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7507 W. 35th Avenue
e A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: \Y�� �-� F, i" I`4.�►'>� Job Address:%�- Permit Number: y ❑ 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 ' 1 Date:c� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:'' Job Address: LZ Permit Number:_' ]�!4 Li ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: httpYlwww.ci.wheatridge.co.ushnspection Dater 4 . 1 Inspector.,,_�-- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: - Permit Number: 2 <Q5 �{ ❑ No one available for inspection: Time I_) WPM Re -Inspection required: Yes No When corrections have been maa schedule for re -inspection online at: http✓/www.ci.wheatridge.co.usl�nspe tion Date:` ' Insge DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C\ ❑ No one available for inspection: Time `f AM/PM r Re -Inspection required: (Yes,) No When corrections have been made, schedule for re -inspection online at: httpJ/www. ci. wheatridge.co. usrnspection Date: �� 1' [ Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number:_Q C) 1 y C k el -L. IJ No one available for inspection: Time AM/PM Re -Inspection required: Xes.'! No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. usfinspection, Date: Inspector: DO NOT REMOVE THIS NOTICE I&N Engineering LLC November 7, 2019 Builders Group, LLC P.O. Box 6362 Longmont, Colorado 80501 Subject: Evaluation of creating openings in walls 7507 W 35t' Ave. Wheat Ridge, Colorado 80033 Dear Mr. Trip, At your request, we visited the above -referenced site on November 6, 2019. walls. 7077 S Patsburg Way Aurora, CO 80016 Tel: 1-(720)-298-8446 kris@kpneng.com The purpose of our visit was to evaluate the options to create openings in existing partition At the time of the observation, a visual inspection was performed of the existing conditions, and measurements were taken. The existing walls appear to be one 8" concrete masonry units wall. The first wall opening was enlarged to fit door opening, and the masonry wall was removed all the way to the top of the wall, and new 2x4 framing was added with 2-2x8 header on top and 2x4 stud and trimer on each side of the opening. The second opening is for the 5'-0" width, and the masonry wall was removed all the way to top, and new 3-2x8 pressure treated header was installed supporting the roof member and is resting on the pockets in the masonry wall. Based on this information, we can determine that the walls in question with their new headers are sufficient to support the applied loads on them. The recommendations in this report are based on observable conditions. KPN Engineering, LLC. does not accept any liability for unknown defects in the design or construction of the original structure at this site. We trust that this letter provided you with the information you required. Please feel free to call if you have any questions or need further information. Digitally signed by Krzysztof P. Nawalany DN: C=US, E=kris@kpneng.com, Cordially, Krzysztof P. Nawalany O=KPN Engineering LLC, CN=Krzysztof P. Nawalany Date: 2019.11.07 20:26:08-07'00' Krzysztof P. Nawalany, RE, Managing Member November 7, 2019 Page 2 November 7, 2019 Page 3 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: IBJ _ Job Address: __1_ CA:2 � f- W, Permit Number: =2? ❑ No one available for inspection: Timier" t I , nWpM Re -Inspection required: Yew _No When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.uslinspectoir\ Date: ect Insp(C�_ ®O NOT REMOVE THIS NOTICE w e RECEIVED City Of OCT 2 4 2019 Wh6atR id COMMUMTY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: ZJro? 4JeST 3s'- '-ePermit #: General Contractor: I Electrical Sub -Contractor .4/-61wre ,, o�►-, r/ Company Name: VO c/— ,� s Z State License #: VO qs— Master Wheat Ridge License #: (required field) Signature of Authorized Agent Plumbing Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Company Name: Wheat Ridge License #: Signature of Authoriz Agent Date Phone #: Master #• _(required field) Date Phone: required field) /o 7 Date Inspection Type: CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE V- v\y', Job Address: Permit Number: (-)u \"-\ o ❑ No one available for inspection: Time `�'�`'4 AM/PM Re -Inspection required: Yes 6 When corrections have been made, schedule for re -inspection online at: http://www. cL wheatridge. co. uslinspection Date: �'� \ !. , \ � Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Cum r V C-)11 Job Address: �; 0-1 W 3'5 -An ,A.v L Permit Number: cib \C1 Q \ r s -L ❑ No one available for inspection: Time ) 3 o..W AM/PM Re -Inspection required: Yes (( 199 When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge.co. uslinspection Date: -_Inspector: �N. DO NOT REMOVE THIS NOTICE - .. City of Wheat Ridge AV Aw Residential Remodel PERMIT - 201901992 PERMIT NO: 201901992 ISSUED: 10/02/2019 JOB ADDRESS: 7507 W 35th Ave EXPIRES: 10/01/2020 JOB DESCRIPTION: SWO Residential remodel of master bathroom, electrical and new fixtures. Square feet: 142 *** CONTACTS *** OWNER (303)800-8216 BYRNE HOPE SUB (720)319-4850 STEVE TRIPP 190191 BUILDERS GROUP SUB (303)698-9790 PAUL TURNER 140226 T'S PLUMBING & HEATING SUB (720)331-2734 GABRIEL MARIN 190276 DGI ENTERPRISE SUB (303)597-6003 RYAN MAESTAS 180123 5280 HEATING & AIR COND *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Investigative Fees ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION FEES 0.00 122.49 1,001.32 706.55 706.55 2,536.91 47,682.00 *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 201901992 PERMIT NO: 201901992 ISSUED: 10/02/2019 JOB ADDRESS: 7507 W 35th Ave EXPIRES: 10/01/2020 JOB DESCRIPTION: SWO Residential remodel of master bathroom, electrical and new fixtures. Square feet: 142 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 o h property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I furth a st tha am ally authorized to include all entities named within this document as partes to the work to be performed and t or o formed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNEIj/ CTOR�Circle one) Date 1. This permit was�.as4uea base� provided in thepermit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building OfffNW—F� g ,f"'Mite REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Rid. pre-, fOMMt)NIlY DI -VI l t)I'Mt N t' sus.coNTRncToK AcrrHORiZnTron FORM 1 lki% h+rrw w p! r.t s+ratl++e+i *►►� hn ir+ f• r°wp st .%wk~ ' ti*r'+► ciq of%%Iwo# RWAV I-kreat iamob" Mu`l 1w1 in r* appotAk "t. so s hew olocc 04W mini be "pis dote orw to " boomerlL Prefa! A rms& x Tem M . ..... Electrnital Sub-Cefstrrctor mtAW r " ADW Oak Mmbbg Sub troctor cow"Sy xsvv*-.17'� Fyt"��' :tet tAomw... �fi ► 1 '2q�_37 trot tic LKOW 0 SCpMrnr of Ate" Alto ilstr medwaialCestmaor 3 ' Ul PO 1, 990 -7139 >nt !t tl w( r9q"kT4 mil .2 - L;�lAf butt 05;vev oroqAc z _. ..Y"c Yam. --0-0 10- " i Apw City of W heat jd�e COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(fti.wheatridge.co.us FOR OFFICE USE ONLY Date: 1?/ / l Pl7�#� '� Plan Review Fee: rl' K Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _75-0__7 LZ IS7 - Ad tZ _ Property Owner (please print):// lfor�� yr-,n� Phone: 30`3 Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Arch itectlEngineer: Loc Arch itect/Eng 1 neer E-mail: Phone: Contractor Name: $ t'k " (Je- �3 City of Wheat Ridge License #: i 0 Phone: / a6 Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): v' e- I ;— t 9� n Phone: 7 -;,-� l L -(s Tb CONTACT EMAIL(p/ease print): S /. T -7V'7'0 C?f✓1A_t� L®n--, 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 V 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. /fi .;-�'l �' e �✓ri�s`F� z` T3C1-'+ " 41v.> )�`F� n s -Tk ..nk"'A- Jl I V� h e US ✓�c, Ccz F/a o rr\ dD� .n G 1.4" 1 t U P eq n s Sq. FULF 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) a 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.atuthe application. CIRCLE ONE: (OWNER (CONTRAC r THORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: \ DEPARTMENT USE ONLY � ZONING COMMMENTS: �~ ` t ` - �1 , t5t� OCCUPANCY CLASSIFICATION: L Q \ 57 1�•�i�c� rt M. c;^�c 7-� )c av,�I t = SCl L O , ^ y 01 ;t CONSTRUCTION TYPEY Reviewer: BUILDING DEPARTME MENTS' Reviewer PUBLIC WORKS COMMENTS: Reviewer: Building Division Valga.,, "1-1 U-1),, r)n 0"V q 0 LIMITED ASBESTOS INSPECTION REPORT 7507 W. 35th Ave Wheat Ridge, CO 80033 8/29/2019 Prepared for: Hope Byrne Hope Byrne 7507 W. 35th Ave Wheat Ridge, CO 80033 (303)345-8657 debra@hometrustbuys.com, hope@homestrustinfo.com witsy200l2OOl@gmail.com Prepared by: Alta Environmental LLC CDPHE Registration No.: ACF - 24509 7045 W. 37th Ave. Wheat Ridge, CO 80033 Contact@AltaEnv.CO (303) 669-7007 www.AltaEnv.CO Table of Contents Section 1 Inspection Project Summary 1.1 Homogenous Areas in Work Scope - Table 1.2 Summary of Asbestos Samples 1.3 Sample Locations (optional) Section 2 Results and Recommendations 2.1 Post -Renovation Asbestos Containing Materials Notice (if identified) 2.2 Photo Log of Asbestos Containing Materials (if identified) Section 3 Project Overview Section 4 Asbestos Inspection Procedure 4.1 Suspect Asbestos Containing Building Materials 4.2 Sampling and Laboratory Analysis Section 5 Conclusion 5.1 Limitations Appendix A - Laboratory Report and Chain of Custody Form Homogenous Material Types - Reference List Surfacing Material List of Acronyms TS Textured Surfacing ACM