LOD is based solely on the total volume. Raw spore counts that exceed 500 spores will be estimated. Blanks Results have not been corrected for field or laboratory blanks. Background The Background is the amount of debris that is present in the sample. This debris consists of skin cells, dirt, dust, pollen, drywall dust and other organic and non-organic matter. As the background density increases, the likelihood of spores, especially small spores such as those of Aspergillus and Penicillium may be obscured. The background is rated on a scale of 1 to 5 and each level is determined as follows: NBD: No background detected due to possible pump or cassette malfunction. Recollect sample. (Field Blanks will display NBD) 1 : <5% of field occluded. No spores will be uncountable. 2: 5-25% of field occluded. 3 : 25-75% of field occluded. 4: 75-90% of field occluded. 5: >90% of field occluded. Suggested recollection of sample. Fragments Fragments are small pieces of fungal mycelium or spores. They are not identifiable as to type and when present in very large numbers, may indicate the presence of mold amplification. Control Comparisons There are no national standards for the numbers of fungal spores that may be present in the indoor environment. As a general rule and guideline that is widely accepted in the indoor air quality field, the numbers and types of spores that are present in the indoor environment should not exceed those that are present outdoors at any given time. There will always be some mold spores present in "normal" indoor environments. The purpose of sampling and counting spores is to help determine whether an abnormal condition exists within the indoor environment and if it does, to help pinpoint the area of contamination. Spore counts should not be used as the sole determining factor of mold contamination. There are many factors that can cause anomalies in the comparison of indoor and outdoor samples due to the dynamic nature of both of those environments. Blue: These molds are commonly seen in conditions of prolonged water intrusion and usually indicate a problem. Water Damage Indicator Green: Although all molds are potential allergens, these are the most common allergens that may be found indoors. Common Allergen Orange: The spore count is slightly higher than the outside count and may or may not indicate a source of contamination. Slightly Higherthan Baseline Red: The spore count is significantly higher than the baseline count and probably indicates a source of contamination. Significantly Higher than Baseline Violet: The types of spores found indoors should be similar to the ones that were identified in the baseline sample. Significant increases (more than 25%) in Ratio Abnormality the ratio of a particular spore type may indicate the presence of abnormal levels of mold, even if the total number of spores of that type is lower in the indoor environment than it was outdoors. Color Coding Fungi that are present in indoor samples at levels lower than 200 per cubic meter are not color coded on the report, unless they are one of the water damage indicators. HAYES MICROBIAL CONSULTING 3005 East Boundary Terrace, Suite F. Midlothian, VA. 23112 (804) 562-3435 contact@hayesmicrobial.com Page: 3 of Dalton Lopez 062419-1 #19024970 Enviro Care Consulting Services LLC 10881 W 41st Place 11318 Fowler Drive Wheat Ridge, CO Northglenn, CO 80233 Organism Descriptions (303) 945.0091 Altemaria Habitat: Commonly found outdoors in soil and decaying plants. Indoors, it is commonly found on window sills and other horizontal surfaces. Effects: A common allergen and has been associated with hypersensitivity pneumonitis. Alternaria is capable of producing toxic metabolites which may be associated with disease in humans or animals. Occasionally an agent of onychomycosis, ulcerated cutaneous infection and chronic sinusitis, principally in the immunocompromised patient. Ascospores Habitat: A large group consisting of more than 3000 species of fungi. Common plant pathogens and outdoor numbers become very high following rain. Most of the genera are indistinguishable by spore trap analysis and are combined on the report. Effects: Health affects are poorly studied, but many are likely to be allergenic. Basidiospores Habitat: A common group of Fungi that includes the mushrooms and bracket fungi. They are saprophytes and plant pathogens. In wet conditions they can cause structural damage to buildings. Effects: Common allergens and are also associated with hypersensitivity pneumonitis. Cladosporium Habitat: One of the most common genera worldwide. Found in soil and plant debris and on the leaf surfaces of living plants. The outdoor numbers are lower in the winter and often relatively high in the summer, especially in high humidity. The outdoor numbers often spike in the late afternoon and evening. Indoors, it can be found growing on textiles, wood, sheetrock, moist window sills and in HVAC supply ducts. Effects: A common allergen, producing more than 10 allergenic antigens and a common cause of hypersensitivity pneumonitis. HAYES MICROBIAL CONSULTING 3005 East Boundary Terrace, Suite F Midlothian, VA. 23112 (804) 562-3435 contact@hayesmicrobial.com Page: 4 of 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: U Permit Number: Ck (-) 1 -,-") \ -$ 4 ❑ 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: 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: b `J' 6 Job Address: Permit Number: o Y /) r( V r - ❑ 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: Inspector: DO NOT REMOVE THIS NOTICE ! i... CITY OF WHEAT RIDGE.... Building Inspection Division (303) 234-5933 Inspection line Lot\-- ��(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � _' '- 'Q T 3 Job Address: UD sz, :T�(" Permit Number: °`)_ is ❑ No one available for inspection: Ti `: `= AM/PM Re -Inspection required: Yes No - When corrections have been made, Date: Inspec i City of Wheat Ridge " Residential Roofing PERMIT - 201901218 PERMIT NO: 201901218 ISSUED: 06/13/2019 JOB ADDRESS: 10880 W 41st Pl EXPIRES: 06/12/2020 JOB DESCRIPTION: Redeck and Reroof with GAF Timberline HD asphalt shingles, 4/12 pitch, 13.67 squares total *** CONTACTS *** OWNER (303)365-7343 STROHMEYER TRINA D SUB (303)945-4426 JASON BRONDOLILLO 170192 VETERAN ROOFING *** PARCEL INFO•*** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,874.00 FEES Total Valuation 0.00 Use