HomeMy WebLinkAbout3880 Pierson StreetINSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT:ADDRESS: 3JOB CODE: X
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
uo Not cover underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
n
PERMIT:1c,, I �c)9,5'7"'—ADDRESS:3 Y �L �' `� J =-'��' S a JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
CommentsInitials
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Land scape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
��
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '-/l e 8 F -Z
Job Address: 38 R O P ) el"�5017 5't -
Permit
>`Permit Number: 9-0/7 2 67 70
❑ No one available for inspection: -Time � V AM/PM
Re -Inspection required: Ye No)ll
When correctihave been made, call forvree-inspection at 303-234-5933
Date: on Inspector: J /ns
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Miscella PERMIT - 201709570
PERMIT NO: 201709570 ISSUED: 12/13/2017
JOB ADDRESS: 3880 Pierson ST EXPIRES: 12/13/2018
JOB DESCRIPTION: Residing and installing James Hardie cement fiber siding. Squares: 25
*** CONTACTS ***
OWNER (720)775-8322 D AGOSTINO THOMAS S
SUB (720)328-3476 Scott Reardon 130170 Mountain View Corporation
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 28,000.00
FEES
Total Valuation 0.00
Use Tax 588.00
Permit Fee 476.55
** TOTAL ** 1,064.55
*** 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.
11by 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 au rized to obtain this permit and perform the work described and approved in conjunction with
this permit/I further attes t I leggggggal a orized to include all entities named within this document as parties to the work to be
perfor and that a o e peme disclosed in this documentAd/or its' accompany ng apprgved plans and specifications.
/n /J -<'/ --
Signature orthe
ER' or CONTRACTOR (Circle one) ate
1, This perssued based on the information provided in the permit application and accompanying plans and specifications and is
subject tmpliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This per expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an 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 ,jwsdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
James Hardie Building Products Page 1 of 10
231 S. LaSalle Street, Suite 2000
Chicago, IL 60604 Date of Issue: 06/01/15
SAFETY DATA SHEET
Section 1. Identification
Product Identifier:
Exterior Fiber -Cement (Medium Density) — Includes all Generation 6 HZ5
and HZ10 products with the following product names: HardiePlank® lap
siding, HardiePanel® vertical siding, HardieSoffit® panel, HardieSoffit®,
Beaded Porch Panel, HardieShingle® siding, HardieShingle® notched panels,
HardieShingle® individual shingles, Hardie® Reveal TM Panel, 7/16"
HardieTrim® boards
Manufacturer Name,
James Hardie Building Products
Address and Phone
231 S. LaSalle Street, Suite 2000
Number:
Chicago, IL 60604
1-800-942-7343 (1-800-9HARDIE)
Emergency Phone
1-800-942-7343 (1-800-9HARDIE)
Number:
Recommended Use:
Exterior Fiber -Cement (Medium Density) is used as an external wall cladding
Restrictions on Use:
None known
Section 2. Hazards Identification
GHS Classification:
Carcinogenity, Category 1A
Target Organ Systemic Toxicity Repeated Exposure, Category 1
GHS Label Element(s):
Symbol
W
Signal Word
DANGER
Hazard
May cause cancer if dust from product is inhaled
Statement(s)
Causes damage to lungs and respiratory system through prolonged or
repeated inhalation of dust from product
Precautionary
Obtain special instructions before use. Do not handle until all safety
Statement(s)
precautions have been read and understood. Do not breathe dust from
product. Wash hands and face thoroughly after handling. Use personal
protective equipment as required. If exposed or concerned: Get medical
advice. If shortness of breath or other health concerns develop after
exposure to dust from the product, seek medical attention. Dispose of
product in accordance with local, state and national regulations. If there
are no applicable regulations, dispose of in a secure landfill, or in a way that
will not expose others to dust.
Section 3. Composition / Information on Ingredients
CAS# Chemical Ingredient %
14808-60-7 Crystalline Silica (Quartz) 15-45%
65997-15-1 Calcium Silicate (Hydrate) 35-65%
James Hardie Building Products Page 2 of 10
231 S. LaSalle Street, Suite 2000
Chicago, IL 60604 Date of Issue: 06/01/15
471-34-1 Calcium Carbonate <30%
N/A Calcium Aluminum Silicate (Hydrate) <20%
9004-34-6 Cellulose <15%
1333-86-4 Carbon Black <1%
Section 4. First Aid Measures
Inhalation
Acute effects — Dust may cause irritation of the nose, throat and
airways, resulting in coughing and sneezing. Certain susceptible
individuals may experience wheezing (spasms of the bronchial
airways) upon inhaling dust during cutting, rebating, drilling, routing,
sawing, crushing or otherwise abrading fiber cement, and when
cleaning up, disposing of or moving the dust.
Chronic effects — Repeated or prolonged over exposures to
crystalline silica can cause silicosis (scarring of the lung) and
increases the risk of bronchitis, tuberculosis, lung cancer, renal
disease, and scleroderma (a disease affecting the connective tissue
of the skin, joints, blood vessels, and internal organs.) Some studies
suggest that cigarette smoking increases the risk of silicosis,
bronchitis and lung cancer in persons also exposed to crystalline
silica.
Acute silicosis — A sub -chronic disease associated with acute,
massive silica exposure, is a rapidly progressive, incurable lung
disease that is typically fatal. Symptoms include, but are not limited
to, shortness of breath, cough, fever, weight loss and chest pain.
Such exposure may cause pneumoconiosis and pulmonary fibrosis.
Required treatment — If inhalation of dust occurs, remove to fresh
air. If shortness of breath or wheezing develops, seek medical
attention.
Skin
Dust may cause irritation of the skin from friction but cannot be
absorbed through intact skin.
If skin contact occurs, wash with mild soap and water. Contact
physician if irritation persists or later develops.
Eyes
Dust may irritate the eyes from mechanical abrasion causing
watering or redness.
If eye contact occurs, remove contact lenses (if applicable). Flush
with running water or saline for at least 15 minutes. Seek medical
attention if redness persists or if visual changes occur.
Ingestion
Ingestion is unlikely under normal conditions of use, but swallowing
the dust from the product may result in irritation or damage to the
mouth and gastrointestinal tract due to alkalinity of dust.
If ingestion occurs, dilute by drinking large amounts of water. Do
James Hardie Building Products Page 3 of 10
231 S. LaSalle Street, Suite 2000
Chicago, IL 60604 Date of Issue: 06/01/15
not induce vomiting. Seek medical attention. If unconscious, loosen
tight clothing and lay the person on his/her left side. Give nothing
by mouth to an individual who is not alert and conscious.
Section 5. Fire -Fighting Measures
James Hardie® fiber -cement products
are neither flammable nor explosive
Suitable extinguishing techniques:
Appropriate extinguishing techniques for surrounding fire should
be used.
Fire -fighting equipment:
Fire fighting personnel should wear normal protective equipment
and positive self-contained breathing apparatus.
Special hazards arising from the
James Hardie ® fiber -cement products are neither flammable nor
substance or mixture:
explosive. Hazardous reactions will not occur under normal
conditions. Fight fire with normal precautions from a reasonable
distance.
Section 6. Accidental Release Measures
Emergency procedures:
No special precautions are necessary in the event of an accidental
release. The following precautions apply to spills or releases of
dust generated during cutting, rebating, drilling, routing, sawing,
crushing or otherwise abrading fiber cement.
Protective equipment:
Good housekeeping practices are necessary for cleaning up areas
where spills or leaks have occurred. Take measures to either
eliminate or minimize the creation of dust. Respirable dust and
silica levels should be monitored regularly.
Wherever possible, practices likely to generate dust should be
controlled with engineering such as local exhaust ventilation, dust
suppression through containment (e.g. wetting loose dust),
enclosure, or covers.
Use respiratory protection as described in Section 8.
Proper methods of containment
A fine water spray should be used to suppress dust when sweeping
and clean-up:
(dry sweeping should not be attempted). Vacuuming with an
industrial vacuum cleaner outfitted with a high -efficiency
particulate (HEPA) filter is preferred to sweeping. Dispose of
product in accordance with local, state and national regulations. If
there are no applicable regulations, dispose of in a secure landfill,
or in a way that will not expose others to dust.
Section 7. Handling and Storage
Precautions of safe handling and
Fiber -cement boards in their intact state do not present a health
storage:
hazard. The controls below apply to dust generated from the
boards by cutting, rebating, drilling, routing, sawing, crushing or
otherwise abrading fiber cement, and when cleaning up, disposing
of or moving the dust.
0 James Hardie Building Products Page 4 of 10
231 S. LaSalle Street, Suite 2000
Chicago, IL 60604 Date of Issue: 06/01/15
James Hardie® recommended best practices for handling fiber -
cement:
Keep exposure to dust as low as reasonably possible. Respirable
crystalline silica limits are specified by OSHA and MSHA and
identified in Section 8 of this MSDS. Exposure to respirable (fine)
silica dust depends on a variety of factors, including activity rate
(e.g. cutting rate), method of handling (e.g. electric shears),
environmental conditions (e.g. weather conditions, workstation
orientation) and control measures used.
Wherever possible, practices likely to generate dust should be
carried out in well ventilated areas (e.g. outside). The work
practices and engineering controls set out in Section 8 should be
followed to reduce silica exposures.
Keep away from reactive products. Do not store near food,
beverages or smoking materials. Avoid spilling and creating dust.
Maintain appropriate dust controls during handling. Use appropriate
respiratory rotection during handling as described in Section 8.
Incompatibilities:
Hydrofluoric acid will dissolve silica and can generate silicon
tetrafluoride, a corrosive gas. Contact with strong oxidizing agents
such as fluorine, boron trifluoride, chlorine trifluoride, manganese
trifluoride or oxygen difluoride may cause fires and /or explosions.
Furthermore, limestone is incompatible with acids and ammonium
salts.
Section 8. Exposure Controls / Personal Protection
OSHA Permissible Exposure Standards (PEL): Exposures shall not exceed an 8 -hour time weighted
average (TWA) limit as stated in 29 CFR 1910.1000 Table Z-3 for mineral dusts, expressed in million
particles per cubic feet (Mppcf) and/or milligrams per cubic meter (mg/m3). The American Conference of
Governmental Industrial Hygienists Threshold Limit Values (TLV are that organization's recommended
exposure limits based on an 8 -hour TWA.
