HomeMy WebLinkAbout10695 W 26th Avenuei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: c s,
Job Address:�-
Permit Number: C-) Gd 0 (D u-) 09
I C WA
❑ No one available for inspection: Time Lc.C)() AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci, wheatridge.co. uslinspection
Date: I.X -)-620 Inspector:
DO NOT REMOVE THIS /NOTICE
CITY OF WHEAT RIDGE
�� Building Inspection Division
(/ (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: a
i
Ae,
i
❑ No one available for inspection: Ti . j PM
Re-Inspection required: YeC
When corrections have been made,
i dRale4e-inspection online at:
o r
http//www.ci.wheatridge.co.u�nsp�
Dat ; 2e
, Z., sp'c r:
DO NOT RE1 OVE THIS NOTICE
s i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: �) ` ,,� �;�? �� A,; (
Permit Number:
❑ No one available for inspection: Time < AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at;
http://www. ci. wheatridge. co. uslinspection
Date: n':) L j -1,,-) Inspector:
®O NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:40-?, EL23;::2 T..
Job Address:
Permit Number:
❑ No one available for inspection: Ti
Re -Inspection required:: Yes,: No
When corrections have been made, schedule
h ttp✓/www. ci. whea tridge. co. usrnspecti4p;—
AM/PM
for re -inspection online at.
e A s_ CITY OF WHEAT RIDGE
Building Inspection Division
' (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: `` �"�C
Job Address: _� ���� w
Permit Number: G>" C)') v v i �: �_1
eve r `1,_��, I nC,
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C C1 CA S
❑ No one available for inspection: Time 9_ AM/PM
Re -Inspection required: Ve No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co. uslinspection
Date: Ju Inspector:
DO NOT REMOVE THIS NOTICE
1* � � i City of Wheat Ridge
�� E -Res Egress Window PERMIT - 202001037
PERMIT NO: 202001037 ISSUED: 07/02/2020
JOB ADDRESS: 10695 W 26th Ave EXPIRES: 07/02/2021
JOB DESCRIPTION: install one egress window in east basement wall.
*** CONTACTS ***
OWNER (303)274-2681 HERTEL LIVING TRUST
SUB (720)626-4221 STEPHEN SENNETT 150231 DENVER EGRESS WINDOW
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: General Permit Application
Date: Thursday, June 4, 2020 12:25:34 PM
General Permit Application
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Submitting General
Contractor or Architect
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone
Number (enter WITH
dashes, eg 303-123-
4567)
10695 W. 26th Ave.
Art Hentel
303-274-2681
n/a
wheat ridge cc Ddf
Denver Egress Window
150231
720-626-4221
Contact Email Address info@denveregresswindow.com
Retype Contact Email
Address
DESCRIPTION OF WORK
Detailed Scope of
Work - Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Location of work
(backyard, on roof, etc)
Project Value (contract
value or cost of ALL
materials and labor)
Upload Engineer letter,
other documents on 8
1/2" x 11 "
Upload Asbestos
Report if triggler level is
met per CDPHE
regulation.
info@denveregresswindow.com
install one egress window
east basement wall
3000
Field not completed.
Upload Drawings 11" X Field not completed.
17" or larger
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
Yes
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 Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Stephen Sennett
Permit
Email not displaying correctly? View it in your browser.
(720) 626-4221
IN THE EXISTING CONCRETE
FOUNDATION CUT A HORIZONTAL SLOT
FOR TUBE STEEL PLACEMENT = R.O.+ 9"
WIDE X 2" DEPTH. CUT HORIZONTAL AND
VERTICAL ROUGH OPENINGS +3" FOR
TRIMMING ALL SIDES OF NEW WINDOW.
ADD NON-STRUCTURAL INFILL BETWEEN
NEW HSS HEADER AND NEW WINDOW
AS REQUIRED. THE NEW WINDOW
LOCATION MAY BE ALIGNED WITH BOTH
SIDES OF THE EXISTING WINDOW.
STEEL LINTEL AT BRICK VENEER
o s NOT USEABLE AS HEADER --i
10
HSS 6'x 2" x 1 /8" MIN.
I
CUT SLOT FOR 3" BEARING, I
EXISTING WINDOW
MIN. TYPICAL BOTH ENDS
\I
NOTES
• TEMPORARY SUPPORT IS REQUIRED ON ALL LOAD BEARING
WALLS PRIOR TO DECONSTRUCTION
• WINDOW WELL SHALL BE 13 SQ. FT. MIN. AREA WITH 36" MIN.
CLEARANCE FROM FOUNDATION WALL TO INSIDE OF WELL.
A PERMANENT LADDER IS REQUIRED IN THE WINDOW WELL IF
BOTTOM OF WELL IS 44" OR MORE BELOW GRADE.
• IN CASES WHERE THE NEW EGRESS WINDOW'S R.O. IS LESS
THAN OR EQUAL TO THE EXISTING WINDOW WIDTH, THE
EXISTING HEADER OR LINTEL IS SUFFICIENT TO SUPPORT THE
MAXIMUM DESIGN LOADS IMPOSED. NO ADDITIONAL
SUPPORT REQUIRED.
Qty: (1) 48" x 48"
Location: Basement right wall
Type: Slider
U Value: .30
At existing window YES
Existing lintel or header YES
Window above NO
Floor joist bearing NO
Brick veneer
Building Code: 2012 IRC
Roof Snow: 30 psf
Ground Snow: 30 psf
V-Ult. Wind Speed: 135 mph; Exp.
Seismic Design: Category B
R.O. + 3" *
ON SITE PLANS
ALL Proiects are
EXISTING 2X FLOOR
JOISTS AND DECKING
Ch
O
0_
TOP OF 8" thk.
FOUNDATION
* VERIFY DIMENSIONS WITH
+I
WINDOW MANUFACTURER,
:0
AND ADJUST SAWCUT
VERTICAL 2X
DIMENSIONS IF REQUIRED.
TRIMMER
PLACE HORIZONTAL 2X NAILER SILL
J
SNUGLY BETWEEN VERTICAL NAILERS.
Q V)
DO Z
co M
Q
TOP OF FLOOR SLAB
F4'-0" X 4'-0" EGRESS WINDOW OPENING - INTERIOR ELEV.
SCALE: NONE
I Mark Benjamin P.E. have observed the
proposed installation and determined that
this detail meets existing conditions.
-EE
City or _
WheatRidge Qp R(S'
[OMMUNI IY DEVELOPMENT0 5 / 0 1 / 20� .. • rLs/ (1 `
APPROVED `••16E,� `a
T
Revi w2gJgr g0.q Compliance
Randy Slusser 6/09/2020 ;� 3g3GtJ
....—_ Fi.r... .. —� Dale "I
.bEtlM u,enm„•.ryt untln.. crPP.nPR ,,, Digitally signed,y.,,
onPmmPwvno,u.Map mf haPxmlf(e.e a a�aJpalanmtl �, •. a•• _�
Mark Benjamin
eny of me wo.elov ArM awxg avde o. of ory CRY arMroreE. PrrmnE •.,,i.- � +3
PR.aro•n*PuPamrowaea nJg�I, Date:2020.05.0}
mdanPtl��amnPnmWtl�ar.noP Q 09:38:04-06'00'
PHI-DBEE, INC dba.
crown jade
DESIGN AND ENGINEERING
P.O. BOX 17, FORT COLLINS
COLORADO, 80522-0017
(970) 472-2394
www.crownjade.com
STREET ADDRESS: ENGINEER'S
10695 W. 26TH AVE., JOB #
WHEAT RIDGE SNTW1940-20261
DATE: 5/1/2020
SCALE: NONE SHEET #
DRAWN BY: KB
CHECKED BY: MB 1 O f 1
A s_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
- • - �r•,3Lf�I ����� (fir
Re -Inspection required: YNo�� j
*When corrections have been made, sc dule for re -inspection online at:
http✓/www.ci.wheatridge.co.uslnspec ion ---
Dat€�"� '� ector:
Y
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Remodel PERMIT - 202000709
202000709 ISSUED: 05/07/2.020
10695 W 26th Ave EXPIRES: 05/07/2021
Residential bathroom remodel and kitchenette addition. Tub to shower pan
conversion, new appliances in bathroom.. Relocate plumbing,electrical and
HVAC. Adding a new kitchenette to the existing laundry room with an exhaust
fan. Widening the garage door.
*** CONTACTS ***
OWNER (303)274-7681 HERTEL LIVING TRUST
GC (303)693-7787 JOHN BIXENMAN 060208 ACCESSIBLE SYSTEMS INC.