Asbestos Containing Materials PL Plaster ACBM Asbestos Containing Building CMS CMU Sealant Material SOF Spray -on Fire Proofing Thermal System Insulation G Good DT Duct Tape/Wrap D Damaged PI Pipe Insulation SD Significantly Damaged Miscellaneous BBA Baseboard Adhesive F Friable CA Carpet Adhesive NFI Non -Friable Category I CDW Composite Drywall NFII Non -Friable Category II CT Ceiling Tile DW Drywall NA Not Analyzed FTM Floor Tile Mastic ND None Detected MA Miscellaneous Adhesive MS Miscellaneous Sealant EA Each OT Other Material LF Linear Feet RSG Roof Shingle SF Square Feet RSH Roof Sheeting RSL Roofing Sealant" Trace :51% by (Point Count/Composite) SVF Sheet Vinyl Flooring%>0 'LG ACM ACM (>1% asbestos) WG Window Glazing ��,$; a sod Section 1 Inspection Project Summary Job ID: 20190827-2 Inspector: Joshua Masek Date: 08/27/19 State Cert #: 22489 Client: Hope Byrne Customer: Hope Byrne Property Details: Site Address: 7507 W. 35th Ave Wheat Ridge, CO 80033 Property Type: SFRD Age of Construction: 1953 Renovation: Inspection Details: Type of Inspection: Limited/ Renovation ACM AHERA/Reg 8 Reason of Inspection: Remodel Affected Area(s): Bath, Kitche, East addition, North addition Scope of Inspection: Partial Demolition Potential Spill Identification?: Yes (See Section 2 Results and Recommendations) Work Scope Notes: Inspecting previosuly impacted materials and planned remodel materials Sample Notes: Laboratory: Aerobiology NVLAP #: 200-860-0 Results Time: Next Day # of Samples 20 1.1 Homogenous Areas in Work Scope - Table ID* Material Type** # of Samples Material Description Functional Space Quantity in Scope 1 FTM 2 brown 9"x9" floor tile East addition floor 150 SF 2 FTM 2 black 18"x18" floor tile East addition floor 100 SF 3 CT 2 white 12"x12" ceiling tile East addition ceiling 150 SF 4 1 PL 3 gray orange peel plaster Kitchen, Bath, N & E add. 400 SF 5 TS 3 gray knockdown texture Kitchen, N & E additions wz 800 SF 6 CDW 2 gray knockdown joint compound Kitchen, N & E additions j.c 800 LF 7 OT 2 gray/brown insulation East addition ceiling 300 SF 8 OT 2 gray mortar East addition exterior walls 100 SF 9 SVF 1 2 Icream floral sheet vinyl I bath floor 80 SF 10 *ID - Homogenous Materials ID in Homogenous Areas Table & Bulk Samples Table **See table of contents Reference List for how to classify homogenous materials type 1.2 Summary of Asbestos Samples Sample ID Homog. Mat'I ID Bulk Sample & Locations Table Sample Location ID* Material Condition Friability Category Analytical Results FTM 1-1 1 E rm fl, 30" N, 19" W G NFI 6% Chrysotile FTM 1-2 1 E rm fl, 15'6" N, 29" W G NFI 6% Chrysotile FTM 2-1 2 E rm fl, 5'10" S, 33" W G NFI ND FTM 2-2 2 E rm fl, 3'S, 52" E G NFI ND CT 1-1 3 E rm ceiling, 4' E, 13' 7" S G F ND CT 1-2 3 E rm ceiling, 8'10" N, 12" E G F ND PL 1-1 4 kitchen, E wall, 64" N, 45" up D F ND PL 1-2 4 N addition, E wall, 4'8" N, 48" up D F ND PL 1-3 4 N addition, N wall, 5'W, 50" up D F ND TS 1-1 5 E addition, W wall. 72" N, 48" up D F ND TS 1-2 5 N addition, N wall, 32" E, 47" up D F ND TS 1-3 5 N addition, N wall, 20" W, 44" up D F ND CDW 1-1 6 E addition, W wall, SW corner, 22" up D NFII ND CDW 1-2 6 N addition, N wall, NE corner, 30" up D NFII ND OT 1-1 7 E addition, ceiling, 18'9" N, 38" E G F ND OT 1-2 7 E addition, ceiling, 54" E, 4" S G F ND OT 2-1 8 mud room, S wall, 29" W, 66" G F ND OT 2-2 8 E addition, N wall, 16" W, 58" up G F ND SVF 1-1 9 bath fl, WN 8" W G F ND SVF 1-2 9 bath fl, 3' S, 22" W G F ND 1.3 Sample Locations "I IM2 1 �•♦ ''� �rMl'1 1 I 4 1.3 Sample Locations Map (Continued) �C2 ..x Section 2 Results and Recommendations Asbestos -containing building materials have been identified within the affected area(s) of the Site Address. Any repair, removal or other activities that will disturb asbestos -containing materials must be performed by a certified and licensed asbestos abatement contractor in accordance with applicable federal, state, and local regulations. Any friable suspect asbestos -containing materials identified as having trace (<_1%) asbestos through laboratory visual estimation must be considered to be an asbestos -containing building material. Further analysis may be performed on friable materials having a visual estimate of <_1% by point counting, which is a more quantitative analysis of the material. Any work performed on asbestos -containing building materials and/or trace asbestos -containing building materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos construction industry, general construction industry, and respiratory protection standards. Worker exposure assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional engineering or administrative controls to properly protect workers engaged in activities that may damage or disturb materials which contain asbestos. 2.1 Post -Renovation Asbestos Containing Materials Notice Plans for renovation were not known at time of inspection. Please assume ACBM(s) identified in this report are accessible with the potential for disturbance and/or damage from material contact, vibration and/or air erosion. CDPHE requests that the Client notify the current property owner and all site contractors of the ACBM(s) present at the property. 2.2 Photo Log of Asbestos Containing Materials P+r• �( y y i . 4 Brown 9"x9" floor tile containing 6% asbestos Section 3 Project Overview Alta Environmental LLC (Alta) was contracted by the client to perform a limited repair/renovation specific asbestos inspection (inspection) at the above referenced "Site Address". The inspection was conducted by an Environmental Protection Agency (EPA) accredited and Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Building Inspector. The inspection was performed at the direction of the client and only includes those materials, locations, and quantities specified in the "Homogenous Areas in Work Scope Table". The client is planning repair/renovation activities that will disturb suspect Asbestos Containing Building Materials (ACBM) within the repair/renovation affected areas at the Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos (Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified personnel prior to conducting any repair/renovation activities that will disturb the suspect ACBMs. All samples were analyzed by a laboratory accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the following trigger levels for different types of properties, which specify how suspect and confirmed ACBMs are inspected and subsequently abated: With regard to single-family residential dwellings (SFRD), the trigger levels are 50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon drum With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes, 160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum The purpose of the inspection was to identify, visually inspect, and sample all suspect ACBMs, at the direction of the client, which may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection Procedure The inspection procedure was conducted in accordance with EPA Asbestos Hazard and Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable Occupational Safety and Health Administration (OSHA) guidelines and regulations. These regulations specify requirements and protocols for conducting asbestos inspections, sample analysis, and asbestos abatement. 4.1 Suspect Asbestos Containing Building Materials Homogenous Material Types The inspection involved identification and sampling of suspect ACBMs in the areas established by the client that would be part of the scope of work. Suspect ACBMs were grouped into homogenous materials based on color, texture, and date of application. Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on the type sequence of the homogenous material. Details about the size, color, condition, friability, quantity, location within each functional space and other important details for each homogenous material were reported as part of the inspection. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material — material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation — material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous Materials — interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include, surfacing material or thermal system insulation. "s -at Homogenous Material Friability Each homogenous material was given one of the three following friability categories defined by the EPA and CDPHE: 1. Friable Material — materials that can be crumbled or reduced to powder by hand pressure. 2. Category I Non -friable Material — materials that cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing materials and asphalt impregnated roofing materials. 3. Category II Non -friable Materials — all other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -friable materials. Homogenous Material Condition Each homogenous material was given one of three condition categories based on visual observation defined by the EPA and CDPHE: 1. Good Condition — No visible signs of damage were observed during the inspection. 2. Damaged Condition — Visible signs of damage less than ten percent spread over the entire material or twenty five percent localized. 3. Significantly Damaged Condition — Severe damage greater than ten percent spread over the entire material or twenty five percent localized. 