Tax 144.35 Permit Fee 156.75 ** TOTAL ** 301.10 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75% 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% 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. ®� City of Wheat Ridge Residential Roofing PERMIT - 201901218 PERMIT NO: 201901218 ISSUED: 06/13/2019 JOB ADDRESS: 10880 W 41st P1 EXPIRES: 06/12/2020 JOB DESCRIPTION: Redeck and Reroof with GAF Timberline HD asphalt shingles, 4/12 pitch, 13.67 squares total I'b y my signature, do hereb est that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building c , a all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal ow th operty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. rther est that I am le ally authorized to include al I entities named within this document as partes to the work to be perform nd t all work ormed is disclosed in this document and/or its�accor�tpanying approved plans and specifications. Signature of OWNER PrICONIJUACTOR (Circle one) Date 1. This permit was issu 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 originalppermit 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 Oficial 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 an> ordinance or�ygulation 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. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 6, 2019 1:48 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Need Insurance, Kim Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 10880 W. 41st Place Trina Strohmeyer 720-365-7343 ttrohmeyer@yahoo.com Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Veteran Roofing Name Contractor's License 170192 Number Contractor Phone 303-945-4426 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address veteranroofingusa@gmaiI.com Retype Contractor Email veteranroofingusa@gmail.com Address Credit Card Authorization Cred it-Ca rd-Authorization- Form. pdf Form DESCRIPTION OF WORK TOTAL SQUARES of 13.67 the entire scope of work: Project Value (contract 6874 value or cost of ALL materials and labor) Are you re-decking the Yes roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 12 part of the PITCHED roof? Describe the roofing Redeck with 7/16" OSB. GAF Timberline HD shingles materials for the PITCHED roof: N Type of material for the Asphalt PITCHED roof: Provide any additional This is for the house. We will be removing the entire existing detail here on the roof and laying ALL new materials description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything 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. Yes Yes Yes Yes Yes 3 Person Applying for Kenny Benton Permit Email not displaying correctly? View it in your browser. r City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201901202 PERMIT NO: 201901202 ISSUED: 06/11/2019 JOB ADDRESS: 10880 W 41st Pl EXPIRES: 06/10/2020 JOB DESCRIPTION: Mold remediation - 1,280 sq ft total *** CONTACTS *** OWNER (303)421-5479 STROHMEYER TRINA D SUB (720)440-4050 GENNADY MOSRALEU 190159 MERIDIAN ABATEMENT 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: 23,800.00 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 attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by, the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am leggally authorized to include all entities named within this document as parties to the work to be performed an�d�that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. MA Signatur f OWNER or WONTRA&TO (Circle one) Date 1. Th' permit was issued base a information provided in the permit application and accompanying plans and specifications and is su ,ject 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 any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat f� dge COMMUNITY D[vrt.oi'MENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # ( ;0 n I q0 lj�o \'V 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: Property Owner (please print):7XiNA S % �'_oN,446 Y,'%' Phone: 3o3 -Y Property Owner Email: aa� i d�..C`J Tenant Name (Commercial Projects Only) AIIA Property Owner Mailing Address: (if different than property address) Address: 1 c,). ye s>. )0-/, 6y City, State, zip: aJ I{�,�r K/!.I J -�F j —Xoo�,3 Arch itecVEngineer E-mail: Contractor Name: City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: Phone: CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): 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 [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. I-:f,m6uE ,2-4�5J SF 00tA44-1— F6 Ac -cc -'S5 w 00,0 Si.�cu��,�,� f��'�c5 fC'le X'- t0,gria�J. ,C'�svid iF t,'t'✓6,.441. A,+/,G CLE%i .� fIT(VOC�C% i o�_Erl.,2/�iAlEr�/Id�Q (4O L'JT�- Sq. FULF /. 2--11c) 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. CIRCLE ONE: (OWNER) (CONTRACTOR)�'or (AUTHOR/ZED REPRESENTATIV of (OWNER) CONTRACTOR) Signature (first and last name): �� Z , p DATE: Printed Name: 3'A S 4,'!S ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 6/7/2019 Gmail - 10881 W. 41st PI. Strohmeyer tall James Soyars <robsoyars@gmail.com> 10881 W. 41st PI. Strohmeyer 2 messages James Soyars <robsoyars@gmail.com> Fri, Jun 7, 2019 at 12:25 PM To: "Asbestos - CDPHE, cdphe" <cdphe.asbestos@state.co.us>, larisa@meridianabatementllc.com, Glenda Dawson <g.dawson@axisdevelopmentg rou p. net> Attn: Permit Coordinator Please see attached courtesy notice for removal of trace asbestos drywall in conjunction with mold remediation project. Thank you. Rob Soyars 720-486-2824 Permit Application -Form 10881 W. 41st Strohmeyer.pdf 165K Asbestos - CDPHE, cdphe <cdphe.asbestos@state.co.us> To: James Soyars <robsoyars@gmail.com> Received. Thanks, Severen McGowan Permit Coordinator Asbestos Unit Indoor Environment Program Colorado Department of Public Health and Environment P 303-692-3100 1 F 303-782-0278 4300 Cherry Creek Drive South, Denver, CO 80246-1530 cdphe.asbestos@state.co.us I www.colorado.gov/cdphe/asbestos COLORADO A C& I D Air Pollution Control Division Department of Public Health & Environment Fri, Jun 7, 2019 at 12:27 PM As of January 1, 2017, the Indoor Environment Program will not accept incomplete forms for certification, abatement or demolition. Any application with missing information may result in longer processing times or the application may be returned to you which will restart the required notification period. Please note that all submissions must be completed using forms supplied by the Division. If you need assistance, please refer to: https://www.colorado.gov/ pacific/cdphe/asbestos-forms or https://www.colorado.gov/pacific/cdphe/certification-and-lead-abatement-forms or contact the Indoor Environment Program at 303-692-3100. On Fri, Jun 7, 2019 at 12:25 PM James Soyars <robsoyars@gmail.com> wrote: https://mai 1.google.com/mail/u/0?ik=d9d7916548&view=pt&search=all&permthid=thread-a%3Ar7176907127713622082&dsqt=1 &simp1=msg-a%3Ar53... 