SUB (303)204--8.924 NATHAN CONN 080166 CONN -ECT PLUMBING
SUB (303)'117-5428 JAMES/JACLYN TIRONE 180385 LEGACY ELECTRIC LLC
SUB (303)841-0211 WILLIAM PROCELL 180304 AIR COMFORT YORK, INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEF' SUMMARY *** ESTIMATED PROJECT VALUATION: 26,420.00
FEES
Total Valuation 0.00
Plan Review Fee 302.28
Use Tax 554.82
Permit Fee 465.05
** TOTAL ** 1,322.15
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
Basement is NOT APPROVED AS AN INDEPENDENT DWELLING UNIT.
City of Wheat Ridge
r
P,
Residential Remodel PERMIT - 202000709
PERMIT NO: 202000709 ISSUED: 05/07/2020
JOB ADDRESS: 10695 W 26th Ave EXPIRES: 05/07/202.1
JOB DESCRIPTION: Residential bathroom remodel and kitchenette addition. Tub to shower pan
conversion, new appliances in. bathroom.. Relocate plumbing,electrical and
HVAC. Adding a new kitchenette to the existing laundry room with an exhaust
fan. Widening the garage door.
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 procedu�thewOrk
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 perfodescribed and approved in conjunction with
this permit. I further attest that I am legally authorized to include ali entities named hin this document as parties to the work toe
perormed and thatallwork tobe perormed isdisclosed in this doumentand/oritsaccompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuancenting of ape rmit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable co o nyprdinanr regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
has asbestos
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Monday, April 20, 2020 11:40:36 AM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 10695 W. 26th Ave. Wheat Ridge, CO. 80215
Property Owner Name Art and Mara Hertel
Property Owner Phone 303-274-7681
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Field not completed.
Wheat Ridae CC.Odf
APPLICANT INFORMATION
Applicant Name Gary Saraney
What is your role in the
project?
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
General Contractor
City of Wheat Ridge)
Contact Phone Number 720-425-7774
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address garys@accessiblemed.com
for Plan Review
Comments
Retype Contractor garys@accessiblemed.com
Email Address
0]:K16]CII91 ffl0N]&TOLD]N:/
Detailed Scope of Bathroom remodel and kitchenette addition. Tub to shower pan
Work - Provide a conversion. New tile,toilet,sink,valve ect. Relocate
detailed description of plumbing, electrical and hvac as needed. Adding a new
work Including kitchenette to the existing laundry room with an exhaust fan.
mechanical, electrical, Widening the garage door.
plumbing work
occurring,
adding/removing walls,
etc
Location of Work basement
Square Footage Area 100
of Work Being
Performed
Asbestos Report Field not completed
Upload letter size Field not completed
documents here
Construction Plans Hertel Mans Legal QUIT
scanned on 11'x17" or
larger
Project Value (contract 26420 4/27/2020 ok bf
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Gary saraney
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
City of
IRWheat idle
COMMUNiTy DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Electrical Subcontractor
This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR
performing electrical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
General Contract
FORM WILL NOT RE: ACCEPTED WITH MISSING INFORMATION
Company Name: l3 (tom Contact Phone #:' 19yi- "l b5 - / -qq
Wheat Ridge Contrac�ttorLicense #: I�l.-'�L% (required field)
State License #: t-1 1� (� l.�li 1� -2) Xi
Master License LSA C) )Iy
Tont.s —li acne.
Printed Name of Authorized Agent
21290,
Date
•SilverKey
Services
Asbestos Inspection and Sampling Report
Presented To:
Acceeeibility Solutions
3025 W. Jefferson Ave.
Englewood, CO 80110
10695 W. 26th Ave. Wheat Ridge, CO 80215
Performed &Prepared By:
Kevin Bruscas
SilverKey Services
P.O. Box 2641
Loveland, CO. 80539
Phone: 720-538-6629
kbruscas@silverkeyservice.com
Project Details:
Project Number: A20-5293
Conducted: April27th 2020
1 � Page
TABLE OF CONTENTS
PROJECT OVERVIEW
1. Introduction
2. Scope of Work
3. Site Description
4. Certifications
S. Inspection, Sampling &Analytical Procedures
5.1 Inspection Procedures
5.2 Sampling Procedures
5.3 Analytical Procedures
6.0 Homogeneous Areas
6.1 Material Friability
6.2 Material Classifications
6.3 Material Conditions
6.4 Sample Quantities
7.0 Overview of findings
8.0 Findings & Recommendations
8.1 Asbestos Spill Responses
9.0 Asbestos Abatement & Demolition Requirements
10.0 Disclaimer & Limitations
2 1 Page
PROJECT OVERVIEW
1.0 Introduction
On April 27th 2020, Kevin Bruscas with SilverKey Services conducted a limited asbestos inspection
and collected asbestos bulk -samples of suspect asbestos -containing materials (ACM) within a
portion of the bathroom, bedroom, hallway and laundry room located at 10695 W. 26th Ave. Wheat
Ridge, CO 80215.
The purpose of the limited inspection was to identify and sample potentially hazardous friable and
non -friable AC M that may be impacted by subsequent restoration activities.
2.0 Scope of Work
The scope of the limited inspection and bulk -sampling was limited to specific areas of the residence
defined by the contractor. The following areas include: the bathroom shower tile and grout, bathroom
tile flooring and grout, laundry room tile flooring and mastic, bathroom wall surfacing material,
bedroom wall surfacing material, bathroom wall joint compound/drywall, as well as the hallway wall
joint compound/drywall. The remaining areas within the residence, garage or any outbuilding on the
property were not included in the scope of the inspection. The limited asbestos inspection did not
constitute a full building inspection and does not fulfill the asbestos inspection requirements for
structures that are to be demolished.
3.0 Site Description
Single Family Residence
4.0 Certifications
The limited asbestos inspection and bulk -sampling was conducted by Kevin Bruscas with SilverKey
Services. Kevin Bruscas is a Colorado Department of Public Health and Environment (CDPHE)
certified Building Inspector; having certification number 25338.
5.0 Inspection, Sampling & Analytical Procedures
5.1 Inspection Procedures
The limited asbestos inspection was conducted by an Environmental Protection Agency (EPA) and
CDPHE certified Building Inspector. The inspection procedures included identifying and sampling
suspect ACM within the pre -defined areas, submitting samples to an accredited laboratory for
analysis, classifying the materials and assessing their condition, and compiling a final report
detailing the inspection and the analytical results of the bulk -samples.
3 1 Page
5.2 Sampling Procedures
Statistically random bulk -samples representative of the suspect ACM of each homogeneous area
were collected according to the guidelines published as EPA Final Rule: Title II of the Toxic
Substances Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40
CFR, Part 763 and CDPHE Regulation Number 8, Part B- Asbestos (Reg. 8).
SilverKey Services has collected the appropriate number of bulk -samples to meet all regulatory
requirements for the classification and quantity of each homogeneous area. Some minor destructive
sampling was conducted; however, walls, columns and perimeter pipe chases were not broken into
in order to locate and quantify suspect ACM. SilverKey Services is not responsible for repairing the
damage from collecting bulk samples. It should be noted that additional ACM might be located in
these and other inaccessible areas.
Materials containing less than 1% asbestos are not regulated by CDPHE Regulation 8, Part B -
Asbestos. However, all demolition/abatement activities should be performed following the
applicable Occupational Safety and Health Administration (OSHA) regulations. This would include,
but not limited to, the appropriate asbestos training for the type of material being
removed/disturbed as well as having a properly trained supervisor onsite, using wet removal
methods, wearing adequate personal protective equipment (HEPA-filtered particulate respirators),
medical surveillance of workers, personal -exposure air monitoring, area air monitoring in occupied
buildings, etc. There may also be landfill disposal requirements for these materials, depending on
the facility. SilverKey Services recommends that all demolition/renovation areas involving any
amount of asbestos be subjected to visual inspections and a final clearance air testing by a
CDPHE-certified Air Monitoring Specialist (AMS) after the work has been completed, but before any
containments are dismantled and the area is reoccupied.
5.3 Analytical Procedures
All asbestos bulk -samples were analyzed by a National Voluntary Laboratory Accreditation
Program (NVLAP) accredited laboratory via Polarized Light Microscopy (PLM) for asbestos content
(see Appendix B for laboratory report).
6.0 Homogeneous Areas
A Homogeneous Area (HA) includes materials that are uniform in appearance, color, texture and
date of application. The asbestos content of the bulk -samples collected within a homogeneous area
can be applied to the entire homogenous area if they conform to the above characteristics and the
regulated minimum sample quantities of each type of material are collected and analyzed.