4.2 Sampling and Laboratory Analysis Sample Collection Bulk samples of each suspect homogenous material were collected randomly throughout the homogenous material area within the scope of work. Bulk samples were sampled all of the way through the material so that all associated layers within each homogenous material are represented. Bulk samples were placed in closeable sample bags and then labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1, MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the homogenous materials were also collected at this time during the inspection. Sample quantities of each homogenous material were collected based on material type and quantity detailed in the following table as required by regulation: Homogenous Material Minimum Number of Quantity Type Samples 0 to <1,000 SF 3 Surfacing material 1,000 to 5,000 SF 5 >5,000 SF 7 Each Material 3 Thermal System Insulation Patch < 6 LF, SF 1 Miscellaneous Material Each Material 2 Laboratory Sample Analysis Bulk samples were submitted to the laboratory along with a completed chain of custody form to the above listed NVLAP accredited laboratory for analysis by polarized light microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982). Microscopic visual estimation was used in obtaining the percentage of asbestos within each layer of the bulk samples. Asbestos Containing Building Materials EPA and CDPHE both define an asbestos containing building material (ACBM) as a material which has an asbestos content of greater than one percent. In the event that a friable material is estimated to contain "trace" or between zero -to -one percent, that material must undergo a point -count analysis by the laboratory to confirm that the material is trace asbestos -containing. Further, if a point count analysis is performed on a bulk sample, the point count result takes precedence over the visual estimation result. See appendix A for laboratory report and chain of custody documents. 7/n Section 5 Conclusion Alta has performed a limited repair/renovation specific asbestos inspection of the home/facility located at the Site Address. Through visual inspection and laboratory analysis of bulk samples collected at the Site Address, Alta recommends hiring a certified general asbestos abatement contractor to remove any ACBMs that may have been identified within the scope of work. All inspection activities were conducted at the direction of the client and only include those materials, quantities and locations detailed in sections 1 and 2 of this report. See sections 1 and 2 of this report for information regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample information and laboratory analysis results. 5.1 Limitations General Comments and Limitations Reasonable effort was made by Alta to locate and sample accessible suspect ACBMs within the scope of work. However, for any structure, the existence of unique or concealed suspect ACBMs is a strong possibility. Alta only inspected and collected suspect ACBM bulk samples in the repair/renovation areas at the direction of the client. This limited repair/renovation asbestos inspection report is not considered a comprehensive asbestos inspection report and is only valid for the materials and locations detailed in sections 1 and 2 of this report. Should further repair/renovation work expand outside of materials and locations listed in sections 1 and 2 of this report, those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement of ACBMs must be performed in accordance with all federal, state and local regulations pertaining to abatement, transport, and disposal of ACBMs. The asbestos inspection was conducted in a manner consistent with the level of care and skill exercised by professionals of the asbestos inspection profession. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the repair/renovation areas. 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 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. Alta does not warrant the work of regulatory agencies, laboratories or other third -parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Sincerely, Joshua Masek Alta Environmental LLC 7045 W. 37th Ave. Wheat Ridge, CO 80033 303.669.7007 contact@AltaEnv.CO 11heas Appendix A Laboratory Report and Chain Of Custody Form NN,, AAEROb10LOCjy LABORATORY Physical Description of SampleJLayer 780 St.—Sercer ASSOCIATES, INCORPORATED Asbestos Detected Sr. 104 Fiber Percentage Non -Fibrous Material Gold.,CO, 80401 \_ Expertise Since 1997 Iab Sample Number 303.232.3746 19038386-1A Certificate of Analysis www.aerobioloay.aet Client Name Alta Environmental LLC - Colorado��(� n IJJ Date Collected: 0827/19 Street address 7045 W. 37th Ave. �l Date Received: 0827/19 City, State ZIP Whcat Ridge, CO 80033 TESTING Date Analywd: 0828/19 Attn: Josh Masek NVLAP tab Code 200860-0 Date Reported: 0829/19 Client Projeet Name: 20190827-2 / 7507 W. 35th Ave., Wheat Ridge, CO Project ID: 19038386 Test Requested: 3002, Asbestos in Bolk Samples 19038386-1C Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification Physical Description of SampleJLayer H—Non-Asbestos geoeous IY� Layer Percentage Asbestos Detected Asbestos Percentage Fiber Percentage Non -Fibrous Material Matrix Material Composition Client Iab Sample Number 19038386-1A Tan Floor Tile N 70% CHRY 6 -Percentage 94 C FPMl-I-1 19038386-1B Black Mastic N 15% ND n . tv :'.urN.,,i. , . ?»L•. 100 B 19038386-1C Gray Cementitious Material N 15% ND 100 Q 19038386-2A Tan Floor Tile N 70% CHRY 6 94 C FTMI-2-2 19038386-2B Black Mastic N 15% ND 100 B 19038386-2C Gray Cementitious Material N 15% ND 100 Q FCM2-1-3 19038386-3A Gray Flooring N 95% ND 100 19038386-313 Colorless Mastic N 5% ND 100 B FTM2-2-4 190383864A Gray Flooring N 80% ND 100 19038366-4B Broom Mastic N 10% ND 100 B Page 1 of 7 .'ty AM au -s,: 3-- ' ::d.Am, C -r CHY7.rm OR ars..: lrlN) LCtC.beY�M at- ISM - t7P-OCai Labma: - Anal�.zt AA ..... Lab Inper-•isot .Tr • .oe. 0.e«..a n . tv :'.urN.,,i. , . ?»L•. Page 1 of 7 .'ty AERobiotOcly UboRATORy Physical Description of Sample/layer 780SimauS- -^.,� ASSOCIATES, INCORPORATED Asbestos Detceted Sane 104 Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Golden, CO, 80401 Expertise Since 1997 Lab Sam le Number 705.272.7746 www.aerobiology.net 190383864C Certificate of Analysis N Client Name Alta Environmental ILC - Colorado���� r� DS-rJ I Date Collected: 08/27/19 Street address 7045 W. 37th Ave. 100 Date Received: 0827/19 23PCity, State ZWheat Ridge, CO 80033 TFSnNI G V Date Analyzed: 0828/19 Ann: Josh Malek NVLAP tab Code 700860-0 Date Reported: 0829/19 Client Project Name: 20190827-2 17507 W. 35th Ave., Wheat Ridge, CO 90 Project ID: 19038386 Test Requested: 3002, Asbestos in Bulls Samples CTI -2-6 19038386-6 Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification Physical Description of Sample/layer Homo- geaeous tY/M layer Percentage 8 Asbestos Detceted Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sam le Number FTM2-2-4 190383864C Gray Cementitious Material N 10% ND 100 Q CTI -1-5 19038386-5 Tan(White Ceiling Tile N 100% ND 90 10 CTI -2-6 19038386-6 Tan/White Ceiling Tile N 100% ND 90 10 19038386-7A White Compound with Gray Paint N 30% ND 100 C PLI-1-7 19038386-713 White Plaster with Multicolored Paint Layers N 30% ND 100 G 19038386-7C Gray Granular Plaster N 40% ND 100 Q PLI-2-8 19038386-8A White Compound with Gray Paint N 30% ND 100 C 19038386-8B White Plaster with Multicolored Paint Layers N 30% ND 100 G 19038386-8C Gray Granular Plaster N 40% ND 100 Q PLI-3-9 19038386-9A White Compound with Gray Paint N 3017, ND 100 C t ,tuna ex Telma 04, Laltora:on- Anah�t AaCnroa Lab :�Penzsot Page 2 of 7 k:: • ♦r;tAesh.".6•s F6 - FW— Gaut D - Dueseas Rc:xix,. r CnR', - Ci ,. `-:ivas: w— G. Cvq—. OP - flrs¢a++ AERObIOlOCIy LAbORATORy :s., 780SimmsS- -'� ASSOCIATES, INCORPORATED - Com,. Sart` 104 Non -Fibrous Matrix i1r?+etae Golden, CO, 80401 gene°us (YIN) Expertise Since 1997 Asbestos Detected 303.234.3746 Fiber Percentage Material Percentage Certificate of Analysis www.aatamaiagv."at Client Name Alta Environmental UC - Colorado^nom n� n Date Collected: 0827/19 Street address 7045 W. 37th Ave. W v Date Received: 0827119 City, State ZIP Wheat Ridge, CO 80033 TESTING Date Analyzed: 08/28/19 Atm: Josh Masek NVLAP lab Code 200860-0 Date Reported: 0829/19 Client Project Name: 20190827-2 / 7507 W. 35th Ave., Wheat Ridge, CO Project ID: 19038386 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-931116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification :s., Homo- Layu e.- - Com,. Non -Asbestos Non -Fibrous Matrix i1r?+etae Physical Description of Sample/Layer gene°us (YIN) Percentage ge Asbestos Detected Asbestos Percentage Fiber Percentage Material Percentage Material Com osidon Client Lab Sam le Number :'J -'torte ;)...e,M 19038386-91) White Plaster with Multicolored Paint N 30% ND 100 G PI Y s -1-3-9 19038386-9C Gray Granular Plaster N 40% ND L00 Q 19038386-IOA White Texture with Gray Paint N 50% ND 100 C TSI -1-10 19038386-IOB WhituTan Drywall with Pink Paint N 50% ND 40 60 G 19038386 -IIA White Texture with Gray Paint N 30% ND 100 C TSI -2-11 19038386.11B White Compound with Blue Paint N 30% ND 100 C 19038386-11C Whitefran Drywall N 40% ND 40 60 G 19038386-12A White Texture with Gray Paint N 40% ND 100 C TSI -3-12 19038386-1213 White/Tan Drywall with Blue Paint N 60% ND 40 60 G CDWI-1-13 19038386-13A White Texture with Gray Paint N 10% ND 100 C 1—. Lerrtxr;0-r -alvoa 11— Lab°raxor A-1— Arhexoa Lb IvW-- Page 3 o1 7 '. A—"— :s., 3.5— Q. Qum -e , %a - A—. e.