1/2 6/7/2019 Attn: Permit Coordinator Gmail - 10881 W. 41st PI. Strohmeyer Please see attached courtesy notice for removal of trace asbestos drywall in conjunction with mold remediation project. Thank you. Rob Soyars 720-486-2824 hUps:Hmail.google.com/mail/u/0?ik=d9d7916548&view=pt&search=all&permthid=thread-a%3Ar7l76907127713622082&dsqt=l &simpl=msg-a%3Ar53... 2/2 0 Z Z� L_OW 1 w m J � a� aU) CI_ O G ~ U a� Q Oa 2 Q O V Z V. 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Q :-'� N N NN N N N L 0 m °) 0) -0 U N'=a EN m o a) m a) a) o O 20 Q) a) 0 a) () r c c M -0 "0 "0 -0 70 -0 00 �.+ m U a) c0 = N > o O o Q o 0 o V U inU d C) -I- u) -7c E E N 11 U o 0 0 o U O J U U a) O �, a) (n M U U to ii�n C a=i0) x m O a a (a <t (� amcm N a a) V a) v G1 w `cc �+ -0 xd -� o °c - o-oami Q co mo 00 .1.., 3 m� N U d m O >44 E -oLi fl a) m o n a CD m c N -(D 'C-) ami V a O 2 Z p) Z N (p Z "0 as+�- a) 0 n ` m (n m .1 c = w % y E (n (n i g D a) € v "_ m o m Z iz -° a) o° 0) c rn m c o E c� E 0) CLm -2:' mod [L a d d C a N (0 C 6 O 'Q U U U) U H� d O C) O U �U a U N a - o> 0 ' 1 1 11318 Fowler Drive — Northglenn, Colorado 80233 December 28, 2018 Veteran Roofing Barry Crawford 5039 South Federal Boulevard Englewood, Colorado 80114 RE: Limited Asbestos Building Inspection 10880 West 41St Place— Wheat Ridge, Colorado 80033 Enviro Care Project Number: 122418-1 Dear Mr. Crawford: Enviro Care Consulting Services LLC (Enviro Care) is pleased to submit this report summarizing our limited Asbestos Containing Materials (ACM) inspection to facilitate renovation or restoration of the structure. This report details the fieldwork completed and analytical results of samples collected. It is our understanding that you are planning to remove the roof and possibly some windows at the above referenced address. Per the United States Environmental Protection Agency (EPA) procedures published in Code of Federal Regulations (CFR) Title 40 Part 763, Subpart E — Asbestos -containing Materials in Schools and Colorado Regulation 8 (Regulation 8), suspect Asbestos Containing Building Materials (ACBM) must be properly sampled and analyzed prior to any renovation or demolition activities. The purpose of this sampling was to evaluate for the presence of any ACM in the areas identified. The inspection was conducted in accordance with Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). 1.0 FIELD ACTIVITIES The inspection was conducted by a Colorado State Certified Asbestos Building Inspector on December 24, 2018. This inspection involved identification and sampling of suspect ACM at the above referenced property. Bulk samples of suspect ACM were collected by the Inspector in general conformance with Asbestos Hazardous Emergency Response Act (AHERA) protocols as outlined in Colorado Department of Public Health and Environment (CDPHE) Regulation 8. Random samples of suspect materials were collected in each homogeneous area (see Table 1 — Homogeneous Materials Table). Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. 2.0 LABORATORY ANALYSIS Two (2) samples were submitted under chain of custody procedures to Eurofms CEI (ECEI) for analysis by polarized light microscopy (PLM) with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Visual estimations were used in obtaining the percentage of asbestos in bulk samples. ECEI is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP) attached to this summary report. 3.0 FINDINGS A copy of the original laboratory report is Suspect ACM includes nearly all building materials except bare concrete, glass, wood, masonry, metal or rubber. ACM contains asbestos greater than 1 percent, (> 1 % asbestos) as confirmed by an accredited laboratory. ACM is categorized as Friable or Non -friable asbestos. Friable asbestos can be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Non - friable asbestos is any material that cannot be crumbled, pulverized or reduced to a powder by hand pressure when dry. Our Inspector observed the following suspect ACM during this inspection: Friable: No friable material samples were collected Non -friable: Tape and Joint Compound Applied to Drywall. 3.1 Identified Asbestos Containing Materials Based on the completed PLM results, asbestos was not identified in the tape and joint compound samples collected above 1.0% asbestos, although the materials are an OSHA regulated material. Table 2, enclosed, contains a summary of samples and results. 4.0 CONCLUSION & RECOMMENDATION Regulated asbestos -containing materials (RACMs) are those ACMs that are required by EPA and CDPHE regulation to be removed prior to any renovation and or demolition activities that will impact the materials. RACMs are either friable material and/or non -friable materials likely to be rendered friable during the demolition/renovation processes (which are more likely to release airborne asbestos). Materials containing 1% or less asbestos also referred to as "trace asbestos" (when verified by point count) are not subject to EPA and CDPHE requirements, and therefore may remain during building demolition for disposal as normal demolition debris. Materials containing 1% or less asbestos may be subject to OSHA regulations if air concentrations are at or above the personal exposure limit (PEL) of 0.1 f/cc or the excursion limit of 1.0 f/cc. EPA and CDPHE policy for the handling of joint compound that is ACM, when associated with drywall that is not asbestos, results in a mixed classification, and requires evaluation of work methods to determine if the impact will be direct or indirect to determine which classification applies. 2 The following regulatory rationale is used to determine the final classification and when the composite result may be used, and when only the layer result can be used: 1. EPA and CDPHE allows a composite sample result (drywall and joint compound together) to be used when renovation or demolition operations will only indirectly impact the joint compound, such as removal of the entire wall system (drywall and joint compound removed together), to determine if the material is ACM. This option does not prevent classifying the material as ACM based solely on the layered result as described below. 