HomeMy WebLinkAbout11801 W. 32nd Placei : CITY OF WHEAT RIDGE
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Building Inspection Division
(303) 235-2855 Office `fid
INSPECTION NOTICE
Inspection Type: F_F1 l�
Job Address: //;90/ / 3Z
Permit Number: Z4 r-) 0 9 g 7
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❑ No one available for inspection: Time /,;10- A
Re -Inspection required: Yes o
When corrections have been made, schedule for re -inspection online at:
http://www.ci. wheatridge. co. uarinspection
Date: /3"V/—'02c4nspector: _S i
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: C4LFAWL
Job Address:._
Permit Number:
❑ No one available for inspection: Ti
Re -Inspection required: Yes CN9__1
When corrections have been
http://www. ci. wheatridge. co. u
foC„r re -inspection online at:
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1* � 4 i CITY OF WHEAT RIDGE
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- Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: il�Cl tzX
Permit Number: ? ol`I
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❑ No one available for inspection: Time 9 -,V �M%Pm
Re -Inspection required: ryes No
When corrections have been made, schedule for re -inspection online at:
http://www.ci. wheatridge.co. uslinspection
Date: S` 7- Vic, Inspector:
DO NOT REMOVE THIS NOTICE
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N A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
5C)5— INSUC
Inspection Type: -3 O ! _ R F&M 3 I ' 2 tp& Ulla
Job Address: I SO I W 3?-^' PL
Permit Number: 'moo! q ® o jq 'j
❑ No one available for inspection: Time :q -'sAM PM
Re -Inspection require Yes No
When corrections have been made, schedule for re -inspection online at:
http://Www.ci. wheatridge. co. uslinspection
Date: _ /• r4A:i> Inspector:
®O NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ;?cx�(Zq 14- r
Job Address: I I ( (14i __Z_72
Permit Number: cr-)
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❑,No one available for inspection: TinC PM
Re -Inspection required: Ye tso
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci.wheatridge.co.ussfins e -c-
lffia� MENEM, a ME
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11.1
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
NS LA
InspectionType:
Job Address:PermitNumber:
_ t72 4
❑ No one available for inspection: Time /I A-
Re -Inspection required: Yes' No
When corrections have been mad"; ,schedule for re -inspection online at.
http✓/www. ci. wheatridge. co. us4nspection
Date:31-�,-��� Inspector:-- ~ -_
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 3 w
Job Address:
Permit Number: l
C'\ - e-77
❑ No one available for inspection: Ti 0M
Re -Inspection required: No
When corrections have been made, sche u/e for re-inspectio
http✓/www. ci. wheatridge. co. u�nspectign /°
Date:_ I J -2' e r: _
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Remodel PERMIT - 201900997
201900997
11801 W 32nd P1
Demo stem wall; replace cabinets,
existing door and create window;
like - 135 sq ft total
ISSUED: 03/05/2020
EXPIRES: 03/05/2021
remove sliding glass door, frame in
Cosmetic remodel of bathroom, like for
*** CONTACTS ***
OWNER (303)895-0677 DAUGHERTY TRAVIS
GC (719)641-5749 STERLING DYER, STEVE STEELE 180102 STERLING STEEL
SUB (720)331-2852 ROBERT RAMIREZ 140252 RED FOX ELECTRIC INC.
SUB (303)472-0833 WILLIAM/SHELLY CLARK 170023 JUST PLUMBING INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00
FEES
Total Valuation 0.00
Pian Review Fee 194.61
Use Tax 336.00
Permit Fee 299.40
** TOTAL ** 830.01
*** COMMENTS ***
*** 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 - 201900997
PERMIT NO: 201900997 ISSUED: 03/05/2020
JOS ADDRESS: 11801 W 32nd Pl EXPIRES: 03/05/2021
JOB DESCRIPTION: Demo stem wall; replace cabinets, remove sliding glass door, frame in
existing door and create window; Cosmetic remodel of bathroom, like for
like - 135 sq ft total
I, by m 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 lega)]y authorized to include all entities named within this document as parties to the work to be
performed and that all woyk to berperfor ed is disclosed in this document andlor its' accompanying approved plans and specifications.
Signatureof or CONTRACTOR (Circle one) Date
1. This per t was issue as�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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief 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 gran ng of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
app ble code or a4yprdinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat z`dge
COMMUNITY DEVELOPMENT
Building & inspection Services
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(fti.wheatridge.co.us
FOR OFFICE USE ONLY
Date: a A // P10 )
VO
Plan/Pennit# ao
qq�
Plan Review Fee:
Building Permit Application
'** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 1 p d I w �lne , lam/ <--�6 co s -3
Owner (please print): '-jam(; I'S j,) (tea ek-AAj Phone:
Property Owner Email:_ C[(LAMI l "t"YaM1 S(Gi)Ct ii(�/'
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: 5kVn!� &J-4k)ln�s
Contractor Name:
City of Wheat Ridge License #:ll Phone: I. «.`-U LU — 5-7 4-1
Contractor E-mail Address:_ SA-PJC'tl iii @ S�-eY�11li, S - CAD
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):���-_QTY` b q �- Phone: �( is —Le 41-03-741
CONTACT EMAIL(p/ease print): 51� L- 1A (gyp M
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: R-eti.FoX Gt-e�k_ Plumbing: J U.St PI WYYaoI r j Mechanical:
W.R. City License # I W.R. City License # 1-106 -N_a, W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
City of
W heat R ,ge
COMMUNITY D[VELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(c-)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: /IS
Plan/Permit#ap q
Plan Review Fee: JJQ6)�
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 1196 ( W 32 -%4 ?LAC L -
Owner (please print): X r m'/aS I J- 4�% e,. kv Phone:
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:s(L�
City, State, Zip:
Architect/Engineer: ec-c..Cfo�
ET
Architect/Engineer E-mail: Cectk „„orle�.�c.-'a�, �
c o+ne osc N Phone: I 1 °t. 41'L -o5 -"k'6
Contractor Name: "t -r ., k -
City of Wheat Ridge License #:
F _C w,57 -J 0 C.k w,
Phone: ZZ I '>
Contractor E-mail Address:
- 0("7 7
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):_ 31'y e-„ vo f -e-, Phone:
CONTACT EMAIL(p/ease print): 3f-* L^ N .Vn ,^,4 r*'kco re- e --c" A"N • c'yn
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL [ RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Zcq`4C.c Roof
Sq. Ft./LF
L As5 Q06`(
L1\\6`• W \.lsc, til
BTUs
Gallons
Amps Squares For* olar: Kw # of Panels Requires Structural
For Commercial Projects Only:ccupancy Type: nstruction Type:
O upancy Load: quare Footage:
Project Value: (Contract value or the cost of all mate 'als and labor included ' the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTAND]
I hereby certify that the setback distances proposed by this permit
regulations of the City of Wheat Ridge or covenants, easements or
accurate; that I have read and agree to abide by all conditions print
with applicable City of Wheat Ridge codes and ordinances for wo
or have been authorized by the legal owner of the property to
entity included on this application to list that entity on this ap ical
truthfulness of the information provided on the application
CIRCLE ONE: (OWNER)
Signature (first and last name):
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING D
SAN AGREEMENT
is ion are accurate and do not violate applicable ordinances, rules or
>
ctions of record; that all measurements shown and allegations made are
his application and that I assume full responsibility for compliance
1de any permit issued based on this application; that I am the legal owner
the cribed work and am also authorized by the legal owner of any
. I, the 4plicant for this building permit application, warrant the
ATIVEER) (ONTRACTOR)
D TE:
DEPARTMENT USE ONL
OCCUPANCY CLASSIFICATION:
\ CONSTRUCTION TYPE:
Reviewer:
S. • ! a
PUBLICWCOMMENTS: aF
Reviewer:
Building Division Valuation: 91,OOD
Complete all highlighted fields, if applicable.