6.1 Material Friability
A material can either be friable or non friable. A friable material is one that, when dry, can be
pulverized, or reduced to powder by hand pressure, a non -friable material cannot. A non -friable
material may become friable if its condition had deteriorated or has been impacted by forces that
have rendered it friable.
4 1 Page
6.2 Material Classifications
Sampled materials are divided into one of the following three categories:
• Surfacing Material: sprayed or troweled onto structural building members
• Thermal System Insulation (TSI): any type of pipe, boiler, tank, or duct insulation
• Miscellaneous Material: all other materials not classified in the above two categories
6.3 Material Conditions
Sampled materials are placed into one of the three following categories of conditions:
• Good: none to very little visible damage or deterioration
• Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or otherwise
abraded over less than one-tenth of the surface if the damage is evenly distributed, or one-quarter if
the damage is localized
• Significantly Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or
otherwise abraded over greater than one-tenth of the surface if the damage is evenly distributed, or
one-quarter if the damage is localized
6.4 Sample Quantities
SilverKey Services collected at least the minimum number of samples from each homogeneous area
necessary to meet all regulatory requirements for the quantity of material to be disturbed. The
quantities listed in this report are approximate and on-site verification of the exact quantity of each
material is required. The following outlines the minimum sample quantities required per
homogeneous area:
• Surfacing Materials: up to 1,000 ft2 of material requires a minimum of three (3) samples; between
1,000 ft2 and 5,000 ft2 of material requires a minimum of five (5) samples; over
5,000 ft2 of material requires a minimum of seven (7) samples; one (1) sample of each patch
• Thermal System Insulation (TSI): each homogeneous area requires a minimum of three (3)
samples; at least one (1) sample must be collected from each patch; and collect enough samples
sufficient to adequately assess the material and determine the asbestos content for TSI fittings such
as pipe elbows or T's.
• Miscellaneous Materials: collect enough samples sufficient to determine the asbestos Content
7. Overview of Finding
Asbestos was reported within some of one or more of the samples collected. Therefore, abatement
of these materials will be required. SilverKey Services collected a total of (17) asbestos
bulk -samples of (8) homogeneous areas.
Table 1 below describes the materials composing each homogeneous area as well as the locations of
each bulk -sample collected. Also listed is the classification, condition, friability and estimated
quantity of material to be removed and/or disturbed, as well as the asbestos content within each
bulk -sample. Please see Appendix B: Analytical Data for the layer break -down of each bulk -sample.
5 1 Page
ASBESTOS SURVEY COLLECTION DATA
HOMOGENEOUS SAMPLING AREA: HA1
MATERIAL DESCRIPTION: Tile
COLOR: White
PATTERN: Square
QUANTITY. 60 sq ft
CONDITION: G
MATERIAL CATEGORY: MM
LOCATION: Bathroom shower
# OFSAMPLES TAKEN: 2
SAMPLE ID NUMBER(S): HA1-001, HA1-002
RESULT: ND
FRIABILITY: Non -friable
HOMOGENEOUS SAMPLING AREA: HA2
MATERIAL DESCRIPTION: Adhesive
COLOR: Tan
PATTERN: NA
QUANTITY. 60 sq ft
CONDITION: G
MATERIAL CATEGORY: MM
LOCATION: Bathroom shower tile
# OFSAMPLES TAKEN: 2
SAMPLE ID NUMBER(S): HA2 -003, HA2 -004
RESULT: ND
FRIABILITY: Non -friable
HOMOGENEOUS SAMPLING AREA: HA3
MATERIAL DESCRIPTION: Tile
COLOR: Black, white
PATTERN: Square
QUANTITY. 40 sq ft
CONDITION: G
MATERIAL CATEGORY: MM
LOCATION: Bathroom flooring
# OFSAMPLES TAKEN: 2
SAMPLE ID NUMBER(S): HA3-005, HA3-006
RESULT: ND
FRIABILITY: Non -friable
6 1 Page
HOMOGENEOUS SAMPLING AREA: HA4
MATERIAL DESCRIPTION: Grout
COLOR: White, tan
PATTERN: NA
QUANTITY. 40 sq ft
CONDITION: G
MATERIAL CATEGORY: MM
LOCATION: Bathroom tile flooring
# OFSAMPLES TAKEN: 2
SAMPLE ID NUMBER(S): HA4-007, HA4-008
RESULT: ND
FRIABILITY: Non -friable
HOMOGENEOUS SAMPLING AREA: HAS
MATERIAL DESCRIPTION: Tile
COLOR: Off white, beige
PATTERN: Square
QUANTITY. 200 sq ft
CONDITION: G
MATERIAL CATEGORY: MM
LOCATION: Laundry room flooring
# OFSAMPLES TAKEN: 2
SAMPLE ID NUMBER(S): HA5-009, HA5-010
RESULT: ND
FRIABILITY: Non -friable
HOMOGENEOUS SAMPLING AREA: HA6
MATERIAL DESCRIPTION: Mastic
COLOR: Clear
PATTERN: NA
QUANTITY. 200 sq ft
CONDITION: G
MATERIAL CATEGORY: MM
LOCATION: Laundry room tile flooring
# OFSAMPLES TAKEN: 2
SAMPLE ID NUMBER(S): HA6-011, HA6-012
RESULT: ND
FRIABILITY: Non -friable
7 1 Page
HOMOGENEOUS SAMPLING AREA: HA7
MATERIAL DESCRIPTION: Surfacing material, drywall
COLOR: White, beige, off white
PATTERN: Orange peel
QUANTITY. 600 sq ft
CONDITION: G
MATERIAL CATEGORY: SM, MM
LOCATION: Bathroom wall, bedroom wall
# OFSAMPLES TAKEN: 3
SAMPLE ID NUMBER(S): HA7-013, HA7-014, HA7-015
RESULT: 3% Chrysotile in surfacing material
FRIABILITY: Friable
HOMOGENEOUS SAMPLING AREA: HA8
MATERIAL DESCRIPTION: Joint compound
COLOR: Beige, white
PATTERN: NA
QUANTITY. 600 sq ft
CONDITION: G
MATERIAL CATEGORY: MM
LOCATION: Bathroom wall, hallway wall
# OFSAMPLES TAKEN: 2
SAMPLE ID NUMBER(S): HA8-016, HA8-017
RESULT: 3% Chrysotile
FRIABILITY: Friable
ND -Non -detect D -Damaged MM -Miscellaneous Material
HA- Homogenous Area G -Good SM -Surfacing Material
TR -Trace, <1% SD -Significantly Damage TSI -Thermal System Insulation
It is the responsibility of the asbestos abatement company to give a scope of work for all
abatement.
8 1 Page
8. Findings & Recommendations
ACM was identified within the following areas: the bathroom wall surfacing material, bedroom wall
surfacing material, bathroom wall joint compound, as well as the hallway wall joint compound that were
within the scope of the limited inspection and bulk -sampling performed on April 27th 2020; therefore,
professional abatement activities are required to remove or disturb the above -reference sampled materials.
ACM was not impacted or disturbed. We do not consider this a spill; SilverKey Services recommends that
when ACM is removed/abated, that only a licensed asbestos abatement contractor using personnel trained
in the handling of ACM be allowed to conduct such activities using appropriate methods (BEPA- filtered
vacuuming, wet cleaning methods, respiratory protection, protective clothing, personnel decontamination,
negative -air enclosures, air monitoring, etc.).
For all spills, SilverKey Services recommends that all soft goods (carpet, pad, clothes, couches, etc.) and
any ceiling and/or wall surfacing restoration activities be removed from the interior of the building as
asbestos waste. SilverKey Services also advises that only hard surfaces (plastic, metal, wood, concrete,
etc.) are allowed to be left in place before the final visual and final air clearance tests are completed.
SilverKey Services urges that electronics and appliances (refrigerators, air conditioners, DVD players,
microwaves, toasters, etc.) are removed due to the mechanical openings and working parts that make it
difficult to clean thoroughly.
8.1. ASBESTOS SPILL RESPONSES
Major Spill Response Protocols
If ACM is significantly damaged and the total quantity exceeds the regulatory trigger levels, the area is
deemed a "Major Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section
IILT.1. — Major Asbestos Spills, as outlined below.
Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly
impacted by the Major Asbestos Spill to determine if asbestos -containing dust/debris has spread to
adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be
included in the scope of professional abatement and decontamination.
The following response actions must be followed per Colorado Reg. 8 when a Major Asbestos Spill
occurs:
• Restrict access to the area and post warning signs to prevent entry to the area by persons other than
those necessary to respond to the incident.
Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to
other areas.
• Immediately contact the Division by telephone, submit a notification in compliance with subsection
IILE. (Notifications) and, if in an area of public access, apply for a permit in accordance with
subsection BI.G. (Permits).
9 1 Page
• Be exempted from the requirements to have a certified Supervisor on-site at all times, until such time as
the immediate danger has passed. Any cleanup or asbestos abatement that must occur after the
immediate danger has passed shall be supervised by a person certified by the Division.
Using certified Supervisors and certified Workers in accordance with section IL (Certification
Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated
areas and establish none- detect air pressure within the contaminated area in accordance with paragraph
IILJ. (Air Cleaning and None- detect Pressure Requirements). This is to be accomplished using
polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances,
grills, drains, grates, diffusers and skylights.
• HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the
contaminated area, or discard these materials.
• Launder or discard contaminated clothing in accordance with subsection IILR. (Waste Handling).
• HEPA vacuum or wet clean all surfaces in the contaminated area.
• Discard all materials in accordance with subsection IILR. (Waste Handling).
• Following completion of subparagraph III.T. La. through III.T. Li. above, comply with air monitoring
requirements as described in subsection IILP. (Clearing Abatement Projects); air samples shall be
collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except
that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area
and comply with any other measures deemed necessary by the Division to protect public health.
Minor Spill Response
If ACM is significantly damaged and the total quantity is less than the regulatory trigger levels, however,
more than three square feet or three linear feet (3 112/3 hi/ft.), the area is deemed a "Minor Asbestos
Spill." The area is consequently subject to the requirements in Reg. 8, Section IILT.2. — Minor Asbestos
Spills, as outlined below.
Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly
impacted by the Minor Asbestos Spill to determine if asbestos -containing dust/debris has spread to
adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be
included in the scope of professional abatement and decontamination.
The following response actions must be followed per Colorado Reg. 8 when a Minor Asbestos Spill
occurs:
• Restrict access to the area and post warning signs to prevent entry to the area by persons other than
those necessary to respond to the incident.
• Shutoffortemporarilymodifytheairhandlingsystemtopreventthedistributionofasbestosfiberstoother
areas.
• Using certified Supervisors and certified Workers in accordance with section IL (Certification
Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated
10 1 Page
areas and establish none -detect air pressure within the contaminated area in accordance with paragraph
IILJ. (Air Cleaning and None -detect Pressure Requirements). This is to be accomplished using
polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances,
grills, drains, grates, diffusers and skylights.
• HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the
contaminated area, or discard these materials.
• Launder or discard contaminated clothing in accordance with subsection IILR. (Waste Handling).
• HEPA vacuum or wet clean all surfaces in the contaminated area.
• Discard all materials in accordance with subsection IILR. (Waste Handling).
• Following completion of subparagraph III.T. La. through III.T. Li. above, comply with air monitoring
requirements as described in subsection IILP. (Clearing Abatement Projects); air samples shall be
collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except
that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area
and comply with any other measures deemed necessary by the Division to protect public health.
9.0 Asbestos Abatement & Demolition Requirements
If ACM is to be removed or disturbed in a single-family residence, and the total quantity exceeds any
of the regulatory trigger levels of 50 linear ft. on pipes, 32 112 on other surfaces, or the volume
equivalent of a 55 -gallon drum, a CDPHE-certified General Abatement Contractor (GAC) is required
to perform the work. The regulatory trigger levels within a commercial building are 260 linear ft. on
pipes, 160 112 on other surfaces, or the volume equivalent of a 55 -gallon drum. In addition, formal
notification to CDPHE prior to the abatement of ACM as well as air monitoring, visual inspections,
and final air clearances by a CDPHE-certified Asbestos AMS is required.
CDPHE regulations allow for the demolition of a building that contains non -friable asbestos
containing materials, such as caulking, mastic or resilient floor tiles. However, demolition must be
completed without causing the non -friable ACM to be rendered friable. Burning a building with any
ACM is prohibited. Operations such as sanding, cutting, crushing, grinding, pneumatic jacking, etc. of
ACM are not permitted. Recycling of building materials such as concrete, metal, or wood that are
bonded or contaminated with ACM, e.g. glue, caulking, or mastic is also prohibited. If any of the
non -friable asbestos containing materials are to be recycled and rendered friable after demolition
(i.e. 7 crushing mastic -coated concrete), these materials must be abated of all ACM prior to shipping
offsite for recycling. OSHA regulations regarding occupational exposure during demolition activities
is still mandatory. OSHA 29 CFR 1926.1101 requires that workers performing construction -related
activities be protected from asbestos fibers in excess of the permissible exposure limit of 0.1 f/cc of
air. Contractors are must comply with applicable provisions of OSHA 29 CFR 1926.1101 during
demolition and renovation activities. These OSHA provisions include, but are not limited to, PPE
and respirators, personnel training, personal -exposure air monitoring, employee medical
surveillance, wet removal methods, signage for regulated areas, etc.
111 Page
10.0 Disclaimer & Limitations
The activities outlined in this report were conducted in a manner consistent with a level of care and
expertise exercised by members of the environmental consulting and industrial hygiene profession.
All activities were performed in accordance with all applicable federal, state, and local regulations
as well as generally accepted standards and professional practice. No warranty is either expressed
or implied. SilverKey Services assumes no responsibility or liability for error in public information
utilized, statements from sources other than SilverKey Services, or developments resulting from
situations outside the scope of this project.
The details provided within this report outline the inspection activities on the date(s) indicated and
should not be relied upon to represent conditions at a later date, the limited number of bulk
samples collected, and the laboratory results of those bulk -samples. The laboratory results
contained in this report apply specifically to the materials in which bulk -samples were collected.
The results do not include or apply to any other materials within the structure that were not
sampled, but may contain asbestos; including materials that may be hidden or inaccessible.
Additional inspection and bulk -sampling activities would be required to determine if any other
materials contain asbestos. This report has been prepared on behalf of and exclusively for use by
the Client, with specific application to their project as discussed in the scope of work. The results of
any surfacing material indicated in this report also includes any associated overspray of that
material, e.g., under carpet, above suspended ceilings, etc. The information contained in this report
is intended as supplementary material for abatement design and is not to be used as the scope of
work for abatement activities, bidding or billing purposes. Contractors or consultants reviewing
this report must draw their own conclusions regarding further investigation or remediation
deemed necessary.
Thank you for your business.
Sincerely,
Kevin Bruscas
State of Colorado Building Inspector Accreditation No: 25338 Exp. 2/26/2021
12 1 Page
13 1 Page
14 1 Page
1:; eurofins
CEI
April 28 2020
PC Box 2641
Loveland CO 80539
CLIENT PROJECT 10695W 26th Ave Meek Ridge CO
CEI LAB CODE A205293
anabss
The �heinon were
aaanalysedrrzored for ea
sbesospusnq operating fight microscopy
PLM) per the EPA eoo m
Sample results
ls
(AGMs) per EPA regulatory requirements mt
The notation limit for the EPA eoo Aended asbestos are considered asbestioscontaiding ase<tam
asbestos by weight as determined by visual asimauon
anode Bar PhD Clud
aboratiory Director
NVLA�
{.k eurofins I CEI
ASBESTOS ANALYTICAL REPORT
By: Polarized Light Microscopy
Prepared for
SilverKey Services, LLC
ti•$eurofins c[i AsbesttossRRXport Summary
PROJECT: 10695 of 26th Ave Wheat Ridge CO LAB CODE: A205293
BELLHOP EFdA600fR93flI6ancEFdA600fNR82f020
Lee 06
M5528
Rage Ad
Client ID
Laver Lab ID
Color Sample Desorphon
CaT
HAT 01
M5523
obbe Carl
Cone Deadeated
Lee 06
M5528
Back Monte
Ce a To Be
Cone Deadeated
HAT07
M5529
obbe Tan
Graft
Cone Deadeated
HAT08
M5530
obbe Tan
Graft
Cone Deadeated
Mae 09
M5531
Off white Beige
Moor Be
Cone Deadeated
Mae 10
M5532
Off white Beige
Moor Be
Cone Deadeated
LAB 11
M5533
(var
oboo
Cone Deadeated
HA' 14
Liver 1
M5536
obbe
Lahore
Cone Deadeated
There
M5536
Edge
Toothe
bove
M5536
Off white
overall
Cone Deadeated
HA' 15
Liver 1
M5537
Beige
Lahore
EMMMZZF—
There
M5537
Off white
overall
Cone Deadeated
HAS 16
M5538
Beige
Coro Conpand
EMMMZZF—
HAS 17
M5539
Beige Monte
Coro Cong on nd
EMMMZZF—
tit Lau Yofins c[i ASBESTOSRBULK ANALYSIS
ChNdnd
Slivendei LLC
Lab Ridge
A205293
OR Box 2641
DateRecedued
04 28 20
AS COMPONENTS
Loveland CO 80539
Dee AnaKinal
04 28 20
Desonoon
Aftribles Ri
nee Reporded:
04 28 20
HAT 01
Real
ON To geneous
100%
ASBESTOS BULK FEEL EPA
600 METHOD
Client IN
Lab
Lab NO NA S BEST
AS COMPONENTS
ASBESTOS
Lab IN
Desonoon
Aftribles Ri
Non Serous
AS
HAT 01
Real
ON To geneous
100%
Binder
bond Deaced
AS 5523
Ord te
Son brous
Teddy Bound
HAT 02
Read Be
ON To geneous
100%
Binder
bond Deaced
M5524
Ord te
Son brous
Teddy Bound
HNE 03
Audi
ON To geneous
100%
ON Ad
bond Deaced
AS 5525
Tan
Son brous
Teddy Bound
HNE 04
Audi
ON To geneous
100%
ON Ad
bond Deaced
AS 5526
Tan
Son brous
Teddy Bound
HAS 05
Read Be
ON To geneous
100%
Binder
bond Deaced
AS 5527
Beck me
Son brous
Teddy Bound
HAS 06
Read Be
ON To geneous
100%
Binder
bond Deaced
M5528
Beck me
Son brous
Teddy Bound
LAB 07
Ol
ON To geneous
80%
Binder
bond Deaced
M5529
Mae Tan
20%
Sides
Son brous
Teddy Bound
tit Lau Yofins c[i ASBESTOSRBULK ANALYSIS
Change
Slivendi LLC
Lab Ridge
A205293
TO Box 2641
DateRecedued
04 28 20
NO NA S BEST AS
Loveland CO 80539
Dee AnaKinagook
04 28 20
nee Repcorded:
04 28 20
Probbect
10695 W 26th Ave VRTLeat Ridge CO
WEA 08
Gum
ASBESTOS BULK FEEL EPA 600 METHOD
Client In
ON
ON
NO NA S BEST AS
COMPONENTS
ASBESTOS
WEA 08
Gum
W To geneous
80%
Binder
Long �d
M5530
Mae Tan
20%
Sides
Son along
Teddy Bound
M5531
Off Anne Beige
Son along
Teddy Bound
M5532
Off Anne Beige
Son along
Teddy Bound
M5533
Cear
Son along
Bound
M5534
Cear
Son along
Bound
M5535
Off Anne
5%
palm
Belong
Bound
red Needs
immuermedurepregra
HAS 14
To an re
No te rogeneous
5%
palm
Long Demboded
Timor 1
Ord te
60%
AN 10 Art
M5536
Son along
35%
Binder
Bound
tit Lau Yofins c[i ASBESTOSRBULK ANALYSIS
Change
Slivendi LLC
Lab Ridge
A205293
TO Box 2641
DateRecedued
04 28 20
ON
Loveland CO 80539
Dee AnaKinagook
04 28 20
ASBESTOS
nee Repcorded:
04 28 20
Probbect
10695 W 26th Ave VRTLeat Ridge CO
ASBESTOS
BULK FEEL EPA
600 METHOD
Client In
ON
ON
NO NA S BEST AS
COMPONENTS
ASBESTOS
To ogre
Legend
Heterogeneous
5%
palm
M5536
Beige
60%
Cole Art
Son along
32%
Binder
Bound
M5536
Off Anne
Remus
Bound
HAS 15
To an re
No te rogeneous
5%
palm
cmel
Timor 1
Beige
60%
AN 10 Art
M5537
Son along
32%
Binder
Bound
M5537
Off Anne
Remus
Bound
NEE 16
Jort Compound
No te rogeneous
5%
palm
cmel
M5538
Beige
60%
Cole Art
Son along
32%
Binder
Bound
NEE 17
Jort Compound
No te rogeneous
5%
palm
cmel
M5539
Beige Anne
60%
AN 10 Art
Son along
32%
Binder
Bound
W eurofins I CEI
LEGEND Ni -NALACcessfiroff AnthophylIfte
CacCad - calcium carbonate
REPORTING LINT: A% by feel esfirsation
REPORTING LINT FOR POINT COUNTS: 0 25% bi Ponsor 0 1% by 1 000 Points
vinyl door tiles yen be dinclut to analysis via deduced Light microscopy FPLM) EPA recommendsthid
all NOBst analysed by PLM and Found not to contain asbestos be further analysed by Transmission
Election recroscopy, JEM) Please note thyd PLM endives of duck and per samples Ex asbestos is
feel
This repcom relates onlyto the pampas tested or analysed and may not be reproduced except in Pull
Schout when appri by Fri CEI Fri CEI makes no warrarty representation regarding
the accuracy of clent submitted information in preparing and presenting analytical results
Interpretation ofthe analytical results is the belde responsibility ofthe bent Samples was reversed in
acceptable condition unless otherpre noted This report may not be used by the clent to claim
lA.Am�iona,ovdedby as e�desaromeP a000..nLaboratory Director
NVLA�E
tiff eurofins
730 SE Maynard Road, Cary, NC 27511
Tel: 866-481-1412; Fax: 919-481-1442
CHAIN OF CUSTODY
CEILAB USE ONLY: -
RJY�7�1 D
CEI Lab Code: cr
CEI Lab I.D. Range- p cj
COMPANY INFORMATION
PROJECT INFORMATION
CEI CLIENT#:
Job Contact: coe lI di ons,
Company: L
Email / Tel:
Address: P. Q A
ProjectName: p y,�- GJ . Z& HA
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Project ID#: he. -,4 j2, 10
Email: Iz bt .I e W (L U
PO #:
Tel: ^ -5 3 Fax:
STATE SAMPLES COLLECTED IN:
IF TAT IS NOT MARKED STANDARD 3 DAY TAT APPI IFC
A S
METHOD
4 HR
8 HR
TURN AROUND TIME
1 DAY 2 DAY
3 DAY
5 DAY
"15LM BULK
PA 600
®
❑
❑
❑
❑
❑
POINT COUNT 400
EPA 600
❑
❑
❑
❑
❑
❑
PLM POINT COUNT 1000
EPA 600
❑
❑
❑
❑
❑
❑
PLM GRAV w POINT COUNT
EPA 600
❑
❑
❑
❑
❑
PLM BULK
CARB435
❑
❑
❑
❑
❑
PCM AIR
NIOSH 7400
❑
❑
❑
❑
❑
❑
TEM AIR
EPA AHERA
❑
❑
❑
❑
❑
❑
TEM AIR
NIOSH 7402
❑
❑
❑
❑
❑
❑
TEM AIR PCME
180 10312
❑
❑
❑
❑
❑
❑
TEM AIR
ASTM 6281-15
❑
❑
❑
❑
❑
❑
TEM BULK
CHATFIELD
❑
❑
❑
❑
❑
TEM DUST WIPE
ASTM D6180-05 (2010)
❑
❑
❑
❑
❑
❑
TEM DUST MICROVAC
ASTM D5755-09 (2014)
❑
❑
❑
❑
❑
❑
TEM SOIL
ASTM D7521-16
❑
❑
❑
❑
TEM VERMICULITE
TEM QUALITTATIVE
CINCINNATI METHOD
IN-HOUSE METHOD
❑
❑
❑
❑
❑
❑ ❑ ❑
❑
OTHER:
I
❑
❑
❑
❑
❑
❑
REMARKS / SPECIAL INSTRUCTIONS:
will
ni Accept Samples
0 Reject Samples
Relinquished BY:
DatelTime
Receiv
Date/Time
Sa 1 b
mp es a disposed or 30 days after analysts
Page _ of _
Version: CCOC.01.18.1/2.LD
90 eu
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SAMPLING FORM
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lCompany: SilverKey Services
Type of job
Conditions: G -Good D -Damaged SD -Significantly Damaged
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Page Of
Version: CC0C.11.19.2Q.LD
ALL WORK SHALL COMPLY WITH 2012 IRC,
2012 IECC, 2017 NEC, COLORADO
PLUMBING CODE
city of
Wheat Ridge
NO WORK DONE UPSTAIRS
Cay nr
j1 -id
f W }seat
REPLACE WINDOWS IN BEDROOM
APPROVED
REPLACE WINDOW IN BATHROOM
Revieweo for Code Compliance
BRANDON F 4/27/2020
REPLACE WINDOW IN KITCHENETTEPlans
Examiner Dale
,run.wxmm:,ma,,,mreacwrmrtw maw'aor"u m« .
REPLACE BEDROOM FLOORING
" ew ""mem• " xe =nn ww d m m as_"" m
mx ame wwis""ugme a."eny.mea-a"d e'q��. �mne
REPLACE LIVING ROOM FLOORING
"r.wmmp m yn. "Krmr m ✓"x" vmrcn w. r.w,m,. gme.Ym",p
manu"mnwarx".am.a .r �,awxa
BUILD KITCHENETTE
NOT APPROVED AS AN
REPLACE UTILITY FLOORING
INDEPENDENT DWELLING UNIT.
SEE GARAGE MODIFICATIONS
183
REMODEL BATHROOM (SEE PAGE103)
111-10" 5'-0"
,-5" 20'-0"
5'
Z
4' RAMP
\
BEDROOM'
PANTR 5'x5' PLATFORM
5' RADIUS
o
ih
� —'�
l�
8'RAMP
CLOSE
UTILITY
CLOSE
w
5'X5' PLATFORM
a' 3'- 11 318"
8' -11" WIDEN DOOR TO 36"
w 7ro
LL
fV
LIVING ROOM
GARAGE
SLIDING DOOR
BASEMENT
n
1/8" = 1'-0"
BASEMENT REMODEL
HERTEL RESIDENCE
10695 W 26TH AVE.Date
101
4/9/20 Issue Date
Drawn by VF
WHEATRIDGE, CO 80215
Checked by JB
Scale 1/8"=V -f)"
city of
Wheat Ridge
ED
COUNTER W/ SINK REPLACE WINDOW
GRAB BARS
NEW HAND HELD
SHOWER W/
W/ PIPES WRAPPED
ANTI -SCALD
TO PREVENT SCALDING
VALVE
J2
0
NEW 36'. _..........._,_�
BARN DOOR
p�
NEW NOW
/
1
SLIP FLOORING
5' TURNING
RADIUS
i
t
n BATHROOM
1/2"= T-0"
GRAB BARS
NEW 36"
DOOR
BATHROOM
REMODEL
HERTEL RESIDENCE
10695 W 26TH AVE.
Date 4//9/20 Issue
Date 103
WHEATRIDGE, CO 80215
Drawn by
VF
Checked by
JB Scale 1/2" =r.0-
1'-0"
NO WORK TO BE DONE UPSTAIRS
15'-4" 4'-81/2" 5'-0" T-5"
20'-0"
N
V
0
CC
BEDROOM
u
UTILITY
CLOSET CLOSET
GARAGE
w
o
a
Lu5
LIVING ROOM
(V
11
SLIDING DOOR
BASEMENT EXISTING
1
1 /8" = 1'-o„
C11y a
Wheat Ridge
Building Divison
BASEMENT
EXISTING
HERTEL RESIDENCE
'� 2
Date 1/22/20 Issue
Date
10695 W 26TH AVE.
Drawn by
VF
WHEATRIDGE, CO 80215
Checked by
JB
S Ie 1/8" = 1'-0"
ply of
Wheat Ridge
BRAN
42000 SERIES
TWO -SPEED
7" ROUND
RANGE HOOD
(42000 and 42000D Models)
Quality construction and ease of installation make
the 42000 the popular choice in vertically -ducted
economy hoods.
FEATURES
'Rocket -type fan and light switches
*Polymeric blade and light lens (accepts up to 75W bulb)
-Washable aluminum filter
-Mitered sides and hemmed bottom for safety and good
looks
*Model BP87 double -leaf damper (available separately or
included with 420000 Series)
*Contemporary styling in White. Almond and Stainless Steel
Available in 30" and 36" widths
:Special Order Color - Black (30" and 36" only)
•Special Order Size - 24" and 42" (White, Biscuit.
Almond and Stainless Steel only)
SPECIFICATIONS
VOLTS
JAMPS
I RPM
I SONES
ICFM
I DUCT
120
1 2.0
11750
1 6.0
1 190
1 7" Round
SPECIFICATION SHEET
TYPICAL SPECIFICATION
Range hood shall be Breen Model 42000.
Unit shall be ducted vertically into 7" round ductwork.
Motor to be permanently lubricated. RPM not to exceed
2750.
Unit shall have two -speed fan switch and separate light
switch.
Sides shall be mitered and bottom edge hemmed - with no
sharp edges.
Air delivery shall be no less than 190 CFM and sound level
no greater than 6.0 sones. All air and sound ratings shall
be certified by HVI.
Unit shall be U.L. listed.
®
HVI4100CEHTIFIEDRATINGSmmplywilh
new testing technologies and procodures
prescribed bVtire HomInstitute.
NVQ
Ioroeproducts. asthey ate available
to consumers. Product 0mlermanCe is
CERTIFIED
at 0.1 in. pressure,
rased at
to sial pleasure, based on
tests du m a e-artbase lost
laboratory. Sones are a measure of humanly- ��
perceived loudness, based on laboratory
O
measurements.
<ti
Broan-NuTone LLC, 926 West State Street, Hartford, WI 53027 (1-800-637.1453)
REFERENCE I QTY.
S
REMARKS
Project
Location
Architect 01
Engineer
Contractor
by
Date
60C;, u 99041057K
SuMMlT
C R2220
Product Features:
3.38" x 11.88" x 19.7" (H x W x D)
220V two -burner cooktop in black ceramic glass, made in
Europe
Highlights:
Two -burner electric cooktop with 230V operation
Smooth black ceramic glass surface offers easy cleanup
and modern style
Includes push -to -turn knobs and heat indicator light for
safer use
Smooth black surface made from Eurokera Easy cleanup and elegant style on a smooth ceramic glass surface
glass
Two heating elements 2 120OW burners, each with 6" diameter and manufactured for SUMMIT by E.G.O. of
Germany. considered by many to be the finest in the world
Push -to -turn controls Prevents accidents by requiring a small amount of force to turn on cooktop heat
Residual heat indicator light Indicates when surface is still hot to touch
Designed for built-in installation Fits counter cutout sizes that are 11 1/8" wide by 19 1/8" deep
ADA compliant design Upfront controls and easy -to -operate knobs offer easier accessibility
city of
Wheat Ridge
109 E�
uaaaq unw.
}; FJ
SUMMIT APPLIANCE DIVISION. FFLIX STORCFI, INC I ISO 9001.2015 Corlihed
770 Ganisan Avenue Bronx. NV 10474 USA TEL 718493.3900 FAX 8"4 478.6799 ® mfo@wmmnapphanm.wrn 1-41; w .summllappflance.
/N./ . - 7.
SUMMIT
Xp
;R2220 Specifications:
Overview
Height of Cabinet
3.38" (9 cm)
Width
11.88" (30 cm)
Depth
19.7" (50 cm)
Cabinet
Black
US Electrical Safety
UL
Canadian Electrical Safely
ULC
Voltage/Frequency
230 V AC/60 Hz
Weight
14.0 lbs. (6 kg)
Shipping Weight
30.0 lbs. (14 kg)
Parts 8 Labor Warranty
1 Year
Electric Cooklop
Heating Type
Radiant
Surface
Glass
Element Type
Glasstop
Number of Elements
2
controls
Dial
--Countertop Cutout Height
3.38' (9 cm)
Countertop Cutout Width
11.13" (28 cm)
Countertop Cutout Depth
19.13' (49 cm)
Pourer Source
230V
Element #1 Size
6.0" (15 cm)
Element #1 Wattage
1200.0
Element #2 Size
6.0' (15 cm)
Element #2 Wattage
1200,0
- 104 -
OEM
1 I
m
m
c'
TOP VIEW
r
cG7 G 0.-i -,, nor
FRONT ELEC.
- 11 -
- 118 -
n�
JL�J�
FRONT VIEW
SEALELEC.
1
MODEL: CR2220
240V•60HZ 240OW MAX.
city at ' � ` p r�
- Wheat Ridge IN/f/j-/\ �/1(�
Building Diviwn
PISA )71 l
SUMMIT APPLIANCE DIVISION- fFLIX S IURCH. INC I ISO 9(101
770 Gam . Avenue Bron.. NY 10474 USA TEL 718-893-3900 FAX 044-178-8799 mfo( summ,lapp iance.Com www.summitappllanc com
City of
wh6,at i dl Ie
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Electrical Subcontractor
This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR
performing electrical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
General Contractor:
b-0101 WILL NOT BF. ACCEPTED D %N l'I'i1 MISSING lNE'ORNIATlf)N
Company Name: 1� L1 � � � { � Contact Phone #:
Wheat Ridge Contractor License #:C' (required field)
State License #:
Master License #: I 1 IC , A --13C329
1-GU1Ab5 -iy" ne,
Printed Name of Authorized Agent
of Authorized Agent
Q Nz o-'
Date
City of
W heat �dge
COMMUNITY DEVELOPMENT
SUB -CONTRACTOR AUTHORIZATION FORM
This form must be signed by each sub -contractor.
This form will not be accepted with missing information.
Subcontractor's City of Wheat Ridge License number must be provided in the applicable space.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
General Contractor:
Electrical Sub -Contractor
rh Ik,? Permit #:
Compan., Name: c, it
State License #•
Wheat Ridge License #:
Signature of Authorized Agent
Phone #:
Master #:
(required field)
Date
I Plumbing Sub -Contractor I
Company Name:
hone #: 1r
7 /
State License #: ),�,.t�r Master #:
Wheat Ridge License #: (required field)
Signature of Authorized Agent
Mechanical Contractor
Date
Company Name: �k r cQ(+ V_Op4ione: 1
Whea i' e L en #: t gCO (required field)
Si @ re of Authorized Agent Date
City of
Wh6Rida-t
COMMUNITY DEVELO MEN -t
g
SUBCONTRACTOR AUTHORIZATION FORM
Plumbing Subcontractor
This norm must be completed & signed by the PLUMBING SUBCONTRACTOR
performing plumbing wort: on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
General Contraci
Fc� lKNJ WIJ I, NOT RF A!LA CL IITEQ WITH MISSING INFQRVIATICiR'
Company Name: Gt't Vl ' PJ Ob�1 Contact 1'Itane #: f
T
Wheat Ridge Contractor License #: V 60 l6 (#0 (required field)
State License #:
Master License
Iva
Printed Name of Authorized Agent
Signat a of Authorize Agent
5-1-20
Date
,*J, 0,� o 0 0, -) 0 �
City of
Wheat id
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Plumbing Subcontractor
This form must be completed & signed by [lie PLUMBING SUBCONTRACTOR
performing plumbing work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
General Contract
FORM WILL NOT HL A C L11TEU MISSING INVOLIMAT'ION
Company N attic: C( n ri e c � �1 Contact Phone #: >o 3 7(
Wheat Ridge Contractor License 4: V 60 l 6 (.0 (required field)
State License
Master License #: zfO
Iva
Printed Name cif Authorized Agent
,opaittrie of Authorize Agent _
Date
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: /6 .5.) f ./yA pc,6c, c\ I (-q
Job Address: 168 qS W '1641' Ave,.
Permit Number: 20 ] q 01 f,59
�T
❑ No one available for inspection: Time `AM
Re -Inspection required:' Yew No
*When corrections have been made, call for re -inspection at 303-234-5933
Date:_ ,- tL Inspector: /-;-----------
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanical PERMIT - 201901658
PERMIT NO: 201901658 ISSUED: 08/12/2019
JOB ADDRESS: 10695 W 26th Ave EXPIRES: 08/11/2020
JOB DESCRIPTION: Residential 199k boiler in basement.
*** CONTACTS ***
OWNER (303)274-7681 HERTEL LIVING TRUST
SUB (303)733-2813 TODD TERRY 022239 TODD TERRY LTD DBA APPLE AIRE
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Boiler Replacement 40.00
Total Valuation 0.00
Use Tax 294.00
** TOTAL ** 334.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all -work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
c / ,..
Signature of O or CO TRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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
appyca§le code or any prdmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of'
W heat fge
COMMUNITY Dr.V1:1.01'MFN"r
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permitsaci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
;1*1u
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: I C? Lolq (D
W P_ SA
A-� 121C r!;►
2, co was 0 2 (c::,
Property Owner (please print):
�°tr fi
L 1
Phone:.20?p
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer E-mail:
Phone:
Contractor Name:
City of Wheat Ridge License #: T22 _3 Phone: T:5r3 Z S I ?'
Contractor E-mail Address: t`(1J QJ '� C\ Q y i e G I Y- i Vl l- L (3'y-\/)
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Tty r Phone:
CONTACT EMAIL(please print): 11 t1 t'R 0''p? G1Y e \"L,. (,G iM
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Conriplete all Inighlighted fie;ds,
[--]COMMERCIAL []JRESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
BTUs ( 9 C+ G® G
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ i1r-KG
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 (AUT RIZED REPRESENT E) of (OWNER) (C NTRACT
< �-
Sip -nature (first and last name): DATE: S-1 0'
Printed Name: U61 \ h G ft2 SQ `n
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
AT f1,Pg ,NJ1T U S E ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
2.
City of "Wheat Ridge
Residential Roofing PERMIT - 093196
PERMIT NO: 093196 ISSUED:' 10/09/2009
JOB ADDRESS: 10695 W 26TH-AVE -EXPIRES: -04/07/2010
DESCRIPTION: Replace 684 sq ft of siding
CONTACTS
owner 720/291-3200 Mara Hartel
sub 248/594-3188 01-9232 Belfor USA Group, Inc.
PARCEL INFO
ZONE. CODE: UA USE: 'UA
SUBDIVISION: 0678 ' BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT :VALUATION: 5,000.00
FEES
Permit Fee .:144.70
Total Valuation .00 `'r_~f`~
r
' Use tax 90.00 (lj~'~r UOIJa 9
5. TOTAL )
234.70
a 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
.,water shield required from:eave edge to 2' inside exterior walls.
***Contractor/Property owner shall !provide :.ladder.(s) secured in place for
11
'inpsections.
Subject to field c-e-c-tIgn.
I hereby certify ha the setback Lstances proposed by this permit application are accurate, and do not violate applicable
ordinances, ru~s regulations 6f the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements s and allegat}onsmade are accurate, that I have. read and agree to abide by all conditions printed on this
application -that I assume full sesponsibili~ty for compliance with the Wheat Ridge Building Code (I.B C) and all other
applic at Ridge Ordi nces, for wor //under this permit. Plans subject to. field inspection.
Sig ture of cont ctor/owner 'date
This per twas issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to. the Zoning Regulations and Building codes of Wheat lRidge, Colorado or any. other applicable
ordinances of the city.
„2 This permit shall expire 180 days from the issue date. :Requests for an extension must be received :prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3 If this permit expires, :.a new permit may be acquired for a fee of-one half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year,'. full fees `shall
bepaid for a: new permit;
4. No :work of any manner shall be done that will change thenatural flow of water causing a drainage problem.
e S.
Contractor shall notify. the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6 The.. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
r an approval of, any violation of the provisions of the building codes or any other ordinance, law,' rule or regulation.
All.: plan re 'ew subject to field inspections.
Signature C f Building official :date
J`
~INSPE ION REQUEST LINE: (303)234-5933 BUILDING OFFICE.:. (303)235-2855<
REQUESTS MUST BE MADE BY 3PM ANY .BUSINESS `-DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
r
City of Wheat Ridge Building Division
Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
CO~ORA~O Inspection Line: 303-234-5933 - q~H~ -
Permit ` b
Building Permit Application
.
Property Address; /065/S Property Owner (please print): Phone: `)dc) "c2 9V Q i
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License G/C?a3- Phone: G3 - L/a S - < ~GCJ
Sub-Contractdrs:
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): Construction Value: $ S, 9~JU
Description of work: (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all condibonspri"e on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all otper app" ble Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. /
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENT E of (O NER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:/ _
iitined`I Bldg Valuation: $
p> •,-^.a ?~n„-;5~•~.rh"'~~n ~ , .~~'~`b,~!~"?aQ!~ei.,-'~, S~'^"~!sc , ; ,~''~'kYV4Y~~.~°E~'°.~`~!~'aar^ ~s~~k ~m5?~s~ " .
. . _ . . . „ - . . . ~ . _ . . • ,~+ik". . , . ~.:?~x.:.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pertnit Number : 95-1461
BUILDING IN3PECTION DNISION - 235-2855
- CiTY OF WHEAT RIDGE Date :7/20/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : KENNEDY CHARLES I
Property Address : 10695 26TH AV Phone : 233-3161
Contractor License No. : 18232
Company : Aaark Heating 8 A/C, Inc. Phone : 431 8015
ONMER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hareby certity that the setbadc tliatances proposed by thla pertnft epphcetion ere accurate,
and do not vrolate applroable ordinancea, rules or regulations of the City of VYheat Ridga or
covenanb, easemeMs or restrietions of record; that eN measuremeMS shown, and aHegaUons
made are acarate; that 1 have roadandeg reAeyto abkle pby all condidonapn nted on this the, aCo~de (U.B.C.j endeaN othe efu pp brela Whs~bit RWge lancesianoe for workwu deerRhiapeimk.in9
Construction Value :
Pertnit Fee :
Plan Review Fee :
Use Tax:
Total
$33.00
$0.00
$21.00
$54.00
(OWNER)(CONTRACTOR) SIGNED DATE
Description : EVAPORATIVE COOLER INSTALLATION AND ELECTRICAL HOOKUP
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
~ m m
(1) Risul ~N188,a e~~q"R~con°~0fda a~i ~,~co`~'wrew a~oe,~ u ~i ~ a°e cn~~ 1BN' au,~ saft a caoreao ena a me zo„i~
(2) aberqq~ied x for a p of 120 N autlwnzetl b nM mmmenced wIMM alxy (80) days from isaue tlate w(B) the builtling sutlrorizetl is auapenCetl or
(3) LiL=aaZss lPBCifitatlO~tM~a~Yesus~P~ebn ot abantlonment heb nM~~cu~ one (t~Y ~r. N chenpes a eamn~de a suspeneslai aabentlonment
(4~ No wonc a a„y man~rsnan te done mst wm cnarwe me nnural now awaror ~uein a drainage problem.
~5 ConVaUa I euNdinp Inspeetar twenh•four (?A) houn In advance 1or aN PnepeMiaa and ehell recelve wdtten approval on inspec6on eeM berore
afes a Ilro lob
(s) a e i~o(~ «~a pha~hel M~ ~ Nee ~~uapBeifMatbns ahall not bo conatrued to be a pertnit tor, rror an approval of, am/ videtbn ot iha provlebns
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
- CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
Property Owner :r_ 'I 'e d y
h
Property Address : 14f-"6 95' lV
Contractor License No. 8~ 1-
Company:
Phone: 2, 3 3 _31e /
Phone : Z{_?J 'cPO /S
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity that the setback tlistances proposetl 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 af rewrd: that all measurements shown, antl allegations
made are accurate: that I have read and ayree to abide by all conditions printed on this
aopliwtion, antl that I assume full responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) antl all other applicable Wheat Ritlge ordinances, f ork u er Ihis permit.
(OWNER)(CONTRACTOR) SIGNED 'r'~ ATE
Description: L,5~~(~cJ~dn
_y-
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
P
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No Plumbing License No : Mechanical License No :(~.2
Company :A,1AK ry,/Y~/JYC Company : Company : 14,0,04K
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
A mi 11IRMsM91 0 MNGI N ~
(1) This permit was issue0 in accortlance with the provisions set torth in yopur appliqUon and ia subject to the lawa of the State of Coloredo anG to the Zoning
Ragulations anE Builtling Code of VJheal ftitlqe, Colo2CO or any oNer applicable ortlinances of the Ciry.
(2) This permit small expire i( (A) the work authonzeE is not commenceE wiNin sizry (60) days trom issue date or (B) the buildiny authorizad is suspended or
abandone0 br a period ot 120 daya.
(3) If Nis permH expires, a new pertnit may be acquire0 tor e lee of one-half the artqunt normaly require4 provlEed no Uanqea have been w will be maEa in the
onginal plana antl apetificatlona and any euspansion or abantlonment haa nol ezcee0etl ona (1) year. I( chanpes are metle or if nuspanslon or abandonment
ext88tle one (1) yeaL PoII feea anall be paiC tor a new pertniL
(4) Na work of any manner shall be done Ihat will chan8e the naNrol flow ol water causing a Crainage pmblem.
(5) ConVactor shall notiy the Building Inspector Iwenry-four (21) hours in atlvanca for all inspections and shall receive written approval on inspactlon wrtl before
proceetliing w successive phases ol the 1~ob.
(6) The issuan a permit or the aDO~oval ol rewings and specifiratlona shall not be eans W ed to be a pertnit for, nor an epproval of, any violation of the provisions
of V~e buildin yotles,pr any olher orginar law. rule or regulabon.
3uilding Inspector For Mayor
> PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
ConsUuction Value :
1 Y41°, -0 G
Permit Fee :
33 '"b
Use Tax :
U
Total:
3'41, e~n
7500 WEST 29th AVENUE
2345933 P.O. BOX 638
PFRMIT VALID ONLY WNEN SiGNED BY
DEPARTMENT OF GOMMUNITY DEVELOPMENT pERMl7 N0. M93#18890
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
CHfEF BUILDING
JOB ADDRESS " ~ -
CONTRACTOR nOOC TtI<-
ADDRESS
L'S
0 ZIP CODE 01 S
CITY
1 Q p p LICENSE NO.
AND RECEIPTED BELOW.
OWNER
I. ✓i
ADDRESS i
PHONE `3 ~!L~ ZIP CODE O 1 5
CONTRACT PRI E$ 4` OO.
DATE
PHONE -
eunE ❑
G
Woll❑
Praiectinp❑
Ofher Sa D Fate
7ypE
r
Totcl SQu
are Feet
2. MATERIAL
❑ No❑
Y
TY7e
Eiaf. Pvmit do.
ee
SIGNS 3. ILLUMINATION
W
Zone-
. Apprwsd,2one Inspocta
4. SE7 BACK FROM PROPERTY LME N
❑
5 Q E
~ ❑
DisoDDroved
(SOstity whith is lront )
lidr-i Mon Thon 90% ODenU
S
Less TAon 80% Open
o
I. TYPE
Hgiphf
MATERIAL FENCES
N
S
E
W
ZMe-
_ ApDrw~d,Zon~ In~pOota
3. SET BACK FROM PROPERTY LINE
❑
-
❑
❑ ❑
piaap0roved
(Soecitv which ie front)
.
I. ~
2.
OTHER
3.
pRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OF1 OTHER STRUCTURE,GIVItrG DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJ«710N5 INCLUDED)
~
SPECIFY NORTH
STREET NAME -
$NOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS,AND PROPERTY L~NES{ON IRREGULAR LATS,SlIOW L.EAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANI:E.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY I1PON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT $TARTED WITHIN THAT TIME. ERMIT
ELECTRICAL PERMIT
STATE UCENSE N0.
TEMPORARY METER
NEW SERVICE ° AMPS
ru.urc ccAVIGF - AMPS
WIRING
REMARKS
9
:RS d RELTFIERS
OLD WORK
RIHP
I Mreby acknowledpe thot this app~ico-
tion is conect and undentond Ihoi I
oonnot storl fhie Drojtltt until Ihis apDli'
tofion is a00roveA. I shall comply rith
tha lowf oi the S1ate of Colorodo and to
ths 2oninQ ReQulations ond Buildinp
Code of 1he City oi Wheat Ridpe. QnY
violotion ol the above ferme wdl couse
immedate revocofion of ihis Dermil
Pl_UMBING PERMIT
.
STATE LICENSE N0
FLOOR BSM IST 2N[
WATER CIASET
WASH BO~NL
BATH TUB
$HOWER
SINK
GARBAGE DISP
WATER HEATER
AUTO.WASNER
DISH WASHER
F~ppR DRAIN
URINAI
SEWERS
PERMIT PEE I `'\l ? -
USE TAX
TOTAL FEE $ C
APPROVED ~ ti ~
DISAPPROVED
CHIEF BUILDING SPECTOR,City of Wheat Ridqe
P
MECHANICAL P
Issued__ 173
CALL 2345933
24 HOURS IN ADVANCE
FOR INSPECTIONS
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
' .
Inspection Type: k.� �-; � ._
Job Address: ; l s ��r ►� )(,0' -ti, O.V(
Permit Number: C4 6,16 C> U --) o 1
y^f
❑ No one available for inspection: TimeQ AM/PM
Re -Inspection required: des) No
9
When corrections have been made, schedule for re -inspection online at:
http://www.ci.wheatridge.co.us inspection
U ' t-� ' �. Inspector:
Date:
DO NOT REMOVE THIS NOTICE
C.C. 4
► A 41 CITY OF WHEAT RIDGE
V, Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -inspection required: Yes 149°
When corrections have been made, schedule for re -inspection online at:
httpYAvww. ci. wheatridge. co. usfinspection
Date:.�� •Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
JobAddress:
Permit Number: 0 ox- C,
\A c
U No one available for inspection: Time —I AM/PM
Re -Inspection required: Yes Nop'
When corrections have been made, schedule for re -inspection online at:
httpLIAvww.ci.wheatridge.co.us4nspection
e?( -f , , ,
Date: ( V�. inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: )�-V\
Job Address:
Permit Number:
❑ No one available for inspection: Time ? 1 AM/PM
Re -Inspection required: Yes Nof
When corrections have been made, schedule for re -inspection online at:
httpYA,vww.ci, wheatridge.co.uslinspection
Date:' - _'�' ! r Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: A-1 V
Job Address: __0; 4"
Permit Number:
IJ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
hffpLIA4ww. ci. wheatridge. co. uslinspection
Date: Inspector:`
DO NOT REMOVE THIS NOTICE