TLV mg/m3
PEL Mppsf
PEL mg/m3
Crystalline Silica (Quartz)
0.025 mg/m3
250
10 mg/m3
(Respirable)
—
%SiO + 5
%SiO + 2
Quartz (Total Dust)
—
—
30 mg/m3
%SiO + 2
Calcium Carbonate (Total Dust)
10 mg/m3
—
15 mg/m3
(Respirable)
—
—
5 mg/m3
Calcium Silicate (Total Dust)
—
—
15 mg/m3
(Respirable)
—
—
5 mg/m3
Nuisance Dust (Not Otherwise
Specified) (Total Dust)
10 mg/m3(inhalable)
50
15 mg/m3
(Respirable)
3 mg/m3
15
5 mg/m3
Cellulose (Total)
—
—
15 mg/m3
(Respirable)
—
—
5 mg/m3
Carbon Black
3.5 mg/m3
—
3.5 mg/m3
James Hardie Building Products Page 5 of 10
231 S. LaSalle Street Suite 2000
Chicago, IL 60604 Date of Issue: 06/01/15
Other limits recommended: The National Institute of Occupational Safety and Health (NIOSH) also has a
Recommended Exposure Limit (REL) of 0.05 mg/m3 for respirable crystalline silica, based on a 10 -hour
time -weighted average.
Engineering Controls
Personal protection when handling products that may generate silica dust: (1) follow James
Hardie ® instructions and best practices to reduce or limit the release of dust; (2) warn others in
the area to avoid the dust; (3) when using mechanical saw or high-speed cutting tools, work
outdoors and use dust collection equipment, and (4) if no other dust controls are available, wear
a NIOSH -approved dust mask or respirator (e.g. N95 dust mask).
During clean-up, use a well-maintained vacuum and filter appropriate for capturing fine
(respirable) dust or use wet cleanup methods—never dry sweep.
Cutting Outdoors
1. Position cutting station so that wind will blow dust away
from user or others in working area and allow for ample
dust dissipation
2. Use one of the following methods based on the required
cutting rate and job -site conditions:
BEST
• Score and snap using carbide -tipped scoring knife
or utility knife
• Fiber -cement shears (electric or pneumatic)
BETTER
• Dust reducing circular saw equipped with
Hardieblade TM saw blade and HEPA vacuum
extraction
GOOD (for low to moderate cutting only)
• Dust reducing circular saw with Hardieblade TM
saw blade
Cutting Indoors
• Cut only using score and snap method or with
fiber -cement shears (manual, electric or
pneumatic)
• Position cutting station in well -ventilated area to
allow for dust dissipation
Sanding / Rebating / Drilling /
If sanding, rebating, drilling or other machining is necessary, you
Other Machining
should always wear a NIOSH -approved dust mask or respirator
(e.g. N-95) and warn others in the immediate area.
Clean -Up
During clean-up of dust and debris, NEVER dry sweep as it may
excite silica dust particles into the user's breathing area. Instead,
wet debris down with a fine mist to suppress dust during sweeping,
or use a HEPA vacuum to collect particles.
Important Notes
1. For maximum protection (lowest respirable dust
production), James Hardie ® recommends always using
"Best" -level cutting methods where feasible
2. NEVER use a power saw indoors
* James Hardie Building Products Page 6 of 10
231 S. LaSalle Street Suite 2000
Chicago, IL 60604 Date of Issue: 06/01/15
3. NEVER use a circular saw blade that does not carry the
Hardieblade TM saw blade trademark
4. NEVER dry sweep — use wet suppression methods or HEPA
vacuum
5. NEVER use a grinder or continuous rim diamond blade for
cutting
6. ALWAYS follow tool manufacturer's safety
recommendations
Personal Protective Equipment
• Respiratory — If respirators are selected, use and maintain in accordance with ANSI
Standard (Z88.2) for particulate respirators. Select respirators based on the level of
exposure to crystalline silica as measured by dust sampling. Use respirators that offer
protection to the highest concentrations of crystalline silica if the actual concentrations
are unknown. Put in place a respiratory protection and monitoring program that
complies with MSHA or OSHA (e.g. 29CFR1910.134) standards, which include provisions
for a user training program, respirator repair and cleaning, respirator fit -testing and
other requirements. Comply with all other applicable federal and state laws.
• Eye — When cutting material, dust resistant safety goggles / glasses should be worn and
used in compliance with ANSI Standard Z87.1 and applicable OSHA (e.g. 29CFR1910.133)
standards.
• Skin — Loose comfortable clothing should be worn. Direct skin contact with dust and
debris should be avoided by wearing long sleeved shirts and long trousers, a cap or hat,
and gloves. Work clothes should be washed regularly.
Section 9. Physical and Chemical Properties
Appearance and odor: Solid gray boards with varying dimensions according to product. Some product
may have a surface coat of water-based acrylic paint or acrylic sealer
Vapor Pressure: Not relevant Flash Point: Not relevant
Specific Gravity: Not relevant Autoignition Temperature: Not relevant
Flammability Limits: Not relevant Volatility: Not relevant
Boiling Point: Not relevant Solubility in water: Not relevant
Melting Point: Not relevant I Evaporation rate: Not applicable
Section 10. Stability and Reactivity
Stability: Crystalline silica and limestone are stable under ordinary conditions
Conditions to Avoid: Excessive dust generation during storage and handling
Materials to Avoid: Hydrofluoric acid will dissolve silica and can generate silicon tetrafluoride,
a corrosive gas. Contact with strong oxidizing agents such as fluorine,
boron trifluoride, chlorine trifluoride, manganese trifluoride or oxygen
difluoride may cause fires and /or explosions. Furthermore, limestone is
incompatible with acids and ammonium salts.
Section 11. Toxicological Information
Routes of exposure:
Fiber -cement is not toxic in its intact form. The following applies to dust
that may be generated during cutting, rebating, drilling, routing, sawing,
crushing or otherwise abrading fiber cement.
James Hardie Building Products
231 S. LaSalle Street, Suite 2000
Chicago, IL 60604
Page 7 of 10
Date of Issue: 06/01/15
Related symptoms:
Repeated and prolonged overexposures to dust containing crystalline silica
can cause silicosis (scarring of the lung) and increases the risk of
bronchitis, tuberculosis, lung cancer, renal disease and scleroderma (a
disease affecting the connective tissue of the skin, joints, blood vessels and
internal organs). Some studies suggest that cigarette smoking increases the
risk of silicosis, bronchitis, and lung cancer in persons also exposed to
crystalline silica. Acute silicosis is a rapidly progressive, incurable lung
disease that is typically fatal. Symptoms include, but are not limited to:
shortness of breath, cough, fever, weight loss and chest pain. Such
exposure may cause pneumoconiosis and pulmonary fibrosis.
The following relates to health effects of cellulose: Based on limited animal
research, it is possible that repeated chronic inhalation exposure to
cellulose fiber dust over time may lead to inflammation and scarring of the
lung in humans. Precautions taken for crystalline silica dust will protect
against cellulose.
Medical conditions generally aggravated by exposure — Pulmonary function
may be reduced by inhalation of respirable crystalline silica and / or
cellulose. If lung scarring occurs, such scarring could aggravate other lung
conditions such as asthma, emphysema, pneumonia or restrictive lung
diseases. Lung scarring from crystalline silica may also increase risks to
pulmonary tuberculosis.
Smoking — some studies suggest that cigarette smoking increases the risk
of occupational respiratory diseases, including silica -related respiratory
diseases.
Acute and chronic effects:
• Acute toxicity — not classified
• Skin corrosion / irritation — not classified
• Serious eye damage / irritation — not classified
• Respiratory or skin sensitization — not classified
• Germ cell mutagenicity — not classified
• Carcinogenity — may cause cancer if dust from product is inhaled
• Specific target organ toxicity (repeated exposure) — causes damage
to lungs and respiratory system through prolonged or repeated
inhalation of dust from product
Carcinogenity:
California Proposition 65 Warning:
This product contains chemicals known to the State of California to
cause cancer
International Agency for Research on Cancer (IARC):
Crystalline silica inhaled in the forms of quartz or cristobalite from
occupational sources is carcinogenic to humans
Carbon black is possibly carcinogenic to humans
James Hardie Building Products Page 8 of 10
231 S. LaSalle Street Suite 2000
Chicago, IL 60604 Date of Issue: 06/01/15
The National Toxicology Program (NTP):
NTP has concluded that respirable crystalline silica is a known
human carcinogen
LD50 (Silicon dioxide):
Rat oral >22,500 mg / kg
Mouse oral > 10,500 mg/kg
Section 12. Ecological Information
There is a very limited amount of ecological data available on the effects of releases that may occur from
this product being released into the environment. Clean up of the spilled product would not be expected
to leave any hazardous material that could cause a significant adverse impact. There is a limited amount
of ecological data available on crystalline silica, primarily because it is a naturally occurring mineral. An
adequate representation of these data is beyond the scope of this document.
Section 13. Disposal Considerations
Dispose of material as inert, non-metallic mineral in conformance with local, state and federal regulations.
Crystalline silica and limestone is not a RCRA hazardous waste.
Section 14. Transport Information
There are no special requirements for storage and transport
UN No: None allocated
Dangerous goods class: None allocated
Hazchem code: None allocated
Poisons schedule: None allocated
Packing group: Not applicable
Label: Not a DOT hazardous material. Local regulations may apply
Section 15. Regulatory Information
DOT hazard classification:
None
Placard requirement:
Not a DOT hazardous material. Local placarding regulations may
apply
California Proposition 65:
Warning: Airborne particles of respirable size of crystalline silica are
known to the State of California to cause cancer.
CERCLA hazardous substance
Listed substance: No
(40CFR Part 302):
Unlisted substance: No
Reportable quantity (RQ): None
Characteristic(s): Not applicable
RCRA waste number: Not applicable
SARA. Title III. Sections 302 /
Extremely hazardous substance: No
303 (40CFR part 355 —
Emergency Planning and
Notification):
SARA. Title III. Section 311 /
Acute: Yes
312 (40CFR part 370 —
Chronic: Yes
Hazardous Chemical Reporting:
Fire: No
Community Right -To -Know):
Pressure: No
Reactivity: No
e James Hardie
Building Products
Page 9 of 10
f 231 S. LaSalle Street, Suite 2000 Date of Issue: 06/01/15
Chicago, IL 60604
SARA. Title III. Section 313 Not a RCRA hazardous waste
(40CFR part 372 — Toxic
Chemical Release Reporting:
Community Right -To -Know
TSCA Inventory List: Yes
TSCA 8(d): No
Section 16. Other Information
Prepared by Jeff Fry Issue Date: 06/01/15
F ENT
Contains :
Crystalline Silica (quartz) 10-30%
Calcium Silicate (hydrate) 10-60%
Cellulose jibeL<10%j
DANGER
May cause cancer if dust from product is inhaled.
Causes damage to lungs and respiratory s stem through prolonoted orrepeated inhalation of dust from product.