❑COMMERCIAL (,RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
asm,eh-(, r --g moA le -1 o�P -enc vs -h n,) 135 S�F MASA -e
F'�O-+Inroum . 1I t� 1�vr tl'4 -
Sq. FULF I �!) 5 BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONT CTO) or RIZED REPRESENTATIVE) of (OWNER) (CON RACTOR)
Signature (first and last name): DATE: Z
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer: CONSTRUCTION TYPE:
NAd
BUILDING W4;3
NTS
Reviewer.
1��
PUBLIC WORKS COMMENTS:
Reviewer.
Building Division Valuation: %cW--
City of
Wh6atf,idge
COMMUNITY 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: )VAN W - P I Permit #:
General Contractor: sk;_,exA l nA
Electrical Sub -Contractor
Company Name:hone #: (720) 331-2852
State License #: EC.0100362
Master #: ME.0030017
Wh at g License #: 140252 (required field)
2/26/2020
Signature of uthorized Agent Date
Plumbing Sub -Contractor
Company Name: Phone #:
State License #: Master #:
Wheat Ridge License #: (required field)
Signature of Authorized Agent Date
Company Name: Phone:
Wheat Ridge License #: (required field)
Signature of Authorized Agent Date
City of
Wh6atI,ile
COMMUNITY DEVELOPMET
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: �� D�� - �� }� Permit #: Q
General Contractor: 4�-P A� Ral
Electrical Sub -Contractor
Company Name: kt ,t [�bk P, -td 1-'j f Phone #:
State License #:� Master #:
Wheat Ridge License #:
(required field)
Signature of Authorized Agent Date
Plumbing Sub -Contractor
Company Name: 3 A- "1ti t' 6 �, Phone #: 30 3 —q -7C1' - M33
State License #:PC- owc�3� Master #: MP. QQLP W 20
Wheat Ridge License #: 1-100a:3 (required field)
Signature of Authorized Agent Date
Mechanical Contractor
Company Name:
Wheat Ridge License
Signature of Authorized Agent
Phone:
.(required field)
Date
Clear
Environmental
CONSULTING
11o92 Mallard Ct. Parker, CO 80134 1720-982-1513
Asbestos Insi)ection and Sampling Report
Prepared for:
Sterling Steele :l
11801 W. 32nd Pl.
Wheat Ridge, Co 80033c N
11801 W. 32nd Pl.
Wheat Ridge, Co 80033
ull
u
Performed & Prepared by-.-,
Josh Berard
sN`
All Clear Environmental Consulting
11092 Mallard Ct.
Parker, CO 80134
(720) 982-1513
Project Number: B.I -1209
Inspection Date: February 26th, 2020
No A -cm
DF,-T-tcl-�
Table of Contents
Inspection Overview
Introduction.................................................................. I
Site Description.............................................................. II
Scope of Work.................................................................. III
Sampling and Analytical Procedures .............................. IV
IV (a) ......................... Sampling Procedure
N (b) ......................... Analytical Procedure
Inspection Protocol........................................................ V
Homogenous Areas........................................................... VI
VI (a) .......................... Classifications of Materials
VI (b) ................................ Friable Material
VI (c) ......................... Material Conditions
VI (d) ............................ Sample Quantities
Result Overview................................................................ VII
Photos................................................................................ VIII
Laboratory Results............................................................ IX
Conclusion/ Recommendations ......................................... X
Limitations......................................................................... XI
Certifications...................................................................... XII
2
I. INTRODUCTION
On February 26th, 2020 Mr. Josh Berard with All Clear Environmental Consulting conducted an
asbestos inspection and collected asbestos bulk -samples of suspect asbestos -containing materials
(ACM) within the master bathroom inside the residence located at 118oi W. 32nd Pl. The purpose of the
inspection was to identify and sample potentially hazardous friable and non -friable ACM within the
residence that would be impacted.
Mr. Berard is Accredited by the Environmental Protection Agency (EPA) and certified by the
Colorado Department of Public Health and Environment (CDPHE) as an Asbestos Building Inspector.
A copy of his accreditations and certifications can be found in section XI of this report.
II. SITE DESCRIPTION
The one structure is a single family, 2 story home with basement
III. SCOPE OF WORK
Sterling Dyer of Sterling Steele retained All Clear Environmental to conduct an asbestos
inspection prior to remodel of master bathroom
The asbestos inspection conducted on February 26th, 2020 constituted a limited inspection and
fulfills the asbestos inspection requirements for structures that are to be renovated.
IV. SAMPLING & ANALYTICAL PROCEDURES
(a) Sampling Procedures:
Random bulk -samples representative of the suspect ACM of each homogeneous area were collected
according to the guidelines published as EPA Final Rule: Title II of the Toxic Substances Control Act (TSCA), 15
USC, Sections 2641 through 2654 and in compliance with 40 CFR, Part 763 and CDPHE Regulation Number 8,
Part B - Asbestos (Reg. 8).
All Clear Environmental has collected the appropriate number of bulk -samples to meet all regulatory
requirements for the classification and quantity of each homogeneous area. Note some minor destructive
sampling was conducted.