2. When the renovation or demolition operations will directly impact the joint compound, such as sanding or scraping the joint compound, then only the layer result for the joint compound may be used to determine if the material is ACM. OSHA does not recognize the EPA and CDPHE composite analysis policy, and therefore the joint compound is considered ACM regardless if the activity is direct or indirect impact and is subject to applicable OSHA asbestos regulations. Removal of the drywall and joint compound together under normal demolition methods is not considered direct impact to the joint compound and is not subject to EPA and CDPHE regulations when the composite result is less than 1% asbestos. Only listed materials were tested or quantified as part of this inspection. If materials are encountered that have not been discussed in this report, stop all demolition activities and contact a Colorado Certified Asbestos Building Inspector to test those materials prior to continuing with building demolition. 5.0 LIMITATIONS This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and/or recommendations expressed in this report are based on conditions observed during our asbestos building inspection of the areas identified as the renovation area. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This asbestos inspection report is not considered a comprehensive asbestos inspection report and it must be understood that the existence of unique or concealed ACM may be possible. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Enviro Care does not warrant the work of regulatory agencies or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. 3 This report is not to be used as a bidding document. Should you have any questions or require additional information, please feel free to contact me at 720-390-5768, or my mobile number at 303-945-0091. Sincerely, Kimberly Lopez Enviro Care Consulting Services LLC Colorado State Certified Asbestos Building Inspector # 3317 Enclosures: Table 1 - Homogenous Materials Table 2 - Summary of Asbestos Samples and Results Laboratory Analytical Report 4 TABLE 1 HOMOGENEOUS MATERIALS TABLE Friable: material that be crumbled, pulverized, or reduced to powder with hand pressure when dry Non -Friable: material that cannot be crumbled, pulverized, or reduced to powder with hand pressure when dry Thermal Systems Insulation (TSI): used to control heat transfer and or condensation on HVAC, hot and cold water or other mechanical systems etc. Surfacing Material: material that is sprayed or troweled onto surfaces such as fire proofing on structural members, plaster for acoustical, decorative, etc. Miscellaneous Material: all other materials including taping mud, floor tile mastic, stucco, leveling compound, and hard plasters. Category I non friable ACM: resilient floor coverings, asphalt roofing products, packings, gaskets, or galbestos containing greater than I% asbestos Category H non friable ACM: any material that is not Cad that contains greater than I% asbestos Hazard Ranking: 1= damaged or significantly damaged Thermal Systems Insulation (TSI) ACM; 2=damaged friable surfacing ACM; 3=significantly damaged friable surfacing ACM; 4=damaged or significantly damaged friable miscellaneous ACM; 5=ACBM with potential for damage; 6=ACBM with potential for significant damage; 7=any remaining friable ACBM or suspected ACBM. Asbestos Containing Materials are Listed in Red. OSHA Regulated Materials are Listed in Blue Table 1 HOMOGENEOUS MATERIALS TABLE 10880 West 41St Place Wheat Ride CO 80033 Friable Hazard Ranking HA Description Estimated Quantity Locations Non-Friable & Disturbance Category Potential Painted Drywall with Tape and 2310 ft- Drywall 400 ft� Tape and Joint Throughout Home F NA/Moderate/ Joint Compound Compound Friable: material that be crumbled, pulverized, or reduced to powder with hand pressure when dry Non -Friable: material that cannot be crumbled, pulverized, or reduced to powder with hand pressure when dry Thermal Systems Insulation (TSI): used to control heat transfer and or condensation on HVAC, hot and cold water or other mechanical systems etc. Surfacing Material: material that is sprayed or troweled onto surfaces such as fire proofing on structural members, plaster for acoustical, decorative, etc. Miscellaneous Material: all other materials including taping mud, floor tile mastic, stucco, leveling compound, and hard plasters. Category I non friable ACM: resilient floor coverings, asphalt roofing products, packings, gaskets, or galbestos containing greater than I% asbestos Category H non friable ACM: any material that is not Cad that contains greater than I% asbestos Hazard Ranking: 1= damaged or significantly damaged Thermal Systems Insulation (TSI) ACM; 2=damaged friable surfacing ACM; 3=significantly damaged friable surfacing ACM; 4=damaged or significantly damaged friable miscellaneous ACM; 5=ACBM with potential for damage; 6=ACBM with potential for significant damage; 7=any remaining friable ACBM or suspected ACBM. Asbestos Containing Materials are Listed in Red. OSHA Regulated Materials are Listed in Blue Disturbance Potential: Low = the material may be accessible but is not likely to be damaged under most circumstances. Moderate = the material is accessible and is likely to suffer limited damage over time. High = the material is friable and/or already damaged, is accessible, and there is specific reason to believe the material will receive a large amount of damage in the foreseeable future. Condition: Good = the material had no visible damage, or extremely minor damage or surface marring (i.e., a room offoor the has only four or five with small corners broken from the tile. Damaged = the material had visible damage evenly distributed over less than 10% of its surface, or localized over less than 25% of its surface. Significantly damaged = the material had visible damage that is evenly distributed over 10.010 or more of its surface, or localized over 25% or more or its surface. Asbestos Containing Materials are Listed in Red. OSHA Regulated Materials are Listed in Blue TABLE 2 SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULT Es TABLE 2 SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULT 10880 West 41st Place Wheat Ride CO 80033 ASBESTOS HOMOGENOUS SAMPLE MATERIAL DESCRIPTION SAMPLE LOCATION SAMPLE MATERIAL NUMBER RESULTS AND CONDITION TJC 1-1 Tape and Joint Compound Applied to North Wall of Living Room Near West 2% Painted Drywall Widow Chrysotile 1 Good TJC 1-2 Tape and Joint Compound Applied to North Wall of Living Room East of Main 2% Painted Drywall Entry Chrysotile 1 Good ND = No Asbestos Detected Sample Results are Expressed in Percentage and Type of Asbestos Mineral Present. Sample Sets That are Greater than 1% Asbestos are Listed in Red. Sample Sets Listed in Blue are OSHA Regulated Materials. LABORATORY ANALYTICAL REPORTS tiff eurofins CEI December 27, 2018 Enviro Care Consulting Services 7100 Broadway, Suite 5K Denver, CO 80221 CLIENT PROJECT: 10880 W. 41st Place, 122418-2 CEI LAB CODE: Al 817620 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on December 27, 2018. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos -containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1% asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. Kind Regards, Tianbao Bai, Ph.D., CIH Laboratory Director 1HVtA TES NVLAP LAB CODE 101768-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 tiff eurofins ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for Enviro Care Consulting Services CLIENT PROJECT: 10880W. 41st Place, 122418-2 LAB CODE: Al 817620 TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORT DATE. 12/27/18 TOTAL SAMPLES ANALYZED: 2 # SAMPLES >1% ASBESTOS: tiff eurofins CEI PROJECT: 10880 W. 41st Place, 122418-2 Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 LAB CODE: A1817620 ASBESTOS Client ID Layer Lab ID Color Sample Description TJC1-1 A224558 Gray,Tan Drywall/Joint Compound & Tape Chrysotile <1% TJC1-2 A224559 Gray,Tan Drywall/Joint Compound & Tape Chrysotile <1% Page 1 of 1 tiff eurofins M ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY Client: Enviro Care Consulting Services Lab Code: A1817620 7100 Broadway, Suite 5K Date Received: 12-27-18 Denver, CO 80221 Date Analyzed: 12-27-18 Date Reported: 12-27-18 Project: 10880 W. 41 st Place, 122418-2 kSBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous % TJC1-1 Drywall/Joint Heterogeneous 25% Cellulose 60% Gypsum < 1 % Chrysotile A224558 Compound & Tape Gray,Tan 10% Calc Carb Fibrous 5% Paint Bound Lab Notes: 2% chrysotile in joint compound only. Sample <1 % chrysotile overall. TJC1-2 Drywall/Joint Heterogeneous 25% Cellulose 60% Gypsum <1 % Chrysotile A224559 Compound & Tape Gray,Tan 10% Calc Carb Fibrous 5% Paint Bound Lab Notes: 2% chrysotile in joint compound only. Sample <1% chrysotile overall. Page 1 of 2 ti;% eurofins CEI LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORTING LIMIT: <1 % by visual estimation REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1% by 1,000 Points REGULATORY LIMIT: >1 % by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government. Information provided by customer includes customer sample ID, location, volume and area as well as date and time of sampling. ANALYST: APPROVED BY: Scott Minyard Tianbao Bai, Ph.D., CIH Laboratory Director HV A TESTING NVLAP LAB CODE 101768-0 Page 2 of 2 C: P I L Arei� kmS 107 New Edition Court, Cary, NC 27511 Tel: 866-481-1412; Fax: 919481-1442 ASBESTOS CHAIN OF CUSTODY LAB USE ONLY: CEI Lab Code: CEI Lab I.D. Range: A COMPANY INFORMATION PROJECT INFORMATION CEI CLIENT #: t Job Contact 'L Company: Enyiro Care Consulting Services LLC -41 Email / Tel: Address: 11318 Fowler Drive Pro I e c t Name. Northglenn, CO 80233 Pro'ect ID# laxazllf�2 Email: klopez.envirocare(a)gmail.com PO #: Tel: 720-390-5768 Fax: STATE SAMPLES COLLECTED IN: GENERAL INSTRUCTIONS POSITIVE STOP ANALYSIS elin uished By: PLM DUE DATE: ! ! TURN AROUND TIME ANALYZE NOB'S BY TEM ❑ TEM DUE DATE: ! / rF TAT rc AMT MARKFn STANDARD 3 DAY TAT APPLIES ASBESTOS METHOD elin uished By: Date/Time Received By: TURN AROUND TIME 4 HR 8 HR 24 HR 2 DAY 3 DAY 5 DAY PLM BULK EPA. 600 _ � L-1 ❑ �❑ ❑ PLM POINT COUNT (400) EFA 600 ❑ ❑ ❑ ❑ ❑ ❑ PLM POINT COUNT (1000) EPEC 600 ❑ ❑ ❑ ❑ PLM GRAV w POINT COUNT EPA 600 ❑ ❑ ❑ ❑ - ❑ ❑ ❑ ❑ ❑ ❑ ❑ PCM AIR NIOSH 7400 TEM AIR AHERA EPA AHERA ❑ ❑ ❑ ❑ ❑ ❑ TEM AIR NIOSH NIOSH 7402 ❑ ❑ ❑ ❑ ❑ ❑ TEM BULK CHATFIELD ❑ ❑ ❑ ❑ ❑ TEM DUST WIPE ASTM D6480-05 ❑ ❑ ❑ ❑ ❑ ❑ TEM DUST MICROVAC ASTM D5755-09 ❑ ❑ ❑ ❑ ❑ ❑ TEM SOIL r.8TM D7521-13 ❑ ❑ ❑ ❑ TEM VERMICULITE C,NCINNATI METHOD ❑ ❑ ❑ ❑ OTHER: ❑ ❑ ❑ ❑ ❑ ❑ REMARKS: Accept Samples ❑ Reject Samples elin uished By: Date/Time Received By: Date/Time Samples will be disposed of 30 days after analysis VERSION CCOC.0214.112.LD Customer COC Page 1 CC ,r - LADS ' ASBESTOS t4 (�17�,-Zo SAMPLING FORM COMPANY CONTACT INFORMATION Company: Euviro Care Consulting Services LLC Job Contact 'n LOD Project Name: / Project ID #: 191ozo/ - Tel: Zxoo-� SAMPLE ID# DESCRIPTION ! LOCATION VOLUME! AREA TEST PLM am TEM Q f -- PLM TEM Q PLM Q TEM Q] PLM Q TEM Q PLM TEM Q PLM [— TEM Q PLM Q] TEM Q PLM Q TEM Q PLM Q TEM PLM TEM Q PLM Q TEM Q PLM[ ] TEM Q PLM Q TEM Q PLM Q TEM Q TEM Q PLrA Q PLM Q TEM Q PLM Q TEM Q PLM Q TErvl Q PLM Q TEM Q ~ PLM Q TEM Q PLM TEM Q PLM Q TEM Q PLM Q TEM Q PLM Q TEM Q PLM Q TEM Q PLM Q TEM Q PLM [Q TEM Q PLM a Q TEM [Q PLM Q TEM Page of VERSION CCOC.0214.212.LD Customer COC Page 2 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: 10�q 0 Permit Number: Q0 _�c E L t✓� CA ❑ No one available for inspection: Time i' �' APM Re -Inspection required: Yes(®Nb When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ® (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: \ Job Address: i C✓> 'U (") k_ ( I-, �, Permit Number: �C)1-1 Q C-), ti 0 ❑ No one available for inspection: Time ! {r'Jf� AM/PM Re -Inspection required: - No When corrections have been made, call for re -inspection at 303-234-5933 Date: 1, 1" Inspector: DO NOT REMOVE THIS NOTICE a 4 4 City of Wheat Ridge s _:�9r E -Res. Window Replacement PERMIT - 201802753 PERMIT NO: 201802753 ISSUED: 10/15/2018 JOB ADDRESS: 10880 W 41st P1 EXPIRES: 10/15/2019 JOB DESCRIPTION: Remove 3 windows and install 3 new windows in the dining room, living room, and the bedroom. Like for like, no structural changes with a u -value of .30 or better. *** CONTACTS *** OWNER (303)421-5479 STROHMEYER TRINA D SUB (303)945-1519 Matthew Seiler 180220 Seiler Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,015.