Prevention Response Storage_ Disposal:
Refer to the product Safety Data Sheet before Wash hands and face lhoroug y after Fiber cement is not a health hoard ispose of product in accordance with
use. Do not handle until all safety precautions handling. If exposed or concerned. Get medical when handled or stored in its original. local, state and national regulations.
have been read and understood. advice. If shortness of breath or other health unaltered condition If there are no applicable, regulations.
concerns develop after exposure to dust from dispose of in a secure landfill. or in a
Do not breathe dust from the product. Do not the product, seek medical attention. way that will not expose others to
eat, drink or smoke when using this product. dust.
Wear personal protective equipment, as
specified below.
The hazard associated with fiber cement arises from the crystalline silica present in dust generated by activities such as cutting, rebating, drilling, routing, sawing, crushing, or
otherwise abrading fiber cement, and when cleaning up, disposing of or moving dust. When doing any of these activities in a manner that generates dust: (1) follow James Hardie
instructions and best practices to reduce or limit the release of dust; (2) warn others in the area to avoid dust, (3) work outdoors and use vacuum dust collection when using
mechanical saws or other high speed cutting tools, (3) work outdoors and use appropriate vacuum dust collection when using mechanical saws or other high speed cutting tools
and (4) wear a dust mask or respirator that meets applicable national regulations. as specified below.
During dean -up, use a well maintained vacuum and filter appropriate for capturing respirable fine dust or use wet cleanup methods - never dry sweep
If using a dust mask or respirator.. always use a NIOSH -approved dust mask or respirator (e. g., the N 95 dust mask).
WARNING: This product contains a chemical known to the State of California to cause cancer For more information go to wvvw.P65Wamings.ca.gov/product
James Hardie Building Products, Inc.
231 S_ LaSalle St., Suite 2000
Chicago.. IL 60604 USA
1-888 JHARDIE
www.jameshardie.com
www jhsafesite. com
Phis form has been Dreoared to meet current Federal OSHA hazard communication regulations and is
offered without any warranty or guarantee of any type. James Hardie Building Products cannot control the
use of its products, and therefore specifically disclaims liability and responsibility arising from the use,
misuse and alteration of its products.
The information contained on this MSDS was produced without independent scientific or medical studies
analyzing the effects of silica upon human health. The information contained herein is based upon
scientific and other data James Hardie Building Products believes is valid and reliable and provides the
basis for this MSDS. The information contained herein relates only to specific materials listed in the
document. It does not address the effects of silica when used in combination with other materials or
substances, or when used in other processes. Because conditions of use are beyond James Hardie
Building Products control, the company makes no representation, guarantee or warranty of any kind in
this MSDS, either express or implied, including the implied warranties of merchantability or fitness of the
product for use for a particular purpose, and assumes no liability related to the information contained
above.
James
231 S. LaSalle Street, Suite 2000
Chicago, IL 60604
Hardie Building Products
Page 10 of 10
Date of Issue: 06/01/15
James Hardie Building Products requires, as a condition of use of its products, that purchasers comply
with all applicable federal, state, and local health and safety laws, regulations, orders, requirements, and
strictly adhere to all instructions and warnings which accompany the product.
City of,
PorW heat Doge
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: perm its(Mci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: { .Z / I / r f
Plan/Permit #
1-
Plan Review Fee: / /,
U
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: �� �� �(��Sd A)
Owner (please print): -10 pt J,S�f0J.0 Phone: 7,W 775 Z2
Property Owner Email: +0 S:� o s-� j1Va 1 I Vf- , CC) ✓�
Mailing Address: (if different than property address)
Address: S�
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
5W '6
Phone:
Contractors City License #:� Ci �f C Phone:
Contractor E-mail
For Plan Review Questions & Comments (please print):
_
�
nn
CONTACT NAME (please print): ��r die lJ Phone: 726 • = 2 -
CONTACT EMAIL(p/ease print):
Sub Contractors:
Electrical: Plumbing:
W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License #
City License #
o►'c(� , (.:,a m
14
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ESIDENTIAL
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/APPLIANqE REPAIR or E LACEMNT
OTHER (Describe) S( ti S 4K�
C Et f l2 ►
(ForkL 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
Amps
Btu's
Gallons
Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
__d0
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or
Signature (first and last name):
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
A
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE/2
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
j City of Wheat Ridge
Residential Roofing PERMIT - 201706902
PERMIT NO:,
201706902
ISSUED:
09/04/2017
JOB ADDRESS:
3880 Pierson ST
EXPIRES:
09/04/2018
JOB bESCRIPTION:
Residential re -roof
to install
GAF HD Weathered
Wood asphalt shingles with
30 sq. Pitch = 6/12
*** CONTACTS ***
OWNER (720)254-1462
D AGOSTINO THOMAS S
SUB (720)254-1462
Matthew Kempton
120061 Platte
River Roofing Company
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD VILLAGES,
PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
12,000.00
FEES
Total Valuation
0.00
�.
Use Tax
252.00
Permit Fee
236.00
** TOTAL **
488.00
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
City -of Wheat Ridge
J�-
Residential Roofing PERMIT - 201706902
PERMIT NO: 201706902 ISSUED: 09/04/2017
JOB ADDRESS: 3880 Pierson ST EXPIRES: 09/04/2018
JOB DESCRIPTION: Residential re—roof to install GAF HD Weathered Wood asphalt shingles with
30 sq. Pitch = 6/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this,permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that ork to be performed is disclosed in this document and/or its' accomp ying approved plans and specifications.
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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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.
711, . a
Signature o hief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 6_7��/
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 31, 2017 8:42 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
L
Property Address 3880 pierson st
Property Owner Name tom Dagostino
Property Owner Phone 720-254-1462
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
i® 60
13
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Yes
PRR WR 3880 Pierson CONTRACT.pdf
CONTRACTOR INFORMATION
Contractor Business platte River Roofing Company
Name DL
Contractor's License 120061
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 Address
(Primary address of your
business)
720-254-1462
1912 Mt. Zion Golden CO 80401
Contractor Email Address mrkempto@gmail .corn
Retype Contractor Email mrkempto@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 30
the entire scope of work:
Project Value (contract(:� �00O
value or cost of ALL
materials and labor)
Are you re -decking the No ✓
roof?
Does the scope of the No 1/
project include a flat roof
(less than 2:12 pitch)?
14
Does the scope of the No
project include a pitched
6:
roof (2:12 or greater
pitch)?
4Af::L Eke W (AC
7 pct
Provide any additional complete re -roof remove all layers
detail here on the
description of work. (Is
this fora house or _
-gage�Elc) �is�roolff
�'�
pitch?
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
Yes
Yes
Yes
Yes
Yes
15
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Elaine Laird
Email not displaying correctly? View it in your browser.
16
CUSTOMER TOf-% bl f}gbs+tfve,
ADDRESS 3 66 c>
CITY, STATE, ZIP JA+u ti3 �� dSr� d
THE APPROXIMATE DATE(S) OF SERVICE: ,J. r
DATE n_ly/
PHONE TLv- S - 832-Z
CELL -7 LU - S - 8 3.7- Z
EMAIL -�-- d a 3 c" tea &j i -4t . c.o t -,n
PLATTE RIVER ROOFING INTENDS TO COMMENCE WORK PURSUANT TO THIS CONTRACT AS FOLLOWS:
If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for the roofing work,
pursuant to C.R.S. § 6-22-105, Platte River Roofing cannot pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance
claim for payment for roofing work on the covered residential property.
Platte River Roofing shall hold in trust any payment from the property owner until delivery of the roofing materials at the residential properly site or until Platte River
Roofing has performed a majority of the roofing work on the residential property.
Weather Permitting: Should the weather, at the sole discretion of Platte Raver Roofing, be unsuitable to perform the work described above, Platte River Roofing shall notify
Customer in writing when said work shall commence, but in no case will said work commence later than -- days atter the weather is no longer a factor and has been
deemed suitable for the performance of the agreement.
INSURANCE COMPANY
POLICY NUMBER
INSURANCE INFORMATION t�
S kc I i --t r PHONE i SO -0- Z,f l 5 2 y
Q ( �3 5L7 y CLAIM HU 1837 Z t
SCOPE OF WORK +
MANUFACTURER/ QUANTITY �' ROOF TYPE T ` O COLOR
PROTECT LANDSCAPING REPLACE PLUMBING BOOTS
REMOVE ALL LAYERS TO DECKING �C REPLACE AND PAINT VENTS
+G REPLACE ROTTEN / NON CODE COMPLIANT DECKING %A6 NAILS PER SHINGLE
@60 PER SHEET x INSTALL RIDGE SHINGLE
�C INSTALL DRIP EDGE
REPLACE METAL FLASHING
INSTALL NEW FELT
C #30 #15
ICE AND WATER SHIELD ON EVES/PER CODE
M
HOA approvals are the responsibility of the Customer
T7
LS (C DU L'
t4c
RIDGE TYPE-
}r� HAUL AWAY ALL DEBRIS (NO ROLL OFF DUMPSTER
MAN UFACTURERS'WARRANTY
PLATTE RIVER ROOFING 1 YEAR LABOR WARRANTY
As -PLATTE RIVER ROOFING WILL PULL ALL APPROPRIATE
PERMITS AND FILE FOR FINAL INSPECTIONS
Satellite Dish realignment is the responsibility of the Customer
TOTAL PRICE
CHECK
CHECK
CHECK
HOMEOWNER'S SIGNATURE - ,r" DATE'/ TIME COMPANY REP
r//.�
This agreement includes and is subject t Terms and Conditions found on the back side of this page.
a
PLATTE RIVER ROOFING
BBB RA -mm
MMORTIN FOR UVIV =,Po"T"
720.254.1462TAMKO
CeltainTeedE
4047 S. Wisteria Way, Denver, CO 80237 / Fax: 303.597.4122
a0ceiee 02009"s
www.platteriverroofing.com / piatteriverroofing@gmail.com
CONTRACT FOR ROOFING
SERVICES
CUSTOMER TOf-% bl f}gbs+tfve,
ADDRESS 3 66 c>
CITY, STATE, ZIP JA+u ti3 �� dSr� d
THE APPROXIMATE DATE(S) OF SERVICE: ,J. r
DATE n_ly/
PHONE TLv- S - 832-Z
CELL -7 LU - S - 8 3.7- Z
EMAIL -�-- d a 3 c" tea &j i -4t . c.o t -,n
PLATTE RIVER ROOFING INTENDS TO COMMENCE WORK PURSUANT TO THIS CONTRACT AS FOLLOWS:
If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for the roofing work,
pursuant to C.R.S. § 6-22-105, Platte River Roofing cannot pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance
claim for payment for roofing work on the covered residential property.
Platte River Roofing shall hold in trust any payment from the property owner until delivery of the roofing materials at the residential properly site or until Platte River
Roofing has performed a majority of the roofing work on the residential property.