3
(b) Analytical Procedures:
Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of
Asbestos in Bulk Building Materials (EPA 600/R/116, July, 1993) and the McCrone Research
Institute's The Asbestos Particle Atlas as methods references.
All bulk -samples were analyzed by a National Voluntary Laboratory Accreditation Program
(NVLAP) accredited laboratory using the Polarized Light Microscopy (PLM) method for asbestos
content (see X for laboratory report).
V. INSPECTION PROTOCOL
The asbestos inspection was conducted by an Environmental Protection Agency (EPA) and
CDPHE certified Building Inspector. The inspection procedures included identifying and sampling
suspect ACM within pre -defined areas. Suspect materials alike in appearance and application were
sampled as HAs.
After identifying the appropriate suspect ACM, with the use of a random number generator,
random samples of drywall surfacing material and shower wall tile were taken in master bathrooma
and sent to an NVLAP accredited laboratory for analysis. See lab results in section IX
VI. HOMOGENOUS AREAS
(a) Suspect materials are divided into three classifications:
1. Thermal systems insulation (TSI): any type of duct, boiler, tank, or pipe insulation.
2. Surfacing material (SM): sprayed or troweled onto structural building member.
3. Miscellaneous (Misc.): other suspect materials ie. flooring, ceiling tiles, insulation,
and finishing materials.
(b) Friable material is one that, when dry, can be pulverized, or reduced to powder by hand
pressure, a non -friable material cannot. A non -friable material may become friable if its condition had
deteriorated or has been impacted by forces that have rendered it friable.
(c) The three categories in which sampled materials are placed are as follows:
Good: None to very little visible damage or deterioration
4
Damaged: The surface is crumbling, blistered, water -stained, gouged, marred or
otherwise abraded over less than one-tenth of the surface if the damage is evenly
distributed, or one-quarter if the damage is localized
Significantly Damaged: The surface is crumbling, blistered, water -stained, gouged,
marred or otherwise abraded over greater than lo% of the surface if the damage is
evenly distributed, or %25 if the damage is localized
(d) All Clear Environmental collected at least the minimum number of samples from each
homogeneous area necessary to meet all regulatory requirements for the quantity of material to
be disturbed. The quantities listed in this report are approximate and on-site verification of the
exact quantity of each material is required. The following outlines the minimum sample
quantities required per homogeneous area:
Thermal System Insulation (TSI): Each homogeneous area requires a minimum of three
(3) samples; at least one (1) sample must be collected from each patch; and collect enough
samples sufficient to adequately assess the material and determine the asbestos content for TSI
fittings such as pipe elbows or "T's".
Sur acing Materials (SM): up to 1,000 ft2 of material requires a minimum of three (3)
samples; between 1,000 ft2 and 5,000 ft2 of material requires a minimum of five (5) samples;
over 5,000 ft2 of material requires a minimum of seven (7) samples; one (1) sample of each
patch
Miscellaneous Materials (Misc.): collect enough samples sufficient to determine the
asbestos content
A Homogenous Area (HA) is defined by material that is uniform in appearance, texture, color
and date of application. Once the homogeneous area is determined, the inspector will choose the
appropriate number of samples to take in accordance with EPA and CDHPE.
(HA)1. Drywall/Wall Paper
0 Master Bath Walls
2. Shower Tile
0 Shower & Surrounding Bath
5
VIL RESULTS
Asbestos was NOT reported within all bulk -samples collected and analyzed. All Clear
Environmental collected a total of five (5) asbestos bulk -samples of two (2) homogeneous areas.
The following are the suspect asbestos -containing materials that were collected and their respective
asbestos content:
Material Asbestos Content
All Materials Determined to be Non -Detect I ND
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The following table describes the materials composing each homogeneous area as well as the locations
of each bulk -sample collected. Also listed is the classification, condition, friability and estimated quantity of
material to be removed and/or disturbed, as well as the asbestos content within each bulk -sample. Please see
section IX for a breakdown of each bulk sample.
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VIII. Photos
IX. Laboratory Results
Reservers EnvlroMler Llx
E6eaive Apr1102,2018
Reservo, EnNronm lOA Manual
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Reservoirs
Environmental,
Inc.
February 26, 2020
Josh Berard
All Clear Environmental
11092 Mallard Ct
Parker CO 80134
Dear Josh,
Subcontractor Number:
Laboratory Report: RES 457419-1
Project #/P.O. #: 1209
Project Description: W 32nd pi
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code
101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the
American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase
Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT
programs respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request.
The analysis has been completed in general accordance with the appropriate methodology as stated in the
attached analysis table. The results have been submitted to your office.
RES 457419-1 is the job number assigned to this study. This report is considered highly confidential and the
sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of
the U.S. Government. This report shall not be reproduced except in full, without written approval from
Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.
If you have any questions about this report, please feel free to call 303-964-1986.
Sincerely,
1
% - bf' Gregory Hronich
f`
Jeanne Spencer
President
P:(303)964-1965
F(3 )477-4275
5801 Logan St, Su a 100, Oenver, W 80216
Wei
1-B RES1-ENV
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X. CONCLUSION & RECOMMENDATIONS
Asbestos was N OT identified within the materials inside the building that were within the scope
of the asbestos inspection and bulk -sampling performed on February 26th, 2020; therefore,
professional abatement activities are NCS, required to remove or disturb the above -sampled building
materials.
All Clear Environmental (ACE) recommends that when ACM is removed/abated, that only a
licensed asbestos abatement contractor using personnel trained in the handling of ACM be allowed to
conduct such activities using appropriate methods (HEPA-filtered vacuuming, wet cleaning methods,
respiratory protection, protective clothing, personnel decontamination, negative -air enclosures, air
monitoring, etc.)
XI. LIMITATIONS
All reports and recommendations are based on conditions, practices observed and information
made available to All Clear Environmental (ACE) by the client and the designated site on the days
sampling was conducted. All activities were performed in accordance with all applicable federal, state,
and local regulations as well as generally accepted standards and professional practice. No
responsibility is assumed by All Clear Environmental for the control or correction of conditions or
practices existing at the facility/residence, for and on behalf of the client.
Any materials encountered during demolition that were sampled during this inspection should
be assumed positive until confirmed otherwise by a Certified Asbestos Building Inspector. Any ACM
that will be disturbed should be handled according to CDPHE,-EPA (Environmental Protection
Agency) and OSHA protocol.
All Clear Environmental greatly appreciates the opportunity in providing our services to you.
Feel free to call us at any moment if you have any further questions!
Kindest Regards,
Josh Berard — President
All Clear Environmental Consulting
720.982.1513
Josh@AllClearEC.com
12
— CERTIFICATIONS —
V -
7
Colorado L)"Ment
of Public Health
and Environment
ASBESTOS
CERTIFICATION*
This certifies that
Josh Berard
Certification No.: 23015
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:
C,
Issued:
Expires:
Building Inspector*
October 17, 2019
November 02, 2020
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City of
%��7 Whc,It Ridge
G.01(/ ` ec
COMM'JNI IY ' i ti' .: •Phtl'v l `�
Zoo? Ncr, APPROVED
� ' _ C�xo /�c.w�►��IJ� C�oE'
Reviewed or Code Compliance
Plans Pairniner Date
Vdidky of aemk: T t issuance of apt M or approval of pJons spec pcotlons
Frrr 7 77 .7 7-111"71 and computations shall not be o perm or on approval Of any violation to
\ any of the prowsbns of Me building o of or ply ordinances. Permits
sumirg to Or outhadty fo vtoralepr f Mt Prowstons of the iutt q
other ordinaaatt of ow Cny not be9 "1, .14 r-.
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I 1 RC1 0 3Zr� PI, , LC 8oc33
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01
Wheati R�d9e
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-28,55 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -inspection required: :YesNo
When corrections have been made, call for re -inspection at 303 -234 -
Date: _"'� , i "i Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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
Plumbing
Concrete Encased Ground (CEG)
Mid -Roof
Foundation / P.E. Letter
Floodplain Inspection (if applicable)
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
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.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
Floodplain Inspection (if applicable)
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric
Final Electrical
Rough Plumbing/Gas Line
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Framing
Roof
C1
Rough Grading
Final Window/Doors
Insulation
Final Building
Drywall Screw/ Nail
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.
Final Inspections
Date
Inspector
Initials
Comments
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
C1
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
i City of Wheat Ridge
Residential Roofing PERMIT - 201703996
PERMIT NO: 201703996 ISSUED: 07/14/2017
JOB ADDRESS: 11801 W 32nd PL EXPIRES: 07/14/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Grand Sequoia asphalt shingles - 33 sq
*** CONTACTS ***
OWNER (317)258-1203
SUB (303)552-4467
DAUGHERTY TRAVIS
John Hess
150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD
VILLAGES, PROSPECT V BLOCK/LOT*: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 8,500.00
FEES
Total Valuation
0.00
Use Tax
178.50
Permit Fee
188.45
- - - -- ----
** TOTAL **
366.95
*** 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.
A r City of Wheat Ridge
.r
r
j� Residential Roofing PERMIT - 201703996
PERMIT NO: 201703996 ISSUED: 07/14/2017
JOB ADDRESS: 11801 W 32nd PL EXPIRES: 07/14/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Grand Sequoia asphalt shingles - 33 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
applicable building codes, and 1 applicable municipal codes, policies and procedures, and that I am the legal owner or hav
by the legal owner of the prop and a authorized to obtain this pennit and perform the work described and approved in
this permit. I further attest th am a thorized to include alI entities named within this document as parties to the w
performed and that aJI work be gC�I � s disclosed in this document and/or its' om�any}ngYapproved plans and spe
Signature of OWNER for CONTRAnkQRrcle one) /bate
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding
Official and maybe subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
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
3e or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
nff
Signature of Chief Building Official - Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
2o17d39q
From:
no-reply@ci.wheatridge.co.us
Sent:
Wednesday, July 5, 2017 5:48 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
11801 W 32nd Place
Travis Daugherty
317-258-1203
Field not completed.
C
�k_
J
1
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 Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Urban Exteriors, Ile
150142
303-552-4467
Contractor Email Address jennifer@urbanexteriorsllc.com
Retype Contractor Email jennifer@urbanexteriorsllc.com
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:
No /
Asphalt GAF Grand Sequoia
Asphalt
Field not completed.
How many squares of the 33
material selected above?
Does any portion of the No %
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES of all 33
roofing material for this
project
Provide additional detail R&R house and garage roof 4/12 pitch
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 8500
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 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 John Hess
Email not displaying correctly? View it in your browser.
3
Urban Exteriors
Urban Exteriors, LLC
3440 Youngfield Street, Suite 179
Wheat Ridge, CO 80033
303.552.4467
www. urbanexteriorsilc.Com
wor��
BBB.
`. .
CRA
col")lt Ano KoOflNi, .A?SoCIAIIQN
Owner's Name:-( ��
au..< ;
Insurance Company: We,
Address:
!
^)«J^�1
Phone #:
City: i State: )
zip:f:
Claim #: `a�n
t }
#:
c
Project Manager:
age^ r6:Phone
rv`�.- 11
Mobile #:
Phone #: -
C7
Email
Date: --
UW E. the Owner(s) of the premises described above authorize Urban Exteriors, tic. hereinafter referred to as -Contractor". to furnish all materials
and labor necessary to roof and/or improve these premises in a good workmanlike and substantial manner according to the following terms,
specifications and provisions: r`" tt f1 ,• , 1—
a.Description of the work and the materials to be used: ��/ 1 ��!{ ` t�'tLU, :7r+ ,, 4 I tu`i °'1 if
.^-cl t!r \ 1j �.7i j �`v'\(f t ti3�$ "D`V�p \ I fr•t x1 Rl0AH_ e•rt N1 _r Zk!, T 5 tri -iii"
INSURANCE: THE UNLY COSI" TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE PLUS ANY UPGRADES CHOSE— Old R ANY NON
COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE IS PAID BY YOUR " 5�
INSURANCE COMPANY PER FINAL LOSS INVOICE. THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY
TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE
INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE SCOPE OF WORK WILL BE DEFINED BY THE
INSURANCE COMPANY LOSS SHEET AND ALL REVISIONS THEREOF. ANY ADDITIONAL WORK MUST BE SUBJECT TO A
CHANGE ORDER AND/OR CONTRACT SIGNED BY THE PARTIES.__
b. Description of any areas that will NOT be worked on:
This list of specifications may be
(see page number below)_
c. Payment: Contractor proposes to perform the above work. (subject to any additions and/or deductions pursuant to authorized change orders). for the
�
Total Sum of $ ) Ii l) 'r mai *Down Payment $
d. Commencement and Completion of Work: Substantial commencement of work shall mean either the physical delivery of materials onto the
premises or the performance of any Izopr shall be subject to any permissible delays as per provision (5) on the reverse side.
Shingle Mfg, Type & Color. c`',^^Ar1' f- Labor Warranty: 5 yrs, transferrable - provided upon payment in full
e. Acceptance: The contract is approved and accepted' I (we) utider4and`there are no oral agreemen&or understandings between the parties of this
agreement. The written terms. provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this
agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions of This Contract Are On The Reverse Side And Slav Be Continued on Subsequent Pages. A copy of the labor warranty is available upon
request. Urban Exteriors shall hold in trust any payment received from you until Company has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See
attached Notice of Cancellation form an explanation of this right.
ALLCHECKS MUST BE MADIEEP ET
P URBAN EXTERIORS, LLC.
/;7 t
omeoHna's Signature date
r Ject Manager's Signature date
1 hereby grant Urban Exteriors
permission to speak with my insurance
company for the purpose of resolving this
claim.
Urban Exteriors has permission to
discuss my claim with my mortgage
comoanv. if aonlicable.
i CITY OF WHEAT RIDGE
_:r�9
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Ll Col- F • '' " )
Job Address: l I Sol w -S"� `L (�!, 1
Permit Number: --,;) 0 1'7 0 3 ri 01 &
❑ No one available for inspection: Time �I /PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 '7 Inspector: TD
DO NOT REMOVE THIS NOTICE
i `CITE `OF WI4EAT RIDGE 3
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: t1 I t j
Job Address: 114 u I w 3 a =� �I 1
Permit Number: :@ d 1-7 0 3 3 1&
- (k' . G If,
❑ No one available for inspection: Time N G AM&M
Re -Inspection required: Yes `o
When corrections have been made, call for re -inspection at 303-234-5933
Date:; a Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: FIAdAL
Job Address: /1 Slvl 114e
Permit Number: 6>9') 6>9'`d �l S
��
f
k
❑ No one available for inspection: 7ime iV , VO AM /PM
Re- Inspection required: Yes
"When corrections have been 2iad�e, i oall foie- inspection at 303 - 2345933
Date: rWZ12 Inspector:
r �
DO NOT REIMWOVL HIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
�-P� Building Inspection Division
(303) 234 -5933 inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: J ;rr,,4
Job Address: dd Ro ao • 3,2 �����
Permit Number:
A,Pdov,L2
r;
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes /Noj�
"When corrections have been made, call _for �re-inspection at 303-234-5933
Date: s Inspector
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
i
Inspection Type: g f, P- frr*
Job Address: I I yi W. �? r"
Permit Number: LOM
1:1 No one available for inspection: Time 10 AM /PM "_-,)
Re- Inspection required: Yes 1
When corrections have been made, call for re- inspection at 303 - 234-5933
Date: a Inspector: pr.C/'• L i�eyz
DO NOT REMOVE THIS NOTICE
{ INSPECTICuA RECORD
Occupancy /TVpe
<& - INSPECTION LINE: (303) 234 -5933
I
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
l
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
L 0.C}'
%
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS `I
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE.SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
?a DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
s.` Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
f Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
xr Framing
Insulation
_
Drywall Screw -
FINALS
Electrical
Plumbing
Mechanical
L 0.C}'
%
Roof
.Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS `I
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking &Landscaping
"'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
41 City
r40001'r- Resi
PERMIT NO: 091803
JOB ADDRESS; 11801 W32
~lolllr t
Tler
.b
?ermit I
Conditior
rl.IViv
%w%
9500
ISSUED:' 08/31/2009
L EXPIRES: 02/27/2010
condenser due tostorm damage
1 Hanson'
y Aron 01-7713 Aron Heating & A/C
INFO
UA
ON: 0692:
R'4MARY
ESTIMAI
FE
lee
66`.
luation
25.
* *
91.
i nerepy certisy that the 'setback distances proposed byr. 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 Cade (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans 'subject to field inspection.
Signature of contractor/owner "date
1. This permit was issued in accordance with thel provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date An extension may be granted at the discretion of the Building Official.
3. If this permit expires, Ca new permit may be acquired fora fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one :(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for anew permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit.. or the approval of drawings and specifications shall: not be construed to be a permit for, nor -
an approval of, any violation of the provisions of the building codes or any other ordinance, Is., rule or regulation.
A11plan review is subject to field. inspections.
Signature of Chief Building :official :date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE( (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS 'DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY..'
dei
n'
tSS:`11801 W: 32ND PL
y'ON;'-`Replace 4 ton c
:ial Mechanic PERMIT - 091803
ISSUED: 08/31/2009
EXPIRES.: 02/27/2010
>ndenser due tostorm damage
303/239-9500 Neil Hanson
7. 1556 Tony Aron 01-7.713 Aron Heating & A/C
INFO *x,{.
USE: ;UA
0692 .BLOCK/LOT#: 0/
1 'C 1...
3:
zDI.LPH18L
envoS l VHLVl111VIN; JJ 1'YVV.uu
FEES
66.28
on .00
aTM
25.20
-
91.48
.:,m
z:.;
2003 IRC & 200
5 NEC.
nces proposed by this permit application are accurate, and do not violate applicable
City ofWhat Ridge or covenants, easements or restrictions of record; that all
e are accurate; that I have read and agree to abide:. by all conditions printed on this
onslbllity for compliance with the Wheat Ridge Building Code.`(I.B.C) and all other
work under this permit. Plans subject to field inspection.
date
accordance with the provisions set forth in your application ` and is subject to the laws of the
the zoning Regulations and Building Codes of Wheat; Ridge, Colorado or any Other applicable
180 days from the issue date. _.Requests for an extension must be received prior to expiration
granted at the :discretion of the Building Official.
new permit may be acquired for a fee of r one-half the amount normally required, provided no
be made in the original plans and specifications and any suspension or abandonment: has not
changes have beenor if suspension or abandonment' exceeds one (1) year, full fees shall
11 be done that will change the natural flow of water causing a drainage; problem.
he Building Inspector t enty four (24) hours in advance for all inspections and shall receive
:tlon card before pro eding with successive phases of the job.'
or e app of .wings and specifications shall not be construed to be a permit for, nor
,i of .the provls'ons of the building codes or any other ordinance, law;: rule or regulation.