- - Com,. i:_A,txeh^u re•ra., q D-t>ws�.e, t-.«ea.mE. i1r?+etae CA.i'.a<,de:e. Q: •tu. n.r `.t=180-0- O? - uG�FaN :'J -'torte ;)...e,M x0-.. «..0-,n eevt. F•Fnwe \_ AERobiolocy LAbORATORy —.` ASSOCIATES, -". INCORPORATED Expertise Since 7997 Certificate of Analysis 780 Simms Sneet Suite 104 Bolden, Co, 80401 303.232.3746 arobloloavoet Client Name Alta Environmental LLC - Colorador�rtr� n(� �o' Date Collected: 08/27/19 Street address 7045 W. 37th A— w v Al � Date Received: 08/27/19 City, State 21P Wheat Ridge, CO 80033 TESTING Date Analyzed: 08/28/19 Attn: Josh Mmek NVLAP Lab Code 200860-0 Date Reported: 0829/19 Client Project Name: 20190827-2 / 7507 W. 35th Ave., Wheat Ridge, CO White Tape Project ID: 19038386 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interum Method for the Determination of Asbestos in Bulk Insulation Samples Sample identification Physical Description of Sample/Layer Home, Homs- geueous (Y04) percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fibu Percents a Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number CDW I-1-13 19038386-13B White Compound with Pink Paint N 10% ND T' - Tt.-Tvk 100 C 19038386-13C White Tape N 15% ND 98 2 19038386-13D White Joint Compound N 10% ND 100 C 19038386-13E White/Tan Drywall N 55% ND 20 80 G 19038386-14A White Texture with Gray Paint N 10% ND 100 C 19038386-14B White Tape with Blue Paint N 10% ND 98 2 CDW I -2-14 19038386-14C White Joint Compound N 10% ND 100 C 19038386-14D White ran Drywall N 70% ND 20 80 G OT1-1-15 19038386-15 Multicolored Fibrous Materials N 100% ND 98 2 OT1-2-16 19038386-16 Multiwimed Fibrous Materials N 100% ND 98 2 entT' u�etnt+u� . ataeu vsr Lab ---y A—tpst A.bw.a Lab Supaev'reor Page 4 of 7 Ai ::ictuaeAf- AN: A.—I H_ 3. 3Mx Q -Q. - AM Amwa. CL G' t_ C Ca'z.ao.. T.T. AN+A.1h¢4hyU. M-?*_ $ O — t' - t' wnee Cloy -Caar.-,U Sfw-`,4a.9 R -e40 0,,.ger.. CX-t:.vaNc3ru Or -00— bt-'.frca TR.T—fain. 17,\'.S"e. LAA- Os— tga.sT'c- T' - Tt.-Tvk Qk-oaasPn ,Q)-A%4tut 00-4 A.-tt'esaaerots. P -?.We V heat RWIP_ e Div \� AERobiology L.AboRAToRy ASSOCIATES, Z` INCORPORATED Expertise Since 1997 Certificate of Analysis 780 Simms Street Suite 104 Golden, CO, 80401 303.232.3746 www.aerahbloov.net Client Name Alta Environmental Id.0 - Colorado r�rtr� n(� ^ /1® Date Collected: 08/27/19 Street address 7045 W. 37th Ave. W v �l W U�Jf Date Received: 08/27/19 City, State ZIP Wheat Ridge, CO 80033 TESTING Date Analyzed: 0828/19 Ann: Josh Masek NVLAP Lab Code 200860-0 Date Reported: 08/29/19 Client Project Name: 20190827-2 / 7507 W. 35th Ave., Wheat Ridge, CO Gray Cententitious Material Project ID: 19038386 Test Requested: 3002, Asbestos to Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interum Method for the Detennination of Asbestos in Bulk Insulation Samples Sample Identification AH:Aaamdttw Homo- H""Description layer AM A,un... CL CA%A— Non -Asbestos Non -Fibrous Matrix FP,-P*.—glee of Sample/Layer geoeous (Y/N) Percentage Asbestos Detected Asbestos Percentage Fiber Percermute Material Percentage Material Composition Client Lb Sample Number OT2-1-17 19038386-17 Gray Cententitious Material N 100% ND +\TY+Zisaa OseaekN w.. wg+rr . 100 Q OT2-2-18 19038386-18 Gray Cemendtious Material N 100% ND 100 Q 19038386-19A . White Compound N 3% NTD 100 C 19038386-19B White/Blue Sheet Flooring with Gray Fibrous Backing N 40% ND 35 65 SVFI-1-19 19038386-19C Yellow Mastic N 12% ND 100 B 19038386-19D Tan Wood N 45% ND 98 2 19038386-20A White Compound N 3% ND 100 G 19038386-20B White/Blue Sheet Flooring with Gray N 50% ND 35 65 Fibrous Backing SVFl-2-20 19038386-20C Yellow Mastic N 12% ND 100 B 19038386-20D White Compound N 10% ND 100 G A T.— Lbgi r iltraa "ver Laboratory Anaiyat Albnta: Lab Sp— Page 5 of 7 AC-Asemo"at, AH:Aaamdttw S.a.dx 9=9.,.<: AM A,un... CL CA%A— C=• • T - ATr- %: , FP,-P*.—glee D-tlnaao v ver—'i- CtenY.c.�-14 NOW -dialedwed°G•Oyr- 4R =ta,oc+de'�u CT+A,b,r 51.74va TA a T,mwta. M". t9t'+lhe ice., Orp— Ttr <IS TL-T4k OP+'7ra� +\TY+Zisaa OseaekN w.. wg+rr . i'.Pwot Aty r„ +cleat Fridge uilding AAERobiol ciY LAhoRATORy Physical Description of Sample/layer 780 Si—Street ASSQCIATES, ':- INCORPORATED Asbestos Detected sane los Non -Asbestos Fiber percentage Non -Fibrous Material Percentage Goldev, CO. 80401 \_ Expertise Since 799 Lab Sample Number 303.232.3746 19038386-20E Certificate of Analysis www.aeromm°ov.nat Client Name Alta Environmental LLC - Colorado r�+,e, n(� ^ /1® LJJ Date Collected: 0827/19 Street address 7045 W. 37th Ave. W v �l W Date Received: 0827/19 City, State ZIP Wheat Ridge, CO 80033 TESTING Date Analyzed: 0828/19 Attn: Josh Masek NVLAP Lab Code 200860-0 Date Reported: 08/29/19 Client Project Name: 20190827-2 17507 W. 35th Ave., Wheat Ridge, CO Project ID: 19038386 Test Requested: 3002, Asbestos in Bulk Samples 19038386-20G Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification Physical Description of Sample/layer Homo- geo..us (YM) Layer percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber percentage Non -Fibrous Material Percentage Matrix Material composition Client Lab Sample Number LT»C>.. L,r 19038386-20E Yellow Mastic N 5% ND Trsx.»=1% TL»Tac 100 B SVFI-2-20 19038386-20F Black Mastic N 5% ND 100 B 19038386-20G Tan Wood N 15% ND 98 2 r S � dais tYar jer ka•er taborarory.A..L,vt A.bextas Lab Sope.visoz Page 6 of 7 ;It)� `Ii AAt»xrzori. CI. »CAO_ C»CA— T»Tr AN Aatb'Vify%. fG=fdr'ow CU. 9»Auam t'»S`ma. r9c: LT»C>.. L,r OT. Cfl 4S»Ut 1A«Trml W. 4Y2t+Sgetturt OR,»04— Trsx.»=1% TL»Tac OP 01,04- ;It)� `Ii AAERObiology LAboRATORy 790 si-ns smet ASSOCIATES, INCORPORATED Golden, Csuim 104 Expertise Since 1997 303.232.374Q80401 6 Certificate of Analysis www aarnnin ngy.nat Client Name Alta Environmental LLC - Colorado�(j r\ ® Date Collected: 08/27/19 Street address 7045 W. 37th Ave. K Vl (,uj Date Received: 0827/19 City, State ZIP Wheat Ridge, CO 80033 TESTING�Date Analyzed: 08/28/19 Atm: Josh Masek NVLAP lab Cod. 200860-0 Date Reported: 0829/19 Client Project Name: 20190827-2 / 7507 W. 35th Ave., Wheat Ridge, CO Project ID: 19038386 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA-600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples General Notes • ND indicates no asbestos was detected; the method detection limit is 1 %. • Trace or "< 1" indicates asbestos was identified in the sample, but the concentration is less than I % and cannot be quantified without point counting. • Samples identified as inhomogeneous (more than one layer) are separated into individual layers, and each layer is analyzed and reported separately. • All regulated asbestos minerals (i.e. chrysotile, amosite, crocidolite, anthophyllite, tremolite, and actinolite) were sought in every layer of each sample, but only those asbestos minerals detected are listed. Amosite is the common name for the asbestiform variety of the minerals cummingtonite and grunerite. Crocidolite is the common name used for the asbestiform variety of the mineral nebeckite. • Tile, vinyl, foam, plastic, and fine powder samples may contain asbestos fibers of such small diameter (< 0.25 microns in diameter) that these fibers cannot be detected by PLM. For such samples, more sensitive analytical methods (e.g. TEM, SEM, and XRD) are recommended if greater certainty about asbestos content is required. Semi-quantitative bulk TEM floor tile analysis is accepted under NESHAP regulations. • These results are submitted pursuant to Aerobiology Laboratory Associates, Inc.'s current terms and conditions of sale, including the company's standard warranty and limitation of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted. • Unless notified in writing to return the samples covered by this report, Aerobiology Laboratory Associates, Inc. will store the samples for a minimum period of thirty (30) days before discarding. A shipping and handling charge will be assessed for the return of any samples. • Aerobiology does not guarantee the results of tape lifts, microvacs, wipe, and/or debris samples. Accurate analysis cannot be performed due to particle size, media used, and/or amount of material given. Analysis of these materials should be preformed by a TEM. A result of ND does not indicate that the sample area does not contain asbestos. It means the analyst could not identify asbestos in the specific sample for the reasons listed above. Notes Required by NVLAP • 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. • This test report relates only to the items tested or calibrated. • This report is not valid unless it bears the name of a NVLAP-approved signatory. • Any reproduction of this document must include the entire document in order for the report to be valid. Page 7 of 7 mea! '( ttuldina DW'Sc" i m a,i GC O :x c.g .r y O =e U o cn O € ►.• u ti co �+ •C' C1 :z V1 .,r O' N 01) v co .c to E E > E sU � a,i GC O :x c.g =e a,i AEROb10lOC�y LAbORATORy AssotwrFS, INCQIPORA1kA Expertise Since 1997 Lab Use; j Y Page of�'� d ELITE NVJA lka; K. G. CO, a. VA. P, AZCA CO. VA "w A Aerobiology Client Alta Environmental LLC - Colorado Field contact Josh Masek c ` Qi%Z! R"' Rep "g dress 7045 W 37th Ave. °a"°v"ti°° ej'°°'°: aee .. , %� r- Billing Address Sampler Wheat Ridge, CO 80033 TvDe I Andersen Sample ire ower Aero I rap u Phone/Fax 303-669-7007 PO4 JD `10 56 Z- - -z- Repo "Ift, contact@altaenv.co Pr°I"'` "'"'°' 750-x- LJ�`- e zaaay a our 2 Ifotes: SAMPLING LOCATION ZIP CODE '�j00-j c�'j c Info: Sample No. Test Code Sample Location Total Volume/Area I -7,0(' Z FTM Z.- I— —CT CT i~ 1 �S 75 I -I c uti.14 , rect, on- 8 e pore Trep 1 1015 lCulture - WATER Legione"a rual ,LA1li[:1, wUi7Cl@, UVt2- awazu ICPU - = LAB USE ONLY 19Mt - 'L &dli 1031 A: . ME } 10 7 v ` r ��� c� i lc1 5� Washingtt ^' (877) 648. "herry Hill, NJ Los Angeles, CA Ft. Lauderdale, FL (856) 486-1177 (714) 895-8401 (954) 451-3725 RNAW n 12 2 2 2 2 2 2 2 2 2'. 3 3' 3; 3: 31 3: N 31 U 3f 4( neo uw -74l Page of AERobiolocly LAboRATORY -•� ASSOCb1TE9, INCORPORATED l Expertise Since 1997 ELITE jyV`A T "'r M MIFULAUIUyy %.nen rutd r-nVIFanmental u, - L,010 OO --l.00.1t, G&V-. AtCA, CO, VA " W.VA Field contact Josh Masek C BytD - °� �/z7V�( Relinquished � Phone/Fax 303-669-7007 PQ#iJob1E: t� O Z� _ Email contact@altaenv.co Project Name: .� . C-) Sample No. Test Code Sample Location Total Volume/Ama 6 a -F ( — -L ' 3';'c2. 8 vTz-i -Ic s '57,/r o Sv�l-Z —ZC7 1 2 3 4 i i i 1 I Washington, D.C. Atlanta, GA Denver, CO Phoenix, AZ Cherry Hill, NJ Los Angeles, CA Ft Lauderdale, Fl - (877) L(877) 648.9150 (770) 947-2828 (303) 232-3746 (602) 441-3700 (856) 486-1177 (714) 895-8401 (954)451-3725 Rewwon u 1 f 41 + 1876 Colorado Department of Public Health f "' and Environment ASBESTOS CERTIFICATION* This certifies that r ': Joshua A. Masek Y Certification No.: 22489 has met the requirements of 25-7-507, C.R.S. and Air Quality Control' Commission Regulation No. 8, Part B. and is hereby certified by the 4 state of Colorado in the following discipline: ; a Building Inspector* tl.o Issued: March 06, 2019 Expires: March 07, 2020 • This certificate is valid oill with the possession of a current Division -approved training course certification in the discipline ,specyfed above. TJeA 5 � � T 1 f 41 + 1876 Colorado Department of Public Health f "' and Environment ASBESTOS CERTIFICATION* This certifies that r ': Joshua A. Masek Y Certification No.: 22489 has met the requirements of 25-7-507, C.R.S. and Air Quality Control' Commission Regulation No. 8, Part B. and is hereby certified by the 4 state of Colorado in the following discipline: ; a Building Inspector* tl.o Issued: March 06, 2019 Expires: March 07, 2020 • This certificate is valid oill with the possession of a current Division -approved training course certification in the discipline ,specyfed above. I.l ird rrp;r . 5 � � author' ed APCD Representative,`-' t SEAL. xx ^fie rr p' • • rK I.'it - . I.l ird rrp;r . j C/ ON* �•aHa.,.; - " approval a/ayaarpuftsim o,.. � .... ,' a� oPP•ovd �w+Yll�r m^•.� - :,•. "tonYGfyaM4aIr111.ftmft 74, Vti ALL Site: Drawing: Prc; est: Drawn: 7507 W. 35th Ave. 1919 0000416 ST Title: Scale: 13 Date: lieu: Residential Remodel 3/16:1.0" �$ — 09/13/2019 A ... _..... __--._.. 1 tve__ tes: —__.__ Smoke alarms shall be required in each sleeping room and outside each sleeping area per 2012 IRC, Section Water hammer arrestors are required at quick -closing valves R2903.5. Minimum 50 CFM exhaust fan vented to exterior shall be provided in toilet rooms and bathrooms. Carbon monoxide detector(s) required within 15 ft of all sleeping areas. Builders Group LLC PO Boa 6362 Longmont, CO.80501 113 -3 1 T- -!�f cs of , Wh°°; gid9g Oiq 0 1 C,`1� tj f ED Reviews �O oak y. ,. Hrr• alrorrM�wecilKPtinrrs - w.M"PnjVW4 wwwokta,r to ocolOW0W&*n races. Pe—ts r ' caw# I*p*vW=4lthe su+tdi.y cod,. ..�, =tasyterr�ad. Site: Drawing: Prc; est: Drawn: 7507 W. 35th Ave. 1919 0000416 ST Title: Scale: 13 Date: lieu: Residential Remodel 3/16:1.0" �$ — 09/13/2019 A ... _..... __--._.. 1 tve__ tes: —__.__ Smoke alarms shall be required in each sleeping room and outside each sleeping area per 2012 IRC, Section Water hammer arrestors are required at quick -closing valves R2903.5. Minimum 50 CFM exhaust fan vented to exterior shall be provided in toilet rooms and bathrooms. Carbon monoxide detector(s) required within 15 ft of all sleeping areas. Builders Group LLC PO Boa 6362 Longmont, CO.80501 113 -3 1 T- -!�f cs of , Wh°°; gid9g Oiq 0 1 C,`1� Site: 7507 W. 35th Ave. Tit_, Residential Remodel A5,?_ rL-r�_ ---- 514 T L(vi6,v- i ti Drawing: s 1919 0000416 i ;r Data: 3/16:1'0" 09/13/2019 c' NR —VV Site: 7507 W. 35th Ave. Tit_, Residential Remodel A5,?_ rL-r�_ ---- 514 T L(vi6,v- i ti Drawing: Pro"ect: 1919 0000416 Scaie: Data: 3/16:1'0" 09/13/2019 ..Dawn: Notes: ST R— A Builders Group LLC PO Box 6362 Longmont, 00.80501 Ow fA vmQft odcp 8uddit19 RECD VE -Z i PO -r City of W heat l�,Ae COMMUNITY DEVELOPMENT 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: PermPermits cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # l I J 65 l 1 Plan Review Fee: 7] i I( Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: v Property Owner (please print): SpQ�(; � Phone: �O -3 �� _ � � Property Owner Email: Tenant Name (Com Property Owner Mailing Architect/Engineer E-mail: Phone: Contractor Name: '-T6— UA h', A e City of Wheat Ridge License M Phone: 30"'?) Contractor E-mail Address: [ "�c �, �� z! n i C e , t, ,� 6ay For Plan Review Questions & Comments (please print): CONTACT NAME (please print): CONTACT EMAIL(p/ease print): Com Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License,# Complete all highlighted fields, if applicable. ❑COMMERCIAL IDENTIAL 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. 4W1 0 ©1 n Sq. FULF 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) $ loo OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this perrhit 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 thiis 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 pro ed n the application. CIRCLE ONE: (OWNER) ( N CTOR) or l(A RI ED REPRESENTATIVE) Of (OER) (CONTRACTOR) (4 Signature (first and last name): V DATE: ,�o jQ Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: "xJ � :►�# • � Bulydigd Division'Valuatibn: .e • i r 0 'V. a - Y • r' i 7507 U3s-4 A -e, INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type rr� Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Floodplain Inspection (if applicable) Plumbing Final Electrical Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof Final Plumbing Final Mechanical Lath / Wall Tie Roof Final Window/Doors Final Building Rough Electric' 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. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Comments Initials Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705299 PERMIT NO: 201705299 ISSUED: 08/02/2017 JOB ADDRESS: 7507 W 35th AVE EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install Oakridge Desert Tan asphalt shingles with 37.96 sq. (34.73 sq. pitched, 3.33 sq. flat) *** CONTACTS *** OWNER (303)420-7168 RUTHERFORD JAMES WILLIAM SUB (720)833-8396 Steve Dye 120085 Colorado Roofing Contractors *** PARCEL INFO *** ZONE. -CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,755.72 FEES Total Valuation 0.00 Use Tax 204.87 Permit Fee 204.30 ** TOTAL ** 409.17 *** COMMENTS *** 9k *** CONDITIONS *** VU Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. n,11 1J` , :. - N l► ...e ms , , ". ,_ +, r~� N* City of Wheat Ridge X Residential Roofing PERMIT - 201705299 PERMIT NO: 201705299 ISSUED: 08/02/2017 JOB ADDRESS: 7507 W 35th AVE EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install Oakridge Desert Tan asphalt shingles with 37.96 sq. (34.73 sq. pitched, 3.33 sq. flat) *** CONTACTS *** OWNER (303)420-7168 RUTHERFORD JAMES WILLIAM SUB (720)833-8396 Steve Dye 120085 Colorado Roofing Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,755.72 FEES Total Valuation 0.00 '® Use Tax 204.87 Permit Fee 204.30 ** TOTAL ** 409.17 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705299 PERMIT NO: 201705299 ISSUED: 08/02/2017 JOB ADDRESS: 7507 W 35th AVE EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re—roof to install Oakridge Desert Tan asphalt shingles with 37.96 sq. (34.73 sq. pitched, 3.33 sq. flat) 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 thisermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed a 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 base g 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 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. e` 6. The issuance or of a pall !b construed to be a permit for, or an approval of, any violation of any provision of any applicable co e this jurisdiction. Approval of work is subject to field inspection. Signature of hief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz / (/u From: no-reply@ci.wheatridge.co.us Sent: Monday, July 24, 2017 11:14 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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? VlJ 6 How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 7507 W 35th Ave Property Owner Name James Rutherford Property Owner Phone (303) 420-7168 Number Property Owner Email jwrdsrfamily@msn.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Colorado Roofing Contractors LLC 120085 DL_ (720)833-8396 Contractor Email Address annie@coloradoroofingco.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? annie@coloradoroofingco.com No R&R re -roof with Oak Ridge "Desert Tan" Asphalt, Other (specify below) R&R Modified Bitumen Roof 3.33 TOTAL SQUARES 37.96 Sq. (pitched + flat) of all roofing material for this¢ 3 project 2 Provide additional detail 2 Sheds, Garage, and House here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract -49-5�-G� -7 -- value or cost of ALL 6 materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that 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 Steve Dye Email not displaying correctly? View it in your browser. 3 4955 Miller Street, Suite 200 Wheat Ridge, CO 80033 T: (720) 833-8396 F: (720) 230-4859 WORK AGREEMENT Customer Name: wys R �-+' � Property Address: City: W' °� Y'Aci e State: C-) zip: Customer Phone: 3,-)T-- el v� �� J work Phone: Customer E-mail: a ?'` 'C �—n '4° V ° I JOB INFORMATION I INSURANCE INFORMATION TEAR OFF - LAYERS OF COMPOSITION SHINGLE Insurance Company: Phone: ❑ TEAR OFF I LAYER OF WOOD SHINGLE ❑ INSTALL DECKING (7/16' OSB) INSTALL NEW FELT(�T-4 / I" INSTALL PRE -PAINTED EAVE METAL TO CODE (COLOR: )f-6--JSn ) V r--NC-4Q Claim # Date of Loss VALLEYS WILL BE: ❑ CLOSED ❑ OPEN RIDGES WILL BE COLOR-COORD. SHINGLES,3 INSTALL NEW PIPEJACKS SPECIAL INSTRUCTIONS IKREPLACE VENTS AS NEEDED ❑ RE -FLASH CHMNEYS AND ABUTMENT IF NEEDED w D POSSIBLE (STUCCO OR SIDING MAY DETER) INSTALL LN. FEET OF SERIES RIDGE VENT ►INSTALL LN. FEET OF ICE SHIELD TO CODE AINSTALL:T4NAILS PER SHINGLE GUTTERS TO BE: ❑ CLEANED ❑ REPLACED ❑ REMOVE ALL DEBRIS ESTIMATED PRICE AND SCHEDULE G� e-33 J7 ESTIMATED PRICE: $-+�''J r� (or RCV) ESTIMATED DATE OF SERVICE �s-• This price is an estimate. Final price you owe is defined by the Replacement Cost Value (RCV) that is calculated by Contractor or your insurance company, whichever is greater, plus overhead and profit and any amounts specified in this contract. This amount may not be known for certain until the job is complete. Contractor cannot waive your insurance deductible. This date of service is an estimate. It may change based on the actions of your carrier, weather, or other factors. This is a contract between Colorado Roofing Contractors, LLC ("Contractor") and the Customer identified above and signing below ("you" or "Customer"). Customer wishes to engage Contractor to perform work on Customer's property as Contractor recommends, which may include repair and construction work. Customer will pay Contractor for this work as calculated under the terms of this contract. Contractor agrees to communicate with Customer's insurance company to determine the scope and price and to perform labor and furnish materials in accordance with the scope of work approved by the insurance company. Customer authorizes Contractor to communicate with the insurance company and irrevocably instructs the insurance company to cooperate fully with Contractor on this claim. Customer understands that Contractor's obligation to perform labor and furnish materials may be contingent upon cPruiePq nrmaterinls and authorizing sufficient funds. £9Li - L89 (LL8) 0IOZ6 d3 `pugsjiuD `jinoD j wUH f0.19 09Z£ `-o0 'sui s,iolosrluOD pauQJO'd :fq pa.msui flpnotd ajleQ JOJOUJUODa�sQanijE;uasajdag solus Cg parvo zdd� w I f L— `% -- �i� : 3 qns i 31leQ 3.mjeu5iS zauzojsnD ajt,Q 3.1njleu51S Jauzol ;• •ajleuxtlso ut, jou loulluoo le sl slgl jEuj sput,;szapun jowo;snD •joujiuoo stuffis asiana.z JO 073t,d puooas oqj uo 5uuleaddt, suoilipuoo put, suuol all fq punoq aq of saoj& pule p mainaz st,u JoWn3 iomo;sno -i(padoad aqj uo auop uaaq suq j nom llugooa 3o adoas aqj 3o Cj!.Iofuua B ao ajls xoom aqj of pa zaniiap uaaq anuq spauajyaw 2ugooa iijun jsnaj ui j► pjoq jpm aojau ijuo3 `plod sl jisodap u 3I 4.,..— 4,4- ^VlITIl Tn Q l IT nITl City of �'� Wh6atl�idge MMUN[TY DEVELOPMENT 7500 W. 291h Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857 Contractor Waiver for Workers' Compensation Insurance I, (print your name),.— 0 �- � Y f verify that I am the sole owner or partner of (company name): which has no employees and is not required by the State of Colorado to carry workers' compensation insurance. I further state that if I hire subcontractors, they are in compliance with the State of Colorado Workers' Compensation insurance requirements and have obtained the required contractor's business license from the City of Wheat Ridge. Si Date:/2 1* � 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: N0 % AC) F Job Address: 7 507 tv" 3.5 yC' Permit Number: 'd01%O ❑ No one available for inspection: Time � AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date:AO 17 Inspector: MTV DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: n} 1 6 Job Address: -7 SDI Permit Number: D, C, /-7 G q 9 o U�:f ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:o / 7 Inspector: DO NOT REMOVE THIS NOTICE FOR OFFICE USE r Milli =1 Property Owner Email: Mailing Address: (if different than property address) Address. City, State, Zip: Complete all information on BOTH sides of this form ♦ A ^ j Z I It 10, '�n 7 Sq. FUL F Stu's Gallons Amps Squares Other NAME: SICNATVRE: mmmr��� COYLE INSPECTION ENGINEERS, INC. 2170 S Parker Rd,, #130, Denver CO 80231 Phone: (303) 745-5209 Fax: (303) 745-2571 In= Stephen Bower Re: 7507 W 35th Ave, Wheatridge, CO FINAL INSPECTION ME= 1A o...,�+ ��5 11161110 • filling the excavations. Thank you for allowing me to be of service. Please feel free to call if you have any questions. Very truly yours, Coyle Inspection Engineers, Inc. 0C 19458 rwi' Michael D. Coyle, P.E. President M 9� I Mailing Address (if different than property address) Address: City, State, Zip: Contractor: LOUO2= 2= MR212= UU Mechanical: City License # lk U4 Go er; 60 Lt4b_ [Rev�lew Fie due at time of submittal): mm3m= Pag(.Cof 5 ) COYLE INSPECTION ENGINEERS, INC. away from the foundation. Gutter repair is needed to prevent roof drainage from falling adj cent to the foundation. i COYLE INSPECTION ENGINEERS, INC. lillim iiiii ill !ill ill! !1 1111111111111 i 1 iii Very truly yours, Coyle Inspection Engineers, Inc. VS Michael D. Coyle, P.E. President COYLE INSPECTION ENGINEERS, INC. OEM= TOTAL • AD PER FOOT OF • Max Span between piers 6 feet Max goad per pier 14136 lb C Y'LE INSPECTION ENGINEERS, INC. PIER LOAD CALCULATIONS Pier /Footing Load Calculations (worst case location) Component Spats Live tread Total Roof 12 30 10 430lbslft Attic 6 0 7 42 tbslft Upper Floor 0 40 10 0lbs ft Upper Wall 0 0 15 0 lbs /ft Maim Floor 6 40 10 300 lbs/ft Main Wall 9 0 70 630 lbs/ft Foundation 3 0 105 315lbs/ft TOTAL • AD PER FOOT OF • Max Span between piers 6 feet Max goad per pier 14136 lb COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15765 BUILDING INSPECTION LINE -(303-234-5933) Date : 6/27/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: Property Address Contractor License No. JIM RUTHERFORD 7507 W 35TH AVE Phone : 778-1204 18070 Company : Republic Garages, Inc. Phone : 781 9400 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 Ciry 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 -sponsibility compliance with the Wheat Ridge Building Code (U.B.C.) and all other applic ble heat Ridg€oZr 1' ances, for work under thi/s permit. (OWNER)(CONTRACTOR) SIGNED - DATE6 Description : NEW 10X33 PATIO COVER Construction Value : $4,800.00 Permit Fee : $144.70 Plan Review Fee : $0.00 Use Tax : $57.60 Total: $202.30 Use: BUILDING DEPARTMENT USE ONLY Zoning. Comments;} SIC : Sq. Ft. : Approval : MER PATIO COVER LIMITED TO 10X33 IN SIZE. Zoning : R-2 ^ax an~ Buildi"ng Comme_nfs._'.,. OAKY 6127103 Approval: DM P~ublic~Works C mme~ts~< Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval : Expiration Date : Approval: Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to Ihe laws ot the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or anyother applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (6) ihe building authorized is suspended or abandoned for a penod of 720 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwiil be made in the original pians and specifirations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit . (4) No work of any manner shali be done that will change the natural tiow of water causing a drainage problem. (5) Contractor shall notifythe Building Inspectortwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a per " rihe approval of drawings and specifrations shall not be consirued to be a permit for, nor an approval of, anyviolation of the provisions of th ' ig ode ther ordinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT OF WHEqT P BUILDING INSPECTION LINE - 303-234-5933 Building Permit Nuinbec /_Gl"766_ Date: CITY OF WHEAT RIDGE 7500 WEST 29TA AVENi7E 'oCORAO o WHEAT RIDGE, CO 80215 -(303-235-2555) ~~P11"TION . Properry Owner: f~,,m u?ft e2 4/5-z/o3 ProperryAddress:7Sd7 ltl. -CE' AVe• Phone:3o3-718-/:Za`F Contractor License No.: Ig p yo Company: A'~~~u 6~-c C>A-'2.i9e.s Phone: J0 3- '781 - YS~~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTAND WG AND AGREEMENT I hereby certify that the setback distances proposed by [his permit application aze acwrate, and do not violate applicable ordinances, rules or regulations of the CiTy of Wlieat Ridge or covenants, easements or restricGons ofrecord; that all measurements showq and ailegations made are accurate; that I have read mtd agree to abide by all condi[ions printed on Ihis application and tlhat I assume full responsibility for compiiance with the Wheat Ridee Buiiding Code (U.B.C) and all otlier applicable Whea[ Ridge Ordinances, for work under [his permit (OWNER)(CONTRACTOR):SIGNED DATE ~6 3o3 Description: 3SX/ o Construction Value:$ 9/8 ~ Permit Fee:$ Plan Review Fee:$ Use l ax:$ Total:$ ,'~y'~iUILDING