Weather Permitting: Should the weather, at the sole discretion of Platte Raver Roofing, be unsuitable to perform the work described above, Platte River Roofing shall notify
Customer in writing when said work shall commence, but in no case will said work commence later than -- days atter the weather is no longer a factor and has been
deemed suitable for the performance of the agreement.
INSURANCE COMPANY
POLICY NUMBER
INSURANCE INFORMATION t�
S kc I i --t r PHONE i SO -0- Z,f l 5 2 y
Q ( �3 5L7 y CLAIM HU 1837 Z t
SCOPE OF WORK +
MANUFACTURER/ QUANTITY �' ROOF TYPE T ` O COLOR
PROTECT LANDSCAPING REPLACE PLUMBING BOOTS
REMOVE ALL LAYERS TO DECKING �C REPLACE AND PAINT VENTS
+G REPLACE ROTTEN / NON CODE COMPLIANT DECKING %A6 NAILS PER SHINGLE
@60 PER SHEET x INSTALL RIDGE SHINGLE
�C INSTALL DRIP EDGE
REPLACE METAL FLASHING
INSTALL NEW FELT
C #30 #15
ICE AND WATER SHIELD ON EVES/PER CODE
M
HOA approvals are the responsibility of the Customer
T7
LS (C DU L'
t4c
RIDGE TYPE-
}r� HAUL AWAY ALL DEBRIS (NO ROLL OFF DUMPSTER
MAN UFACTURERS'WARRANTY
PLATTE RIVER ROOFING 1 YEAR LABOR WARRANTY
As -PLATTE RIVER ROOFING WILL PULL ALL APPROPRIATE
PERMITS AND FILE FOR FINAL INSPECTIONS
Satellite Dish realignment is the responsibility of the Customer
TOTAL PRICE
CHECK
CHECK
CHECK
HOMEOWNER'S SIGNATURE - ,r" DATE'/ TIME COMPANY REP
r//.�
This agreement includes and is subject t Terms and Conditions found on the back side of this page.
1* 41 CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: " -c
Job Address: ,F r ? er<� 54.
Permit Number:
❑ No one available for inspection: Time %� 1// A"
Re -Inspection required: Yes 7N9
When corrections have been made, tail for re -inspection at 303303-2— 4
��
Date: I Inspector:
DO NOT REMOVE THIS NOT/CE
inspection Line: 303 -234 -5933
FOR OFFICE USE ONLY V_ Q_- I
Building Permit Application
Address: Same as above
C ity, State � _ y
Complete all information on BOTH sides of this far
rr r
Plan Review
c+wulacwl vwvw ae+wr
Installation of a grid-tie PV system, flush mounted to oof .
T395 KW
.�1laS 1 i ,.tWt i
1
dM
""550 EC U PS E
E N G I N E E R I N G
Brad Taylor
SolarCity, Inc.
3066 Clearview Way
San Mateo, California 94402
Re: Dagostino Residence Solar — Job #8004
3880 Pierson St.
Wheat Ridge, CO 80033
EC LIPSE ENGtNEER�NG,COM
Digitally signed by Rolf
DN: cn=Roff, o=Echpse Engineering,
Inc, ou, emaO=roIfa@eeimt.com, c--<n
Date: 2014.06.11 08,4257 -07'00'
Brad,
# #
Sincerely,
-- --------
Z3 N,
Client: Tom Dagostino — (720) 999-7369
""� , ,,ANE 61�',�," IN"I'd
WHII� 1 1 S , CIIII
WOW um, 1 1 1 ,4* R, WMA, Mf wo IM A" ", &b E, WNWO, w OW? 44 VM4 R4W&*A*� &A# 4n*kft, WAWM M"M 8, SM?
nw* f4w 72116IMS � flax ("MA-k" A*w: �M MM, 716 F#,V, 4*,W-,'MA Nx*, ju% w-77"M - Fa (wx VI-slu Mw 04D *W" - "Par, IIAD 2*47M
ECL I PS E
Solar City
61412614
Calculations
TMB
E N G i N E
E R l N G
Project:
Cagostino Residence
Client:
Solar City
EEI Proj. :
14- 06-202
Solar City Prof. #:
8004545
Cate:
61412614
Roof Angle.
36
deg
Wind <
1,35
Wind Exposure:
C
Building Dept.:
Wheat Ridge
Ground Snow:..
30
psf
Wind Speed.
100
mph - 3 sec gust
ROOF-LOAMNOLESTMATES
CL Roof -
D { s
Comp. Shingles
Z
Roof Framing
4.
Insulation
1.7
112" gyp. Ceiling
2.2
518" Plywood Shtg
1.8
Disc
1.6
Total:
12.7 psf
Use:
13 psf
CL Solar Panel -
Panel Length
64.5 in
Panel Width
33.7 in
Hardware Weight
6.668 Ibs
Panel Weight
45,2 Ibs
Panel DL
2.66 psf
Total:
3.6` psf
Use:
3.8 psf
ED=
ROOF SNOW LOAD -
Pm I
Root Design Criteria
Roof Pitch
Ground Snow Load -
Existing Roof Snow Load - Per AS CE 7, Section 7
Exposure Factor - Ce
Thermal Factor - C(I
Importance Factor - I
Slope Factor - Cyr
P = 23.1 psf Pfr = 0.7 * C, * C t , * I * P
frMin = 30 psf Per Bldg Dept Pft.j, = 30 psf * I
P = 30 psf
P, = 30.0 psf P l = CS1 * Pr
Ct2 =
Per AS CE Table 7-3
C,2 = 1.00 Per Bldg Dept
Flat Root Snow Load -
P ft2 =
25.2
psf
Minimum Flat Roof Load -
f' M, =
30
psf
Flat Roof Design Snow Load -
P12 =
30
psf
Sloped Roof Design Snow Load -
P12 =
30.0
psf
Estimated weight of Solar Panels
W, =
10
psf
Net Increase in Load on Roof
W t :
33.0
psf
% Increase in Load on Roof
LLAN
P = 0.7 * C * Ct2 * 1 * P9
Per Bldg Dept Pfrmin = 30psf * I
Wt = PS2 + WS
reference the attached roof structure capacity calculation.
DESIGN R
Nlow able Stress fo
Fb:- b75�1,15- 1,11,15•psi- 138 � s1
F,,,:= 135.1,15 -psi= 155
Span - ;= 13.75 "t
Maxim design Moment -
'[ := 14421b ft
if > 180, "Deflection OK" , "Deflection E ceeded" "Deflection OK" A = 491
Existing rafters are adequate to support the additional load from the
solar panels.
------------- ...... .. . ... .. . ...... ..... ... . . ..............
�y
I % I x
9
M
5,6
626,2
Loads: 3t
Results for LC 1,
Y-direction Reaction units are In and �b-ft
LOADS
------------
June 5, 2014 at 1:29 PM
MP1,r3d
491,5
4 *15- E CL I P S E '004545 Dagostino Residenj
Solar •►•
Total Load Deflection - A:= 0.336in
« 1
Existing rafters are adequate to support the additional load from the
solar panels.
1004545 - Dagostino Residence Solar 51512014
% 55 E ( - 'L I PS E
E N G I N E E R I N G Solar Support System TMB
Maximum Design ;Sheer Y
V:= 4901b
Maximum Design Moment -
:= 157&8lb•tt
Total Load Deflection _
= 0,6in
CHECK: Existing Ra fters wl
b 1.5
d 7.25
sister
A. b•d = 10.9�in
. b = 13, 1 n
3
I.- bl = 4'7.6, n
Actual Shear Stress -
f,. A
tv. = 68 -psi
A
Actual Sending Stress -
t� : tv N.
ft, = 1440 psi
a(,,. > f,, '*Shear " " ) = "shear tl +
r > 1811, "Deflection OK" "Deflection Exceeded `" --Deflection OK'
L = 230
Exis ting rafters are adequate to support the ddition l Iced f rom the
s olar pan
00 8004545 - Dagostino Residence 6/512014
EC U PS E
E N G I N E E R I N G Solar Support System TMB
Maximum Design Moment - M
Maximum Design Shear - V:=
wf,L 2 M 2932 ft- lb
8
Ivf-L V 7001b
2
IWf L 4 =
Total Load Deflection - A:= __ J,Min
384.134
f -L > 180,"Deflection OK" "Defl Ex = 11
ection ceeded" Deflection OK"
( A )
L
A
Existing rafters with 2x8 sister are adequate to support the additional
load from the solar panels.
USE: 6/16 DIAMETER LAG SCREWS spaced a maximum 72 4 on center perpendicular to the slope
a • t to wt M t r+
3 Second Wind Gust
V = 10 mph
Importance Factor
I - 1
Net Design Wind Pressure - Figure 8 - 3
pnetx 21 psf
10 SQ FT
Velocity Pressure Exp. Coefficient - Figure 6 - 3
1= 1.35
U p to 15ft above grade
Topographic Factor 5.5.7.2 D Figure 8 - 4
K,t =
(1 + K, . K * K3)2
K ,K =, -O
Velocity Pressure w 8.5.10
p,,t = 28.4 psf
X Kit 1 Pn t30
Length of Solar Panel
l = " in
Max load is half of one panel
Spacing of Base Supports
i 1 t
& 1 , s t
S = , ,3t�r in
Every third rafter
Height of Solar Flack
N - i 1 in
Worst case
Area of Solar Panel @ support
A, 5 ft
L, * S
Worst Case for Offset Panel
Uplift per Bracket
T = 142 I
pnet * A
Shear Force per Bracket
Vb 28 Ibs
pax t * dip S
Number of Screws per Bracket
N, = t 5' ` u
Tension per Screw
T = 142 Ibs
b
N s
Shear per Screw
V, = 28 Ibs
Ns
TS
Angle of Component loading
0 = 78.7 deg
tan
Component load on Screw
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C
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3880 PERSON ST
WHEAT RIDGE, CO 80033
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Sm Matto, CA 94402
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INSPECTION RECORD OCCDDdhCV/TVDO
INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR,'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.
. POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating ,(Underground)
Do N
OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED -
ROUGHS
Sheathing
'`Lath /Wall-tie
Mid Roof
4:y ,1.1
Electrical Service
'Rough Electric
!Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
I ro"t
'Insulation
Drywall Screw -
FINALS
Electrical
Plumbing
Mechanical 1
Roof
Budding Final
d
Fire Department
R.O.W & Drainage
INSPECTIONS: FOR PLANNING & ZONING, FIRE AND:PUBLICE WORKS
.'Parking & Landscaping`
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
*NOTE: ALL ITEMS: MUST BE COMPLETED: AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ 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:
~r7
Job Address:
Permit Number: (~)a 4 f
❑ No one available for inspection: Time ~'E} AM/PM
Re-Inspection required: Yes V No
*When corrections have been made, call for re-inspection at 3303-2345933
Date: `rl.1yl ~(W Inspector:
DO NOT REMOVE THIS NOTICE
,
♦ ! CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 fax
INSPECTION NOTICE
Inspection Type: F
Job Address: - 3SSo Pi~2 ~.y 57 -
Permit Number: C`7.%w2
/Z"v7aQr? 171 d 77:> PReizll
~fsrv 1~G~ rJVC a>/~~l}dL rn avF~~-i~~Pt ~~r~
l
3
❑ No one available for inspection: Time Y,' YS AM/PM
Re-Inspection required:sfi No
When corrections have been made, call for re-inspection at 303-234-5933
Date: /o/G/o4 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
Inspection Type:
Job Address:
Si P rf St r--~
Permit Number:
61(1D"I 1:2
r
❑ No one available for inspectioct~ Time d' f~C, AM%PM/
Re-Inspection required: Yes: No
"When corrections have been made, call for re-71 nspection at,303-234-5933
`
Date: T-c-'i Inspector: #1 ~i,r r O
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: riff
Job Address: -2,95?f),'oR,r~~ S;
Permit Number: (022171?
❑ No one available for inspection: Time AMA
Re-Inspection required: es No
' When corrections have been made, call f TAtS, sp ction at 303-234-q5933
Date: l"noq Inspector: L c,
DO NOT REMOVE THIS NOTICE
k'pf;
1 City of Wheat Ridge
rr
I
Residential Roofing PERMIT - 092912
PERMIT NO: 092912 `ISSUED:` 10./01/2009
JOB ADDRESS:3880 PIERSON ST EXPIRES: 03/30/2010
DESCRIPTION: Reroof 40 sqs
CONTACTS
owner 303./800-3781 Tony D'Agostino
sub 303/765-1081 Bob Shortridge 01-8370 Shortridge Builders', Inc
' PARCEL INFO
ZONE CODE: UA 'USE: UA
SUBDIVISION:' 0195: BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 18,229.00`
FEES
Permit Fee 417.70
Total Valuation .00 ; WT fin] '
Use Tax
346.12
r **:TOTAL 763.82
` Conditions:
.~".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
a' water shield 'required from eave edge to 2' inside exterior walls.
Subject to field inspection.
CON THE :FOLLOWING BUSINESS DAY. '
W Building Permit Application
Property Address 3'6870 pCezSopJ 5-,T,
Date:
Plan
Permit#:
3)
Property Owner (please print): 7( RA Vm,-0,5T(N0 Phone' 900
Mailing Address: (if different than property address)
Address:
City, State,
Contractor: SfLICTr ( t27ti 7b U(LX7~2~ j(JG
Contractor License Phone: 3v-3 `1?8 -2G8-7
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): - 444 U5ei Construction Value: $ (y
Description of work: (as calculated per the Buildinq Valuation Data sheet)
S4 (t-t&o ,t Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 10 BTU's Gallons Amps
OWNERICONTRACTOR 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 ail 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.
C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRE ~TAAJ E of ER (CONTRATOR) /
PRINT NAME: #--~i (~(pj SIGNATURE: "l Date: AV (0 (Ib1
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Bldg Valuation: $
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 18210
BUILDING INSPECTION LINE -(SOS-2S4-S9SS) Date : 1/3/2005
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner. TOM & JOYCE D'AGOSTINO
Property Address : 3880 PIERSON ST Phone : 359-7176
f Contractor License No. : 18916
Company : Accent Window Inc. Phone : 295-1170
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity that the selbadc distances proposed by this permit application are accu2te, and
Ao not violate applipWe ordinances, rules or regulaUons of the Cily of W heat Ridge or
covenants, easements or restrietions of record; Mal all measuraments shown, and allegatlons
made are accurate; Mat I have read and agree to abide by all conditions printed on this
applkration, and fhat I assume full responsibility for compliance with the Wheat Ridge Building
Ccde (U.B.C.) and all other applicable W-h~eat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED `✓~..L~~ DATE / 1-65
Description : TO VINYL DOOR REPIACEMENTS
Valuation :
$2,$$2•00
Permit Fee :
$108.30
Plan Review Fee :
$0.00
Use Tax :
$51.88
Total:
$160.18
USB :
~l
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Flectrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiretion Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) TNs permN was issued In accnrdance with the provisions set forlh in yopur appliption arW is subject to the laws of the Stete W Cokoredo and tathe 7-oning
Regulations antl Building Code ot W heat Ridge, Coloretlo or any Mher aDPlicable oMinances of the City.
(2) Thie peimk shall enpire if (A) the vrork authonzed is nol commericed within sixty (80) days from issue tlate or (B) the buiMing autlwAZed is sueparWed ur
aberWonetl kr a period o(120 Oays. (3) If Nis pennil ezDires, a new permil may be acquired for a fee of onre-half the amount nortnally required, provitled no chergec heve been awill be made in the
. . original plans and specificetlons antl any suspension or abandonment has rrot ezceeded one (1) year. If changes are mede w H auspensbn w abendanment
. exceeds orn (1) yeer. full feas shall be peid kr a new pertnit.
. (4) No work of any menner ahell be done that wlll change the naWrel flax of water causing a drolnage problem.
(5) Contrador shell notify the BuiWing Inspectw twenty-four (24) hours in advance for all Inspeclions and shall receive written epproval on inspetlion cerd before
proceedling with successive Phases M the job.
(8) The issuance of a pertnit or Ne approval W drawings antl specifications shall not be consWed lo be a pertnit for, na an approval W, any viola6wt of the
provis es or a er ordinance, law, rule or regulation. ulid*od r
Chief Building nspector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
wHeq
{oF r,~ BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WAEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (3~y03-235-285i5,~)
C~GORPO~ PP~~~.P;TIO~~j
4 V
4~
Property Owner: To., s ✓oyia A~!lfosfino
Properry Address: dBBO ~e,'tsor- S1-, Phone : 303-139- 7176
ConfractorLicenseNo.: /891l0
Company: Ac ~f Phone:-3o3-90/-0805
OWNEIUCONTRACTOR SIGNATURE OF [JNDERSTANDW G AND AGREEIvIEPiT
I hereby ceriify that the setback distances proposed by this permit applieaHon are acwrate,
and do not violate applicable ordinances, mles or regulations of the Ciry of Wheat Ridge or
covenanfs, easements orresh'ictions of record; [hat a(I measurements shown, and allegations
made aze acwrate; that I have read and agrec to abide by all conditions printed on this
application and that I assume full responsibiliry for compliance with the Wheat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under
this petmit.
(OV✓NER)(CONTRACLOR):SSGNED }~E'~-Cs'77eu-~-~ATE
DESCRIPTION: Ne`' vy" ` / ~ ' `O~ 4J
Construction Value:$ 2880°=
Permit Fee:$
Plan Review Fee:$
Use Tax:$
TOt31:$
~L~p~AGC.ri~wf3
5L£ A TTA~la.ccQ 5~4"5
-44- '8- r. 1 .I n~ S 4 Iz
> Jo„~S
booz-5
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval: -
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Elechical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Exp'uarion Date: Expuarion Date: Expirarion Date:
Approval ApprovalApproval:
(7) Tnis permit wu issued in accordance with the provisions set forth in yow application and is subject ro the laws of the State of Colorado and N the Zaning
Regulafions and Buildiug Codes of Wheat Ridgq Colorzdo or any other appGcflble ordinences of the Ciry.
(2) 1'his pecmit sha➢ expire if (A) the work authorized is not commmced within sixry (60) days hom issue date or (B) the building authmized is suspended or
abmdoned for a period of 120 days.
(3) If this persnit enpires, a vew pamit may be acquired for a fee of one-haff the vnowc northalty requ'ved, provided no changes have hem or will be made
in the original plans and speci5cafiovs and any suspension or abaadonmeat has not ezceeded one (t) yeaz. [f changes have beeo or if suspevsion or
abandonmeat cxceeds one (1) year, &11 fees shall be paid for a new permie
(4) No work of any manaer shall be done thae will change the naNml flow of water causing a drainage problem.
(5) Coatra<ror shall nofify the Building Inspxror twenty-fouz (24) hows in advance for aIl inspeceons and sha➢ recerve written approval on inspecfion cerd
beforo proceeding wiN successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be consm:ed to be a permit for, nor an approval of, any violaeon of the
provisione of the huilding codes or my otha ordinauce, law, rule or mgula¢ov.
Chief Building Inspector
,.~..~.a_.._ _
Production Cov a' Sheet - Central Region
11~ ~
Tom and Joyce D'Agostino
Contract Amount $2 882.00
3880 Pierson Street
Contract Date _Saturday November 20 2004 ,
Wheat Ridge, CO 80033
Recision Date 'Wednesday,Noyember 24, 2004.
(303) 359-7176
Payment Type Cash . _ ,
Work Phone For Tom (303) 421-5525
Change Order None
No Known Work Phone Number for Joyce Change Order Amount:
Sales Rep Thompson, Phil Source Type Call-in
Set By Taylor, Lmdsey Source Description _"Call in referral from previous c
Send To Accounting Department ~ !ICheck Original Contract I ICC I,
i~--
~ IJob Cosf Pay Sheets , :Change Orders
Notes From Sales Department
-
- - -
Production Department
OSIS Arrival Date . _ Notes
OSIS Approval Date _Date Issued to Measure _
MeasureDateotes r ~ -~JJA
I
Permit Inf ~.-yvL,,'--~c~~,,,-{~ - - -
DateSenttoProduction 12- W Notes ~EY~J~!~__ _ .--V
Produdion Date
Finance Approval Dat Notes -
HOA Approval Date ____Notes
Change Order Date
I~-
InstallDate0~ " -.FinaICollectAmount
24, 2004 72:06: Central Region
Tom and Joyce D'Agostino
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-2345933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner:
TOM & JOYCE D'AGOSTINO
Property Address :
3880 PIERSON ST
Contractor License No. :
18916
Company :
Accent Window Inc.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
reiade 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 W heat Ridge Building
Code (U.B.C.) and all other applir.able Wheat Ridge ordinances, forwork under this permit.
(O W NER)(CONTRACTOR)
Description : 26 SQ. ALCOA VINYL SIOING
BUILDING DEPARTMENT USE ONLY
Zoning Cornnnents:; SIC : Sq. Ft. :
Approval :
Zoning :
6611170(n9 Coinjuq,erits:-
Approval :
0661ic Wqi~ks Comm~ntat:
Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
Building Permit Number : 18260
Date : 1/18/2005
Phone : 359-7176
Phone : 295-1170
Valuation :
$13,618.00
Permit Fee :
$308.50
Plan Review Fee :
$0.00
Use Tax :
$245.12
Total:
$553.62
Use :
Xt;r- f!
~
E=lectrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
E=xpiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval :
(1) This permit was issued in ar,wrdance with the provisions set forth in yopur application and is subject to the laws of the State of Coloredo and to the Zoning
Regulations and Building Code of Wheal Ridge, Coloredo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorizetl is not commenced within siuty (60) days from issue date or (8) ihe builtling authorizetl is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired /or 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 exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full iees shall be paitl tor a new pertnit.
(4) No work of any manner shall be done that will change lhe natural Flow of waler causing a dreinage problem.
(5) Contractor shall notify ihe Building Inspector hventy-four (24) hours in advance for all inspeclions and shall receive wntlen approval on inspection card before
proceediing with successive phases of the jo6.
(e) The issuance of a permit or the approval of drawings and specifcations shall not be constmed to be a permit for, nor an appmval of, any violation of the
provisions of the builtling codes or any other ordinance, law, rule or regulation.
-
„t
>r-
Chief >
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
o~ w"f"J9 BUILDING INSPECTION UNE - 303-234-5933 Date: / QS
~-IB-
: t o CITY Of WHEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303•235-2855)
APPLICATION
ProperryOwcier:-7'~',,.nc1-Zayce V/4
Property Address: ~60 Phone: 3~3-3~.Sz'?
Contractor License No.: /89/40
Company: ACGe,,,f}-W;Ac",S Phone:3o3-qZ01 -ZOO Z
OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT
Value:$ 13
&16`E
I hereby certify Mat the setback Cistances proposed by Nis permit apD~ication are
accu2te, and Oo not violatc aDWicable orAinances, rules or regulations ot the City of
~
Pe17771t Fee: $
wneaiRiegeacovenanu,easemenis«restrictionsotrecore;thataumeawrements
p]yn Review Fee:$
sbown. anC altegations made are accurate; Nat I have read and agree to abide by all
coneitions printc0 on Nis apvlication an0 that I assume tull responsibiliy tor
(jse TMA._
compliance with the Wheal RiOge BuilOinp Code (U.B.C) and ail oMer applipble
TOt2l:$
Wheat RiOqe Ordinaoces, for woAc under Nis pertnil
(O W ~MGOMTiACTOR):
~
Description: Z (9 ( cUa vi n y
~ ~
Sp. Ft added
Expiration Date: Expiration Date: Expiration Date:
^ ^^.oval: ApProval: ApProval:
(1) This pMmit was issued in accadance with Vrc qovisions aM foM in your appliwtion and is subjecl to the Wws o( the Stale ot
Colondo and to the Zawmq Repulatbns and Builtlinp CoOea of WMwt Ridpe. Cdorado a any o1~er applioDle ordinances of
the Giry.
(2) This pennil sAaU expire il (A) the work authorized is not WmmenceE within sizty (60) Oays fiom issue date a(8) 1he builGinp
autMOlized ia suspended or aDanOOned for a perbd oi 120 Cays.
(3) If tlrs Gom^n expim, a new pe^^N may De sWuiled for a fee of one-haH the amount rannally reVumvd. P~vxW m cha^Ges
have been a wiY be made in Me aiDinal plans aM sDadfiabo^s and any wspension a aDaMorvneM haa not eaoee0ad one
(1) Yew. It chanpea have been or it sus0enabn or abarWOnmsnt exceeOS one (1) Year,lWl tees ahatl be paid tor a new pen*it.
(4) No warlc M any mamer ahaG De Oone Cut will Uwqe the naWrW 1bw of watw causiM a drainape ploWam.
(5)[ ContradM shall notlly the BuiWuq Inspec0or 1wenty-fau (24) hours in advance tor all inspet6ons arb ahall receive written
aDOrovy o^ inspecUOn card Defae Wooeedi^G wiM sumeasive Wwxs ol tM job.
(6) The iasuance ol a peffnit or the approrW ot drawinps anA spedfiwtions shall nol be construeC uo be a pertnit ta, na an
approvy o1, any violaUOn of the Drovisbns o1 the buildinp totles or any other or0inarroe, law. ruk a re9ulation.
Chief Building Official
ElecVical License No: Plumbing license No: Mechanical license No:
Company: Company: Company:
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14152
BUILDING INSPECTION LINE - 303-234-5933 Date : 7/10/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: D'AGOSTINO
Property Address : 3880 PIERSON ST Phone : 210-7775
Contractor License No. : 21027
Company : The Electri-Serve Corp. Phone : 892-0027
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $425.00
I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee : $23.50
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or Plan R2vi2w Fee : $0.00
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 US2 T8X : $5.10
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C J and all other applirable Wheat o e fn , for wo this permit Total : $28.60
(OWNER)(CONTRACTOR) SIG -~j' ~ ~ ° v US8 :
Description : CONNECT AIC. RECONNECT FURNACE ~I rS
Electrical License No : 21027 Plumbing License No : Mechanical License No :
Company :The Electri-Serve Corp. Company : Company :
Expiration Date : 2/28/03
Approval : OK/KS Expiration Date : Expiration Date :
Approval : Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur appliwtion and is subject to the laws of the State of Coloretlo antl to the Zoning
RegulaUOns and Building Code of Wheat Ritlge, Coloredo or any other applicable ordinances of the Ciry.
(2) ThI5 permit shall expire if (A) lhe work authorizetl is not commenced within sixly (80) days from issue date or (B) the huilding authorized is suspended or
abandoned for a periotl of 120 days.
(3) If this permit expires, a new, permit may be acquired for a fee of one-half the amount normally required, provided no changes have bean or will be matle in ihe
original plans and specifications and any suspension or abandonment has not exceedetl one ('I) year. If changes are matle or if suspension or abantlonment
exceetls 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 naturel Flow of water causing a drainage problem.
(5) Contractor shall notiy the Building Inspeclor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before
proceediing with successive phases of the job.
(6) T suance of a ermit or the approval of tlrawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the
ov i tlding wdes or any other ordinance, law, rule or regulation.
Chief Buil g Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Properry Owner :
PropertyAddress: Phone: a(~.-7775
Contractor License No. f~( 0 a 7
Company : 0 Pc'1/.I - J2ryt~.° Co rt° Phone : 3a3 0iI2..ppZ7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I heroby certiy that the setback tlistances propossd by this permrt applieation are awurote,
and do not violate applicable ordinancea, rules or regulations of the Cily of Wheat Ridge or
covananb. easements or rcstnctions of recortl: that all meaaursments ahown. and allagations
made are accunte: that I have rcad and agree to abitle by all contlkions printed on this
application, and that I assume full maponsibdily for wmphance wRh the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe t Ridg e i ances, for work under this pertn t.
(OWNER)(CONTRACTOR) SIGNED DATE
ConstructionValue: 4-I5,pc}
Pertnit Fee :
Use Tax :
TOtal :
Description: ~0-\Areck A(G. ~,QczN~~A- 4:~r ^A4-e
BUILDING DEPARTMENT USE ONLY
20~ftF17YL.'OfI~6A~lft~ •
Approval :
Zoning :
Approval :
PIIblt~lflfb"~I~l~rt~iftts~
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :-{-8+,t~,t2-fa1'7Piumbing License No : Mechanical License No :
Company : C- (QcAn --'\-,"e (o rp Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
1 ns.Rerqu7elm .
-3 c- R
(1) Thia permit was iawW in aaoimna vntn tna Orovisbns wt rortn in yowr appiuaon and u auDIsct ro Na iavn ol tne Suu ot Cobra7o and m tM Zoninp
Repula4ona and Builtlinq CoES ol Whsat Ridqa, ColonCO w a`ry othsr applqWla oramanus of Ns CiN.
(2) Thia pemtit shall mcqro il (A) Ns vrorlc duttanzeE is not commenwtl wlMln sixry (80) Eaya fram issw EaU a(B) the buildinq autlwfized ia suapeMetl or
aEantlonstl ror a pano0 a tzo Eayt.
(7) It tnis permn exqras, a rrow pemwt may be atquirad ror a tes d one-naM tne amount rwrtnaiN rc7uiraa. omvideC rw U+arpes nava oean «vrili De rtues in me
oriqinal planf anC fpeafiaUOns and arry auapsnaion or aWnOOnment has nM excee7etl aro (1) yeac If clunqes aro matls M d auspension a sWnEOnment
exceeAa one (t) yaar, full lees shell Es paiE for a new pertnit.
(a) NO work of erry manner ahall De Cone Nat will Uange Ne natunl llow of wilsr ousinq a tlreina9e pro0lem.
(5) Contrac[or ahall notily th! 8uiltling Inspectot lwenry-tour (24) houn in atlvarice Wr all mspecUOns and snall recelve wntlen approval on inapeWOn nrC Oelare
roceetliing wiN auaesaive Dhases of the -pb.
.(e) ~I tehe buAtlI 9o cotles w any oe Ne%rdinance, aw~nr9use otlrepPulauonGOna shall not be wnsWed to De a pertnit for, rwr an aPG~'al o(. anY viola6on o1 Ne proviyons
O
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING 6 DEVELOPMENT
REQUEST FOR PUBLIC WORKS REVIEW
Date: Case/Huilding Permit No.
Location: 3S&d
Please review the attached materials submitted in application for approval
of a and indicate your decision on those items
ctieck below, and please add any other comments which you may have under
number 16.
1. 1~ Houndary C1i
2. C1 Area:
3. CI Drainage:
a. Drainage
b. Drainage
c. Drainage
be:
Dsure:OOK t-1Not
Acres
plan (and report) ne
Plan not needed UJ
provisions have been
d OK Ci Not
4. o Legal Description: t7 OK
,If not okay, please explain:
OK; refer to Stipulations
Square Feet
aded El
reviewed and are found to
OK; refer to Stipulations
ClNot OK; refer to Stipulations
5.C7Public Improvements:
a. Street Paving needed Y b. Curb & Gutter needed Y
c. Sidewalk needed Y d. Street Lights needed Y
e. Storm Sewer needed Y N~ f. Escrow required Y If
Escrow required, for what improvements? in what amount?
6. O
Development Agreement required
If Yes, for
7. Cl All necessary documents have been initiated by Public Works and are
attached hereto:
8.
i--l
Is a
traffic
impact
analysis
and report
required? Y N
9.
i~
New
roadway
or alley
R.O.W.
dedication
is recommended:
If yes, what is recommended:
10.L-J All existing dedicated roadways and alleys meet the standards of
the City:
If no, which do not and what is requested:
11.cD All existing and proposed ded'ications have been reviewed and found
to be: E] OK Lu Not OK; refer to numbers 8& 9.
12."proval: The Public Works Department has reviewed this request
and hereby gives its approval, subject to the above and/or attached
stipulations.
e s,-, O
` Signat r D te
13. O The Public Works Department has reviewed this request and does not
approve for the reasons stated:
Signature Date
14. p Stipulations attached: Yes No
15. O DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT REPLY:
16. Summary Comments:
Y N
pc/reqPWreview
rev.01/89
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B92#4719
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7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT N0. B92#4719
237-6944 Exr. 255 P.O. eox 638 BUILDING RIDGE, I COLON
CITY OF WHEAT
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILDING PIANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATION
BUSINESS NAME auunc~~
COPY OF DEED AND IMPROVEMENT SURVEY REOUIRED
~U S'TaIN 0f4 S1-6Es
I?c,6 /Gctt=ie
..4J~D~• Gu gx"7
.1 S d_D 3 qd ~
~
/
~
SPECIFY NORTH
~ (CIRCLE FRONT) N E S W
STREET NAME
OW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
cunw i Fn57 DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. _
LCVML v~~v~~~•
OWNERS NAME/ u<` - -
CONTRACTOi c ~+1-'-o LIC. N0. METES AND BOUNDS DESCFjIPTION ATTACHED
7Y ADDRESS 3
ADDRES ~CO/~ PHON~,p BLOCK S~~
N0.
CIT`~ f~2~ -ZIPCODE.&LOTNO.
DEPTH 1%121 AREAL~~i~ll~(. SUBDIVISION FILING
LOT WIDTH
INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: CurbdGUtter_S1reelPwinp_N4ter_Sewer_StamDrainaps-
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW E%ISTING: YES-NO-
GRF 7HERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES-NO_
OCCUPANCY Jr- I R 3~ m EXTERIOR MATERIALS: WALLS ROOF
REMARKS: 7ulv9er- -I tk- /I-# 6 y
STORIES ~ UNITS~
OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT PERMIT FEE
I hereby certify ihot ihe above setbock distances shown on this permit applicalion are accurate, and do nof violate USE TAX
upplicable ordinances, rules or regulations of ihe City of WAeat Ridqe or covenanfs, easements or resirictions of re-
cord; that oll measurements shown, and alleqations made are accurate; that I have reod and agree to abide by all TOT E
conditions prinfed on ihis ap0licetia^, and that I assume full responsibility for Compliance with ihe Wheut Ridae NOT ~ ED
Building Code (U BG.) and all other aDPlicable Wheat Ridge ordinanc s, for work undar ihis permit.
7
DATE
(OWNER)(CONTRACTOR) SIGNED
BUIL ING DE RTMENT USE ONLY
SO.Fi ~CO.,ST~~i .
~-1 8 8 THE PROPERTY LOCATED AT "[7~
BASEMENT-ROUGH (q
IS PRESENTLY ZON~E~D~ Cf!}~. \ ~
BASEMENT-FINISHED 7U~ 3 J~~ g~HE PROPOSED USE ('~IS1I-IS NOT),ALLOWED UND R THE ZONING ORDI ANCE.
GROUND FLOOR
SECOND FLOOR -9 Q 2~ ~ ~ $ ~ ,UCOMMENTS~
GARA6E ~ ' 2 Lp u" ~ . . •
OTHER - gUILDING COST $ ~ 72 ° 17 ~ y el I a '
oTHER - MECHANICAL PERMIT
E E TRqICAL PERMIT PLUMBING PERMIT
` CITY N0. STATE NO.~ 7lg GTY N0.~6,rl'(' CITY N0.
STATE N0.
PLANS REVIEWED (-OK) (-NOT OK) PLANS REVIEWED (-OK)(-NOT OK) PLANS REVIEWED.-(-OK)(-NOT OK
NO PLANS NEEDED NO PLQNS NEEDED
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF P MECHANICAL PERMITTOISSUANCE OF
ELECTRICAL PERMIT PLUMBING PERMIT PERMIT ISSUED TO
PERMIT ISSUED TO PERMIT ISSUED TO pER REQUEST AS PER PLANS NO.
PER REOUEST AS PER PLANS N0. PER RE~UEST AS P R PIANS N0.
AND ON FILE IN MY OFFICE AS APPROVED
AS APPROVED AND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTILCLEARED BY DOHIEF BUILDING NI PECTORCLEARED BY
CHIEF BUILDING IySPF~CTOR n~ CHIEF BUILDING INSPECTOR ~
..rc ri cnwrn _ BY
BY
BY
DITION6~ ~
ZONING REGULATCONS PNCD BUILOING GODE Oi WMEATTRFDGE, CIOIOR DO OR ANY IOTHER APPLICABLE ORD NANCES Of TME C TyATE OF COLORADO
(1) pNID TO PERMIT
(Z) THIS PERMIT SHPLL E%PIRE IF (A) THE WOflK AUTHORIZED IS NOT COMMENCEO WITHIN SIXTY (80) DAYS FROM ISSUE DPTE OR (B) TNE BUILDING AUTHORIZED IS
SUSPENDED OP ABANDONEO FOR G PERIOD OF 120 OAYS. ppOVIDED NO GHANGES HAVE BEEN OR WILI
(i) IF TMIS PERMIT E%PIRES, P NEW PERMIT MAY BE PLOUIFED FOR A FEE OF ONE-HALF THE AMOUNT NORMALLY REOUIRED,
BE MADE IN THE ORIGINPL VL4NS PND SPECiFiCPTI0N5 ANO ANY SUSPENSION OR ABANDONMENT NPS NOT E%CEEDED ONE(I)YEAR. IF GHANGES ARE MADE OF IF
SUSGENSION OR ABl NDONMENT E%CEEDS ONE (1) YEPR, FULL FEES SHALL BE PAID FON A NEW VERMIT,
(4) NO WOHK OF ANY MANNEN SHALL BE DONE THAT M'ILL OBSTRUCT TME NGTU L FLOW OF WATER CAUSIN DRAINAOE PROBLEM.
LONTRAGT SHALL OTIFY TME BUiLDiNG iNSPECTOR TWENTY-FOUN (24) OURS IN ADVANCE FOR AL I SP TIONS AND SMALL BECEIVE WAITTEN PPPHW
ON INSP T ON GA BEFORE PROC EDINh SUGCESSIVE PN4SE5 OF E J a. qppROV
S ~
G
FOR MAYOR
CHIEF BUILDING INSPECTOR
LOG OF BORING LOT 13
Page i of 1
a ~ -
PaaeGT: Applewood Village Estates LoCnTioN: wneac nrciye, ~vlulau~ iI
1 SURFACE ELEVATION:
\ JOB NO.: 1 -1 102-12332-00
PTH
S
:
oaiLuNC: CME-55 4' Continuous Flight GROUNDWATER DE
`
eotechnical Services,
~
j
MErHOO: Auger
LM
DATE STARTED: 8/7/92
DRILLER:
LOGGED BY: GCC DATE COMPLETED: 8 7 92
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MATERIAL DESCRIPTION
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Man placed Fil - Generally CLAY, very sandy to
SAND, clayey with CLAYSTONE in part, medium
stiff to very strft, moist brown and gray (CL to SC
MCS
8/12
to CH)
19.5
109.5
5
'
-1.5
MCS
6/12
CiAY, very sandy to SAND, very clayey,
interlensed, soft to medium stiff, some lenses of
very moist to wet, brown (CL & SC)
clean sand
MCS
7/12
,
io
,
CLAY, silty, slightly sandy, soft to medium stiff,
very moist to wet, brown to dark brown (CL)
MCS
9/12
75
~
MCS
10/12
I
I
p
I
Termination of Boring
pry D B MCS • C>LIFO~FNDIFIP IED SRMOLER ~ ST . SRELBY TIIBE C BS • BPGGIE SAMGLE ~ SK - SNIX SAMGLE
SS - S
qp
S
p
I aennnaKS: Hole covered when checked on 8/12/92
; FIGURE 16 _
~
INSPECTION TICKET
Joe
ADDRESS ~
DATE: 3 - ~ y BLDG. PERMIT# I I L
PERMITM
BLDG. CONTR. u
SUBCONTRACTOR
J
DATE INSP. REQ.
TYPE OF INSP. - "r
"Y. JJ
INSPECTION MADE
REMARKS
INSPECTION TICKET
JOB l, I
ADDRESS
DATE: 7' 1 ~1 ~
BLDG. PERMITM `fa7/
PERMITk
BLDG. CONTR. a""y'c
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
REMARKS
i
W.R. FORM &19
~
7500 W EST 29th AV ENUE
234-5933 P.O. BOX 638
I3 ~
DRdW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, GIVIhv UISTANCES FROM PROPERTY LINES
(SETBACKS OR PROJECTIONS MCLUDED) ^ -~V A~
THIS PERMIT VALID ONLV WHEN SiGNED BY IUNLDINGrumINSPECTOR
PERMITOW
SS~ P'~rso-r-i ~-OWNER o ,'eL
JOB ADDRESS ~ 3SSp ¢fsv-r-~
CONTRACTOR ADORESS423-4~-Oy ZIPCODE goo,33
ADDRESS 3S$O t7'¢rs`rr~ PHONE gs.Yr(-.~ZOOO
CITY wk°~ 9'*A~ ZIP CODE g°O33 CONTRACT PRICE $PHONE
Lf.23 -42oZ LICENSE NO. NA- DATE
T PE Ground ❑ Wall❑ Proiecfin0O olher S a D Fot*
Totol Squon Fnf
TERIAL
SIGN UMINATION YsS❑ No❑ TyDe ElecfPermit No9-1 ApprwW,Zon~lnsp~efor -117
7 BACK FROM PROPERTY LME N- S_.- E a 'N ❑ Zone RDisaDDrwsd ~/1
fSnu~iWwhich iefrOnl) ~
❑ _ .
FENCES
OTHER IZ
~
c. ,..e._
0.~Prox•
DEPARTMENT OF GOMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION PERMIT N0. M94#19271
CITY OF VJHEAT RIDGE, COLO.
r
_
J
N +
SpECIFY NORTH
0.~ p ro x- C.o
STREET NAME F; e'r'so~
SHOW OISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EIXPIRE 180 DAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTEO WITHIN THATTIME. MIT
ELECTRICAL PERMIT
STATE UCENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
WASH
WIRING
TRANSFORMERS 9 REG
ADDITION TO OLD WORK
1 hsreby ocknowledpe tha1 this aVOl'c°'
fion u correct ond understand thot I
tonnot ftart thie prolect until this opDI'-
cption if aPproveC. I shall comDly wiih
tM lowe of Ihe State oi Colorado ond to
1M Zoninp Repulallone and Bwldin0
Lode otthe City of Wl+eat Ridpe. AnY
viobfion of the above terme wi11 couse
immediote revocation oi inis permit
TUB
Fl00Ft D
URINAL
SEWERS
OTHER
MECHANICAL PER
- BTU
CALL 234-5933
24 HOURS IM ADVANCE
FOR INSPECTIONS
I. TYPE SolidU] More Than 80% ODenO Less Than BO% OM H~ip^ S~
MATERIAL M
Zone_Apprwed,Zon~ In$Deeta
" S E~F4 W ~
3. SET BACK FROM PROPERTY LINE N~ a ❑ ~ ayapprovad
~
-7-/ 61
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IN ECTION tICKET
JOB
ADDRESS
DATE: (6 -C BLDG. PERMIT#
PERM ITM
BLDG. CONTR. F-L' ~SUBCONTRACTOR
DATE INSP. REQ. 16 ' c(
TYPE OF INSP.
INSPECTION MADE
REMARKS
.
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INSPECTION TICKET
Joe ~
ADDRESS
cia-
DATE: BLDG. PERMIT# ~I ~
PERMIT#
BLDG. CONTR. U ~
SUBCONTRACTOR
DATE INSP. REQ. 0 d u
TYPE OF INSP.
! I
INSPECTION MADE / U Zd el2
REMARKS
v
W.R. FORM 6-19
✓
INSPECTION TICKET
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ADDRESS ~
DATE: I I`~ BLDG. PERMIT#
PERMIT#
BLDG. CONTR. "b~
SUBCONTRACTOR
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✓
DATE ~INSP. REQ. I I`
TYPE 0F INSP. --'31rffr-ffk~-----
INSPECTION MADE
REMARKS
INSPECTION TICKET
Joe
ADDRESS
Z
6012
DATE: BLDG. P RMITR '-1/2/5
PERMIT# -
BLDG. CONTR. /~~`Lt~~sucti,~
SUBCONTRACTOR
DATE INSP. REQ.
a I
TYPE OF INSP.
INSPECTION MADEjj-r 2 / Z
REMARKS U~\ G- Z~r' e-`-</
INSPECTION TICKET
,
JOB
ADDRESS
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DATE: BLDG. PERMIT# Y71r
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REO.
TYPE OF INSP. ~-VtnAs/4/
INSPECTION MADE / L L
REMARKS D.~.lf4 p
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INSPECTION TICKET
Jos ~~pXO Q
ADDRESS
1 /-~q
DATE: BLDG. PERMIT# PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. I --l
TYPE OF INSP.~~1~~ t'`
INSPECTION MADE
REMARKS 014
W.R.FORM E19 ~ / W.R.FORM 619
~
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✓
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INSPECTION TICKET
INSPECTION TICKET JoB
JOB ADDRESS ADDRESS 1i 'x 6 A
:2-
DATE: BLDG. PE MITN 4-
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
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DATE INSP. REQ.
TYPE OF INSP. ~cni .'1 )..u± ~s-
INSPECTION MADE C?Z
REMARKS O"S
DATE: I ~ - ~ BLDG. PERMIT# 4 T ?
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.~,~-"~~
TYPE OF INSP.
~
INSPECTION MADE Z 7 /Or
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REMARKS (PIt-
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ADDRESS S 3 d ✓~'~°s~--
INSPECTION TICKET
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ADDRESS o-'-
DATE: BLDG. PERMIT#
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP.
TYPE OF INSP. 6217'
INSPECTION MADE
REMARKS
l-~
W.R.FORM &19
9~
DATE: ~ BLDG. P MITM
PERM IT8
~ ~CJ~
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
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7500 WEST 29TH AVENUE ThB Clty Of
P.O. BOX 638
WHEAT RIDGE, CO 80034-0638 1303) 234-5900 cWheat
City Admin. Fax T 234-5924 Police Depc Fax # 235-2949 '-Ridge.
DATE: -7- l Li - I
To: A c c-o u-tic T 1 ~4 b FPr
FROM: Director of Planning & Development
SUB7ECT: ESCROW REFUND
Reimbursement requested for escrow funds being held for:
The Landscaping has been completed to the City's satisfaction.
RELEASE TO: 'j~og~~ ~ ~ ~ ~ A ~k 6, 14
LOCATION: 38~~ ~,~SON J I •
W •F-. 90033
AMOUNT : 0 ) , ()0C)
Glen Gidley ~
Director of Planning &
c, 11.,.,1,,V,,,,,
(OPTION D or E)
ESCROW AGREEMENT
LANDSCAPING
TO: City of Wheat Ridge
P.O. Box 638
Wheat Ridge, Colorado 80034
The sum of One Thousand and no------------------------------------------------ DOLLARS
1,000.00 ) to be held in escrow with City of Wheat Ridge
(City of Wheat Ridge, Option D)
(Bank, Option E)
until landscaping is completed at 3880 Pierson Street
(Description)
Wheat Ridge, Colorado by
Robert & Melissa Middaugh
(Contractor/Developer/Owner)
The City o£ Wheat Ridge shall have the absolute right to withdraw the
Escrow funds for the purpose of completing the landscaping of
3880 Pierson Street
should Robert $ Melissa
(Contractor/Developer/Owner)
fail to complete or provide said landscaping prior to the date of
29, 1993
The only requirement to withdraw the Escrow funds in behalf of the City
of Wheat Ridge shall be a letter from the Planning & Development Department
of the City, executed by the Director of said Department and witnessed by
the Mayor of the City of Wheat Ridge. Said letter shall state that the
landscaping, as above set forth, have not been completed or provided by
$ Melissa Middaugh
(Contractor/Developer/Owner)
and that the date of July 29, 1993
has expired.
(over)
(OPTION D or E)
ESCROW AGREEMENT
LANDSCAPING
-2-
ACCEPTED:
ctor of Planning & Dex7e}opment Department - City of Wheat Ridge)
(Bank - Option E)
Address
Phone Number
actor/Developer/Owner)
~ ri ntr
U..Za~ 42-
4zo z.
Address 1 Phone Number
Date q Lq-3
Temporary Certificates of Occupancy for structures covered by this
agreement may be issued by the Mayor of the City of Wheat Ridge for a time
period not to exceed six (6) months upon acceptance of this agreement by
the City.
Recorded at _
Reception No.
WARRANTY DEED
THIS DEED, Made this 4th day of September ,
19 92, between APPLEWOOD VILLAGE ESTATES, INC., A
COLORADO CORPORATION
~
r
.
r~
~
of the 'County of JEFFERSON and
Slate of Colorado, grantor, and ROBERT C. MIDDAUGH AND MELISSA
A. MIDDAUGH
RECEPTION N0. 92116689.30
9/18/92 11:30
RECORDED IN
COUNTY OF JEFFERSON
STATE OF COLORADO
whose legal address is
41
of the Countyand Stata of Cobrado, grantees:
WITNESS, ihat the grantor, lor and m consideraGOn ol the sum ol FORTY THREE THOUSAND AND NO/100-----
D LLA
the recelpt and sullicloncy ol wluch is heraby acknowledyed, has gramW, bargamed, sdtl and wnveyed; and by lhese presenls Ooes
grant, bar9tin, sell, comey and conivm unlo the yranloes, Iheh heirs and assigns Iwever, nol in lenancy m common bul in pinl tenancy,
all the real propeny, toyelhei wilh improvements, il any, siluale, lymg and bemg io the Counry of
.7EFFERSON and Slalc of Colorado, described as follows:
LOT 13,
APPLEWOOD VILLAGE ESTATES SUBDIVISION,
COUNTY OF JEFFERSON,
STATE OF COLORADO.
also known by sVeet and numher as 3880 PIERSON STREET
WHEAT RIDGE, COLORADO 80033
TOGEfHER wilh all and singttlar Ihe herotlilaments and appunenances tlicieunlo belonying, or In anywise aDPOhamin9 and the
reversion and revorsions, remam0er arid remainders, ronts, issuesantl prolns ttiereol, and all the estate, nght, 6110, inlerosl, claim and
tlemarid whalscever ol the granlor, erther In law or eqwly, ol, m and to the aDOVO Uargamed premises, wrth the here0ilamenls and
appunenances.
TO HAVE AND TO HOl D the said premises abovo bargamed and descnbed, wilh the appunenances, unlo the grantoos, iheir
hehs and assiyns lorover. And the granlor, for himsell, his heus and personal represenlaUVes, doos covenanl, granl, bargain and agree
to arb wlth the grantoes, Ihev heus antl assiyns, Uial al IYro lima ol Iho ensoa6ng and dolivcry ol Iheso presonis, he is well seized of
the premises abovo conveyad, has 3ood, sure, perlecl, absolute and mdeteasible ostate ol mhenlance, in law, m lee simplo, and has
good right, lull power and lawlul authonry to grani, bargain, soll and convoy the same m manner and brm aloresaid, and thal tho seme
are Iree and clear Irom all lormer and olher granls, baryans, sales, Iians, laYes, asxissmonts, emambrarwes and resVicUOns ol whal-
ever kind or nalure scever, ezcept goneral lanes lor Uie currenl year and subsequenl years subjecl lo resirictions, reservations, and
covenanls ol reCOrd and except oasemenls and nyhts of way ol record, if any, and uxcepl
The granlor shall and wdl WAqRANT AND FOREVER DEFEND the above-bargained premises in the quiel and peaceable
possessiai of the yranloes, lheir heirs antl assiyns, againsl all and every porson or persons lawlulry claiming the whole a any part
thereol.
The singular num6er shall include the plural, the plural the singular, and the use ot any gender shall 6e applicable to all gentlers.
IN WI ESS WHEFE the granlor has execuletl Ihis tleed on the tlale set lonh above.
VI~ E E3TATES, INC.
f 4,
~ T~"r,~(( y~. N -
V7* A
7q
S, ~4 STATE OF COL QRADO
1~!t x^ COUNTY OF L f_C`P9"0C ss.
ik :
The ~oregoing mstrumenl was acknowletlyea bebre me this 4 t h day ol ber . 1992
b/APP EWOOD VILLAGE ESTATES, INC.~ -;~P~Y.~~
~dIX'~t /~YJ -Sn`yc1or' ao ~~dPn~ ~ ;..........Q~i
caROL K.
Wilness m iar9, anWI.199111. '
Mycommis i~BHpires 1 911,419
r„ ~r..~ •"~y:~.
Nntury Pudic
'if in Denver, m5en "Cily antl."
WARFANTY DEED (To Janl Tenants)
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licialcheyk of this bank will be replaced, in theeveoret i't is lost
iddaugh 3880 Pierso
0008184118 1: i070058691: 00 '0
_ t.
,
1...7.,.
~
iTE :
January 28, 1993
PUBLIC WORKS DEPARTMENT
. Building Department
3880 Pierson Street Certificate of Occupancy
~
property at has been
ed off by the Huilding Department and is ready for a CO
ection.
the inspection has been completed, please inform the
ding department as to the status.
4
t ra
k you.
,V~~
/24/"
V
~ ~ . • 'r
Vv,
DATE: January 28, 1993
A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR:
3880 Pierson Street
PURPOSE OF STRUCTURE: sin le famil residence
Huilding Dept. Approval:
Remarks:
Zoning Approval:
Remarks:
~
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