o 91d in e 1 na. j
i
dat J
(\(f/,
(303)234-5933 :BUILDING OFFICE: (303)235-2855
'
oF""E?Tp City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
- o Inspection Line: 303-234-5933
O<ORPO
Building Permit Application
Property Address: ro / Z,, 3,-,) , -
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Date: C Y/, %
Plan
Permit M
Phone:.;, -.:;)3 9
Contractor:
Contractor License Phone:
Sub Contractors-
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): _
Description of.,,
Sq. Ft./L.Ft added: Squares BTU's
Gallons Amps
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other a plicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C/RLCE ONE:: (OWNER) NTRACTO ) or PERSONAL REPRESEN of NER) ( NTRATOR)
PRINT NAME: SIGNATURE: Date:
Construction Value: $ /-1-A7U -
(as calculated per Me Building Valuation Data sheet)
Plan Review (due at time of submittal): $
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
erniAL
Job Address: //8?O/
Permit Number: L991%l S
&`EZi2~a Ark ,r e~ Z?~kd f
❑ No one available for inspection: Time P AM/PM
Re-Inspection required: Yes <Iii~
When corrections have been made, caff for re-inspection at 303-234-5933
Date: 2,~4 _ Inspector. 9 f
i
DO NOT REMOVE THIS NOTICE
41 City of Wheat Ridge
r40001'r, Faxed Roof Permit PERMIT - 091465
PERMIT NO: 091465 ISSUED: 08/19/2009
JOB ADDRESS: - 11801 W 32ND PL EXPIRES: 02/15/2010
DESCRIPTION: Reroof 30 sqs
CONTACTS
owner 303/239-9500 Mr.. Hanson
sub 303/657-0647 `.Mark Cook 01-8183 C &.M Construction & Roofing
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0692 'BLOCK/LOT#:. 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,150.00
c FEES.
;Permit Fee : 181.10
Total Valuation . 00
Use Tax 110.70
**.TOTAL .291.80
`Conditions:
'.Both front and back of permit need to be posted onjobsite. If one or the other -
is not present,. INSPECTION WILL NOT BE PERFORMED..
-6 nail installation & mid-roof inspection required. Board. sheathing spaced more
than `a 1/2.of::.an inch apart requires plywood. overlay. on entire roof. Ice and
water shield required from eave edge to2'-inside exterior walls.
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
j; ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
s' measurements shown,. and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code .(I.B.C). and all other.
applicable Wheat. Ridge :Ordinances, for work under this permit. Plans subject to field inspection.
' Signature of contractor/owner date
y, 1. This permit was issued. in accordance with the provisions set forth in your application and is subject to the laws of the
state of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other.. applicable
n ordinances of the city.
s- 2. This permit shall expire. 180 days from the issue date. Requests for an extension must. be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new. permit may be acquired for a fee of. one-half the amount normally required, provided no
t..~, changes have been. or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have. been or if suspension or. abandonment exceeds one (1) year, full fees shall
be paid for a new'. permit.
~ 4. No work of any manner .shall . be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
" written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of _a permit or -the. approval of drawings. and specificationsshall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any.. other ordinance, law, rule or regulation.
All plan review/µs Sect to field inspections.
7///J~
Signature of J ef. ilding. official date
,INSPECTIO REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
.
'REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
r;
f:
REC R Occupancyffupe`
)3) 234-5933
S
F by 3:00 PM to receive inspection the following business day.
3PECTOR MUST SIGN ALL SPACES` PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE,
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground -
-
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR -
Electrical (Underground)
Plumbing (Underground)
1
- 'Do N
OT POUR FLOOR UNTIL ABOVE HAS "BEEN SIGNED
ROUGHS
ie
F
rvice
ric
bing
~v
Gas Piping
RDUghMechanical
ABOVE IN$RECTIONS TD BE'SIGNEDRRIOR TG
Framing
Insulation
Drywall Screw
CITY OF WHEAT RIDGE
FINALS
@8f19f@9 2:11 PH edbb
`
Electrical
Mark Cook
c~
Plumbing
RECEIPT NO:CDB@02097
AMOUNT
Niect anical
BPSP Reroof 30 sqs
@91
258.48
Roof
464
Permit Fee
162
90
"
_
Building Final
Ic Tax
BP5P Reroof 3@-----55
9
.
95'58
c9t 8@
Fire Depa
rtment
891465
Permit Fee
FFiA.W & Drainage"-
IrisP~c
Use Tax
181.10
11@.7@
SHOO
Parking & Landscaping
PAYMENT RECEIVED
AMOUNT ,
- No'!E. ALL ITEgAd.9 U5T•B~ COMPLETED AND APPRpVEQ BYPL,ANNING AN
V5 9920
550.26
CERTIFICATE OF OCCUPANCY -
S,.1SS!/ED. FINAL INSPECTION BY THE l~UIL6
Auth Code:
3@7445
` - OF A CERTIFICATE OF OCCUPANCY NC)R PE1" -
TOTAL
55828
X_
Q C.6UPANCY NOT P'ERiVIITTEQ UNTIL C`ERTIFIL
-
PROTECT THIS CARD FROM THE WEATHER
City of
Wheat~(Age Date: ( 1 Cf
P
r40COmArAmuNiTYDEWL0PMENT
erms' Ofice: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
AA0
/J~
Property gddress ll b'c)(
Property Owner (please print): 1-119{2S0/(J
Mailing Address: (if different than property address)
Address:
City, State, Zip: UX44w-R e)-7
Contractor License ('rl; 4 Phone: 5 -cf- 2
sttIi>':Gontl'ac'#of~s
Cornpanv Name: License Expiration Date: Trade/Profession: Approval:
Use of space (descn tion
D3FrfpYli.T
Plan Review (due at time ofsubmifra'): 5
Sq. FUL.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application znd that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B_C) and all other applicable Wheat Ridge Drdinances, for work
under this permit Plans subject to field inspection.
CIRLCE ONE:: (OWNER) v(CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATCR)
PRINT NAME: SIGNATURE:' )ate:
Z,d 6Z99-£9b-£0£ N?Vn d/c 60 6L 6ny
1 Credit Card Payment: Use creplft card listed on t<le. _
Print name: 4.4 /Zk ~ jf Signature:
~
INSPECTION TICKET
JOB (
ADDRESS f I aot w ` 5°~ WfJ>Z-
DATE: BLDG. PERMIT# 5 3 3 Q
PERMIT#
BLDG. CONTR. IJAh'^v'54L
SUBCONTRACTOR
DATE INSP. REQ. 16
TYPE OF INSP. ~INSPECTION MADE
REMARKS~
. 10
INSPECTION TICKET
JOB
ADDRESS gci ( W - 3 a-
Q_aG M99~-
DATE: ~ BLDG. PERMIT# ~~3d
PERMIT#(~
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. TYPE OF INSP.
INSPECTION MADE ~
REMARKS p '
~
W.R.FORM S19
✓
DE?AR7WiENT OF GOMNiUNI I Y DEVELOPMENT
7500 WEST 29th AVENUE'. BUILDING INSPECTION DIVISION PERMIT N0. [vIp92#3330
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLY 4IHEN SIGNED BY THE CHiEF BUILDING WSPECTORANDRECEIPTEDBELOW.
~ PP pLI~C~A,TION FOR MISCELLANEOUS PERMIT
JOB ADDRESS -/~./~~Q~7~ ~~.J/J~~~ p_~/~I~l.G~I 1-/S~r!~ - OWNER ~ ~cmC~V~`
CONTRACTOR llanr/_~t1py',SJ/~"7U/Y ADDRESS I l~ac,, tti W' 3~n0
ADDRESS .2~~5 LPI9'7' 'PI, PHONE eMG55M ZIPCODEe-W3-3
CITY ZIP CODE CUNTRACT PRICE $ !37S e c~
PHONE 'l~l"d(~QO LICENSE NO. DATE %U`J -T,7-
TYPE Ground❑
I
Wall❑
ProiectinQ❑
Ofher
SorOFaoe
.
MATERIAL
2
Total Square Feat
SIGNS
.
3
ILLUMINATION Y
❑ N
❑
T
e
Eleef
Per
mit No
.
.
es
o
4. SET BACK FROM PROPERTY LINE N
fSpeci}y which ie front 1
yp
_ S
❑
_ E
❑
_ W
❑ ❑
.
Zone_
.
Appewed,2ona Inspector
Disapprwed
1. TYPE Solido More Thon BO% Open[]
MATERIAL
?
Lset Thon 80% Open
HoipM
FENCES
.
3. SET BACK FROM PROPERTY LINE N
(Specity whieAiefront)
_ 5
❑
_ E
❑
_ W
❑ ❑
Zono_
AODia'e9.Zone InaOecta
DieaDGroved
1M
~
~
a
RAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVitiG DISTANCES FROM PROPERTY LIPIES.
D
(SETBACKS OR PROJECTIONS INCLUDED)
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGUI.AR LOTS,SNOW LEAST
DiSTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 780 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUAI WIRE UNDER SIZE 8 II.LEGAL
PLUMBING PERMIT
STATE UCENSE N0. I 'ba
FLOOR BSM I ST 2ND 3RD4TH
MECHANICAL PERMIT
lUCircleOne Gab ql Propnne Elee Solar
N0. FUF
Np,
WATER CI.OSET
FORCEO AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
CHANGE SERVICE-AMPS
BATH TUB
SHOWER
STEAM - BTU
AIR CONDITIONING-8N
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
POWER SU6-CIFCUITS
WATER HEATER
Refri erant Group
UTILI7Y(RANGE,OISPOSER,ETC.)
AUTO. WASHER
Pounds Chor e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOFtS B CONTROlS
FI,DOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMER$ d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
e thot this avPlico-
k
l
d
b
PERMIT FEE
now
e
y ac
i here
e
tion in correcf and understand that I
li-
hi
i
USE TAX
l i
s aDD
connof atort ihis proj6cl unf
tation ia opOroved. I shall comply wifh
TOTAL FEE
the lawe of 1he State of Colorado and to
tne ZoninQ ReQulntions and Buildinq
APPROVEI
An
i Rid
e
f Wh
BGkPlaftwe
y
Q
.
ea
Code of tha Cify o
violarion ot tne above terme will cause
CHIEF BUILD
immediate revocotion of this Oermit
wa; NOT VALID UNLESS REC
Er-Sd?SZ
vi
~
fOR,City of Wheat Ridge
Date Issued:
ayo~~can sl omm.
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF COMMUNITY DEVELOPMENT
.ci00 WEST 29th AVENUE BUILDING INSPECTION DiVISION PERMIT N0. MMUM
237-6944 ExT. 255 P.O. eox sss CITY OF WHEAT RIDGE, COLO. M91#17659
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
IOBADDRESS
A~P~P~I,~,{F
ATION FOR MISC
ELLANEOUS P
OWNER
IT
ANTRACTOR
ADDRESS g
/
~
ADDRESS
~00 f2t?I~lIII ~--fq'/v~
cJ
PHONE
-
,
9100 ZIP CODE ~r"~, <
CITY ~~(~,A
PHONE
(Ii2.P-✓ ZIP CODE
06/0 / LICENSENO
Z Z~
. S3S~
CONTRACT PFICE S
DATE ~~z/
A) A5V Q v
/~2~Lgz
1. TYPE Ground❑
Woll❑ Proie,finp❑
Ofher
SorDFOOs
2. MATERIAL
Total Squara Feat
SIGNS
3. ILLUMINATION Yea❑ No❑
Typs
Eleet. Permit No.
4 SET BACK FROM PROPERTY LINE N
(Spetily whieh is f ronf )
_ S_ E_ W
❑ ❑ ❑ ❑
Zone_
ADVroved, Zona Inspsator
DinoDOra'ed
1. TYPE SolidO More Thon 80% ODenE]
La,6 Thon 80%
Opan
,
2. MATERIAL
Haiphf
FENCES
3. SET BACK FROM PROPERTY LINE N
(Speeify whieh is front)
_ S_ E_ W
❑ ❑ ❑ ❑
Zons
_ Apprwed,ZOrn Impaeta
DisaDProved
r
`
x
2
-
~
OTHER
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GlVilr'v DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INClUDEO)
7
INSPECTION TICKET
STREET N4ME
SHOW DISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STRE
DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR AVERAGE DISTAN,
APPLICATION FOR PLUMBING; ELECI
THISAPPLICATION WILL BECOMEA PERMIT TO PERFORM THE INDICATED
PERMIT WILI EXPIRE 780 DAYS PROM THE DATE OF ISS'
JoB p C~~
ADDRESS II /J ~I
DATE: / a - BLDG. PERMIT# /76d
PERMITN
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. N.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLU
STATE LICEN
MBING
SE N0.
TYPE OF iNSP.
/
ALUMINUM N7RE UNDER SIZE 8 ILLEGAL
FLOOR
BSM
n
ee Sola~
I INSPECTION MADE
pp,
WATER CLASET
-
~i
TEMPORARY METER
WASH 80W1
REMARKS
NEW SERVICE AMPS
BATH TUB
~J
CHANGE SERVICE-AMPS
SHOWER
~
LIGHTING
SINK
HEATING
GARBAGE DISP
POWER SUB-CIFCUITS
WATER HEATER
W.R. FORM 619
UTILITY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
FIXTURES
DISH WASHER
✓
WIRING MOTORS a CONTROLS
FLAOR DRAIN
SIGNS
. URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I hsreby acknowledqe that this a0plica'
tion is eorreef and understond fhot I
tannof stmt this piojxct until ihis appli-
cation is opproved. I shall comply with
the lowa of the Stote ol Colorado and 10
fhe Zoninp Requlationa and BuildinQ
COde of tAe City of Wheat Ridqe. Any
violation of ihe above terme will couse
immediate revocation of this permit
PERMIT FEE /d, Gi, d-e
USE TAX /IR 3. 3 -7
TOTAL FEE
n PROVE~~~ [-~w-~~-
CHIEF BUILDI INSPECTOR,Cityo WheatRidqe
Date Issued.//-~Z- 2/
NOT VALID UNLESS RECEIPTED
(/-/y-'V
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
ADOlieonla SiOnatur
DrPA'n'ThiENT OF COiv1MUNlIY UEVELOPMENT
7500 WEST 29th AVENUE BUILDWG INSPECTION DIVISION PERMIT N0. 1t4,g9 q
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WNEN SIGNED BY THE CHIEF BUIIDING WSPECTORANDRECEIPTEDBELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
N
JOBADDRESS I / 9 0! pLJESf 3Z,I1-,( Pi./4CE OWNER 4~ A),Z7pL 4 A) a N1A2Y N, f441V20
CONTRACTOR qDDRESS li`901 WES-r PoLAC E
ADDRESS
v
CITY
c~ ZIP CODE
PHONE / 3-3 '7qlo-3 LICENSE NO.
PHONE Z3~1 -4 S oo ZIPCODE aoO '
CUNTRACT PRICE $ ~!Zh O0, on
DATE Z 5- g G -
1. TYPE Ground ❑
Woll❑
Proiectinp❑
Other 5 or D Fota
MATERIAL
2
Tatol Squore Feet
SIGNS
.
3. ILLUMINA710N Yee❑ No❑
Type
Eleet
Permit No.
.
4. SET BACK FROM PROPERTY IINE N
($Oetify whith iafront)
_
❑
S_ E
❑
_ W
❑ ❑
.
Zone_ ApDrovad,2onelnspettm
DisopDroved
1. TYPE Solido More Than BO% Openg
Lee6 Thon 80°/a Open
.
2'MATERIAL ~RlCk g L~)~ou~
lfr
i PQn/
HeiqN9
FENCES
3. SET BACK FROM PROPERTY LINE N
(Specify whieh ia front)
_~-1
lJ
S_ E
❑
_ W
❑ ❑
Z A_ Approved,Zone Inopettor
~ Disapproved
O~
1
.
2
OTHER
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE, GIVIK6 DISTA(VCES FROM PROPERTY LIPIES.
(SETBACKS OR PROJECTIONS INCLUDED)
REQRPROPERTY LINE
STREET Nt1ME 3 2„,,2 r'L./4 CF_
~
SPECIFY NORTH
SHOW DISTAPICES FROM THE MAIN BUIIDING TPADJOINING HOUSES, STREETS, ANO PROPERTY LIP1E5; ON IRREGULAR LO7S, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEDWORK ONIY UPON VALIDATION BY THE BUILDING INSPECTIDN DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUMWIREUNDERSIZEBILLE6AL
PLUMBING PERMIT
STATE LICENSE N0.
FCOOR ? BSM IST 2ND 3RD 4TH
MECMANICAL PERMIT
N0. FLELCircbOneGaBqlRoponeCOdElxSolor
N0.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW 3ERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-LIFCUITS
WATER HEATER
Refri eront Group
UTIIITY(RANGE,DISPOSER,E7C.)
AUTO.WASHER
Pounds Chor a
FI%TURES
DISN WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FIA(Nt DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I FiP
TOTAL FIXTURES
REMARKS
I nereby acknowledqe thoi tnis apvlico- PERMIT FEE
tion is correct and understand thot I USE TAX ~
connof start this Drojtltt unfil }his aDPli- -
cotion ia opproved. I sholl comply with TOTAL FEE ~
ihe laws oi the Stofa ol Colorado ond to
the ZoninQ Requlations ond Buildinp APPROVED ~
Code of the City of Wheot Ridqe. Any --D1~~~Rfv~
violation ot the above terms wili cause CHIEF BUILD) I' SPECTOR,Ci}yof Wheot Ridge
immediate revocotion of this permil
.a~2 i"_ Date Issued :210~ ~ i
4pplieanfe 9ipnatu a
2
J
r
~ -
rc
w
O
¢
a
N~
FRONT PROPERTY LINE
NOT VALID UNLESS RECEIPTED
Rece<p~ ~-3750-0
4-
~ CB
t L.._ ''..L~f...,y
CAL1237-8944 EXT.255
24 HOUFS IN ADVANCE
FORINSPECTIONS
iA_ 'L 99 .-7v_f113
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COLUMBINE SURVEYING, 1
3267 Wost Hnmpdan Avanua
Englewaod, Colo. 80190
761.2962 M89 ~"iv3sy
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NOTICE: Accordln9 to Coloratlo law you must commence
anY le9al actlon based upon any de/oct In this hnpwvemont
locatlon ceRlflcate wilhin slx years alter you flrst tllscover
such tlelect. In no event, may any actlon basetl upon any
tlefect In tnls lmprovament lotatlon cerUflcate ba commencetl
more Ihan ten yean Irom the date of lhe certNicatlon ihown
hereon.
E
N O T M
so ~
9CAt.E ~
~
IMPROVEMENT LOCATION CERTIFICATE C; ZO (
I hereby certify that this improvement location certificate was prepared for r_ i
.;._A_,._Niort~;age_S~vXP4zatis~n , tna[ ie is not a iand survey pia[ or improvemr.nc surwey pia[, arm tnax i[ is not to pe reiied upon ioi :ue escabiisnmenz ai ience; i
bulid.ng, or other future improvenSent lines.
~
I
I further certity that tlie improvements on tlie ebove deecribed pereel on thla dete, April 17 1984
except utility connections, are entirely within the boundaries of the parcel, except as shown, that there are no encroachments ~
upon the described premises by improvements on any adjoining premises, except as indicated, and that there is no apparent
evidence or sign of any easement crossing or burdening any part of said parcel, except as noted, BUYER: Hanson
ADDHES3: 11801 Wc:st 32nd Nlace
TITLE C0;
CASE NO:
oRDER No; 044-295
~ PRICE: $75.00