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 147.32 ** TOTAL ** 197.32 *** 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 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. City of Wheat Ridge ®' E -Res. Window Replacement PERMIT - 201802753 PERMIT NO: 201802753 ISSUED: 10/15/2018 JOB ADDRESS: 10880 W 41st Pl EXPIRES: 10/15/2019 JOB DESCRIPTION: Remove 3 windows and install 3 new windows in the dining room, living room, and the bedroom. Like for like, no structural changes with a u -value of .30 or better. 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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be 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. Re nests 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 any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable � or any ord+Jtce or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buflding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 1� Dina Kem�, From: no-reply@ci.wheatridge.co.us Sent: Monday, October 15, 2018 10:53 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 10880 W 41 st PI Trina Strohmeyer 303-421-5479 Field not completed. strohmever cc auth.pdf CONTRACTOR INFORMATION Contractor Business Seiler Construction Name I I - q'Z'E iq Contractor's License 180220 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-945-1519 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 1401 W Bayaud Ave (Primary address of your business) Contractor Email Address mbeaudoin@renewalcolorado.com Retype Contractor Email mbeaudoin@renewalcolorado.com Address DESCRIPTION OF WORK Number of window 3 and/or doors being replaced Location of (1) dining, (1) living, (1) bedroom window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the .30 or better window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of Strohmeyer, Trina measure.pdf window/door cut sheets showing sizes and u -value Project Value (contract 7015 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 2 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 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 Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. � �� t O�Ne iiiiiri�i�i iwii� i u City of Wheat Ridge Residential Roofing PERMIT - 201702150 PERMIT NO: 201702150 ISSUED: 06/19/2017 JOB ADDRESS: 10880 W 41st Pl EXPIRES: 04/02/2019 JOB DESCRIPTION: Residential reroof: Install GAF Timgberline HD Asphalt shingles 18 squares house and two sheds aprox 4/12 *** CONTACTS *** OWNER (303)421-5479 STROHMEYER TRINA D SUB (720)373-0590 Jason Brondolillo 170192 Veteran Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,520.00 FEES Total Valuation 0.00 Use Tax 157.92 Permit Fee 172.60 ** TOTAL ** 330.52 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding AM -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturers€'"s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702150 PERMIT NO: 201702150 ISSUED: 06/19/2017 JOB ADDRESS: 10880 W 41st P1 EXPIRES: 04/02/2019 JOB DESCRIPTION: Residential reroof: Install GAF Timgberline HD Asphalt shingles 18 squares house and two sheds aprox 4/12 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 a d 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 perm t and perform the work described and approved in conjunction with this,permit. I further attesf at I am leggally authorized to include all enti ies named within this document as parties to the work to be perfor d d that all wo r to be ertormed is disclosed in this do t and/or its' accompanying approved plans and specifications. S re of O R or CONTRACTO (Circe one) Date 1, is permit was issued based on the information provided in the permit application and accompanying plans and specifications and is s ect 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 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 andshall of proceed or conceal work without written approval of such work from the Building and Inspection Services Divi ' 6, T is n. an or gra g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any a ble de or r in ce 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. City of �Wheat Midge MUNITy DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half q# tLe r 't fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Buildi'n`gb icia and is not guaranteed. Please complete this form in its entirety and submit to the Building Division permits ,ci.wheatrid e� or fax to 303-237-8929.z7t- f Per Party requesting permit extension: L) Permit # 20/? O 2 150 Property Address: f 0 ':�)'�6 () Is+a1 "0. Phone# c�(�'J`-1-i �l `SL('FJ Email Address: Reason for extension request: �' �/�o�� 4 LQ �, VIC'-, A Al Number of days requested: ` S r -- X Printed Name: �� \ ��t`2�1,�( Signatu e: Date For office use only This request has Approved by: Denied Extended until: 2 )q Date: I /Z www.ci.wheatridge.co.us N* i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M Z 1) Job Address: k0 8 86 0 LI/17- Permit I/1TPermit Number: a D / % 02 / S L> rain r ❑ No one available for inspection: Time 141 n_ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: /t7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201702150 PERMIT NO: 201702150 ISSUED: 06/19/2017 JOB ADDRESS: 10880 W 41st PL EXPIRES: 06/19/2018 JOB DESCRIPTION: Residential reroof: Install GAF Timgberline HD Asphalt shingles 18 squares house and two sheds aprox 4/12 *** CONTACTS *** OWNER (303)421-5479 STROHMEYER TRINA D SUB (720)373-0590 Jason Brondolillo 170192 Veteran Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,520.00 FEES Total Valuation 0.00 Use Tax 157.92 Permit Fee 172.60 ** TOTAL ** 330.52 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding Alh-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€T°°s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702150 PERMIT NO: 201702150 ISSUED: 06/19/2017 JOB ADDRESS: 10880 W 41st PL EXPIRES: 06/19/2018 JOB DESCRIPTION: Residential reroof: Install GAF Timgberline HD Asphalt shingles 18 squares house and two sheds aprox 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include alt entities named within this document as pames to the work to be performed and that -111 work oto be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �o Signature of ,6WNE'X�or CONTRACTOR (Circle one) bate 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 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 approyal of, any 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 BuildingOfficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. -Z�Antoinette Kulick 1 I V-;� I�> 0 From: no-reply@ci.wheatridge.co.us Sent: Friday, June 9, 2017 1:14 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 10880 W. 41st Place Trina Strohmeyer 3034215479 Field not completed. Yes CONTRACTOR INFORMATION Contractor Name Veteran R000fing Contractor's License 170192 Number (for the City of Wheat Ridge) Contractor Phone 3039454426 Number Contractor Email Address veteranroofingusa@gmail.com (permit pick-up instructions will be sent to this email) Retype Contractor Email veteranroofingusa@gmail.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing GAF Timberline HD Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 18 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 18 roofing material for this proj ect z Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House and two sheds approx 4/12 7520 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Jason Biondolillo Email not displaying correctly? View it in your browser. 3 Gmail More COMPOSE Fwd: permit status, 10880 W 41st pl Inbox x. Inbox veteran roofing usa 4:19 PM (8 minutes ago) Starred to me Sent Mail Sent from my T -Mobile 4G LTE Device Drafts (6) — Original message — From: Antoinette Kulick <akulick(a)cl.wheatddge.00.us> 2017 Reciepts Date: 6/19/17 1:56 PM (GMT -07:00) To: veteranroofingusa(a)gmail.corn Aar. c nniv Subject: permit status, 10880 W 41st pl More labels This permit is ready for pick-up. Please arrive at the assigned date and time listed below and bring all required items for pick-up. If you miss your time window, it could take several more days to issue your permit. 0 Jason + Permit pick-up: TUesdaY. June 20 between the hours of 9:30am-11:30am Location: Wheat Ridge City Hall, 7500 W. 291h Avenue, 2nd Floor Required items for pick-up: • Fee for permit: $330.52, 10880 W 41st pl • Photo ID • Bring in a Copy of signed roofing contract (DO NOT FAX OR EMAIL this information — you must bring in a copy) • Insurance information is expired; Bring in Insurance certificate with City of Wheat Ridge listed as certificate holder (DO NOT FAX OR EMAIL this information — you must bring in a copy) No recent chats Start a new one Please do not email or fax required information — You must bring a copy of required items. Building is unable to make copies. NOTES: • Permit card must be picked up and posted on site before work begins. ''Ics7' Prulcrl Mena ;�• '' + E'hun�• N� �p _ ciY^aN F�TER i�Q d �� Address` ,tel y~ ~~ �� 02, City State #ed Email 1t nsurance Co mpany '-THIS AGREEMENT SHALL BE VOID IF THE INSURANCE COMPANY DOES NOT AGREETO THE FULL ROOF REPLACEMENT'` 1. Scope and Pricing: • Veteran Roofing LLC agrees to furnish the material and services necessary to complete all 'yobs, including solar, insurance and mortgage coordination. • Veteran Roofing will provide services at the RCV (Replacement cost value) set and agreed to by the insurance company including agreed changes from supplemets, code requirements, permits and any other negotiated costs. "Approximate" cost of the work. will be 1 %Cx3d — This however, is subject to change during the inspection conducted with the insurance company inspection and negotiations. CX) • The homeowners ONLY out of pocket expense shall not exceed the Deductible4 li,WO,unless the home owner wishes to add services not stated on the loss estimate provided by the insurance company. Materials to be used will be (21 (), �I C,- r� &I- nti� 2. Terms: • The Home owner agrees to provide Veteran Roofing access to the property for preparing and completing the work. A copy of the loss estimate will be provided to Veteran Roofing. Once the insurance company agrees to the replacement and any additional code requirements, supplements that are expected and discussed during the insurance inspection/ agreement, the home owner will be bound to this agreement. A homeowner has a right to rescind if the person authorizing this agreement wishes to cancel. A notice of cancellation may be delivered personally or sent by certified mail, express mail and priority mail, with proof of mail purchase by the end of the third calendar day of signing this agreement to the address at the bottom of this agreement. Upon completion the homeowner agrees to pay services rendered within 2 weeks of receiving the final check from the insurance company. Veteran Roofing is Insured by Preferred 6 tr �Ctors Insurance Company (888)652-4513. Policy PC104795. ---------------------c Initia v 3. Acceptance: • Veteran Roofing has permission to contact the Insurance company for an information, supplements and loss estimates pertaining to this individual claim. The homeowner and Vet n R ing gr once documentation and funds are made av f table from the insurance company the roofin ate w' be s �duled. I ve read and understand this agreem lit. v / r 't Property Owner Veteran Roofing Project Manager Date Project Manage( ^ Install Date Phone 76 -5-iso �-� ��- J *® VETERAN ROOFING Name Email Lee u) Address Phone Cf Claim # County City Z!C� f.� c ` +i- i 1'2-t 9 C 1 `" C09 -I � � t Install Solar ❑ SC ❑ Roofs for TroopO Low Slope LJ S s ONS Z.' FI at ON b~7 2 StorK-,,4 Steeps Detached SQs s P� imt er Hip/ edge Layers -----. �r Ye DeckingtDrip e / No / Closed Material Line Roof Color Warranty Dri Edge Colorge LF Hardware PJ 1-3" Split B Turtle Power V —Chimney Solar L Flash Counter j PJ Broan Ridge V Solar V Skylight I&W Step F Felt Gutters Gu rs Color Downspout Color (` Sketch/Notes e2-0 za 11— r4-c-C- Front Back Front Back ��C- Left Right Left Right Replacement Cost Upgrade Options Roof RCV $ (U gni,_ Ridge Vent LF X $ 6 =$ d �� Gutter RCV $--AJ Detached RCV $ Impact Resist SQ X $ _$ Labor $ Z Ridge LF X $ _$ Dump $� Solar Vent EA X $ _$ Other - O&P $ I&W LF X $ _$ Supplements $TBD* Other _ X $ _$ Initial RCV s. j Total Upgrades $ Upgrades RCV +Supplements* Paid Deductible Due** =R�Total rwperty uwner Veteran Roofing roject Manager Date *Supplements are any unforeseen costs that are negotiated between Veteran Roofing and the insurance due upon receipt **Deductibles are never paid or excluded by the insurance company and are the responsibility of the homeowner to pay the contractor 5039 S Federal Blvd #6, Englewood 80110 720-757-0564 VeteranRoofingUSA@Gmail.com a IoB�U A Va aC/fl.-%'�. U INSPECTION RECORD 1 INSPECTION REQUEST LINE: (303) 234 -5933 Occupancy /Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground /Slab Inspections Date Inspector Initials Comments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below / In -slab) Heating (Below/ In -slab) Do Not Cover Underground or Below /In -Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing - Roof Sheathing Lath / Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above Rough Inspections Rough Framing Insulation Drywall Screw / Nail Final Inspections Date Inspector Ini ials Comments Final Electrical � l Final Plumbing Final Mechanical Roof Final Building / Frame 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. Fire Inspection / Fire Protection Dist. "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. occupancy Is Not vermittecl Until A Certificate of Occupancy Is Issued Protect This Card From The Weather IN ICAO ¢ /Iz t ❑ :No one available for inspection: AM /PM �' rI !V, uity of wneat xiage ]�� Residential Electric PERMIT - 110963 PERMIT NO: 110963 ISSUED: 08/15/2011 JOB ADDRESS: 10880 W 41ST PL EXPIRES: 08/14/2012 DESCRIPTION: Meter & Mast replacement w /newoverhead serv. drop conductors * ** CONTACTS * ** owner 720/210 -3753 Ray Strohmeyer gc 303/495 -8752 Jerry Hughes 09 -0492 Stellar Electrical Services ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0188 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,100.00 FEES Permit Fee 46.90 Total Valuation .00 Use Tax 19.80 ** TOTAL ** 66.70 Conditions: Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document d /or its' accompanying approved plans and specifications.)e ) Signatur of OWNER o CONTRACTOR (Circle one) Date 1. This p it was issued ased 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 required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Hui fical Date INSPECTION REQ ST INE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST E MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of heat a e Date: `ommuNCTY DEVLLOPMENT Plan # Building & Inspection Services Division Permit # 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 « Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Property Address:; (0 � � pp O J °, V Property Owner (please print): I��Y STxc) f{n Phone: - 7a0 — a(0 _ 3X Mailing Address: (if different than property address) Address: (0 Mo W ( IT- PLA( F City, State, Zip: Contra ctor,: _JIE�L ��E<TCA� Contractors Citv License #: /1 C) /9 � 7 Phone: Electrical: Plumbing: Mechanical: City License # City License # City License # bescription of work; / cf� , 2eK Contract Value: cx cC co r / ,uc� (a5 fc 8 ((C?Z�, Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate . applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) .(CONTRACTOR) i r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: (URA (& � SIGNATURE: DATE: 9 —i S -1 / no review required. Bldg Valuation: $ _ ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INS ECTI N NOTICE Inspection Type: Gam I Ga' . Job Address: /Om Permit Number: 0* f!!� at ❑ No one available for inspection: Time AM /PM r Re- Inspection required: Yes No When corrections have been made, call for re- inspection at 303 - 234 -5933 k $ Date: Inspector: W` is DO NOT REMOVE AIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE ,-� Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax r INSPECTION NOTICE Inspection Type: p �� Job Address: Permit Number: �L i' ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No * When corrections have been made, calf for re- inspection at 303-234-5933 Date: $ Inspector: _ O NQ OT REMOVE THIS NOTICE - City of Wheat Ridge f Residential Roofing PERMIT - 091921 ERMIT NO: - 091921. - ISSUED: 09/02/2009 JB ADDRESS: 10880 W 41ST PL `EXPIRES: 03/01/2010 _ ESCRIPTION: T/o: -Installl 30 yr ;Tamko (16sgs). ***'CONTACTS owner 303/421-5479 GC 303/598-9235 Pat Strohmayer Robert. Jones 02-1994 Accurate Construction LLC k*-PARCEL . INFO ,70NE CODE:.. UA `USE: UA iUBDIVISION; 0188 'BLOCK/LOT#: 0/. FEE SUMMARY ` ESTIMATED PROJECT VALUATION: `3,648.00` FEES Permit Fee 126.50 Total Valuation .00 A Use Tax ..65.66 TOTAL 192.16 - :onditions: - S nail installation & mid-roof inspection required. Board sheathing spaced more :ban a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and Dater shield requiredfromeave_edge -to 2'inside .:exterior walls.. Subject to field inspection. 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 mads are accurate; that I have read and agree to abide by all conditions. printed. on this applicationand,that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wh 1t i 0 din ces, for work under this permit. Plans subject to field inspection. i 'r of contra o /owner e This permit wa 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. - This permit shall expire 180 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. 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: No work of any manner. shall be done that will change the natural. flow of water causing a drainage problem. 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. 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, any.. violation of the provisions of.. the building codes or any other ordinance, law, rule or regulation. All plan review. is subject to field inspections. ignature of. Chief Building Official .'.date NSPECTION REQUEST 'LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 . EQUESTS-MUST . BE MADE BY.. 3PM. ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.. City of Wheat Ridge Building Division Date: m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Plan A OO~ORA00 Inspection Line: 303-234-5933 Permit Building Permit Application Property Address: Z0IPW~ 21 Property Owner (please print): 4 4 Ilel Phone:3 e/al - Sy Mailing Address: (if different than property address) Address: City, State, Zip: ~~~a x`0033 Contractor: s/- A/1--( Contractor License © J~~/Cr Phone: ~o~ S jam- ~23 P~ Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): a f, ai Construction Value: $ R Description of work- (as calculated per the Building Valuation Data sheet) L /r ~~ly fit Plan Review (due at time ofsubmittaq: $ Sq. Ft./L.Ft addedlWO Squares e'~ BTU's Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) ((CONTRACTOR) or PERSONAL REPRESENTATI E f NER) (CONTRATOR) PRINT NAME: ,e44 t ~a O IGNATU ✓ Date: Bldg Valuation: