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3250 Miller Street
i_ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax 0 INSPECTION NOTICE Inspection Type: 410.3 Elms_ age— Res. Job Address: .3250 rk7i«&�,t ST Permit Number: 201 X000 59 4V9 - 6v1+-hir,6 FInAc tr15Ac-r1dr►- ❑ No one available for inspection: Time /!l /PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 6l/9//g Inspector: Allem Pos-e y_ DO NOT REMOVE THIS NOTICE Pq 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: Zv?/ ��`�� Job Address: v 717 Permit Number:Ul (� M ❑ No one available for inspection: Time l , A Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 1, 12,2' 1 Inspector: DO NOT REMOVE THIS NOTICE Lj i CITY OF WHEAT RIDGE Buitdii.ng Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: m ;),n - t) r y w 0 Job Address: , —7 Permit Number: o a c 79 1:� ❑ No one available for inspection: Time 1 1= r3 a AM M Re -Inspection required: Yes (9 When corrections h ve been made, call for re -inspection at 303-234- Date:- -3 1 Inspector: -F-b DO NOT REMOVE THIS NOTICE 3/20/2018 Jessica Behrendt 'essieb_ e_ hend�Email 720-272-6678 RE: 3250 Miller St. Wheat Ridge, CO 80033 Framing Observation Interior Remodel EL ENGINEERING. INC. {. .T,, 2730 S.WAM"Tp fty0.S0lTEO207 MER, CC 0227 720-440 9430 Please provide this letter as proof of the following onsite observation on 3/13/2018: • New Beam — A new (4) 1 %" X 18" LVL was installed. The beam connections and supports appear to be in conformance to the design letter by DL Engineering dated 1/22/2018 If you should have any further questions, please feel free to contact me at (720) 440-945 rarp@dlengineer.com. 0 or Sincerely, Ryan Arp, EIT Under Direct Supervision of, . Garrett Townsend, PE r Job # 2018-4.249 fya,,� 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: 30/ea-'�I-( Job Address: -L:5,;�SQ /4t'fl ) 5+_ Permit Number: 0i65T00 1?507 ❑ No one available for inspection: Time = AMIPM 4 Re -Inspection required: Yes No When corrections have been made, call for re -inspection /at3.03-234-5933 Date' �1' �c Inspector: DO NOT REMOVE THIS NOTICE CIL ENGINEERING. INC. ST'`12771'=' t^1G;'v'EE4'.NG Pf Of ESS%ONI AL FOAErrSIC ENGINEZ-:RfNCO 2730 S. WAOSWOAIN OLYOUTE 0-203 OEMR. CO 80227 720 440-9450 2/23/2018 RE: 3250 Miller St. Wheat Ridge, CO 80033 Footing Inspection Interior Remodel Please provide this letter as proof of the following onsite observation on 2/23/2018: • Isolation Pad — A pre -pour observation for the isolation pad noted in the design letter dated 1/22/2018 was performed. The pad was 4'x4' and 10" deep, and had (4) #4 each way in it. If you should have any further questions, please feel free to contact me at (720) 440-9450 or rarp@dlengineer.com. Sincerely, Ryan Arp, EIT Under Direct Supervision of, Garrett Townsend, PE Job # 2018-4249 C� �x� 1 o•3t • 1 `� 1-5— CITY .S CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1 C - moo-x..,11� rte_ � _ � e-zzei— Job Address: ') a So d ?)�- Permit Number: -3 n i 9, o n a !!7- R �- u ❑ No one available for inspection: Time 10 ' C 3 ogPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: -3 Aa Inspector: 4 DO NOT REMOVE THIS NOTICE i CITY OF. WHEAT I EDGE Building InspectiortOivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /C3- F,- c 4,,,� Job Address: !S4 Permit Number: a 0'15 C'o 5- rJ fk 0 g r -A aI GCceSS 1-a Cr-cnw/ aee l oos ed _ Lock- L>)e Oh d GO!` Y1 0 Cocke dor- e/�q MessIcz e -e -C4 .4 T= y o Aly) -i- o r- i�S L� i') o rn e o Lv rL6i— no i—e -YLL) n or-, 1/_ Pei-oj; 4 T-0ca-4d I'„s,ch. V I&ci<e !`OsC4, when C�.ccESS /S r-1 on . 1 �_'I 1P - -u.)Vr L 1)tc ker est_ ❑ No one available for inspection: Time 4 -7 A /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ''a -0 & I19 Inspector: _F� DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscella PERMIT - 201800258 PERMIT NO: 201800258 ISSUED: 02/20/2018 JOB ADDRESS: 3250 Miller ST EXPIRES: 02/20/2019 JOB DESCRIPTION: New beam installation for opening up of partial wall. *** CONTACTS *** OWNER (720)272-6678 BEHRENDT JESSICA *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Investigative Fees ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION: FEES 0.00 287.33 525.00 442.05 442.05 1,696.43 *** CONDITIONS *** **PERMIT FEE DOUBLE FOR STOP WORK ORDER** 25,000.00 Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Residential Miscella PERMIT - 201800258 PERMIT NO: 201800258 ISSUED: 02/20/2018 JOB ADDRESS: 3250 Miller ST EXPIRES: 02/20/2019 JOB DESCRIPTION: New beam installation for opening up of partial wall. 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, add th _f am the legal owner or have been authorized by the le owner of the property and am authorized to obtain this permit and perform th'.. rk described and approved in conjunction with this'e it. I further attest that I am leggally authorized to include all entities named withi his document as parties to the work to be per o ed a ` that all work to-be..p�ertormed is disclosed in this document and/or its' ac anying approved plans and specifications. Signaturo�ofS01VNER_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 maybe subject to a fee equal to one-half of the originalpermitfee. 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 Budding 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. Th ssuance or granting of a pe shall not beFcons fued to be a permit for, or an approval of, any violation of any provision of any apple ble code or an ordinance 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 id g CEWED COMMUNITY DEVELOPMENT 'JAN 2 5 2(J-18 Per Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s):� �j C'n 1�PiVll Project Property: Notarized signature of Applicant State of Colorado } County of To ss The foregoing instrument was acknowledged by me this 2e day of 20A by 3e SS'_c S 1R pare (\� -� TAMARA b OEAI` NOTARY PUBLIC STATE OF COLORADO VOTARY ID 20164015481 " !'r)MMISSION EXPIRES APRIL 22, 2020 My Commission Expires ?a120,_2v Notary Public 5 OL ENGINEERING INC. 2750 S. WADSWORTH BLVD.NEW BEAM DATE: 1-22-18 JOB #' 2018-4249 REVISION DATE: PAGE OF UNIT D-203 3250 MILLER ST. DENVER, CO 80227 720-440-9450 WHEAT RIDGE, CO 80033 OWNER: - S2 2 BY: CHECKED BY: WWW.DLENGINEER.COM GT GT (N) MONO POST (E) FLOOR ATTACH PER MANUFACTURES RECOMMENDATIONS (4) 18" LVL ,1- (E) BEAM (N) (2) 2X4 BUILT UP COLUMM (N) SQUASH BLOCKING BELOW COLUMNS (E) STEEL BEAM (N) STEEL MONO POST IN CRAWLSPACE W/ (N) 4'X4'X10" 3500 PSI CONCRETE FOOTING. FOOTING TO HAVE (4) #4 REBAR EACH WAY. REMOVE (E) PAD FOOTING AND COLUMN AND REPLACE. DETAIL L NTS NOTES: 1. DETAILS TO BE USED IN CONJUNCTION WITH LETTER. 4 '� OL ENGINEERING INC. 2750 S. WADSWORTH BLVD.NEW UNIT D-203 BEAM 3250 MILLER ST. DATE: 1-22-18 JOB#: 2018-4249 REVISION DATE: PAGE I OF DENVER, CO 80227 WHEAT RIDGE, CO 80033 - S1 2 BY: CHECKED BY: 720-440-9450 OWNER: WWW.DLENGINEER.COM GT I GT ATTIC SIMPSON LCC7- ATTACH PER MANUFACTt c inn oC:Aen I BEAM DETAIL NOTES: 1. DETAILS TO BE USED IN CONJUNCTION WITH LETTER. Z6 FACE MOUNT HANGERS (E) JOIST _D VERIFY . (E) JOISTS JO POST D YIELD STIR = 50 KSI (MIN) E STR = 90 KSI ,000 # CAPACITY SEE DETAIL 2 FOR MORE INFO. W �uildi C� v �xP to•3t •\ `� %7hC,'.�sj'= CIL ENGINEERING, INC. 2750 S. WAOSWOIFIN 0.110.5011E 0-203 OEN11ER. CO 80227 72044&9450 MULTIPLE -MEMBER CONNECTIONS FOR TOP -LOADED BEAMS no F, eteess areremoiaOsoftesi los, sbgler fasteners a Me snows;* so NW fit/haffm behwa fssiwers a lie 6slside. LeedseadieAeFisde►®h cress alae baser ofift , fse cemec/loss far side-kadnAMa as Owesembe aced abobtf lgrama tater■ a beadsr ter beam of lle rr**WWe, ap m a � eiitfi d l' Fastener Installation Requirements Piece Immber Fastener Width of Pffes Typo,) I Ilio. Wards I l lots I C. taeafion 10d nail 3' 3m 2 12d -16d nail 314' 2m - 12' One side Screws 314' or 314' 2 24' lOd nail_ 3' ; $A 12d-i6d nails 3f4 2m 12' Both sides lit• 3 or 3i4'' Both sides screws31f - 5' —_,� Z 24' _ One side __r _ 3m 12. One side 12d-i6d rmilsm 3% '. 2nn (fes DM 4 5' m 6' - - - - - _ Both sides Svews 6*,.. 2 24' One side For G Both sides_ 314' 2--- 61f.---; 2 24' t—One side . .� i. 2 24. _ (1) 10d nail are 0.125 diameter, 12d -16d nails are 0.1410162' diamde; screws are SOS. 16P W, TwsslDB-E a SOW. (Z) M addtfiaml row of mail is repined with dwft of 14' a greater (3) Mate rommMimg 4,* m m6es, nae each A to the other and offset sail rows h7 2' hmm rows m the Oy hebw. Trha lash Bantu. Header and Doha— Spedrie%Gutde 71,9000 I May 2015 Figure 1: Top -Loaded Beam Fastening Requirements If you should have any further questions, please feel free to contact me at (720) 440-9450 or gtownsend@dlengineer.com. Sincerely, Garrett Townsend, PE fl r. 1 �xP � Yo:3t •1 CIL ENGINEERING, INC. ST(-.J=T PllL ENG -EER N-- 1—DFESSF NAL F0REN5::: EtiGINEER-'C. 2750 S. WADSWOR70 BIVO.SNNE 0209 DENVER, CO 90227 720440-9450 OLE NC—CeR LOa 1/22/2018 RE: 2018-4249 3250 Miller St. Wheat Ridge, CO 80033 Per your request I have reviewed the load carrying capacity removing the center wall between the kitchen and family room at the above address. Wall 1— Wall that separates family room from kitchen and spans north to south approximately 13'-0". The new beam will be continuous from the dining room to the stairs approximately 22'. Design criteria: DECEIVED 2015 IRC w/ City of Wheat Ridge Amendments JAN 2 5 2018 Roof Live Load: 20 psf Snow Load: 30 psf Per Roof Dead Load: 15 psf Ceiling Joist Dead Load: 12 psf Beam #1: Install a (4) 1 % x 18" 2.0E LVL beam supported by a 3.5" O.D. steel mono post with a minimum capacity of 14,000 pounds at each end of the beam. Provide a Simpson LCC7-4 column cap to each mono post. See Detail 1. Fasten per manufacturers recommendations. Fasten the beam together per the figure below (ensure to follow note (3) for 4 -ply beam connection). To install the beam flush, temporarily support the existing ceiling joist and cut back. Face mount the ceiling joists with Simpson LUS26 face mount hangers to the new 18" beam. Bear the north end column on the existing foundation wall. Locate the south post directly adjacent to the existing (3) 2x10 beam in the ceiling. Provide a Simpson LCC7-4 column cap. Provide a minimum of (2) 2x4 trimmer studs at the north end of the existing (3) 2x10 beam. Contractor to add squash blocking between the first floor and the foundation or steel beam below to ensure that loads are transferred. See Detail 2. In the crawlspace, provide temporary supports towards the north end of the existing steel beam. Remove the existing north footing and column. Locate the new steel mono post above and provide a new 4'x4'x10" concrete footing with (4) #4 rebar each way and a minimum concrete strength of 3500 psi. Support the existing steel beam with a new steel mono post with a minimum capacity of 14,000 pounds. Attach the new mono post to both the steel beam and the new footing per manufactures recommendations. See attached sketches for additional information. EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 PhonefFax: (303) 740-5700/(303) 741-1400 http://www.EMSL.com / denvedab@emsl.com Attention: Jessica Behrendt 3250 Miller St Wheat Ridge, CO 80033 Project: Jessica Emanuela Behrendt EMSL Order: 221800431 Customer ID: MISC-ACCT Customer PO: Project ID: Phone: (303) 435-6365 Fax: Received Date: 01/22/2018 2:55 PM Analysis Date: 01/23/2018 Collected Date: 01/22/2018 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type -Texture Kitchen White 100% Non-fibrous (Other) None Detected 221800431-0001 Non -Fibrous 13 Homogeneous Inseparable paint / coating layer included in analysis -Drywall Kitchen Brown/Whde 20% Cellulose 65% Gypsum None Detected 13 221800431-0001A Fibrous 15% Non-fibrous (Other) Homogeneous -Tile Kitchen Red/Beige 100% Non-fibrous (Other) None Detected 221800431-0002 Non -Fibrous Homogeneous -Grout Kitchen Tan 100% Non-fibrous (Other) None Detected 221800431-0002A Non -Fibrous Homogeneous -Thinset Kitchen Gray 100% Non-fibrous (Other) None Detected 221800431-00026 Non -Fibrous Homogeneous No Asbestos DetectedQ Between Expected Limit of Detection and Federal Above Federal EPA Recommended Limit EPA Recommended Limit These guidance limits are typically used in most scenarios. More stringent local or project specific guidelines may apply. Analyst(s) Amanda Lang (5) Amanda Lang, Asbestos Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, witlwrA written approval by EMSL EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request- Unless requested by the cfient, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSLAnalytical, Inc. Deaver, CO NVLAP Lab Code 200828-0 Initial report from: 01/23/2018 12:36:04 Printed: 01/23/2018 12:36:07PM Page 1 of 1 BILL TO EMSLAnalytical, Inc. EMSL Analytical, Inc. Federal Tax ID 22-2357101 1010 Yuma Street, Denver, CO 80204 (303) 740-5700 Attn: Jessica Behrendt 3250 Miller St Wheat Ridge, CO 80033 US REPORT TO Attn: Jessica Behrendt 3250 Miller St Wheat Ridge, CO 80033 US INVOICE NO. IPAGE 22067816 1 1 of 1 INVOICE DATE 1/23/2018 SLSM. SHIP VIA TERMS BILLING FREQ REPT ID BILLING ID pfrasca Walk In Cash on Delivery I With Report MISC-ACCT MISC-ACCT DATE ORDER NO. QTY TEST CODE TEST DESCRIPTION UNIT UNIT PRICE AMOUNT 1/22/2018 221800431 2 PLM Asbestos Analysis of Bulk Materials via EA 125.00 250.00 EPA 600/R-93/116 Method using Polarized Light Microscopy 1 Week Project: Jessica Emanuela Behrendt SUB TOTAL 250.00 Payment by credit card submitted. INVOICE $250.00 Authorization no. 025610 TOTAL Please review your invoice promptly. We will gladly correct any errors within 30 days of the invoice date. After that, we deem the invoice to be correct and reserve the right not to issue credits, in whole or part. A 1.5% finance charge will be added to invoices over 30 days. Billing Inquiries - please call 1-800-220-3675 Please detach and return with payment -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 1/23/2018 CUST # MISC-ACCT INV # 22067816 Please EMSL ANALYTICAL, INC. 200 Route 130 North Remit to: Cinnaminson. NJ 08077 Billing Inquiries - please call 1-800-220-3675 INV7.31.0 DEPT: 22 ------------- $250.00 Payment in US Funds Only. OrderID: 221800431 i 4 SAMPLE SUBMITTAL FORM EMSL ANALYTICAL INC 1 EMSL ORDER NUMBER (L.48 USE ONLY) 200 ROUTE 130 NORTH CINNAMiNSON. NJ 08077 !Auk" INC i PHONE: (800) 220-3675 aw.o+�ran.rraowea• t. w4.+o Industrial Hygi�ne Laboratory Services TURNAROUND Formaldehyde - 24 Hrs 48 Hrs 3 Davis 44 Davs i Week 2 Week Air Sample CQ'llect otti Monitoring Badge ❑ ❑ ❑ U ❑ ❑ NiOSH Method 2016 Modified $458 $380 $305 $230 $190 $150 Formaldehyde Badges - $20 each f Qty. Total Cost I Note: Please *Alow all sampling instructions and paperwork documentation included with the sample badges. Formaldehyd Off -g I testing from sub -sample 24 Hrs 48 Hrs 33 Days_ -� _4 0 ss 1 Week 2 Week laminate floc g or other composite wood ❑ L� U �+ J products J ti� $848 $799 $635 $477 $397 $318 ASTMD5582-1 Desicliator Method - EMS! Modified Date Sent: i Time Sent: Note: Please ubmit a'4 2 inch by 2 inch sample, or as close in size as possible. Place the sample in a sealed plastic bag. (— Date: 1 Formaldehyde Off-gao testing from intact laminate 1Week 2 Week Flooring or of er composite wood products �r ❑ ASTM06007-1 Small ghamber Study - EMSL Modified $1300 $650 REAL TIME Q -PCR LABORATORY ANALYSIS AVAILABLE PCR-Environm ntat R41ative Moldiness Index (ERMI} 36 Panel Package developed by ttte EP and is betttg studied as a tool to help quality the moldiness of homes. Please visit wWOv.moldihspectionkit.com or cal 1-800-220-36575 for more information. Radon Testing Available - Please visit www.radontestinglab.com or call 1-800-220-3675 for 'Please Contaci LaborAtory before Samnle Submittal for the Minimum Necessary Samnle Volume and Mass" : Sarn le Number Sam a Location J J ti� t Total Number o Sam 1 Sent: Date Sent: i Time Sent: Received (Lab):1 Date: Time: ` Comments: 11 VV -, .nal. —..Y —A, lS--)� an itnwyltcL ad%ice as to bow to proceed atter obtain PLM may not be detected limit of department. visit the USED website al tf lou tvotdd tike EMs(. to - Iota sal (approximately t square inch is suffieie money order in the amount That corresp, Not all services that you requat otrered vorain , we can analyze samples o% %artous Inelnoa5 ana provice fou wlm a urnlen report tall cannot prof/de You wtth ant results Out to m4nifitatiwt limitations inherent in PIN. asbestos fibers in dimensions below the resolution capiabilitv of ection as stated in the method is 1% For aswstance with interpretation of your results. ton may call %air local health .0 gpa.%: or hire all en%ironmenlal consultant try PLM EPA Method EPA Eft -R•91 116, please Send its a sample of the material sou wart tested in a sealed Ziplotk bag and till out the aaached form. All orders must be prepaid If %ou do not wish to use a credit card, include a certified check ur s to the turnaround time yrnn requested. multiplied by the number of sampres tat submit Please refer to u for more information reryrding asbestos in Now home, tm EMSL laboratory location_ Please contact }roar local EMSI. labofattxy to confirm their ability to protide the sen ice test CmamnolW Da—wi hIm}OC R9-5: 12_o to Pare 2 Of 2 Page 2 of 3 OrderID: 221800431 SAMPLE SUBMITTAL FORM EMSL ORDER NUMBER (LAS USE ONLY) 1 � EMSL ANALYTICAL NC 200 ROUTE 130 NORTH CINNAMINSON. NJ 08077 PHONE: (800) 220-3675 Name:m � les. Please include wit hour samYour Street Address:` " -- Certified Check U_ Money Order Credit Card If using a credit card, please fill out the "Credit Card Authorization" form, which is the last a of this document. Phone #: 94-_S Fax #: State where Samples were Collected: Address 2: Ci !State: 01, Zip: I Please Provi a Res Its: ❑ Fax ❑ Email Pro'ect ID: E ASL - Email Addres 'I Amount of Check Enclosed if applicable): $ Please cheat tim rrarrie Please enclose rtlfied { USEPA, we are r quired ASBESTOS A BULK SAMPLE - PLI EPA 60018-931116 or Bulk Sample NOB ( PLM EPA NO or NY Settled Dust ASTM 57551A�TM 64 Soil Samples PLM CARE 4 5, Leve Vermiculite S mplef TEM Quahtatl a via F Drinking Wait Sam EPA Method 1 0.2 (fl suits are neeoea in lite turnarouno time start,$ wren ire Ido ret.xlVeb lne WITTIAUD OFIU I04Y111-1t, w.Ii 1CYC1 Ia V 1a mUo :ck, money order or credit card information Please note that if your sample has multiple layers, as required by the analyze ail layers separately. IALYSIS T AROUND 1 Hour 3 Hrs 6 Hrs 24 Hrs 48 Hrs 3 Days 4 Days 1 Week ❑ ❑ ❑ ❑ ❑ ❑ NYS 198.1 $300 $250 $200 $155 $150 $145 $140 $125 Ioor tiles, roofing, etc.) ❑ ❑ ❑ ❑ ❑ 198 6' $354 $254 $200 $175 $150 ❑ ❑ ❑ ❑ BO $350 $300 $275 $250 ❑ ❑ ❑ ❑ j A $450 $400 $350 $300 tration Technique $450 $400 $350 $300 !e El >10 microns) $300 'Both 198.6 a d 198.4; (additional $75 charge) must be performed for samples in NYS to be classified as non asbestos contAining tTI "Samples from New York State not accepted for loose fill vermiculite LEAD AN LYSES TURNAROUND PAINT CHIPS, IPES, OIL, DUST via FLAME AA 3 Hrs 6 Hrs 24 HIS 48 Hrs 3 Days 4 Days t Week WATER via GFA kA ❑ ❑ ❑ ❑ ❑ ❑ ❑ $300 $250 $200 $175 $150 $125 $100 MOLD ANALYSIS TAPE, BULK, AIR or SV4AB - Direct Examination i BULK, SWAB, AIR or Dlj5T — Culturable Fungi i I i i I t if �I 1 Canrdled poalment - -.Asc COC R') -5- I? JD[e i 6 His $350 TURNAROUND 24 Firs 48 Hrs 3 Days 4 Days 1 Week ❑ ❑ ❑ ❑ ❑ $300 $250 $200 $175 $150 Paqe 1 Of 2 Page] of 3 2 Week ❑ $125 $180 ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER(Describe) ��,��,,'r'�rti (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, ) proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and' amount of materials to be used, etc.) - --- -- - �Da�rfi1 a,Q c.�a�Q Sq. FULF a 0) ��r Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ C`O(1) 0 r 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 (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) dAr, l' Signature (first and last name): Lu M DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT CO ENTS: Reviewer: Building Division Valuation: $ FOR OFFICE USE ONLY City of Date: 1 cf r��-° /C3 Wheat ltl e commW Y Dr—vFL0PMFNT ' VPlan/Permit# Building & Inspection Services Division 'JAN 2 5 2018 OIL/ 7500 W. 291 Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 ` Fax: 303-237-8929 Per Inspection Line: 303-234-5933 --- Email: permits(@ci.wheatridge.co.us. ` °ZS� 3 Building Permit Application "** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **' Property Address: Property Owner (please print): T�fh (-W6 Phone: aaa-R - big Property Owner Em Mailing Address: (if different than property address) Address: So a. IDC ukf— City, State, Zip: Architect/Engineer E-mail: Contractors City License M Contractor E-mail Address: Phone: _7010 140 — q44� Phone: -7ab aaa - 6 6 C' r � For Plan Review Questions & Comments (please print): CONTACT NAME (please print): RS51 i i t I i' j,f 16Y Phone: jab CONTACT EMAIL(p/ease print):_ Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT:6-�O / 0) 2-c� ( ADDRESS: 3G,�--G> �_A'&,: . JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground /Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underqround Ext. 206 Water Underground ;2 Q� Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof ;2 Q� 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: c -d1 / ADDRESS: Zai �� lZ�� Vf- JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls gh Grading P ellaneous ,y Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof ,y 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 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: yoq- F.'n, I Rvo-F Job Address: 325D /14r'll er S�, Permit Number: 201002.0 =1 jf%jI ❑ No one available for inspection: Time P,f�`� AM16) Re -Inspection required: Yes t o When corrections have been made, call for re -inspection at 303-234-5933 Date: L�i y� Inspector: RT DO NOT REMOVE THIS NOTICE d 3 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: Ll F Job Address: -3 Z S 6 i n 1) Permit Number: 0) 17< 7::) 0 a `� ❑ No one available for inspection: Time 11 'U17, 1I /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Dater 1 !a Inspector: �3) L.1_ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Demoliti PERMIT - 201800331 PERMIT NO: 201800331 ISSUED: 02/01/2018 JOB ADDRESS: 3250 Miller ST EXPIRES: 02/01/2019 JOB DESCRIPTION: Demolition of kitchen cabinets, tile floor and 1 wall *** CONTACTS *** OWNER (720)272-6678 BEHRENDT JESSICA *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Demoliti PERMIT - 201800331 201800331 3250 Miller ST ISSUED: 02/01/2018 EXPIRES: 02/01/2019 Demolition of kitchen cabinets, tile floor and 1 wall 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 and/or its' accompanying approved plans and specifications. Signature -Mf OWNER or CONTRACTOR (Circle one) Date I 1 1, This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Offial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building OfficiaP ``` '� � 8 ate REQUESTS MUST BE MADE BY 11:59PM ANY BUSINEbS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. { City of Wheat -Fs e COMMUNITY DEVELOPMENT —" Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: � //' L a/ Plan/Permit #W�3i � l �� Plan Review Fee: Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: C\ Property Owner (please print): c���C�l C c ��` � � Phone: I ao aia-66:-�9 Property Owner Email: \p` Mailing Address: (if different than property address) Address: , State, Zip: VA Architect/Engineer E-mail: Phone: ��C)���-�('�} ok e v-) (3 N Y-) _ fir o C Yt Contractor: -Sf � 1 Contractors City License #: Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: CONTACT NAME (please print): ECA -1C` fOA' d+ Phone: %cqo a-JQ —t -?b tg CONTACT EMAIL(p/ease print): r � i'0 CP M +(; Gl VYId( I . Sub Contractors: 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 information on BOTH sides of this form ❑ COMMERCIAL A RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ;OTHER (Describe)�d/1'l� (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) a �,�A ._ W Sq. FULF Btu's Amps Squares Gallons Other 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: =(OWNER))(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Si¢nature (first and last name): DATE: Jac ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of eat R.ld ge COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): 55 I CA JZ r�2 I%') Project Property: Notarized signature of Applicant State of Colorado } County ofJe-P<_rS%Sn } ss J2 The foregoing instrument was acknowledged by me this day of � 20Z by =FARY1 RIMMON BLIC LORADO 154009457 ES MARCH 06. 2019 5Nry OP��) My Commission Expires 3J 12CV9 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Phone/Fax: (303) 7405700/(303) 741-1400 http://www.EMSL.com / denvedab@emsl.com Attention: Jessica Behrendt 3250 Miller St Wheat Ridge, CO 80033 Project: Jessica Emanuela Behrendt EMSL Order: 221800431 Customer ID: MISC-ACCT Customer PO: Project ID: Phone: (303) 435-6365 Fax: Received Date: 01/22/2018 2:55 PM Analysis Date: 01/23/2018 Collected Date: 01/22/2018 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type -Texture Kitchen White 100% Non-fibrous (Other) None Detected 221800431-0001 Non -Fibrous Homogeneous Inseparable paint/coating layer included in analysis -Drywall Kitchen BrownNVhite 20% Cellulose 65% Gypsum None Detected 221800431-000IA Fibrous 15% Non-fibrous (Other) 13 Homogeneous -Tile Kitchen Red/Beige 100% Non-fibrous (Other) None Detected 221800431-0002 Non -Fibrous El Homogeneous -Grout Kitchen Tan 100% Non-fibrous (Other) None Detected 221800431-0002A Non -Fibrous Homogeneous -Thinset Kitchen Gray 100% Non-fibrous (Other) None Detected 221800431-00028 Non -Fibrous Homogeneous Q No Asbestos Detected Between Expected Limit of Detection and Federal Above Federal EPA Recommended Limit t EPA Recommended Limit These guidance limits are typically used in most scenarios. More stringent local or project specific guidelines may apply. Analyst(s) Amanda Lang (5) Amanda Lang, Asbestos Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request Unless requested by the client, budding materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP lab Code 200828-0 Initial report from: 01/23/2018 12:38:04 Printed: 01/23/2018 12:36:07PM Page 1 of 1 BILL TO EMSLAnalytical, Inc. EMSL Analytical, Inc. Federal Tax ID 22-2357101 1010 Yuma Street, Denver, CO 80204 (303)740-5700 Attn: Jessica Behrendt 3250 Miller St Wheat Ridge, CO 80033 US REPORT TO Attn: Jessica Behrendt 3250 Miller St Wheat Ridge, CO 80033 US INVOICE NO. PAGE 22067816 1 1 of 1 INVOICE DATE 1/23/2018 SLSM. I SHIP VIA TERMS BILLING FREQ REPT ID BILLING ID pfrasca I Walk In Cash on Delivery IWith Report MISC-ACCT MISC-ACCT DATE ORDER NO. QTY TEST CODE TEST DESCRIPTION UNIT UNIT PRICE AMOUNT 1/22/2018 221800431 2 PLM Asbestos Analysis of Bulk Materials via EA 125.00 250.00 EPA 600/R-931116 Method using Polarized Light Microscopy 1 Week Project: Jessica Emanuela Behrendt SUB TOTAL 250.00 Payment by credit card submitted. INVOICE $250.00 Authorization no. 025610 TOTAL Please review your invoice promptly. We will gladly correct any errors within 30 days of the invoice date. After that, we deem the invoice to be correct and reserve the right not to issue credits, in whole or part. A 1.5% finance charge will be added to invoices over 30 days. Billing Inquiries - please call 1-800-220-3675 Please detach and return with payment -- — — — — — — — — — — — — — — — — — -- — — — — — — — — — — — -- — — — — — — — -- — — — — — 1/23/2018 CUST # MISC-ACCT INV # 22067816 $250.00 DEPT: 22 Please EMSL ANALYTICAL, INC. Remit to: 200 Route 130 North Cinnaminson, NJ 08077 Billing Inquiries - please call 1-800-220-3675 INV7.31.0 Payment in US Funds Only. OrderID: 221800431 I EMa� wMw�+rneAL. INC N W�ATdY+MW,MC1i,��w�q I SAMPLE SUBMITTAL FORM EMSL ORDER NUMBER (LAB USE ONLY) l EMS ANALYTICAL. INC 200 ROUTE 130 NORTH CINNAMINSON. NJ 08077 PHONE: (800) 220-3675 Your Name: ?' G;,,LA j1,4,e Please include ment with your samples. Street Address: Lj Certified Check Lj Money Order U& Credit Card using a credit card, please fill out the "Credit Card Authorization" form, which is the last a e of this document, Phone #: �� ,�. 1 Fax #: State where Samples were Collected: Address 2: iIf Ci /State: 1 iC ; Zip: I Please Provi a Res its: ❑ Fax ElEmail Project ID: E 61SL - : Email Addre ("I .1 Amount of Check Enclosed if applica0ii., $ ,,tease cneot tim rrame rgsuas are neeaeo n. i tie tumarouna time starts when the wo receives the samples and payment, whichever is the latter Please enclose rtified ch' cK, money order or credit card information Please note that if your sample has multiple layers, as required by the USEPA, we are r uired to� analyze all layers separately, ASBEST�S ANALYSIS T AROUND ! 1 Hour 3 Hm 6 Hrs 24 Hrs 48 Hrs 3 Days 4 Days 1 Week BULK SAMPLE - PLIO ❑ ❑ ❑ 2 E] ❑ EPA 600113-9116 or NYS 198.1 $300 $250 $200 $155 $150 $145 $140 $125 Bulk Sample NOB (door tiles, roofing, etc.) ❑ ❑ ❑ ❑ ❑ PLM EPA NOor NYP 198 6' $350 $250 $200 $175 $150 Settled Dust ! ❑ 0 ❑ ❑ ASTM 5755/A TM 64BO $3350 $OO $2275 $QO Samples; Soil PLM CARB 41:5, Level A $450 $400 $350 $300 Vermiculite Simple ' ❑ E] El 2 TEM Qualltatl a via Fi tion Technique $450 $400 $350 $300 Drinking Wal r Sam Ie ❑ EPA Method 100.2 (fi ers >10 microns) I $300 'Both 198.6 ad 198.1(additional $75 charge) must be performed for samples in NYS to be classified as non asbestos contrining material- "Samples from New York State not accepted for loose fill vermiculite LEAD AN LYS S TURNAROUND PAINT CHIPS, I APES, 1 OIL, DUST via FLAME AA 3 Hrs 6 Hrs 24 Hes 48 Hrs 3 Days 4 Days 1 Week WATER via GF I ti $300 $250 $200 $175 $150 $125 $100 MOLD A LY TURNAROUND IIS ! 6 Hrs 24 Hrs 48 Hm 3 Days 4 Days 1 Week 2 Week TAPE, BULK, R or SWAB -Direct Examination ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 $350 $300 $250 $200 $175 $160 $125 BULK, SWAB, IR or DOST — Culturable Fungi ❑ i i $180 f i controlled powmenf-lfisc COC >tq-5-t?10tb Paqe 1 Of 2 Page] of 3 OrderID: 221800431 l f SAMPLE SUBMITTAL FORM EMSL ANALYTICAL INC EMSL ORDER NUMBER (LAB USE ONLY) t 204 ROUTE 130 NORTH CtNNAMiNsoN. NJ 08077 EMSL ANALYTIC It's, wc.nrv.r-r.oauc.r.�•eio PHONE: (800) 220-3675 Industrial Hygi�ne Laboratory Services TURNAROUND Formaldehyde - ', 4 Hrs 48 Hrs 3 Da s ' 4 Das i Week 2 Week 0 11NIOSH Air Sample C lect on Monitoring Badge ❑ 170 Total Number o Sam I Sent: Metho4201E, Oodified $458 $380 $305 $230 $190 $150 I Formaldehyde Badges - $20 each Qty, Total Cost Note: Please iollow Oil sampling instructions and paperwork documentation included with the sample badges. Forrnaldehyd - Off-ga's testing from sub -sample 24 Hrs 48 Hrs 3 Das -� ❑ 4 Das 1 Week 2 Week ] —7-! laminate floor g or other composite wood productsII $948 $799 $635 $477 $397 $318 ASTMO5582-1 Desict for Method - EMSL Modified Note: Please �ubmit ay 2 inch by 2 inch sample, or as close in size as possible. Place the sample in a sealed plastic bag, Formaldehyde Off-ga# testing from intact laminate 1Week 2 Week Flooring orof er composite wood products �r ElASTMD6007-1 Smaff �hamber Study - EMSL Modified $1300 $650 REAL TIMI Q -PGR LABORATORY ANALYSIS AVAILABLE PCR -Environ nta(R41ative Moldiness index (ERMQ 36 Panel Package developed by the E and is being studied as a tooi to help quality the moldiness of homes. Please visit moldi6soectionkit.com or call 1-800-220-3675 for more information. Radon Tes ing Available - Please visit www.radontestinglab.com or call 1-800-220-3675 for lkof~� Cftmnte Cnhmltinl fnr tho lMinimltm Noroc-cary Samnle Velurne and Mass' Sam fe Number r 7n�t wtutyivat ss ssncstp an anatyncat tatwratcuy we can anaryze samples m %ancus metnoas Ana pro%toe gots %%Itn a wnucn report otu cannot pro%tac you wttt. any ad%ice as to bow to pioecell »her obtaiutt l; resuhs. Duc to m4nifLatiwt limitations inherent in PLM, asbestos fibers in dimensions Wow the resolution capabitm of PLM may not be detected F limn of section as stated' I ve method is 1°o For asststmftt with %mcrpretanon of your results. yomay call yotn Iotas health department, %isit the USEP wrbsae al aWHay or hire an my itonmental consttllaw If,, ou would lite EMSL tor your sam a hr PLM EPA Method EPA 600�R•9? 116, please and us a sample of the malenai you wast tested in a seated liploct bag (apgrox+matela I square tv, is sutTtetent and till out the attached form. All orders must be prepaid if +nu do not wish to use a credit card, include a certdkd check of money order in the amo;im that vorrespot s to the ttunar<nwd note Vont requested, multiplied by the number of wimples %ort submit Plcasc refer to w%%u' tpa.�or 4Lk-sips aubj .WKomc him l 6 for more information retarding asbestos to your home \m all services and at icsrs:are o(Toed at %m EMSL labors on location. Please contact your local EMS( laboratory to confirm then abilm. to pro%ide the sen ice test that you recluse fuNmtkdlMuraaa Atisc �OC RO-S:IL_0 t6 i Paae 2 Of 2 Page 2 of 3 Sample Location IL i Total Number o Sam I Sent: Date Sent: I Time Sent-. Received Lab :i Date: 02 I Time: Comments: VV� r 7n�t wtutyivat ss ssncstp an anatyncat tatwratcuy we can anaryze samples m %ancus metnoas Ana pro%toe gots %%Itn a wnucn report otu cannot pro%tac you wttt. any ad%ice as to bow to pioecell »her obtaiutt l; resuhs. Duc to m4nifLatiwt limitations inherent in PLM, asbestos fibers in dimensions Wow the resolution capabitm of PLM may not be detected F limn of section as stated' I ve method is 1°o For asststmftt with %mcrpretanon of your results. yomay call yotn Iotas health department, %isit the USEP wrbsae al aWHay or hire an my itonmental consttllaw If,, ou would lite EMSL tor your sam a hr PLM EPA Method EPA 600�R•9? 116, please and us a sample of the malenai you wast tested in a seated liploct bag (apgrox+matela I square tv, is sutTtetent and till out the attached form. All orders must be prepaid if +nu do not wish to use a credit card, include a certdkd check of money order in the amo;im that vorrespot s to the ttunar<nwd note Vont requested, multiplied by the number of wimples %ort submit Plcasc refer to w%%u' tpa.�or 4Lk-sips aubj .WKomc him l 6 for more information retarding asbestos to your home \m all services and at icsrs:are o(Toed at %m EMSL labors on location. Please contact your local EMS( laboratory to confirm then abilm. to pro%ide the sen ice test that you recluse fuNmtkdlMuraaa Atisc �OC RO-S:IL_0 t6 i Paae 2 Of 2 Page 2 of 3 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: (b / { 05D 9 A t ❑ No one available for inspection: Time AM/kO Re -Inspection required: Yes to When corrections have been made, call for re -inspection at 303-234-5933 Date: Ins ector. iq. DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201800291 PERMIT NO: 201800291 ISSUED: 01/30/2018 JOB ADDRESS: 3250 Miller ST EXPIRES: 01/30/2019 JOB DESCRIPTION: Residential re -roof with GAF Armour Shield II asphalt shingles. Squares: 42 and Pitch 5/12 *** CONTACTS *** OWNER (720)272-6678 BEHRENDT JESSICA SUB (720)301-2634 Ken Baldwin 170174 Apex Roof & Consulting Svc Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21,000.00 FEES Total Valuation 0.00 Use Tax 441.00 Permit Fee 378.65 ** TOTAL ** 819.65 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 1, 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_pennit. 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 thyt 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 )Tans 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 pennit fee. 3. If this permit expires, a new pen -nit maybe 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 notif the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not pr? eed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issu nce x gra}rtng of 1 permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applic- co e or or r,r-regulation of this jurisdiction. Approval of work is subject to field inspection. t4 i Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Apex Roof & Consulting, Inc. Work Authorization Roof Quote: Jessie Behrendt 3250 Miller St. Wheat Ridge, Co. 80033 Price Roof Scope: -Remove existing roof (1 layer) including all haul off Included -Install 36" ice/water shield at all eaves per city code Included -Install new GAF Armor Shield II (impact resistant, Class 4) shingle roof system including 15# felt Included Color: Homeowner Choice -All new plumbing jacks, step flashing, pre -painted drip edge and roof vents Included -Remove/replace flat modified bitumen roofing over front porch Included -Permit fee Included ROOF PRICE including all materials, tax, and labor 42 sq. $21,132.46 Payment Terms: 50% upon contract acceptance. 50% upon job completion. WARRANTY: Workmanship warranty good for "2" years. Roof to be free from any leaks related to original installation. Does not include any future storm related or mechanical damage. Customer Signature: ` 1142 Date: 1A4 IS H �� Apex Rep Signature:_ Date: 1/22/18 Signature above acknowledges that customer agrees to all terms and conditions of Work Authorization. PO Box 33965 Northgienn, Co. 80233 Ph. 720-301-2634 E. apexroof@comcast.net &-)/ S-o 6 Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Tuesday, January 30, 2018 7:22 AM To: CommDev Permits 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 and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3250 Miller St. Jessica Behrendt 720-272-6678 Field not completed. Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Behrendt contract - 3250 Miller St..ipeg CONTRACTOR INFORMATION Contractor Business Apex Roof & Consulting Services, Inc. Name Contractor's License 170174 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-301-2634 Number (enter WITH dashes, eg 303-123-4567) Contractor Address PO Box 33965, Northglenn, Co. 80233 (Primary address of your business) Contractor Email Address apexroof@comcast.net Retype Contractor Email apexroof@comcast.net Address DESCRIPTION OF WORK TOTAL SQUARES of 42 the entire scope of work: Project Value (contract 21,000.00 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) No Pitched roof (2:12 pitch or greater) L *I- What is the specific pitch 5/12 of the PITCHED roof? How many squares are 42 part of the PITCHED roof? Describe the roofing GAF Armor Shield II materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional Re roof 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 been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Ken Baldwin Email not displaying correctly? View it in your browser. A i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: e.� Job Address: ,e f Permit Number: (::�0) oa ► I /)I" sf //6i r, P /.- A�-i f ,V O !` r,2 S- ❑ No one available for inspection: Time CA-M/PM Re -Inspection required: (ge No When corrections have been made, call for re -inspection at 303-234-5933 Date: I Inspecotter:1,, DO NOT REMOVE THIS NOTICE Y 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.- Z S b ryY LC <` sZ Permit Number: two ❑ No one available for inspection: Time I1 AIV/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector. c DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708921 PERMIT NO: 201708921 ISSUED: 11/07/2017 JOB ADDRESS: 3520 Miller ST EXPIRES: 11/07/2018 JOB DESCRIPTION: Permit for reroof: INstall 19.33 squares 6/12 pitch GAF Timberline HD Shingles laminated comp 1.33 squares shed *** CONTACTS *** OWNER (303)463-7934 BURNS CHARLES F 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: 8,537.00 FEES Total Valuation 0.00 Use Tax 179.28 Permit Fee 188.45 ** TOTAL ** 367.73 *** 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 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708921 PERMIT NO: 201708921 ISSUED: 11/07;2017 JOB ADDRESS: 3520 Miller ST EXPIRES: 11/07/2018 JOB DESCRIPTION: Permit for reroof: INstall 19.33 squares 6/12 pitch GAF Timberline HD Shingles laminated comp 1.33 squares shed 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 naed within this document as parties to the work 10 be performed and that all work to be performed mis disclosed in this document and/or its' accompanying approved plans and specifications. �sfgnature of OWNE or CONTRACTOR (Circle one) ate 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations. policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all regluired 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 anv 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. Antoinette Kulick ,2-- ol I Q;3- ct 2-- f From: no-reply@ci.wheatridge.co.us Sent: Tuesday, November 7, 2017 11:26 AM To: CommDev Permits 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 and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person J at City Hall. Revisions to existing permits (for example, to add redecking) must be 1 completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3520 Miller Street Wheat Ridge, CO 80033 Elaine Morin (303) 463-7934 sarah.veteranroofing@gmail.com Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes E Morin contract.pdf CONTRACTOR INFORMATION Contractor Business Veteran Roofing Name Contractor's License 170192 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3039454426 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 5039 S FEDERAL BLVD UNIT 6 (Primary address of your business) Contractor Email Address sarah.veteranroofing@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) sarah.veteranroofing@gmail.com 19.33 8537 No Pitched roof (2:12 pitch or greater) 6 What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 6:12 19.33 GAF Timberline HD shingles laminated comp Asphalt 1.33 SQ's detached, main roof, gutters 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 Yes Yes Yes Yes and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Jason Biondolillo Email not displaying correctly? View it in your browser. C ci P o:r C 1 f"i'l c1 nago I 4/14 nome ti Ak hah.., VETERAN ROOFING Owner s; �-V2, e ------ - Address Cit State I Insurance Company SIAKL "THIS AGREEMENT SMALL BE VOID IF THE INSURANCE COMPANY DOES NOT AGREE TO Tt--E 1. Scope and Pricing: 0 Veteran Roofing LLC agrees to furnish the material and services necessar; 7: mortgage coordination. 0 Veteran Roofing LLC will provide services at the RCV (Replacernent cost vah* company including agreed changes from supplements c"e requtremenLs, pe-- "Approximate" cost of the work will be This, terve ve, inspection conducted with the insurance company and negotiations. 0 The home owners ONLY out of pocket expense shall not exceed the deductible owner wishes to add services not stated cin estimate prcry provided to Veteran Roofing. Mate ri,- be * Approximate dates of ser-, is E 2. Acceptance: 0 Veteran Roofing has pei„on to contact the Insurance caffjmny fog any infoL-,rrc<n- j7-4$ je,4 pertaining to this indjvidu.-,, , 3im. The '-,---neowner and Veteran Rot fsV agree or:zzz available from the insuian,e compar, -,.iie roofing d`J-Te ft5 Arm-pri including t he back addendom Property Owner "AfortgageAuthori.-atilpit- 1f,j Clain, jM,,uIll i.v alk_,_ For )w ;-aak: -ne lift,r nrvrachrr such :>c 61SWIR4. aw .4r-. -4, 4. i - Rot)inn io ('010act Lite Ittollgage a??d/WM idcam, (Avitmews #"Nw 14, '� .,utlrratse l ���►r ���>Fn�' Ib t�IMcat'i'wr i�iart�aCt` �-+�Frrvre�. CtVWS[ 1\11 .1 We"I rut iff"'uram-e South Federal Blvd #6, Fnglewood CO 80110 Scanned by CarnScanner X91' City of r x , batJ�Ldgle Iguilding & Impaction Services t31vlsIon a C� tS C j � 7600 W" 290 Rv , Wheat Ridge, CO 80033 Plan r6 Me; w 303.235-2365 * : 303-237-8929 Inspection Line. 303-234.5933 Building Permit Application ;Fly#lq ;aOfs on both:s...:. vfAhie`,1lo : 1#16:000 eP'fi?Q""0na:TOy,rwcst.",V""000'0;`:. (please * r► a** MOO r s 'res ;� t ► +� r r 1 Electrical,, W.R. City License # Complete Atli information on ROTH sides of this form �. A. tib Ar ♦ t �: ,: t Mk Y s � • t ue � iB Y ,� Amp QOo. qur INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 32 M a tb t,- INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB N INSPECTIONS DATE INSPECTOR INITIALS COMMENTS issons oWeatherp1roof CEG) Concrete ound or Monolithic of / French Drain _ Sewer Service Lines Water Service Li nes INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground).. Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS . Sheathing -' Lath /Wall tie Mid -Roof - Electrical Service Rough Electric Rough Plumbing I. Gas Piping _ Rough Mechanical ' ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING r- Framing Insulation f�'.. Drywall Screw FINALS Electrical Plumbing Mechanical Building Final _ Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 6 Al V 4 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ------ (303) 235-2855 Office (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ow"h ,ew Job Address/Permit Number: 720 Alf/1%, 5/ f e l / r") El No one available for inspection: Time J�: 7 2 6 AIVIA�� Re-Inspection required: Yes Mo) When corrections have been made, call for re-inspection at 3Q3,234 Date: � inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: &F Job Address: 3 a S -o Nl IL-L L--/Z S T- Permit Number: 6'7 1 S©_-,:~ { ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, calf for -i spe ion at 303-2345933 Date: Inspector: DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Residential Roofing PERMIT - 091503 PERMIT NO: 091503. ISSUED: 08/20/2009 JOB ADDRESS: 3250 MILLER ST EXPIRES: 02/16/2010 -.DESCRIPTION: Reroof 40 sqs * * * CONTACTS owner 303/263-9822 Dave Schroeder sub, 303/789-4288 Terry Shadwick -02-2325 BluSky Restoration PARCEL INFO ZONE CODE: ~ UA b USE: - UA Z",SUBDIVISION: 0646 ' .BLOCK/LOT#: 0/ FEE SUMMARY ' ESTIMATED PROJECT VALUATION: 7,080.00.. FEES Permit Fee 199.30 Total Valuation .00 Use Tax 127.44 9 TOTAL 326.74 1 Conditions: 6 nail installation & mid-roof inspection required. Board sheathing spaced more.. thana 1/2 of an inch apart requires plywood overlay on. entire roof. Ice. and water shield required from save edge to.2'inside exterior walls. C. Subject to field inspections. g F^ I hereby. certify that the setback distances proposed by this permit application are accurate, and do not violate. applicable RE, 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 ~N 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, or work under this permit. Plans subject to field inspection. Sinature of contractor/owner `date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable h 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. 3. If this. permit expires,. a new permit may be. acquired for afee 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 sue,` be paid for anew permit. - l.` 4. No work of any manner shall be done that will change the natural flow of water causinga drainage problem. S. Contractor shall notify. the Building Inspector twenty-four (24) hours in advance for, all inspections and shall receive written approval on :inspection card before ' proceeding. with successive phases of the job. 6. The issuance of a permit or the approval of. drawings and specifications shall not be construed to be a permit. for,. nor. - an approval of, y violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan ev w subject to field inspections. r o Signature Ch 4A Building Official ` date ~`INSPEO ION REQUEST LINE: (303)234-5933 -BUILDING OFFICE: (303)235-2855 p? REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. r P 3 From: 08/2012009 72:39 #302 P.002/002 F Ea City of Wheat Ridge Building Division 4 . 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 O P, Building Permit Application Date: Plan Permit: C Property Owner (please print): t) ,v~, $ckro-zj e r Phone: 3°3 -26.1-18 as Mailing Address: (if different than property address) Address: City, State, Zip: Contractor License M Phone: ()~E<'ke~3e's' 1G`i°~i3 S ~e , ,a •5(°t-qua;. fooffiffim Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of s ace kdescri tion): oze, ^ ie cn-lp Construction Value- $ `7 v erJ, cu (ae calculated per the Bm7dinp Valuation Data sheet) vcr• W'1 4'N ~ ().wc Plan Review (due at time ofsubmittao: $ , d q~„ ~ Sq. Ft./L.Ft added: Squarest BTU's Gallons Amps ACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT at the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, is of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full xmpliance with the Wheat Ridge Building Code (LB,C) and all other applicable Wheat Ridge Ordinances, for work C/RLCEONE= (OWNER) ~//ONTRACTOR or PERSONAL REPRESENTAWE of OW~WR) (CONTRATOR), "1 19 PRINT NAME: N-4°•'" iTin+^i c. Y, S SIGNATURE: C%"f Data. w