DEPtfMENT USE ONLY ~~2 ^ SiC: ZONING COMMENTS: ~ ~ / - Approval: Zoning ~ ~D • BUILDING COMMENTS: 3 APProval: PUBLIC WORKS COMMENTS: Approval: ( J(/fv - ~1~z _ 2 3 2003 Sq.Ft.: Occupancy: Walls: Roof: Stories: Residential Units: Elacffical License No: Plumbing License No: Mechanicai License No: Company: Company: Company: Expiration Date: Expirarion Date: Expiration Date: Approval: Approval: Approval: (l) Tltis pelmit was issued in accordance vrith the provisions se[ fonh in yonr application and is subject ro the laws of the State of Colorado and ro the Zoniny RegdaROns and Building Codes of Wheat Ridge, Colorado or any otlier applicable ordinances oFtlie City. 17iis penni[ sliall expue if (A) tlx work antLorized is not commeuced witltin sixty (60) days Gom issue date or (H) die building au[honzed is suspentled or abandoned for a period of 120 days. (3) If tlus pelmit expires, a uew pelmit may 6e acqnired for a fee oF oue-half the mnount normzlly required, provided no changes have 6een or will be made in the origival plan5 and specificatlons and any saspension or abandomnen[ has not exceeded one Q) year_ ifchanees have 6een or if suspensinn nr ahanAnnmrnr exceeds one (l) yeer, fWl fees shall he paid for a new permit. (4) No work of any manner shall be done that will chauge the nanval flow of wacer causing a drainage problem. (5) ConmacrorshallnofifytheBuildiuginspectortwenry-four(24)honrsinadvanceforallinspectionsendshztlreceivewrittenapprwaloninspectioneardbefore proceedivg with snccessive phaza of thejob. (6) 17ie issuance of a permit or the approval of drawings and specificatlons shall uot be wnstrued to be a pemiit foq nor an approval of, any violztion of the pmvisions of the bwlding codes o y oNer ordinance, law, rule or mgulaUOn. Chief Building Inspector ~ , . RoEJKW L A N D S U R V E Y I N G 5460 WqRO RpAD • SUITE 160 ARVADA, COLORADO 80002 (303) 420-4788 IMPROVEMENT LOCATION CERTIFICATE Attn: JQANNE DATE03~14I200 ~FEE90,00 JOB# 01-572 MORTGAGE CO. R P p. IC- +AAAG ADDRE55 7507 W. 35TH AVE_ BORROWERS NAME LEGALDESCRIPTION IPER CLIENTI ' SEE AITACHED 7 N OTE-'. inA$Y56~ ~N~ one~6~LL ~ . ONNERSH=PNO OGUN' - - NOTEi- ' 3IZD. ~ r- - -I Q ~s ~ N' ~Z45LA Cq¢!!a~ . Q N N 4'S su~wi' bmea m mn.cfni Po.w~~ma¢Uxous s✓¢~c r1 x~diig to mf Sn~tim of P¢o~xvcn wi[ ~ le,r, n tamdntY .~i' Si wc~dQ. cfll`L'6 1 ~ 3x Q ~3 1 0 z%~ s• p ji, ?`l55 0 . I 'r 0 24-b Cou . 0 ~ D A n o'y. oti~~smz~ o I ~ ~ ~ $f ZA \ ti 0 m M E Zzn- , I 0 \ z5 Z~.O n J ~ ~{SE} o ~n o.9 ~ 1 ~ M .op , 3 p ~ Y ° ~ ~ ~xc PrE oii ~✓1~ ~ I~ I ' ~ - I - L - ' 2TN O l3- ~l K ' nr F A,l0 x ODS v a r` - S~- A V~ I \`~L{ O 1 : WU: 7507 Gu. 35414 R UF-._ d:Sl YIpYVYMIO ' 1 1 ' - ''J ~v 7 /,[J ~ 1. Fill in the blanks with dimensions and materials which will be used to build the structure. Please print legibly. 2. Indicate in the check boxes which details from page 3 will be used. Please note if any of the sides of your carport addition aze closer than 3'-0" to the property line, that side of the carport must be enclosed with a solid 1 hour fire rated wall as shown in Altemate Details B and C. You must however, keep at least two sides of the carport open to conform to the building code requirements. A zoning variance may be required. Roof 17 Detall A ARarnete A (SBB Oa90 3) 2x-9 raften spaceclQi4" O.C. (axemple: T x 8 rafters spew024' O.C.) "beam Existing building Underlayment -ZC e 4- iV,+'feC; e /t (examplB:2layers ISN7e/f) • ~e a ~ Maximum rise 8" at door $1d1I1g lu`A , (tor Memale d onry) ~ Deta11 C minimum ~ ❑ Attemate C slope ~ "x r "posts . • /BxBm7/B:4'x4'j spaced apart n. ~ ~ (exdrtlPla: 67 ~ Concrete Slab 3'-0" : minimum Minimum Diameter Pier 8' ~ _ Footing _ x (ID/ P11emala C omy) This nantlout was aeveropad by the Colorado Chaptar ot the Intemanonal Conferance af Buiiding Officials as a hasic plan suGmittal under the 1994 UnHam Codes. It is nw intenCed to cover ail cimumstancas. Check wM your Building DepartmaM for adtlitlonai requirementg. 6,31 , Ezis roof raflers or trusses , Galv ized metai joist or rafter hanqers - Eztend untled ent trom ~ new mof aimum of 1 B' mo existing roof gLocate ger uisting fasci e to wall wBh 4' x 3/8" bolls 0 16' O.C. rat t p plate or studs botts to penet 6ci ng wall Note: Ramove hrick veneer or siding at top of wail bafora installing cantinuous 2z Iedgar Solid 2x blocking Galvanized metal posVbeam connector Minimum 3 1/2" concrete slab J 11" Galvanized column base w/ 1" spacer to concrete wood o%31/ Minimuconcrete slab 1" 5/8' exterior gypsum bokrd soffit Gaivaaized metai Infill between posts w/ 2x4's 0 16" O.C,. :ed column t"spacer ~ Tie slab to foundatlon w/ 8" minimum 2'-0" x 2'-0" #4 diameter 3''0" bentrebar concreta minimum i Check local caisson ` ~ building 3'-~• ~ I minimum departm for I swelli soils. ~ ' cai ons may g• ~ required. i Footing ^ ---'i Th6 hAfIGOtA WdS CBVeIOPBC by 71B IAlOf3dO ChZGIBf 01 C18 if1IBffIdGOf131 Conferenw of Building Ottieials as a basfc Rlan suCminel un0er tha 1994 Uniform Codes. It is not intendad to cover all circumstances. Check with your Building Department for adtlitional requirements. Lap undetlayment a minimum ot 18" under existing roofing felts ~ Solid 2x ~ blocking ~ i ~ 6cisting r--- wail Existing Roof i . Com. 2x6 secured ro exisGng roof w/41h"4/8' lag botts at each 2fter or truss Solid 2x bixking px cedar or 5/8" tw`~X" exterior - ~ Exterior siding Infill b een posts w/ x4's ~ 16" O.C. shall be treated tion redwood ~ - COMMUNITY DEVELOPMENT DEPT. Inspectio 30 S 235!2s5 Division Correction Notice , OLOR Job Address: 0 712zS i 3/,.", Certificate of Completion AND/OR Compliance CITY OF WHEAT RIDGE 7500 W. 29TH AVENUE WHEAT RIDGE, COLORADO 80215 THIS CERTIFICATE VERIFIES THAT THE PROPERTY DESCRiBED BELOW, DOES COMPLY WITH THE WHEAT RIDGE BLTII,DING CODE, ZONING AND OTHER RELATED LAND USE AND DEVELOPNIENT LAWS OF THE CITY OF WHEAT RIDGE FOR THE FOLLOWING PURPOSE: Permit # 11927 Garage Addition OWNER: James & Diane Rutherford ADDRESS: 7507 W. 35th Ave. PROPERTY ADDRESS: 7507 W. 35th Ave.. Wheat Ridge. CO 80033 DATE 4/18/01 CHIEF BLTII,DING OFFICIA ZONING ADNIINISTRATOR DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11927 ' BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 3/23/2001 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 7507 W. 35th AVE Contractor License No. : 18070 Phone: 420-7168 Company : Republic Garages, Inc. Phone : 781 9400 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 Wtieat 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 complia @ with the Wheat Ridge Building Code (U.B.C.) and all other applicab €Piheat Ridg rdi ance for work under thispe it. (OWNER)(CONTRACTOR) SIGNED ' DATE~~'3o Description : 16' X 24.5' ADDITION TO DETACHED GARAGE Construction Value : $6,800.00 Permit Fee : $139.25 Plan Review Fee : $0.00 Use Tax : $102.00 Total: $241.25 Use : 45.oo ~ 3it~,a5 BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : 392 Approval : MLC Zoning : R-2 Approval: BG Approval : Occupancy : Walls .COMPLIES W/ R-2 REGS. TOTAL SQUARE FOOTAGE FOR GARAGE WILL BE 392.25 3122/01 Roof : Stories Residential Units : Electrical License No : Company : Expiration Date : Approvai : Plumbing License No Company : Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval : (1) This permit was issued in accorUance with the provisions set forth in yopur application and is suhject to the laws of the Sta[e of Coloratlo and to the Zoning Regulalions and Building Code of Whea[ Ridge, Coloredo or any oiher applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (80) days from issue date or (B) the building authorized is suspended or abandoned for a penod of 120 tlays (3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no chanqes have been or will 6e made in the original plans and specifica[ions antl any suspension or abantlonment has not ezceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, fuil fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change ihe natural flow of water causing a dreinage problem. -(5) Contrec[or shall noliry ihe Building Inspecior lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceetliing with successive phases of ihe job. (6). The issuanc f a permit or the approval of drdwings and specifcalions shall:not be consWed to be a permit for, nor an approval of, any violation of the provisions of the buil iglotles r a iher ordinance, law, rule or regulation. Chief Building In ctor DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :3~_i4-o/ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 qPpL1CATIo N Property Owner :_/A eS °d 7),'41+te /Cu~ e,ed °roperty Address : 7SO 7 /,rJPST 3S ~ Ave, - Phone : 3v3-yza - -;;11b ~ Contractor License No. : / pU ;:T-p Company : AePub/;•r- 6.4 4_4 qPs Phone:3~3- 7g/- 9~0-0 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit applicalion are accurate, antl do not violate applicabie ordinances, rules or regulations of the City of Wheat Ritlge 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 Cotle (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this pertnit. (OWNER)(CONTRACTOR) Description :--aiver I x a St 3' ; j.'a.u ~/0 D P-rAcle-1 ~1A-2A~? e Construction Value : Permit Fee : Use Tax : Use: , BUILDING DEPARTMENT USE ONLY "'1R-2, S. I~c~ squ.s~n, sIC Approval : C~C. A0~$01 G~C~' W113`c ~(z •~5 ` 2oning : R-~ •J ~ ` _ui~ n _vomm • `APProval: ol P17b G____ t . Approval: Occupancy : Walis Electrical License No : Company: Expiration Date : Approval: Roof Plumbing License No : Company : Expiration Date : Approval: Total: FC; . a REC~~~ED P~RR 1 62WStories : 1~ , esidentiai Units : Mechelti I L c e-~ Company : Expiration Date : Approval: (1) This permit was issuetl in accortlance with the provisions set iorth in yopur aOP~ication and is su6ject to the laws af the State of Calo2tlo anE to the :.oning Regulalion5 antl BuilCing CoEe ot Wheal Ritlge. Cola20o ot any ather applicable ortlinances Of Ne City. (2) This Oertnh shall expire it (A) Me wark auMOnzM is nat wmmenceE within sizry (60) days hom issue dale or (B) the builtling authonzetl iy suspenEeE or abanEonetl !or a penotl of 120 days. (9) Ii this pertnit expires. a new pertnit may Ce acquired lor a fee of one-hal/ the amount nortnally requireC, Omviaed no changes have Eeen or will be matle in the onginal Olans antl specifications anE any suspension or a6antlanment has not exceede0 one (t) year. II changes are matle or if suspension or abanEOnment exceeas one (t) year, full fees shail be paitl Por a new pertniL (a) No work of any manner shall 6e Oone Uat will Uange the natu2111ow of water causinq a d2inage pioblem. (5) Convactor anall notiry the Builtling Inspector lwenrydour (24) hours in advance tor all iaspections and shall rerxive written appmval on inspecUOn wrtl bebre proceeEiing with successive phases of the jo6. (6) The issuance ol a permit or the approval of drowings and specifirations shail not be mnsWetl l0 6e a pertnit kr, nor an aOProvai o( any violation ot the pmviaiom . ofNe buiitling cpyes orany otheror0inance,law,rule orregulation. ~4~Y Cniei 6uiiding spector t+% 406A=R0Y. ZS. DBCLAEAitON OF flOME9TBAD.-UrnJ[ord Publlehing Co.. 1824-46 9tout 84eeG Oenver. Coloredo- 2-98 •~11tvOW ALL MEN BY THESE PRESENTS: That, pUrsuant to Section 88-41-202 Colorado Revised Statutes 1973, I, =James William Ruther£ord end Diane Susan :Ruthe rf ord RECORDER'8 STAMP of the i. County of Jgf~~ r s o ~ State of Colo- laration d t~i ec s rado, as (~fV/~g6,~~e~~6f6/the owner o by homeatead the following described property situate in the said Gounty,'towit: A trn ct of LPnd l_Y°nr~ in the N,'! 4/4 of the NE 1/4 of Sec. 26,'P3S,R69iN of the `6th.P.M., more oerticularly d~.scribed qs foll ows: The E75 ft. of f th p ~46he W 395.1 ft. of the N 13 1/3 ro-9s, exce-)t qr o the S 30 ft, tract of land described 3eTinni.-iry, nt of a a noint on the `N , line of the NE 1/1_G of Sec, 26, T35, R69SV and 66 2/3 rods N of th- corner thereof; thencs E 60 ro-is; thsnce N ooint th t 26 2%3 rods; thence of be2ipnin°, Coun v e o `?=W 60 rods; thence S 26 2/3 rods ;of Jefferson, Stete of Colorado. The owner's interest in the property is 1' Fo P in nature and was derived through $'.Na rr,nty Died 4. recorded in Book 2 991 Page 151 of the records of the said County. IN WITNESS WHEREOF, I have set my hand and seal this ~a 7` day of ,19~~ . r~ Se a] Yc:! ~ STATE OF COLORADO J am s'N s r f o rd ` • ~_.~2rt2 • ~ County of Seal I ~n~... Diane _ r, rd The foregoing instrument was aeknowledged before me this day of s..,Ak.y+ , d /O ` is~0 . NyBOGP° . F OF,CO~p . My commission expires 119 . Witness my hand and official seal. My Commission Expires 4/20/89 Natars Publie 0 ~$trike out accordinq to fact. }Deacribe nature of owner's interest, such as, eatate in fee aimple, life ;;;estate, etc. State how derived, auch ae, through deed, will, decree, contract of purc I ~ inheritance from o+~ ~ _ nr ; ~ e intereet, equitable ! ~ .;J GARAGES GARAGE LENGTH,2y.5- / WIDTH oZ.7• GAFA(,F OOOR 517=s40VeZ4 eA-d -Yx7 nnna sizcs If-)o SP/t✓;ce '2)002 lY1NOOW SIZES /fIOd1C- HEAOER S17FS nVGR~PnnnRt -07-/~¢kII~~71'lil,ae~a~n5 wiNOOws ,04,c)e GAPAGE_DOORS /UoNe- 0 WNERk llTI7e27"0/ld ADORESS ~.SO 7 Id . j5'!' Ve- /,vhPA. /~T~(~~ PHONE 3 z' .3 - Y-~-~ J/ G~ P / Al"aG~✓9 ~`Q,ev; ce ~•2 ~y ! ZvPS j FRONT EIEVATION ~0~7yf SIDE ELEVATION -a~S~ /6 ' ~ F ~ ~ m O , o a~ ¢z u; NV I r W W Ow W J4 Y. W a Q ~ o Z U N w ~ w ° a 3 4 ~ ¢ ¢ W ¢ O O O o 2 a m ~ Z V O LL ~ N F Y F o W W ~tnm U > lA O m Z . ° c OW O C K~ Q O O Q ~ ¢ o o N p U f0 J'7 Q d c0 ~ ~ 3 a W4, a a >a Z N O Q ~ a J f ~ ~o MP D M ~ Id e Nd po s J ~ 3 2'' 6 e~ ~ 0 ~ ~ 0 O ~ N f S H ~Q 1 ~ O J N ~ S t l ' 3 ~ Q M r ~ a - 7 f- 0 r175G ~ s~ I r t w ~ t 92 7~S ~O 3 S~v ' w-y) L9Ce"~ I g=< >W° a ~ene t ~ J- ~o J~ N s'M mams A o0 m m p C ~.g ~D ~ L Y Q m ~ W 0 m a» Q l 41 L y~~immC T~ m 06E 2 3 W EL ~ U a ~Svmom ` C ~ ~ ~-UO C C '~+Ol a Q ~ C ~ ~ m { 0 ~ C C { Frw my ~ ~ O 6 O m Y . m m mm~_~~ c E E'° c° > am~m~ Q . . % - oc ~o E m m ~ m .p G > ~ 0m m m a£ a~ ~ "L ° V 0Z m p c X . V U ~ 0 m 0 a m m ~ 'OGN!~p, d~ a mm~Ev m mEm~~ ~c j~ a N U a - Q = rn~ c m D E ooa m Ea ~ O m T 0 $ ~C ~ s~ r 0 r ~ Vl " t0 ~ ~o R U m W-pcMrn C ~m 'ooa~i ro t`~'Q N~i ~Q ~Lma 3 F 0 m C C l6 V ~~O Om m ~ U'NL> O~ p~ Fdtp L" O C w Q 'o Y 3 a N a o~~ ~ m Eo 3 ~ i ~ o a A V WZ - n.. p o c Y C'7 W C N~ rn t C v C d N c mE o~ m E ~ o E N E N Qa~iC m NQIC O'), > E m ac o ma W>$ .o Qm - vm o~ ~ o C1o¢ F m r E C D C V ~ Q C N E ° a ~ ? ~ O o , ti9A N L O DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Praperty Owner : RUTHERFORD JAMES W Property Address ; 7507 35TH AV Contractor License No. : 17143 Company : The United Materials, Inc. 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 (U.B.C.) and all other applicable Wheat Ridge ordmances, for work under this permit. (OWNER)(CONTR4CTOR) SIGNED 0.eft,4,T/ DATE Description : REROOF Building Permit Number: 95-344 Date :2/16/95 Phone: 420-7168 Phone: 623-4166 Construction Value : $3,317.00 Permit Fee : $63.00 Plan Review Fee : $0.00 Use Tax : $49.75 Total: $112.75 Electrical License No : Plumbing License No : Mechanical License No : Company: Company : Company: Expiration Date : Approval : Expiration Date : Approval : m , m Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set forlh in yopur applica6on and is sub~ect to the laws of the State of Colorado and to the Zoning Regulations antl euiltling Code of Wheat Ridge, Cobrado or any other applicable ordinances of t~e City. (2) This permit shall expire if (A) the work authonzed is not wmmenced within sixty (60) days from issue date or (e) the building authorized is suspended or abandoned for a period of 120 days. (3) IFthis pertnit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have 6een orwill be made in the onginal plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If chan9es are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will cM1ange the naNral Flow ofwater causing a dreinaqe problem. , (5) Contrector shall notiy ihe Building Inspectortwenty-tour (24) hours in advance for all inspections and shall receive written approval on inspec[ion card before proceediing wiN successive phases of thejob. (6) The issuance of a pertnit or the approval of d2wings antl specifcations shall not be construetl to be a permit for, nor an approval of, any violation of Ue provisions oqhe building codes or any other ortlinance, law, rule or regulation. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 2_~ 6_ 9S 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : 1 i M ~ v~-H F~Fo e-r~ Property Address : 7507 W . 3 s"T'"- ~ k-- Phone : i4,ao _ `71 !o$ Contractor License No. : i Z 7 yS Company : UA-,,;-E] MA-r~21 h+_S Phone : f, 2'S - 44l OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : 3 3 ~7 I hereby certify that the setback distances proposed by this permit application are accurete, PeffT11Y FB@ 3 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 all conditions rinted on this made are accurete that I have read and a ree to abide b 75 Use Tax : y q p g y ; application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this pertnit. 7 5-- Total: I12 +~p .q.~p (OWNER)(CONTRACTOR) SIGNED ~.~V.X2.,..oXc.A DATE DBSCfiptlOfl:-rF_~AJZ" cxj STIAJL( 'IZoOF A.VS~ R.E20~~ ~-✓irH GD 2oYM-, 3 T/-, $ Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: 21 - wcCigLu m (1) This permit was issued in accordance with the provisions set forth in yopur appliwlion antl is subjec[ to the laws of the State of Coloredo and to the Zoning Re9ula6ons antl Builtling Cotle of Nfieat Ritlge, Colorado or any o[her applicable ordinances otthe Ciry. (2) This permit shall ezpire if (A) llie work authorized is not commenced within sizty (60) days from issue date or (B) the builtling authorizetl is suspentletl or abandoned for a penod of 120 tlays. (3) If this permit ezpires, a new pertnit may be acquired for a fee of one-half the amount normalty requireq providetl no changes have been or will be made in the original plans and specificaGOns and any suspension or abandonment has not exceetled one (1) year. If changes are matle or if suspension or abafMOnment racceeds one (7) year, full fees shall be paid for a new pertnR. (4) Nb work of any manner shall be done [hatwill change the natural flow of water causing a dreinage problem. (5) Conirdctor shall notlry the Builtling Inspecrorhventy-four (24) hours in advance for all inspectlons antl shall receive written approval on inspecUon caN before proceetliing wi[h successive phases of the job. (6) The issuance of a permit or the approval of tlrawings and specifications shall not be wnsWetl to be a pertnit for, nor an approval of, any violation of Ne provisions of the builtling cotles or any oNer ordinance, law, rule or regulatioa . Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION