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HomeMy WebLinkAbout5730 W. 33rd Avenue1*� ` City of Wheat Ridge Resid. Windows/Doors PERMIT - 202100811 PERMIT NO: 202100811 ISSUED: 04/27/2021 JOB ADDRESS: 5730 W 33rd Ave EXPIRES: 04/27/2022 JOB DESCRIPTION: Replace (2) entry doors in same location like for like *** CONTACTS *** OWNER (612) 978-1560 ARENDS NEIL SUB (303)421-7100 TED ROLAND 018516 K&H WINDOWS & EXTERIORS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,812.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 143.05 ** TOTAL ** 193.05 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .30 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, a licable Buildin codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal ownerofthe property npd am authorized to obtain -this permit d perform the work described and approved in conjunction with this �ppermit. I further attest I am le all authorized to include alI entities named within this document as pa les to the work to be erformed and that all work to be performed is disclosed in this document and/or its' accompanyinga roved lans and specifications. p p pp p p Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all a licable statutes, ordinances, regulations, policies and procedures. 2. This pen -nit shall ex ire 365 days after the date of issuancepregardless of activity. Requests or extension must be made in writingand received prior to the date of expiration. An extension of no mre than 180 days made -be ranted at the discretion of the Chief Building Official nd may be subject to a fee equal to one-half of the original permit fee. g g 3. If this permit expires, a new permit may be reqquired to be obtained. Issuance of a new permit shall be subject to the standard requirements, fes and procedures for a roval of an new permit. Re -issuance or extension of expired subject is at the sole discretion of the Chief Building Offieial and is notpguaranteed. Y p p p 4. No work of any manner shall be performed that shall results in a chan e of the natural flow of water without prior and specific approval. 5. The permit holder shall notify thBuilding and Inspection Services Division in accordance with established olic of all re uiredp p fY g p. p Y q inspections and shall not proceed or conceal work without written approval of such work from the Building and Ins ection Services Division. p pp g p 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, aField violation of any provision of any �5licab e code or an ordinance or regulation of this jurisdiction. Approval of work is subject to ins ection. pp Y � J pp Jp 04/27/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Date: Tuesday, April 27, 20217:09:12 AM Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 5730 West 33rd Avenue Wheat Ridge, CO 80212 Property Owner Name KristyArends Property Owner Phone 612-978-1560 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address Attach City of Wheat cc form Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business K&H Windows and Exteriors Name Contractor's License 018516 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK What is being replaced WIZI z81sr`z! sgeorge@khwindows.com sgeorge@khwindows.com Doors Number of window 2 and/or doors being replaced Location of entry window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of 0.28 the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of measure docs.odf window/door cut sheets showing sizes and u - value Project Value (contract 6812 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for spawn george Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: c " t -N rr, se-,- Job Address: Permit Number: _;-.fir � . L3 �-' •� r!�r � n. �'� � �'; � �; ❑ No one available for inspection: Time ? AM/PM ..V . Re -Inspection required: e., No When corrections have been made, call for re -inspection at 303-234-5933 Date: , r� 61 Inspector: 1 ` DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C-/ 0 �- tZ ('tic�k I Job Address: _ S'-73 n ,,, -2,2,r2 4y,_ Permit Number: n I r) c/ 7 3 C� ❑ No one available for inspection: Time a : I AM/ Re -Inspection required: Yes � When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE E i- A i CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax CV 4. INSPECTION NOTICE Inspection Type: )e " �D%/ r ` 9r/.9"� Job Address: �% O 0,33 rd a.(}f Permit Number: �.-- 0170o lb, 0 ❑ No one available for inspection: Time M% M Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date:5, q- ,X Inspector: . DO NOT REMOVE THIS NOTICE E i- A i CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax CV 4. INSPECTION NOTICE Inspection Type: )e " �D%/ r ` 9r/.9"� Job Address: �% O 0,33 rd a.(}f Permit Number: �.-- 0170o lb, 0 ❑ No one available for inspection: Time M% M Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date:5, q- ,X Inspector: . DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 5�l Ll�Z 7 Job Address:/- 331 au2 Permit Number: ❑ No one available for inspection: Timet _ AM/ pi } Re -Inspection required: Yes No-/ When corrections have been made, call for re-inspection � at 3303-2_34-5933 Date:/ ; "//'/ 7 Inspector: �O C� I'✓/1 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �1(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: U L� � p Job Address: o Permit Number: 12-0 1-10 1 b0o ❑ No one available for inspection: Time Re -Inspection required: Yes No When correctionshave been made, call r re -inspection at 303-234-5933 Date: 1Z I Inspector: VPn212-cc- OA44� DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: %30 e z " _ Permit Number:6 760 /6/0 ❑ No one available for inspection: Time AM/�M �. Re -Inspection required: Yes "'No When corrections have been made, calf -for re -inspection at 303-234-5933 Date:./ a4 -S' /7 Inspector: DO NOT REMOVE THIS NOTICE A ? City of Wheat Ridge Residential Miscella PERMIT - 201707800 PERMIT NO: 201707800 ISSUED: 09/28/2017 JOB ADDRESS: 5730 W 33rd AVE EXPIRES: 09/28/2018 JOB DESCRIPTION: Residential Miscellaneous siding permit removing aluminum siding and installing James Hardie Siding with 19sq, Whole house. *** CONTACTS *** OWNER (612)978-1560 ARENDS NEIL SUB (303)934-4508 Jason Lewis 090396 Lifetime Windows & Siding *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Total Valuation 0.00 Use Tax 210.00 " y, •`-;? Permit Fee 204.30 ** TOTAL ** 414.30 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to b r is r losed in this document and/or its' accompanying approved plans and specifications. f 1 Signature of O�r CONTRACTOR (Circle one) Date I. This permit issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 Offcial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The piss ce or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applrca cod_ a or an nce rare ulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: ? �2ZI / 7 Plan/Permit # 20/V �O Plan Review Fee: Building Permit Application wim *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address. 5730 W 33rA AVE R;d., Co 6-021Z Property Owner (please print): Ahi t A rtn d s Phone: (.a - 9"1 V' -1 S &o Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: M%Avf Phone: F.-,1/5 / �_ f' (c 1.v►t W %4ows , Sid, Contractors City License #: u9 0 39 6 Phone: 3 a 3 - 9 3y- qso F Contractor E-mail Address: Mau r r aV %t p roe r" :hr , t c M Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ` [OTHER(Describe) SiA;,,&- j,ns4^W` vj Jawu.S Ha,A-,c '7A c (For ALL projects, please provide a detailed description of work to be performed, including current use'of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF 19 S?_aareS Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 10 1 D00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) o (AUTHORIZED RESENTATIV of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: I Z 8 / % DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: K' io * �x w:N • * - 1Jg7r� Colorado Depi l ment of Pub4c Health and Enrironment ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED. Single Family Residential Dwelling (SFRD) > 50 LF or 32 SF or a 55 -gal. drum, but s 260 LF or 160 SF or a 55 -gallon drum Public and Commercial Building, School, and Single -Family Residential Dwelling: > 260 LF or 160 SF or a 55 -gallon drum [ cod [ code 100 ] ❑ $0 Courtesy Notice code 205 Non -Public Access Notice (Opt [ code 105 ] El [code'1101 $80 80 Non -Public Access Notice Notice [ co e 230 ]Lj _$=—SO -Day Permit [ code 130/232 $400 30 -Da P&C/SFRD Permit [ code 290 ] ❑ $300 90 -Day Permit [ code 190/292 ] ❑ $800 90 -Da P&C/SFRD Permit [ code 265 ]LJ $420 1 365 -Day Permit [ code 165/267 LLJj $1200 365 -Da PSCC/SFRD Permit [ code 180/280 ] ❑ $55 Notice or Permit Transfer [ code 177 ] ❑ $80 Phase of Multiple Phase Permit # Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 asbestos@state.co.us Abatement Contractor Abatement Site Building Owner Company Name Abbotts Enviromental Building Kr sty Arends I Owner Name Kristy Arends Street Address Specify location in the building where work will take place (e.g. floor, room, wing, etc.) Back bedrooms Contact Kristy Arends 2301 S Jason st City State Zip code Street Address Street Address Denver CO 80223 5730 w 33rd Ave 5730 w 33rd Ave Telephone # ( 3�3 975-4000 F (8)959-1753 City�� VVheat Ride Count .�efferson i Zi �6112 City tate Zi code Wheat Ridge _ _0 8212 Telephone # Fax # (616)q78-15 ( ) Project Supervisor D Ian Quintana CO. Cert # ✓ Buildin Contact Kr,SI Arends Cell Phone # I ( Project Personnel Project Information Disposal Site CO Project Mgr. Name Na Start Dt gay 18th �� End Date May 26/1 (r. Landfill Name Republic Services ✓ Cell Phone # CO Project Designer # Start Time 8:00 End Time Street Address ( ) AM AM 5:00 PM 8480 Tower Rd PM CO Project Designer NameNA Check the day(s) of operation: Su f�Q, TJI F, S❑a City State code 8022 ❑E/�] Z'Tb CO Cell Phone # CO Project Designer # Emergency? Type of ACM: TSI, Texture, VAT, etc. CDPHE Use Only ( ) Y❑ N� Consulting Firm Name FNistr�tion # LIIZZSS L ✓ Linear Feet / Type Square Feet/ Type 55 gal. Drums Postmark or Delivery date Approve by: Enviro Spec 368 drywall 238 tile mastic C 5 I A.M.S. Name Onqrk,,- Form of P=& 7$$ ` �D Y W PM req'd?Andre Cell Phone # ( CO A.M.S. Cert # 9983 Permit _ z , Date Issued: Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT, ceiling tile, TSI, etc.). use another page if necessary. Set up a containment with engineering controls under negative air 1 layer 6 mill on floor and and 4 foot splash guards on walls with 2 stage decon with remote shower. Using hand tools hammers flatbars RECEIVED etc and a buffer. Airless sprayer will be used with amended water to keep dust controlled and mastic MAY 01 2017 Area will be hepa vacced and wash down with airless sprayer and wiped dry with rags all 1017 waste will be double bagged and labeled. Visual and air clearance will be perform by Enviro Spec APCD Sttuion,ary S©Urces Porth: AANPA08 Rev. 01/302008 Colorado Department of Public Health and Environment Air Pollution Control Division — Stationary Sources Program — Indoor Air Unit 4300 Cherry Creek Drive South, APCD-SS-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100—Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS APPROVAL NOTICE This notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 16, 2003,_ and effective March 2, 2005, the Colorado Air Pollution Prevention and Control Act C.R,S. (25-7-101 and 25-7-501 et seq). It is only for the purpose of allowing asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos approval notice is valid beginning 5/18/2017 through 11:59 PM on 5/26/2017. The actual scheduled work dates are from 5/18/2017 through 5/26/2017. Approval issued on: 5/11/2017 Record number: 127249 Notice Number: 17JE2556N For the location specified below: Kristy Arends Back bedrooms 5730 W. 33rd Ave Wheatridge Jefferson County This notice has been issued to: Amount paid: $60.00 Check number: CC 6788 Abbotts Fire and Flood Issued by: RWJ 2301 S Jason St. Denver, CO 80223 _ MAY -1 2011 _�) �F Cpl Q U T X875 Colorado Department of PubUc Health and Environment Air Pollution Control Division Sao& -Family Residential Dwielding .Area of Public Access Opt -out Form submit form to: Colorado Dept. of Public Health and Environment APCD-IE-B i 4300 Cherry Creek Drive South Deaver, CO 80246-1530 ?hone: 303-692-3100 Faa: 303-782-0278 Owner Name: 1J�r� a V-9-(S7-ily4 Arzc-woS Street Address: c> D VV 7;, 7-,'L lq-kv- City: r1 n�a6- State: n County:-rEff�o tf ziP Phone Number: 12 _ fig: !S (o D Start Date of Project: is Zo 11 Completion Date of Project: � ;A Sc 1 In June 2001, Colorado implemented a new law that extended the regulatory umbrella of asbestos abatement protections to single-family residential dwellings with regulations that, until recently, have only applied to public and commercial buildings. Asbestos is a known human carcinogen and is an airborne hazard. Once airborne, asbestos fibers`can stay suspended in the air for days, weeks or even months before settling out of the air, only to become airborne again because of some minor disturbance. Moreover, asbestos fibers can easily migrate through the air and, because of their microscopic size, ignore barriers like fences or locked doors that easily restrict people but not microscopic fibers. Since the air in buildings can move from room to room as a result of many factors, fibers, riding the air currents, can and will migrate to other areas of a building, Uncontrolled asbestos abatement projects or renovation projects that disturb asbestos may cause latent asbestos hazards that could expose people to asbestos in the future, long after the renovation activity occurred. For example, removal of asbestos texturing without any engineering controls may allow asbestos residues to accumulate in cracks, crevices, storage cabinets, fighting fixtures, door and window frames, ventilation ducts, radiators, vents, etc. This asbestos residue may not release fibers until the occupants, who, by turning on the air -conditioner, opening a window or door, or changing out a light fixture, disturb it. The airborne asbestos fiber concentrations resulting from this disturbance may result in a significant exposure to the current and future occupants of the home. Currently in public and commercial buildings, asbestos abatement work is regulated and monitored by the Colorado Department of Public Health and Environment. Asbestos abatement workers must be trained in asbestos abatement, certified by the Colorado Department of Public Health and Environment, and follow work practices known to prevent or contain the release of asbestos fibers when asbestos is disturbed. Companies that perform asbestos abatement are required to use safe work practices, but only if the asbestos abatement removal work takes place in an area of public access. Since the scope of previous public health regulations did not include single-family residential dwellings, the Colorado Department of Public Health and Environment was unable to protect homeowners from these exposures. With this new law homeowners who reside in the home they wish to renovate can now choose to be afforded the same protections as they are entitled to in a public and commercial building, unless the homeowner chooses to waive this protection. To waive these protections, the homeowner must sign this form declaring that they do not want their home to be considered an "Area of Public Access" for purposes of determining the applicability of portions of Colorado's asbestos regulation. The term 'Area of Public Access" is unique to Colorado's asbestos regulation and basically determines if an abatement permit, engineering controls, and air clearance testing Is required. if a building Is not an `Area of Public Access" then only certification, notification and asbestos disposal requirements in Colorado's regulation are applicable. This declaration will not affect you in any other way as it only determines your home's status with respect to Colorado's asbestos abatement regulation, As with most regulatory protections, there is a monetary cost. The cost of the asbestos abatement project in your home will be greater if your home is considered an "Area of Public Access" because the contractor will have to comply with SFRDOB Page 1 of 3 Form: Rev.02l2 D108 la�a�q -_LIVr_i� MAY - i V 17 stringent requirements necessary to protect public health. The project will require an abatement permit from the Colorado Department of Public Health and Environment and will thus be regulated and fall under the contractor compliance monitoring program administered by the Colorado Department of Public Health and Environment. The following are the Notification and Permitting Fees for all work on single-family residential dwellings that is not performed by the owner: Amount of Asbestos being Abated: Notification Fee for Permit Fee for Projects on Friable Asbestos -Containing pt -Out and Non -Friable Materials — Includes the $55 Notice Fee Projects in Single -Family Project Length Residential Dwellings 1 — 30 days 31 - 90 days 91 - 365 days Less than 50 linear feet or 32 square feet or the volume equivalent $0 f a 55 -gallon drum $0 $0 $0 Greater than 50 linear feet or 32 square feet or the volume equivalent of a 55 -gallon drum, but less than or equal to 260 linear $60 $180 $300 $420 feet or 160 square feet or the volume equivalent of a 55 -gallon drum Greater than 260 linear feet or 160 square feet or the volume $60 $400 $800 $1200 equivalent of a 55 -gallon drum Pursuant to Colorado law (25-7-502(1)(c), C.R.S.) I, the undersigned, hereby request that my single-family residential dwelling not be considered an area of public access, as defined in 25-7-502 C.R.S. I hereby certify that the home for which this waiver applies is a single-family residential dwelling with the address given on page one, that I own the residential dwelling located at the above address and that it is my primary place of residence. I do not rent or lease any part of the dwelling to another person or company or use it as a business. I further attest that I have no plans to demolish, sell, or rent my home at the conclusion of the Project. I understand that any work conducted on the outside of my home is always in an area of public access and that I cannot use this opt -out form for work conducted on the outside of my house. All notifications to the Division of the intent to abate asbestos containing materials above the trigger levels, whether in an area of public access or not, require a 10 -working day waiting period prior to any work starting on the project. The waiting period is required for the Division to process the notification and schedule any inspection of the project. The Division may decide, on a case-by-case basis, to waive all or part of the required waiting period. I understand that signing this Opt -out form in no way affects the Division's decision on whether or not to waive the 10 working -day waiting period. Where the homeowner has chosen to opt -out, the residential dwelling will revert to being an area of public access subject to all the protective requirements contained in Colorado Air Quality Control Commission's Regulation No. 8, Part B: 1) at the time of the homeowner's choosing; 2) when the homeowner no longer own the single-family residential dwelling; or, 3) if the dwelling ceases being the homeowner's primary residence, whichever is first. If you wish to designate an opt -out expiration date at this time, please fill in a date in the space provided.- Opt-out rovided:Opt-out Expiration Date: You may also designate an opt -out expiration date at some point in the future by contacting the Air Pollution Control Division at the number provided below. I have read both pages of this form and understand its content. I understand that by making this declaration, most of the protective requirements contained in Colorado Air Quality Control Commission's Regulation No. 8, Part B, on asbestos will not be applicable to my dwelling and 1 will not be afforded all the protections provided by this regulation. By signing below, I acknowledge that the above statements trued correct. Homeowner: ture Homeowner: Date General Asbestos Contractor (GAC): Abp, �-� } -F" -� log j - ,w Page 2 of 3 ' Form: SFRO08 Rev.02J20108 L it I� i 303- 9'75-gaxa GAC Phone Number with Area Code: GAC Fax Number with Area Code: - 9159 If you have any questions, please call the Air Pollution Control \ Division at (303) 692-3100. - 1VGD Visit our web site at: http://www.cdphe.state,co.us/ai)/asbeshom.asp MAY -1 2017 APCD Stat;onan, Sources Page 3 of 3 Pmm SFRD06 FOR APCD USE ONLY Date Received: 1 Approved By: Nodce/Permlt Number. Rev.02120108 February 24, 2017 Kristy Arends 5730 W 33`d Ave Wheatridge, CO Asbestos Inspection Date of Report: Subject Property: Dear Kristy, Environmental Permit No. 201700160 5730 W. 33rd Ave February 20,. 2017 February 24, 2017 5730 W 33rd Ave, Wheatridge CO Per your request, an asbestos inspection was conducted at the above referenced property by certified asbestos inspector Mr. Donald Humphrey to evaluate suspect asbestos containing materials. The suspect material was sampled and shown to contain asbestos as follows: Visual Observations: Upon entering the inspector was asked to sample suspect suspect material that may be impacted during a remodel of the laundry room and adjoining bathroom and bedroom on the SW corner of the home. All sample locations are located in the floor plan diagram. Sampling: HA Sample# Material/Location Results Condition/ Assessment Non -Detect Damaged/ #2 1 Al Wall and ceiling texture(brush texture)in the laundry room 1 A2 Wall and ceiling texture(brush Non -Detect Damaged/ #2 texture)in the laundry room 1 A3 Wall and ceiling texture(brush -Texture 1 -Non -Detect Damaged/ #2 texture)in the laundry room -Texture 2% Chrysotile 2 B1 Laundry room top layer flooring and Non -Detect Damaged mastic 3 B2 Laundry room bottom layer red floor Non -Detect Damaged tile and mastic 4 B3 Back addition 9X9 gray tile and -Tile-8% Chrysotile Damaged/ #6 mastic -Mastic Non -Detect 11603 Teller Street, Suite A, Broomfield, CO 80020 Phone: 800-627-2366 Fax: 303-444-1331 www.rdsenvironmental.com 5 B4 Bathroom sheet flooring and mastic Non -Detect Damaged 6 C1 Wall board in back Bedroom Non -Detect Damaged 7 C2 Ceiling tile in back bedroom Non -Detect Damaged 8 D1 Backing behind wood paneling Non -Detect Damaged 9 E1 Joint compound for laundry room walls and ceiling Non -Detect Damaged 10 F1 Attic insulation Non -Detect Damaged A1-3,There is approximately 350 square feet of texture material in the laundry room ceiling and walls. The material was a surfacing material, friable and in damaged condition at the time of the inspection. B1; There is approximately 100 sq ft of the top layer of flooring in the laundry room, The material was a miscellaneous material, friable and in damaged condition at the time of the inspection. B2, There is approximately 100 sq ft of the bottom layer of flooring/red floor the in the laundry room, The material was a miscellaneous material, non -friable and in damaged condition at the time of the inspection. 63, Thera is appro:dmately 100 sq ft of the Grey 9#9 floor tile in the iaund, ry room, The mat' -1-1 ,,, miscellaneous material, non -friable and in damaged condition at the time of the inspection. B4,There is approximately 30 sq ft of the sheet flooring in the bathroom, The material was a miscellaneous material, friable and in damaged condition at the time of the inspection. C1, There is approximately 100 sq ft of ceiling tile in the back bedroom, The material was a miscellaneous material, friable and in damaged condition at the time of the inspection. C2, There is approximately 200 sq ft of wall board material in the back bedroom, The material was a miscellaneous material, friable and in damaged condition at the time of the inspection. D1,There is some sheet flooring like material back bedroom behind the wood paneling visible from the closet, The material was a miscellaneous material, friable and in damaged condition at the time of the inspection. E1,There is approximately 350 square feet of wall board system with drywall and joint compound a'{ seams and corners in the laundry room ceiling and walls. The material was a miscellaneous material, friable and in damaged condition at the time of the inspection. F1, There is approximately 200 square feet of rock wool type insulation above the laundry room and back bedroom. The material was a miscellaneous material, friable and in damaged condition at the time of the inspection. Friable is defined as any material that can be pulverized or reduced to powder with normal hand pressure. Non -friable is defined as any material which when dry cannot be pulverized or reduced to powder with normal hand pressure. *Sampling in this report used the EPA's "Simplified Sampling Scheme for Friable Surfacing Material" for guidance in collecting samples. 11603 Teller Street, Suite A, Broomfield, CO 80020 Rhone: 800-627-2366 Fax: 303-444-1331 www.rdsenvironmental.com EMSL Analytical, Inc. EMSL Order: 221701072 1010 Yuma Street Denver, CO 80204 Customer ID: RDSE21 Tel/Fax: (303) 740-5700 / (303) 741-1400 Customer PO: 4t. http://www.EMSL.com / denverlab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Analyst(s) Molly Elkins (12) Stuart Printz (8) Brendon Rawlings, Laboratory Manager or Other Approved Signatory =MSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no 'esponsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client This report must not be used by the client to claim )roduct certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Nan -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless equested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 02/21/201719:55:39 ASS -PLM -0008 - 1.71 Printed: 2/21/2017 5:55 PM Page 2 of 2 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type B4 -Mastic Bathroom Sheet Yellow 100% Non-fibrous (Other) None Detected Flooring Non -Fibrous 221701072-0007A Homogeneous HA: 5 C1 Wall Board in Back Brown/White 95% Cellulose 5% Non-fibrous (Other) None Detected Addition Fibrous 221701072-0008 Homogeneous HA: 6 C2 Ceiling Tile in Back Brown/White 98% Cellulose 2% Non-fibrous (Other) None Detected Addition Fibrous 221701072-0009 Homogeneous HA: 7 D1 Backing Behind Wood Brown/Black 80% Cellulose 20% Non-fibrous (Other) None Detected Panel in Back Fibrous 221701072-0010 Addition Homogeneous Inseparable white paint /coating layer included in analysis HA: 8 E1 -Texture Joint Compound White 40% Ca Carbonate None Detected (Laundry Room) Non -Fibrous 60% Non-fibrous (Other) 221701072-0011 Homogeneous Inseparable white paint / coating layer included in analysis HA: 9 E1 -Joint Compound Joint Compound White 20% Ca Carbonate 2% Chrysotile (Laundry Room) Fibrous 10% Mica 221701072-OOIIA Homogeneous 68% Non-fibrous (Other) Inseparable tan paint / coating layer included in analysis HA:9 E1 -Drywall Joint Compound Brown/White 15% Cellulose 70% Gypsum None Detected (Laundry Room) Fibrous 15% Non-fibrous (Other) 2 2 1 70 10 72-0 0118 Homogeneous HA: 9 E1 -Composite Joint Compound BrownM/hite 20% Cellulose 10% Ca Carbonate <1% Chrysotile (Laundry Room) Fibrous 60% Gypsum 221701072-OOIIC Homogeneous 10% Non-fibrous (Other) This is a composite result of wallboard and joint compound. No tape observed. HA: 9 F1 Attic Insulation Gray 98% Min. Wool 2% Non-fibrous (Other) None Detected Fibrous 221701072-0012 Homogeneous HA: 10 Analyst(s) Molly Elkins (12) Stuart Printz (8) Brendon Rawlings, Laboratory Manager or Other Approved Signatory =MSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no 'esponsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client This report must not be used by the client to claim )roduct certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Nan -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless equested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 02/21/201719:55:39 ASS -PLM -0008 - 1.71 Printed: 2/21/2017 5:55 PM Page 2 of 2 February 24, 2017 Kristy Arends 5730 W 33`d Ave Wheatridge, CO Asbestos Inspection Date of Report: Subject Property: Dear Kristy, Environmental Permit No. 201700160 5730 W. 33rd Ave February 20,. 2017 February 24, 2017 5730 W 33rd Ave, Wheatridge CO Per your request, an asbestos inspection was conducted at the above referenced property by certified asbestos inspector Mr. Donald Humphrey to evaluate suspect asbestos containing materials. The suspect material was sampled and shown to contain asbestos as follows: Visual Observations: Upon entering the inspector was asked to sample suspect suspect material that may be impacted during a remodel of the laundry room and adjoining bathroom and bedroom on the SW corner of the home. All sample locations are located in the floor plan diagram. Sampling: HA Sample# Material/Location Results Condition/ Assessment Non -Detect Damaged/ #2 1 Al Wall and ceiling texture(brush texture)in the laundry room 1 A2 Wall and ceiling texture(brush Non -Detect Damaged/ #2 texture)in the laundry room 1 A3 Wall and ceiling texture(brush -Texture 1 -Non -Detect Damaged/ #2 texture)in the laundry room -Texture 2% Chrysotile 2 B1 Laundry room top layer flooring and Non -Detect Damaged mastic 3 B2 Laundry room bottom layer red floor Non -Detect Damaged tile and mastic 4 B3 Back addition 9X9 gray tile and -Tile-8% Chrysotile Damaged/ #6 mastic -Mastic Non -Detect 11603 Teller Street, Suite A, Broomfield, CO 80020 Phone: 800-627-2366 Fax: 303-444-1331 www.rdsenvironmental.com Response action: Please be advised that there are no state or federal laws that require the removal of asbestos -containing materials from residential dwellings not undergoing renovation or demolition. The following response action was formulated by applying the guidelines of the EPA's Asbestos Hazard Emergency Response Act (AHERA), which regulates the handling of asbestos -containing materials in schools. The asba—stos ,Con.Ialnin,g bac' room -floor the and laund7-,j room YJQ-ll and c,yilin,l to �turs Should be rn.alntainad in good condition .and .ths news homneocvnars should be made aware of the asbestos containing material (ACh]). i he situation should be raevaluated if the ACM should be involved in any renovation or demolition worl�, if da -moll -tion or renovation work will be performed on laundry room walls or ceiling .and bac? bedroom 9xg floor tile, it is recomended that a licensed asbestos abatement contractor be retained to ramove the asbestos containing material prior to any construction, renovation or demol`otion activity. The joint compound in the laundry rooms walls and ceiling was determined to be <1% asbestos con'laining through composite sampling. Although the joint compound was determins�d by composite analysls to be - ]% asbestos containing and not regulated by the state o�! Clolorado°s regulation >% it is still regualated by OSHJA and should be removed by a qualiffled profasslonal in accordance to OSI-�]A guldelines for removal o.7 materlals containing <1% asbestos. lff any materials not on this repomrt are discovered during demolition, work shall Stop and the said material should be tested before the demolition of said materials The samples taken were representative of the suspect material. RDS, Inc. does not make any guaranties or assume any liabilities regarding asbestos content in areas other than where samples were taken. We appreciate the opportunity to perform this inspection for you. If you have any questions or if I can be of further assistance, please call. Sincerely, Don Humphreys EPA -Certified Asbestos Inspector -17950 11603 Teller Street, Suite A, Broomfield, CO 80020 Phone: 800-627-2366 Fax: 303-444-1331 www.rdsenvironmental.com EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com EMSL Order: 221701072 Customer ID: RDSE21 Customer PO: Project ID: Attention: Don Humphrey Phone: (800) 627-2366 RDS Environmental Fax: (303) 444-1331 11603 Teller Street Received Date: 02/21/2017 9:50 AM Suite Analysis Date: 02/21/2017 Broomfield, CO 80020 Collected Date: 02/20/2017 Project: 5730 W 33rd Ave Al Laundry Room Walls White Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light, Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type Al Laundry Room Walls White 100% Non-fibrous (Other) None Detected and Ceiling Non -Fibrous 221701072-0001 Homogeneous Inseparable paint/ coating layer included in analysis HA: 1 A2 Laundry Room Walls White 100% Non-fibrous (Other) None Detected and Ceiling Non -Fibrous 221701072-0002 Homogeneous Inseparable paint /coating layerincluded in analysis HA: 1 A3 -Texture 1 Laundry Room Walls White 40% Ca Carbonate None Detected and Ceiling Non -Fibrous 60% Non-fibrous (Other) 221701072-0003 Homogeneous Inseparable white paint /coating layerincluded in analysis HA: 1 A3 -Texture 2 Laundry Room Walls Tan 20% Ca Carbonate 2% Chrysotile and Ceiling Non -Fibrous 10% Mica 221701072-0003A Homogeneous 68% Non-fibrous (Other) Inseparable tan paint /coating layer included in analysis HA: 1 B1 -Flooring Laundry Room Gray 10% Cellulose 90% Non-fibrous (Other) None Detected Flooring / Top Layer Fibrous 221701072-0004 Homogeneous HA: 2 B1 -Mastic Laundry Room Tan 100% Non-fibrous (Other) None Detected Flooring / Top Layer Non -Fibrous 221701072-0004A Homogeneous HA: 2 B2 -Floor Tile Laundry Room Red 100% Non-fibrous (Other) None Detected Bottom Layer Non -Fibrous 221701072-0005 Homogeneous Inseparable paint/ coating layer included in analysis HA: 3 B2 -Mastic Laundry Room Black 100% Non-fibrous (Other) None Detected Bottom Layer Non -Fibrous 221701072-0005A Homogeneous HA: 3 B3 -Floor Tile Back Addition 9x9 Gray 92% Non-fibrous (Other) 8% Chrysotile Floor Tile & Mastic Non -Fibrous 221701072-0006 Homogeneous Inseparable paint/ coating layer included in analysis HA: 4 B3 -Mastic Back Addition 9x9 Black 100% Non-fibrous (Other) None Detected Floor Tile & Mastic Non -Fibrous 221701072-0006A Homogeneous HA:4 B4 -Flooring Bathroom Sheet Gray 15% Cellulose 85% Non-fibrous (Other) None Detected Flooring Fibrous 221701072-0007 Homogeneous HA: 5 Initial report from: 02/21/2017 19:55:39 ASS—PLM-0008 - 1.71 Printed: 2/21/2017 5:55 PM Page 1 of 2 Floor Plan For: , % _ '�O Inspection/Sampling Date: c� Inspector: Rj Indicate North M ........ . . .. .... . 77- .......... \�� �. s ,' �� OF 0 0 6i 41 1876 Colorado Department of Public Health `\ T-" and Environment ASBESTOS 9k-7 :- CERTIFICATION* This certifies that Donald Humphrey Certification No.: 17950 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 state of Colorado in the following discipline: -M Building Inspector* 'R Issued: August 05, 2016 Expires: August 05, 2017 This certificate is valid oily with the possession: of a current Division -approved training course certificatioti M the discipline specified above. Au horizeriAPCD Representative SEAL PZ7.NF1. w+ .�-Zr'�i:r%F.,-" CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office e (303) 237-8929 Fax INSPECTION NOTICE,/ Inspection Type: A0 /�� Job Address: Permit Number: LJ No one available for inspection: Tirne4 _/111_1� AM/PM Re-inspection required� . Yes No When corrections have been made, call for re-inOpption at c303-234-5933 — Date: ..k Inspector: (1 DO NOT REMOVE THIS NOTICE A . City of Wheat Ridge Residential Roofing PERMIT - 201704734 PERMIT NO: 201704734 ISSUED: 07/25/2017 JOB ADDRESS: 5730 W 33rd AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Onyx Black asphalt shingles with ROOF DECKING - 32 sq. (30 sq. pitched, 2 sq. flat) *** CONTACTS *** OWNER (612)978-1560 ARENDS NEIL SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,101.41 FEES Total Valuation 0.00 Use Tax 338.13 Permit Fee 315.25 ** TOTAL ** 653.38 PA *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or 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 - 201704734 PERMIT NO: 201704734 ISSUED: 07/25/2017 JOB ADDRESS: 5730 W 33rd AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Onyx Black asphalt shingles with ROOF DECKING - 32 sq. (30 sq. pitched, 2 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 this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be fo perrmed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 4-11-- {-4?.6 Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chial� Date REQUESTS MUST�&10 11:59P S DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, July 17, 2017 12:16 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 5730 W. 33rd Ave Kristy Arends 612-978-1560 klitwinczuk@gmail.com 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 Name Elite Roofing Contractor's License 130240 Number (for the City of Wheat Ridge) Contractor Phone 303-296-0361 Number Contractor Email Address kathy@elite-roofs.com Retype Contractor Email kathy@elite-roofs.com Address DESCRIPTION OF WORK Are you re -decking the Yes 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? Owens Corning Duration Onyx Black Asphalt Field not completed. 30 6i�l 2 TOTAL SQUARES of all 32 v roofing material for this project Provide additional detail 2 story House Re -Roof, 1 Layer, 5:12 pitch here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 16101.41 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 Elite Roofing Email not displaying correctly? View it in your browser. 3 �.c��.. rELITE ROOF//1/G Roofing Done Right'° Contract Subm7// To �(� -� !� Email Date Home Phone d �� l �Alternate Phone '77 h/ Stte%ZiStreet F ��4p !ol —I --- We propose to furnish all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST VALUE (RCV) per insurance proceeds plus any supplements that may apply to your claim. Upon approval of your claim, Elite Roofing will file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your policy provisions and will become part of this contract as if contained herein. Elite Roofing, as your General Contractor, will negotiate a fair and equitable settlement agreeable by both your insurance company and Elite Roofing based on competitive market rates for labor and materials with no additional cost to you, except for your deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof replacement, you will not be obligated to this contract and/or may enter into an acceptable repair agreement with Elite Roofin . y� d^y Shingle Manufacturer (/LJ ��+ �� mac" t Type 1.. vl Color X [Tear off J layer(s) of composition or wood shingles. Special_Instructions: nstall felt 151b 301b {[ idge cap shingles to be color coordinated rstall new pipe jacks ,/ // ! � L [�eplace vents as needed / Slant back Turtle i(- l.�d' c) r e-flash c imneys and all wall abutments as needed n'� [ Install � nails per shingle �, G r Code Items: � �, ✓c .y .�it,>.� Xt [' tall Decking (7116" OSB) ! stall pre painte.O,agve metal to code Color kl Ice & Water_ Penetrations alleys Eaves y Upgrades: r ,,9 -r' /�.r Gp ✓fir [nthetic Felt" > S, [ ] idgevent" if. y� J_ N� Approx. Job Completion:�weeks from insurance approval [�J� igh Profile Ridge" If. 67 [1urenail" lifetime shingles v � [ ] "Class IV Impact resistant" lifetime shingles Homeowner Payment Summary: [ ] Manufacturer Warranty - Pick one Below t eductible: $ 40 [ OC Advantage [ ] OC Preferred [ ] GAF System Plus Cgrades: $ Misc: lean out gutters fialance Due*: $ tL ive (5) year workmanship warranty *Balance due is equal to the amount of out ofpocket expenses as agreed {,Mlite Roofing will provide general liability insurance coverage of $2,000,000 upon by the homeowner and is in addition to all other insurance proceeds ite Roofing will provide workman's Comp at $500,000 as described above. If no insurance claim is involved then balance due is [ ake a magnetic sweep of driveway and yard for removal of any nails the total contractual amount due. Remove all d is r sulti g from above work Insurance Company �- Claim # DOL: 1 I • 1(We) hereby authorize and/or instruct any legal representative and/or agent of Elite Roofing to obtain any and all information necessary to negotiate the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above. • 1(We) hereby authorize and/or instruct Elite Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Elite Roofing. I (We) hereby authorize and/or instruct Elite Roofing to act as my (our) General Contractor for the above mentioned claim number and instruct my (our) insurance company to release the customary 10% overhead and 10% profit for scheduling and coordinating any and all trades needed. • Elite Roofing shall hold in trust any payment received from you until materials have been delivered. This contract is subject to Elite Roofing management review and approval. I accept the above Date of Acceptance Homeowner's Signature(s) _ Representative P rI /i Representative's Signature—' this gQntract and Authorize Elite Roofing to proceed. k 5475 Peoria St Suite 4-106, Denver, CO 80239 1 Ph: 303.296.0361 1 Fax: 720.517.2233 I Colo. Spgs.: 719.20`3.3107 1 Ft Collins: 970.818.3990 www.eliteroofingcolorado.com -CITY OF WHEAT RIDGE -�� Building Inspection Division (/ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /(0/__ t Job Address: Permit Number:4Y70-9 O TK ESD U d✓r S TI�f s�v�ti-s�,�� j i 4 7 G�/ z �� ? <� Z- c� Said c. L- r v L)12 v� 77J L_ L rz t r oL�f llG� avv' —7){L ❑ No one available for inspection: Time AM/PM Re -Inspection require:" Yes,__No When corrections have been made, ca11 for re-inspe iib at 303-234-5933 Date:Inspector:.. 00 NOT Rlcn,#n i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION N,7TICE Inspection Type: ],Fl-) �;1121_'_ Job Address: '3 V1 PerNumber: 2-O/ `� L1)1-1934-1 ❑ No one available for inspection: Time' ' '�-AIrA1PM Re -Inspection required: Yes No When corrections have been made, call for re -inspect ,1303-234-5933 Date: , 2 17Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge V, HO Interior Remodel PERMIT - 201700160 PERMIT NO: 201700160 ISSUED: 02/03/2017 JOB ADDRESS: 5730 W 33rd AVE EXPIRES: 02/03/2018 JOB DESCRIPTION: Interior remodel of existing bathroom, laundry room, and bedroom. Reconfigure powder room and install a stand up shower. Re configure bedroom closet. *** CONTACTS *** OWNER (612)965-0437 ARENDS NEIL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,000.00 FEES Total Valuation 0.00 Plan Review Fee 215.22 Use Tax 324.00„►'���� Permit Fee 331.10 ** TOTAL ** 870.32 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. City of Wheat Ridge HO Interior Remodel PERMIT - 20.1700160 PERMIT NO: 201700160 ISSUED: JOB ADDRESS: 5730 W 33rd AVE EXPIRES: JOB DESCRIPTION: Interior remodel of existing bathroom, laundry Reconfigure powder room and install a stand up closet. 02/03/2017 02/03/2018 room, and bedroom. shower Re configure bedroom I, by m�si gnaturedo herebyattestthat the work to be performed shall comply with all accompanying approved plansand specifications, appicae building codesand allappicable municipal codes, policies and procedures, and that 1 am the legal ownerorhave been authorized byhe lgal ownerofthe property and amauthorized to obtain this permit and perform the work described and approved in conjunction with thiserit- I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that fall work tole performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signat4re of OWNER dor CONTRACTOR (Circle one) Date / I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po ,cies 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. Isuance of a new permit shall be subject to the standard requirements; fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat _ jdg COMMUNITY DEVELOPMENT Building 8 Inspection Services Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits;a cimheatridoe.co.us FOR OFFICE USE ONLY Date: Pian/Permit # L4 0/704 (9 0 Plan Review Fee: Building Permit Application ' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "' Property Address: 5�� 0 WuST ?j a'D A1rE � VVF�a--r�tnl�,F. Of) $ A Z Property Owner (please print): /`/ C I L G � LAS TI Irl+ A-x,GNp S Phone: W 7' _ 4f _ /5& 0 Property Owner Email: KK,IS": a' 0DtkPoWcf�Y0 J4. Lom Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: W b0r— VC7 i � ftVO Fi Y OWA&1.(S) Arch itect/Eng 1 neer E-mail: Contractor: woex- 76-VItmb" fit( OWN/4—S) Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WiNDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT (PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT [ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) U*w&l #�- -ex t,;fti�g 1V! 4U►'V0M f. L ,iM.0tJ MOOM At et r td - Y&OA-J . VV D IL (L l WilvVCS KCeP1V t(JL4UV l c� U=fCtSTIMf f7oVV-Pix--vm-rv-"ro 10c "Ot,*Te- -'p SYVL- . LA-yov-r vf-- %t PRAOM ry yTAA( /rl-is, w+7'1+txwn&v °r- �U'^'�'yvx4�oN G L- 'ai tp t2b on•t G�oS Sq. FtJLF APOVA _�& 0 0 Se Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $—I $, aoo_ _ _ - OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 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 1 am the legal owner or have been authorized by the legal owner of the property to pertbnn 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. CIRCLEO.'VE: ON7YER (CONTRACTOR) or (AUTHORIZED REPRE.SET1 PRINT NAME: 4j"A,,A- 46w S — SIGNATURE: DEPARTMENT USE ONLY ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer�`�,< e l P PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required of (OWNER) (CONTRACTOR) _ DATE: 45—Ai— OCCUPANCY CLASSIFICATION TYPE OF CONSTRUCTION SPRINKLERED OCCUPANT LOAD Building Division Valuation: $ ♦ 6 A o ► City of 9KW I�dge mNh6at 1t1NITy Dry i-ot n�rr<r Whe(. RIcjq � B1J:dire) ` ;L�n -)roved Plo s c p4, V ", - 17 Plans EA::rnlnr Dae Validity of perm t: The 1Ssuance of of plans, specifications and computations shall not . t,, a permit for, or an approval of, any violation to any of the provisions of the building code or of any City ordinances. Permits presuming to give authority to violate or cancel the provisions of the Building code s or other ordinances of the City shall not be va'�-? EXISTING FLOOR PLAN 1 /4" = 1'-0" DECK: 10'-0' X 23'-10' KITCHEN ''.,. O _ o❑ DINING RM REF. F NEW LAUNDRY 4-04 SINK +MILLWORK N STACKED W/ I WASHER/DRYER 2'-8' �� LAUNDRY I I5_p•' 8 12 IBATH �I MASTER 0"x52 10" —312 I I3RD BEDROOM I I I L SCOPE OF WORK I REMODELED FLOOR PLAN 1 /4" = 1'-0" 2ND BEDROOM BATHROOM CLOSET MASTER OFFlCE CONTRACTOR: DESIGNER: ARENDS :INTERIORS CONSULTANT: JPROIECT,' ARENDS RESIDENCE GUEST SUITEI AUNDRY ROOM REMODEL 5730 WEST 33RD AVE WHEAT RIDGE, CO 80212 NEWLAUNDRYLAUNDRY SINK + MILLWORK STACKED WASHER/DRYER RELOCATE FLOOR VENT. CONVERT TO WALL SUPPLY RELOCATE EXISTING BASE BOARD ELEC. HEATER I;D 000 Z- 2'- 8" 6' 5" LAUNDRY 5'-0" 8'-1 BATH �1 IY�I 1' It 3RD BEDROOM L - - - SCOPE OF WORK - - - J ENLARGED FLOOR PLAN 1 /2" = 1'-0" REELECTED CEILING PLAN: KEY AC ® C -D RECESSED CAN VANITY SCONCE UNDER CAB. ROPE LIGHT CEILING FAN 77-7 7 C 3 �I EQ EQ W/D LAUNDRY i TTIC A A A ESS A 1 3 4 3 4'-3" i i BATH II 2'--6 i B EQ II I MIS 0 j I CLOSET "NUTONE" I EXHAUST FAN: EZ80N j y� D 3RD BEDROOM I I - - - SCOPE OF WORK - - - REFLECTED CEILING PLAN 1 /2" = 1'-0" CONTRACTOR: DESIGNER. ARENDS :INTERIORS CONSULTANT: ARENDS RESIDENCE GUEST SUITEMUNDRY ROOM REMODEL 5730 WEST 33RD AVE WHEAT RIDGE, CO 80212 REF. NOTE: ALL PLUMBING FIXTURES PROVIDED BY OWNER. I I I 2'-10„ 2' 8" 000 _ till ElJOLLA" SILVER SCHLUTER STRIP I CERAMIC F OORING. SHOWER HEAD "WOOD PLANK" &HAND SHOWER (1/3 OFFSET) LAUNDRY / THERMOSTATIC I MIXING VALVE & VOLUME CONTROL 3"X6" WHITE I SUBWAY TILE I BATH ILll 3/4" THICK, TEMPERED GLASS SHOWER DOOR 112 PANEL" DOOR I� �I I 3 BATHROOM + SHOWER FLOOR TILE A3 1/2" = l'-0" --- / @ SHOWER, I / MARBLE "HEX" I / I I I I I3RD BEDROOM I I I STACKED WASHER/DRYER I I SCOPE OF WORK L J FLOOR FINISH PLAN (TILE PATTERN) 112" = l' -O" J.J. (_V IVUI\ I SINK + FAUCET LAUNDRY + MILLWORK 112" = 1 '-0" WALL SCONCE WALL MOUNT VANITY CABINET SCHLUTER STRIP GLASS SHOWER DOOR RECESSED SHAMPOO NICHE, 28"X12" TILE: MARBLE "HEX" I YX6" WHITE SUBWAY TILE SUBWAY TILE BACKSPLASH "JOLLA" SCHLUTER STRIP DUPLEX OUTLET + SWITCH (DECORA STYLE) QUARTZ COUNTER TOP CONTRACTOR: DESIGNER ARENDS :INTERIORS CONSULTANT: PROJECT: ARENDS RESIDENCE GUEST SUITE/LAUNDRY ROOM REMODEL 5730 WEST 33RD AVE WHEAT RIDGE, CO 80212 i INSPECTION REC090--__�, I L fr1i m . . . . . . . . . . . . . . . . . . 'ire InsMftn / Fire protection Diet. Occupancy is Not Partnitted I A Cortiflcate of Occupancy is City of Sheat Ridge �K/26/2,016 11 i.'03 CDBA In'stall , EMO btil f CDA@12499 MROUNT BPSP 5736 W 33rd AVE )4. KI 'if kWIT 40. ", b "169 "�8281 *K/P "' , — IJAYMBIT FUEN"ED MOUBMT 14C / 371,18 ?4M — WTH COD U 032243 TOTAL wn Oar 6'8 . . . . . . . . . . . . . . . . . . 'ire InsMftn / Fire protection Diet. Occupancy is Not Partnitted I A Cortiflcate of Occupancy is To: #.. o2 2016-02-26 Tr - F",-PC---o-rtMpvl MUNm DEVELOPMENr Bultding DivislOn �500 W., 20 Ave,,VWie8t Ridge., CO 80033 Office: 303.2*2855 * Fax: 30-i37-029 inspeclion ` . 33 # AntME # t # #.-Rl : tact# , * , ♦ � � s... w ..+ ,� * RFP i t :° * � " , Reviewer CII A MT"r st rQ 10do V4' * __x ° ^•. ,- • = ^._ awra xa,aa aaaarae+r.�a�xx�a xxfrxawr�aa.�worxx xxx,� xxasx, xer �.ux v�tia.. '.. ," 3 3 r" , W e .0- Pt � ,2, Add ress: Cit State; Zip: Complete all information on BOTH sides of this fort Oct 03 14 07:54p Mona Toedtli 303-325-5946 P.1 720-629-8042 Proposal Submitted To: Date: 09/22/2014 John Lister 5730 w. 33 st, Wheatridge Co. Bury the sewer and install caps on cleanouts at the grade of the yard. Bid does not include landscape repair. C= RMIX11#1 Oct 03 1+4 07:55p Mona Toedtl% 303-325-5946 pa. Acceptance of proposal: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13407 BUILDING INSPECTION LINE - 303-234-5933 Date CITY OF WHEAT RIDGE : 2/6/02 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: DUSENBERRY Property Address : 5730 W 33RD AVE Phone : 232-8265 Contractor License No. : 19880 Company : Metro Denver Roofing Phone : 477-4094 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 complia e with the Wheat Ridge Building Code (U.B.CJ and all other applicable WFjQat Ridge ordirices, for4gjk underthis permit. (OWNER)(CONTRACTOR) SIGNED i!r G..~UDAT Construction Value : $5,500.00 Permit Fee : $125.25 Plan Review Fee : $0.00 Use Tax : $82.50 Total: $207.75 Use: Description : TEAR TO DECK. LAMINATE SHINGLES 24 SQ. REROOF GARAGE 8 SQ. MODIFIED ON FLAT 3 SQ. , BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. ' Approval : Zoning : Approval : Approval : Occupancy : Walis : Roof Stories : Residential Units : Electrical License No : Plumbing License No : Company : Company : Expiration Date : Expiration Date : Approval : Approval : Mechanical License No : Company : Expiration Date : Approval: (1) This pertnitwas issued in accordance with ihe pmvisions set fodh in yopur application and is subject to the laws of the State of Coloredo antl to the Zoning Regulations and Building Code of VJheat Ridge, Cobrado or any other applicabie ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days fmm issue date or (B) the building aulhorizetl is suspentletl or abantlonetl for a period of 720 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required provitled no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceedetl one (t) year. If changes are matle or if suspension or abandonment exceetls one (1) year, full Fees shall be paid for a new permit (4) No work of any manner shall be done ihat wili change ihe natural Flow.of water causing a drainage probiem. (5) Contractor shall notify the Building Inspectorrivenry-four (24) hours in advance for all inspections and shall receive written approval on inspection cartl before proceediing with successive phases of the job. (6) The issua f a permit or the approval of drewings and specifcations shall not be constmetl to be a permit for, nor an approvai of, any violation of the provi of des or any other ordinance, law, rWe or regulatioa . Chief Building In ector DEPARTMENT OF PLANNING AND DEVELOPMENT Bui(ding Permit Numbec ~F WFEqr.~ BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~~CORPO~ 4~ ,y~~~"TIO7,~~ . 4 V . Property Owner: Property Address: ('5-- Phone : Contractor License No.: / 7 g RD Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify thatthe setback distances proposed by this pecmit application aze accurate, cOllSt.ITi1Ct10R V21A0:$ and do not violate applicable oxdinances, mles or regulations of the City of Whea[ ffidge or Peri111t F'ee: $ covenants,easemenuorresfrictionsofrecord;thatallmeasurementsshowqandailegations made aze accurate; that I have read and agree to abide by all conditions printed on this P12S1 R0V18W F08: $ application and that I assume full responsibility for compliance wi[h the Wheat Ridee U Se 1 3X:S Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this pecmit. ~ / Total:$ (OR7VER)(CONTRACLOR):SIGNEX- ~G/l"PGGDATth,Description: -:3,q ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Electrical License No: Company: BUII.DING DEPARTMENT USE ONLY SiC: Roof: Stories: Residential Units: Plumbing License No: Company: Sq.Ft.: Mechanical License No: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (I) 11tis permit wu issued iv accordance with the provisions set forth in yonr applicafiort and is subject to the laws of t6e State of Colorado and ro tlie Zoning Regulations and Building Codes of Wheat Ridge, Colomdo or any other appticable ordinances of ihe City. . (2) T1us pexmit sliall expire if (A) the work auUiorized is not commenced wittin sixty (60) days finm issue daze or (B) tlie building znthorized is suspended or a6andoned for a period of 120 days. (3) If Uiis pecmit exp'ves, a new pemit may be acquired for a fee of one-half the amount normally reqiiired, provided no dianges have been or will 6e made in the original plans and.specificeUOns andany suspension or abandommentltu not exceeded one (1) year. IfchanSes have been or if snspension or nhanAnnment exceeds one (1) year, full Fees shalt be paid for a new permit. (4) No work of any maoner shall6e done that will change the nanval flow of warer causing a drainage problem. (5) Contractors6allnotifytheBuildiuglnspectorN+enty-fovr(24)hoursinadvanceForallinspeceonsands6allreceivewrittenapprovaloninspectioncardbefore proceedivg vrith successive phues oFthejab. (6) 1he issuance of a peimit or the approval of dravri¢gs and speci5cafious shall not be constrned to be a permit for, nor an approval of, any viofznon of [he pmvisions of tlie building codes or any ofher ordinance, law, mle or regulation. Chief Building Inspector I DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : 95-2171 Date :11/1/95 Property Owner Property Address Contractor License No. Company LASPE WILLIAM E 5730 33RD AV 17174 Bell Plumbing & Heating Phone : 233-9497 Phone : 757-5661 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity 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 ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : REPLACE WATER HEATER Construction Value : $397.85 Permit Fee : $15.00 Plan Review Fee : $0.00 Use Tax : $5.97 Total: $20.97 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (7) This permitwas issued in accordance with the provisions set forth in yopur application and is subject to the laws of ihe State of Colorado and to the Zoning Regulations and Buildiny Cotle oF Wheat Ridge, Coloretlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced wifhin sixry (60) days from issue date or (B) ihe builtling authorized is suspended or abantloned for a period oF 720 days. (3) If this permit eacpires, a new permit may be acquiretl for a Fee oF one-half the amount normally requiretl, providetl no changes have been or will be made in the original plans and speafcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension orabantlonment exceetls one (1) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a tlrainage problem. (5) ConVactor shall notify the Building Inspeclor hventy-four (24) hours in advance for all inspections and shall receive wriqen approval on inspec[ion card before proceetliing with successive phases of the job. (6) The issuance of a pertnit or the approval of drawings and specifcations shall not be consUUed lo be a permi[ for, nor an approvai of, any violation of the provisions of ihe bplding cptles or anyyther ordinanp, law, yvle or regulatioa . ding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION NM DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : t o/27/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: LASPE WILLIAM Property Address: 5730 W. 33RD AVE. Phone: 233-9497 Contractor License No. : 17174 Company: BELL PLUMBING & HEATING Phone: 757-5EE7 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : 397. R5 I hereby certify that the setback distances proposed by this permit application are accurate, ~n Permit Fee : 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 t have read and agree to abide by all conditions printed on this Use Tax : aoolication, and that I assume full responsibility fer comPliance with the eat Ridge Building . Code (U.B.C.) and all other applicable Wheat Rid e ortlina c s, for w rk nder this per it. 7 `7 (y' OWNER CONTRACTO S G ~ /O Total : ( R) I NED DATE ! Description : WATER HEATEP, REPLACEMENT W.O. 109a4q Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : ;,jiNruvai : Approval : A URVA . (1) This permit was issued in accortlance with the pmvisions set forth in yopur application and is subject to the laws of the State of Colo2do and to the Zoning Regulations and Building Code of VJheat Ritlge, Colorado or any other appliwble ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days hom issue tlate or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If ihis permit expires, a new permit may be acquired for a(ee ot one-half the amount normally required, provided no changes have been or will be made in the onginal plans antl specifications antl any suspension or ahandonment has not exceetletl one (i) year. If changes are made or if suspension or anandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) Nb work o( any manner shall be tlone that will change the naturel Flow of water causing a drainage pmblem. (5) Contractor shall notify the Buiiding Inspector Rventy-four (24) hours in advance tor ail inspections antl shall receive written approval on inspeclion card before proceetliing with successive phases of the job. (6) The issuance of a permit or the approval of drawings antl specifcations shali not be construetl to be a permit tor, nor an approval of, any violatlon of the provisions of the bulltling cotles or any other ortlinance, law, ruie or regula[ion. 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 0 0 M cn N rnp~ H °z H ~ ~ a ~ z W a Z 92O W y J >-O WQ Q U W ~00 ~aa ~~W U ? _ ~iD Zo Z O } W J F- ~m ir a O ~ 0 W m ~ O Za 1. ~ L N X ~ N W W a~ 3 ~ n n H ~ NI ~ k w O U a N ( Q O ~ H ~i W ,n U ¢ a U ~ W ¢ ~ Z F ~p = O ~ a u- Y ~ M ~ ~ ~ J ~ W z o W J ~ V Z I W ~ c a U ~ ~ N J ~ , ~ ~ v) y ~ ro ~ W ¢ ~ a y W Q F Q Z o O O F O I -a U Q U a S e ~ IL • ~ N N ~ N ~ n I S F~ W N n 1- w Y U P Z O H U W a N 2 ~ W ¢ m~ 00 Q 2 Z J ~ ~ 0~ Q Q Y 2 ~ W W ~ f f ~ J y = lV Kl O 0 m g ~ . ~ D N ~ Q F- : ~ O > ► ~ u ~ ~ eG 4 V 1 ~ W : N C) b rli ~ 1~1'¢ w ~a ~ ~ J m ~ W Q O ¢ ~ ~ rc N W r O ~ Yl WU 2 Q ~i F ¢ W a gZ m 4 ~i ~pC N p hyU w Q N F W 9 ` = N e6 I I I w ~ d F z 0 U C7 ❑ m ~ ~ O W Q a ~ z W Q O w ? z O LL O U W W a a ~ Z W V rc= f F N y w5 ¢ za z °a° Z W p ~ Q J =O ~ m 2 N az S ~ r~ ~g LL n = O N 2 O F N 0 U Wo r W a1~~ Z W O 6~ F IW-, OQ 0 W 4 ~ aoQ Q ki10 V 5 aW~ ~ Qx a W fJ m 3 J~ J O U R N S i f 0 ~ W » m m > m ~ N ~ m f J ' I N S Q F O ~ W U ~ ~ W ; Q ~ W U ' Q O~ Q ' J U ¢ 1- R~ ~ K a S 4 o rc ~ r e2 rc s a~ W w ~ [ ~ ~ 2 ~ f m W m = W ~ V J r U1 4 t w K /1 W K 2 ~ J Q N 9 J 8 Q Q y W u= 3 a Q ~ ~ ~ H LL N Y LL 3 3 m N t a'J 'T Q S It m N O ~ ^ F_ ~ o ~ ~ W J J a n ~ W X & W F LL Y a Q 4 J W y ~ ~ m i 2 ' K K 2 > N U 9 t K W W W ~ t S W Z 2 N Z r F W F D Z N Z O O W W 3 Q ~ Q 'J X K Q 2 t=.1 Z Y p._ ~ O Q~ r no°; o ~ .°u E o^ w s, o o o « oo'~ a r a_ E° m o ~ .~`.c U ov~ E 0 0 ~ v e c O w c~ o p~ ~Op'3 0 0 e p O y ~j T t~` x o.. u' C V~ e ~ ~ o O O~ 0 0 a°--•` ~o E r p CO N O:~ O C ~ o 0 o E c 2 « u u ««U'S E I Z I