The URL can be used to link to this page

Home My WebLink About5572 W 27th AvenueCITY OF WHEAT RIDGE '4Buffding 'Inspe t on'Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �/ �� p� Job Address: S 1�j `i•�a Permit Number: 5 ❑ No one available for inspection: Time<_-')�_, 1Cll/P1JI Re -Inspection required: .Yes No When corrections have been Mada, cal re -inspection at 303-234-5933 Date: ! Inspector: I'A-, DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929Fax INSPECTION NOTICE Inspection Type: ��!E►!_„ . Job Address: t PermitNumber: �2 ,3 ❑ No one available for inspection: Time'- ��it m m Re -inspection required:Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: Z Al' Inspector:.,- - .__. DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -�® `� - r7 Job Address: Permit Number: o) q 00 5 ❑ No one available for inspection: Ti. e ' AM/PM Re -inspection required: Yes `No "When corrections have been made, call for re -inspection at 303-234-5933 Date: q) Inspector: f� / LON'OT REMOVE THIS NOTICE City of Wheat Ridge Residential Detached Garage PERMIT - 201900243 r PERMIT NO: 201900243 ISSUED: 03/05/2019 JOB ADDRESS: 5572 W 27th Ave EXPIRES: 03/04/2020 JOB DESCRIPTION: Detached Garage 484 sq.ft. **REVISION: Adding 2-120 volts circuits from panel to garage. Add lights and outlets. Added valuation $1000 *** CONTACTS *** OWNER (303)907-8610 CLAUGUS MICHAEL GC (303)766-5577 Greg Moss 020689 Preferred Garages *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21,000.00 FEES Total Valuation 0.00 Plan Review Fee 235.82 Use Tax 441.00 Permit Fee 378.65 ** TOTAL ** 1,055.47 *** COMMENTS *** *** CONDITIONS *** Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. For one- or two-family dwellings, the first twenty-five feet (25') of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. Landscaping removed or damaged during construction must be replaced prior to final inspection. City of Wheat Ridge s Residential Detached Garage PERMIT - 201900243 � - PERMIT NO: 201900243 ISSUED: 03/05/2019 JOB ADDRESS: 5572 W 27th Ave EXPIRES: 03/04/2020 JOB DESCRIPTION: Detached Garage 484 sq.ft. **REVISION: Adding 2-120 volts circuits from panel to garage. Add lights and outlets. Added valuation $1000 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 ermit. I further attest that I am legally authorized to include all entities named within this document as partes 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 I. This permit was issued based on the information provided in the permit application and accompanyingppplans 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 maybe 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 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, Th ance or gran of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap i le de or 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. City of Wheat i ge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: V//O// � Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Properly Address: 7Z tj '- % ' l4 A v -e Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company: Contact Person: P,11 -1r /"i L W07 Phone: 720 275 (0 3 y( Contractor: mim Fl -e -(4o C Contractors City License #: � /P U b 9�/ Phone: 3o5 3 7 C 13 S Contractor E-mail Address: GLM U aM - DVh / /e C rrt6 L o Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work:: —1262 V : I'(-L.G(r'-/S 7 YoH^ h0' -t5 -e 7v y Gt uye Sq. Ft./LF Btu's Amps Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $1006) COO 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. CIRCLEO.IE: (OWNER) (CONTRACTOR) or (AUTHORIZEDREPRESENTA M/� PRINT NA E: / � CJ -4 0 Z SIGNATURE: ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS' Reviewer. PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: �D / OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 4 b City of Wh6 at �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: j 5 /2 W � �' Ili Permit #: c��1 ��d �� ; ` V General Contractor: lore ` 4 rr�q) I Electrical Sub -Contractor ` h, --i Company Name: AA9 pA1 Re [-7rl k Phone #: 0"3 311-1351e State License #: Master #: Wheat Ridge License #. Q Gf y (required field) Signature of Authorized Age Date Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date i CITY OF WHEAT RIDGE Building Inspbction Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: t f r) 4 % ✓ �a Permit Number: -VC,) r- . 6-Z2,R ❑ No one available for inspection:_Timel -::" ' AM M _� Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time M Re -Inspection required: es No� 4 When corrections have been made, call for re -inspection at 303-234-5933 Date:'-z� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9rBuildindInspection C ivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: A2 Job Address: - Permit Number:V ❑ No one available for inspection;. T -imp M Re -Inspection required: Yesx No_ - *When corrections have been matte; call for re -inspection at 303 -234 - Date: �Inspector:z,`.__ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Detached Garage PERMIT - 201900243 PERMIT NO: 201900243 ISSUED: 03/05/2019 JOB ADDRESS: 5572 W 27th Ave EXPIRES: 03/04/2020 JOB DESCRIPTION: Detached Garage 484 sq.ft., no electrical. *** CONTACTS *** OWNER (303)907-8610 CLAUGUS MICHAEL GC (303)766-5577 Greg Moss 020689 Preferred Garages *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00 FEES Total Valuation 0.00 Plan Review Fee 235.82 Use Tax 420.00 Permit Fee 362.80 ** TOTAL ** 1,018.62 *** COMMENTS *** *** CONDITIONS *** Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. For one- or two-family dwellings, the first twenty-five feet (251) of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. Landscaping removed or damaged during construction must be replaced prior to final inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Detached Garage PERMIT - 201900243 201900243 5572 W 27th Ave ISSUED: 03/05/2019 EXPIRES: 03/04/2020 Detached Garage 484 sq.ft., no electrical. 1, 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 erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. 1 further t at I a�Ilealill y authorized to include all entities named within this document as parties to the work to be perfrmed and the ed is disclosed in this document nd/or its' accompanying approved plans and specifications. Signatke-o?— OWNER or PONTRACTOR (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 originalpennit fee. 3. If this permit expires, a new pennit 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 pen -nit. 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. 5. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or Iordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date 1EQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �f Wheat P__.dge MUN1Ty DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: ' A 7 C Plan/Permit # a� o0 a 4/ 3 Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** �j S �- Property Address: ' Property Owner (please print): Phone:. O Ci-cG l':�V Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: SS�� el _ ��- City, State, Zip: Zit/ ��'I /"-I L)1;V/ Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License M r�1/)E?9 Phone: Phone. `5� /,- -'9 2� Contractor E-mail Address: 6'-n e�' " �'"'z'�9' �s , C For Plan Review Questions & Comments (please print): CONTACT NAME (please print): L �e f) Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Sq. FULF BTUs Gallons Amps Squares For Solar: KIN # 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) e OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ( NTRACT ORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): /�/ DATE: —'f? l Printed Name: �51� DEPARTMENT USE ONLY ( 7 ZONING COMMMENTS: ;—Z ohpo4 — C 5Q -Y%&6< OCCUPANCY CLASSIFICATION:y Trocersed : 2t' 12� I q 4C7 av(�J� CONSTRUCTION TYPE: V6 Reviewer: 7 � BUILDING DEP ENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: V- (6-- 11�;) Building Division Valuation: 20! (W Rev. 09/2017 RESIDENTIAL Building Permit - Plan Review Worksheet Address: 75-2 %-,/ Ave Lot Size: Property in the flood plain? Zoning: �F_ — ) C sq. ft. Lot Width: '`L S ft. If yes, notify PW Floodplain Administrator and add surveying condition FLD Subdivision: Any conflict? (Y/N) Related Cases: WA --r �� j�,,,� V'I Type of project (applicable survey conditions in parenthesis): At permit, we need: Survey at foundation: Survey prior to CO: ccessory ISP, ILC or site plan none if in floodplain (FLD) ❑ Addition ILC and site plan if w/in 2' of setback or in floodplain (FND) if in floodplain (FLD) ❑ New ILC and site plan yes (FND) if Win 2' of setback (NRS) if in floodplain (FLD) Maximum Lot Coverage: 4-y % Existing Improvements (footprints): House: sq. ft. Shed: sq. ft. Detached garage: sq ft. Other: sq. ft. sq. ft. Proposed Improvements (footprints): House/addition: sq. ft. Shed: sq. ft Detached Garage: sq. ft. Other: sq. ft. Total Existing sq. ft Proposed+Existing sq. ft Lot Coverage % Lot Coverage % Required Setbacks: FR S S 5 R Provided Setbacks: FR S S R For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition FND. Maximum Height: 5 ft. / Maximum Size: 600 sq. ft. Proposed Height: ft. r/ Proposed Size: q sq. ft. Does the bulk plane apply? (Y/N) If yes, does it meet on all sides (Y/N): FR Y S Y S Y R (See 26-642 and 26-120.C.1 — applies to all single-family structures (new, addition, accessory tR-1C and R-3) Nr� Parkland Conditions l Does the permit result in a new dwelling unit (new structure or conversion from non -res use)? If yes, have parkland dedication fees already been paid (eg with a previous land use approval)? If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG. Rev. 09/2017 Streetscape Conditions Does the permit result in any of the following conditions? l ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase gross floor area (not just the footprint) by 60% or more (proposed floor area Z,106i — existing floor area ) / existing floor area I t 5;7q _ % increase If any box above is checked... For SF/DUPLEX—Is there existing ❑ Curb ❑ Gutter L15 -ft+ sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, Streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Access onditions (apply to all new driveways, garages, additions, or new homes/units) For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. NIA- ❑ In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. N//�,-❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. W(,-❑ For all uses, one access point per property is permitted. N [AUscJ ndaping Conditions (apply to additions and new dwelling units) For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Frontage of lot - width of driveway ) / 70 = (round up for required trees) Street trees required: Street trees provided: ❑ 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. ❑ In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Dwelling Unit �J/A- ❑ Not approved as an independent dwelling unit. 0 The first 25' of a driveway from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick paver l p or similar material. Contact Dept of Public Works for ROW Permit 303-235-2861. K fN j�ECD Landscaping removed or damaged during construction must be replaced prior to final inspection. Owner/Contractor is responsible for locating property lines and constructing i Plan and requimprovements according to the a red development standards. pproved responsible for inaccurate info The City is not Plan set and an rmation submitted within the y inaccurate inforconstruction errors resulting from construction Reviewed for Zoning Compliance by the City of Wheat Ridge Planning Division APPROVED 9Y: DATE: 2 t' (2 ' •_..... COMMENTS: rw.Qo( City of W heat Pudoe COMMUNITY DEVELOPMENT APPROVED Reviewed. for Code CompHance ��I z: z�1 ham(examiner Date MOW or eenon The issaance of o PernNt or approwl 01pk m sped koftorw and mmPvraaons sheN not be o pernnt jb, or an approval q any MI~ to any of Mr prowstara of Me &Hk Y code or of ory my CM- nary. Fhrm/N pnw big to ywr arthortty to v"Wr or awxe! the prowawn cf a w &so tnp coda or~ ordinamn of the ory aw wt be va" pj2b-�46- C -T SWL- a/''1 /A -y C.,j(g-), 2012 1 K C M �o Ora it a CO C) o � iD City of , bo Wheat Ridge Building ildi,)gDivi,,,,, 12/29/16 Directions 1. Fill in the blanks on pages 2 and 4 with dimensions . and materials which will be used to build thea�� structure. Please print legibly. 2. Indicate in the check boxes on page 4 which details from page 5 will be used. Note: Heated garages will require insulation, such as ceilings, walls, and foundation. Dimension, Locate and detail bracing V Check one r arage is heated 4'Garage is not heated Show door and window header sizes rand location and size of landing in front of door 31/2" minimum concrete slab I 1 x12 Indicate rafter or truss direction Note: If roof trusses or rafter" bear on header, special header designimay be required — Double 2x4 or 2x6 Trimmers each end of overhead (door header Garage door opening Garage door opening width * If less than 4' see Braced Wall Panel Detail on Dimension*- page 5 to comply with section R602.10.6.2 (IRC) (minimum width 16" with wall 10' high) This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2015 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Floor slope Dim Dimension* Cir., of .. hoat Ric'' 12/29/16 Note: For roofs with slopes less than 4:12, follow manufacturer's instructions for low slope application of roofing material. This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2015 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. COPi, of 12/29/16 Max. 10' /2" x 10" steel anchor s 6'-0" Lap siding over 1/2" x 10" steel anchor bolts 6'- " . max., 7" min. 12" O.C. max., 7" min. penetration penetrat' wall height max. 12" from c 12' foundation a from corner an rom each end from each end of plate (mi inimum of 1" of plate bolts per plate). bolts per plate). ottom plate shall be min. 8" Bottom plate shall be treate above grade, or be treated Lap sidin ver foun ion a or be separated from concr a 6„ wood or decay resistive wood mini m of 1". by an impervious moisture barr(er and be 8" above gr de. Finished < . 3'iz" Minimum 1/2" grade concrete slab 3 Mini um Concret lab Fiberboard expansion joint P inished grade "•'' 36" in. or ide #4 rebar vert. @ 18' • #4 rebar min. below frost depth e: Check O.C. rt rebar into concrete cr 11 footing o way cont. to & with al Note: Check with local bottom 18" laps building department for #4 rebar min. continuo op of building department for 9 p swelling soils. stemwall & at footing with a s ,;, : 9 " P welling soils. Caissons Caissons may 1: ^ • m be required. T Extent of header with double portal frame (two braced wall panels) Extent of header with single portal frame (one braced wall panel) Tension strap per table Fasten King stud to R602.10.6.4 (on opposite side header with 6 16D 2' -18' Finished width of opening of sheathing sinkers for single or double portal pony wall • f height TI Min. 3" x 11.25" Net Header "• Fasten top plat( to header with ....... ; ; " : :: two rows of 16[ Typical portal :• • sinker nails at 3 1,000 Ib. strap opposite sheathing frame construction O.C. Typ. L Fasten plate to header with two rows of 16D sinker L a, nails at 3" O.C. typ. 4. For a panel splice 3 Fasten sheathing to header with 8D common or (if needed),panel 0 CD galvanized box nails in 3" grid pattern as shown and edges shall be o N blocked, and occur 0 3" O.C. in all framing (studs, blocking, and sills) typ. n within 24" of mid - as oMin length of panel per table R602.10.5 height. One row of E typ. sheathing -to- `• • Min. 3/8" wood Min. double 2x4 framing Min. double 2x4 post teaming nailing is structural pane required. If 2x4 • • sheathing 4. 4. 3/8" min. thickness wood structural panel sheathing blocking is used, with 8D common or galvanized box nails at 3"o.c. in all the 2x4's must be framing( studs, blocking, and sills) Typ nailed together with 316D sinkers Min.(2) 3,500 Ib. tie -down device (embedded into concrete and nailed into framing A.Min. 1,000 Ib. tie down device Min (1) 5/8" diameter anchor bolts installed per section a _, R40 .1.6 -with 2"x2" x3/16" plate washer " L...r:•:� •.? ?i Min. reinforcing of foundation, one #4 bar top and bottom .Lap L bars 15" min. .... . This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2015 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. City of Wheat Ridge r Homeowner Demolition PERMIT - 201802543 PERMIT NO: 201802543 ISSUED: 09/17/2018 JOB ADDRESS: 5572 W 27th Ave EXPIRES: 09/17/2019 JOB DESCRIPTION: Demolition of 1 car garage - 300 sq ft total *** CONTACTS *** OWNER (303)907-8610 CLAUGUS MICHAEL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** 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, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Residential Demolition PERMIT - 201802543 PERMIT NO: 201802543 ISSUED: 09/17/2018 JOB ADDRESS: 5572 W 27th Ave EXPIRES: 09/17/2019 JOB DESCRIPTION: Demolition of 1 car garage - 300 sq ft total 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 1 am the legal owner or have been authorized by the legal owner of the property and am authorized Yo obtain this permit and perform the work described and approved in conjunction with this permit. I further that I thorized to include all entities named within this document as partes to the work to be performed 5d t a 1 wor t r ormed ' disclosed in this document and/or its' accompanying approved plans and specifications. -c_ Signature of OWNER or C NTRAC R (Circle one) Date I. This permit was issued based a info ationprovided in the permit application and accompanying Flaps and specifications and is subject to the compliance with those ments, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Budding Official and may be subject to a fee equal to one-half of the original permitfee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordiynce or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of CNi f ITiii)8in f Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of' ge ��WheatP MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: q1 / ?/ ) Plan/Permit # X O �5 qJ Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 55� Z �� Z -q AVe_ Property Owner (please print):MtCwcc L_ et'Art IT.—S Phone:56_1-f0'A-XLd Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License M Phone: Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No.): 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 # ❑ COMMERCIAL 'RESIDENTIAL 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. C�,- i e; 1 (240- C-Z4A461d�) / 3 13 (r �> '- �\t b Sq. Ft./LF Amps �)b BTUs Squares Gallons Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value; (Contract value or the cost of all materials and labor included in the entire project) $ t 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 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRA OR) o O D REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: rAt C l kA cam, 0--+oC US DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: * 1876 Colorado Department of public Health and Environment DEMOLITION NOTIFICATION APPLICATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED (Notice will be mailed to the demolition contractor unless specified otherwise) Fee: $50 +$5 per 1000 ft2 of area to be demolished =$ '5-5-ce-) (See instruction #1 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbestos@state.co.us * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading or (d) Category II nonfriable AC t /thatJp9_EFihED probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the our f demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. r r � c `� St 3r, Form: DNA08 Rev 01/30/08 - DATE Company Name: Building Name: C� 03 Street: rat', Aopl_ Square footage of footprint of f5a&ility or portion of facility to be demolished 36a VCity: \ J ,d State: C(5 Zip Code: Street: fn Telephone J Fax # Cit : Coun Zip Code: ( off) O bbl ( ) c 'Se,< Project Manager: Cell Phone # Proposed Start Da Proposed Comnlpti� ^ ate C 2 I certify that the Certified Asbestos Building Inspector has informed me E Method/Means or zmolition: p about any remaining asbestos -containing materials in the facility to be 4) 13 demolished. t king El Burning El Implosion ❑Moving ❑Other, specify: na Print Name: ZwrecSi I"l , C 0 Landfill Receivinguil ' Debris: tBurning - requires additional authorization – Please call (303) 692-3100 and ask to speak to the Open Burning Permit Coordinator General Abatement Contractor Owner's Name: /(^LGAC) ` CDPHE Asbestos Permit # Total Quantity of Asbestos Removed Street: n N—M 3 G> M Date Removal Completed Telephone # City: 1�2J ' State: Cb Zip Code. dC tQ = U ( ) c 8'C)2 Type(s) of Asbestos -Containing Material Removed: Contact's Name: Telephone # m I F1 to AX5_L I-G'J,s (5 lb I I vim- sit o With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as c an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of CL asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the U) facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any w o asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) wM of ACM remaining, below: (check appropriate box(es)): Q F-1 Vinyl asbestos floor the (VAT) El VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings v ❑ Spray -applied tar coatings ❑ Caulking ❑ Glazing ❑ Other, specify: dSignature: (In Blue if Printed Name: j CD %/ l Ei4D U goal= (.) Date of FinaiWnspection CO Cert # Expiration Date Telephone # Cell Phone # 63 ) RG (P G I verify that all refrigerants from air conditioning%refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. `p 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been C disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320). 'a CH K THE APPROPRIATE BOX: M0 Building Owner EJContractor ElOther Date: 1 y V Signature:Print Name: THIS BOX IS FOR CDPHE USE ONLY: Postmark or Hand Delivery Date: Y 1( /k's Approved By: d 1_ Code: initial -310 ❑ transfer -380 Form of Payment & #: CL __ Permit #: Record # Date Issued: * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading or (d) Category II nonfriable AC t /thatJp9_EFihED probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the our f demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. r r � c `� St 3r, Form: DNA08 Rev 01/30/08 - DATE Property Information Michael Ckzugm 5572 W27th Ave Wheat Ridge CO8O2l4 Property Type Residential PH 303-907-8610 Prepared By EnvinCon*LUC Asbestos Consulting Firm No. 2|660 1686 S. Colorado Blvd Denver, C[)80l24 303'GoEnvio(463)6846 Conducted By Chad Moore Asbestos Building Inspector Cerf. No. 21428 Inspection Information Inspection Dole Arrival Time Report Date |nspec1iun # 9/l3/2Ol8 ll-30AM 9/l4/2Ul8 0918-241 Claugus Protocols Followed Asbestos AHERA Lab Information 5572 W 27th Ave Michael or0�a�m EMV|RONNAENTALi45PE[T|[�N� ATC Group Services LLC 8985ENichols Ave Suite 350.Centennial, CO8Ul)2 303'799'6100 Asbestos NVLAPCeri#l02U3l ..(�Dble of Contents Definitions....................................................................................................................................................3 KeyTerms.................................................................................................................................................... 3 Limited Inspection Summary.....................................................................................................................4 General....................................................................................................................................................................... 4 ....... Asbestos.................................................................................. 4 ............................................................................ Purpose and Scope of Inspection.............................................................................................................4 General.............................................................................................. 4 ...................................................................... Asbestos...................................................................................................................................................................... 4 Background....................................................... Sampling.....................................................................................................................................................5 Asbestos Results Reporting........................................................................................................................6 Asbestos Inspection Conclusion............................................................................................................... 6 Closing......................................................................................................................................................... 7 InspectionPhotos.......................................................................................................................................8 LabResults...................................................................................................................................................8 InspectionCertifications..........................................................................................................................21 ., W I . The term "Certified Infector" shall mean individual who is identified on the first page of this Limited Inspection Report as conducting the Inspection. 2. The term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the Client. 3. The term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to the Property. 4. The term "Owner" shall mean the owner of the Property. 5. The term "Property" shall mean the building(s) or structure(s) at the address listed under Property Information on the first page of this Limited Inspection Report. 6. The terms "Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or other work. Asbestos 1. Asbestos is a naturally occuring mineral. Asbestiform varieties include chrysotile, amosite, crocidolite, anthophyllite, tremolite and actinolite. 2. Asbestos abatement is the wrecking or removal of builiding materails that contain friable and non -friable asbestos fibers. 3. Asbestos abatement contractor is any person hired to conduct asbestos abatement. 4. Friable material can be crumbled, pulverized, or rendered to powder by hand pressure when dry. 5. A homogenous area is an area of surfacing material, thermal system insulation material, or miscellaneous material this is uniform in color, texture, construction, application date, and general appearance. 6. Miscellaneous material is interior building material on structural components, structural members, or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. 7. Non -friable material cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. 8. Point counting is a secondary analytical technique to verify the presences of asbestos in samples with 10% or lower asbestos. 9. Surfacina material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 10. Thermal system insulation (TSII is material tha tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss, heat gain, or water condesation, or for other purposes. 11. The terms "Asbestos Containina Material" or "ACM" shall mean surfacing, thermal system insulation, or miscellaneous materials that contain l% or more of asbestos. 12. The terms "Asbestos Containing Building Material" or "ACBM" shall mean Asbestos Containnig Materials that has been used for construction or improvement of a building or other structure. Ai, Lore! r 13. The term "Certified Asbestos Consulting Firm" shall mean any person licensed with the State of Colorado and the EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No, 8, Part B, in the State of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plans; air monitoring for asbestos fibers; development of asbestos project designs; and, project management, as specified in Section II.J. 14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the National Voluntary Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy (PLM). 15. The terms "Damaged ACM" and "Significantly Damaaed ACM" shall mean friable or non -friable ACM that has deteriorated or delaminated to the point that it has lost its bond to the substratre or has otherwise suffered crumbling, blistering, nonadhesiveness, gouging, water staining, or marring. The term "Damaged ACM" applies when 1/10 of the entire surface has suffer damage (1/4 if the damage is localized). The terms "Significantly Damaged ACM" shall apply when more than 1 /10 of the surface has suffered damage. 16. The term "Limited Asbestos Inspection" shall mean an abbreviated inspection by the Inspector of the components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence of ACBM and shall comply with all state and federal laws, rules, and regulations. General The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of inspecting the Property and all of its building materials and components. The Inspector only inspected specific areas that may be subject to Work Activity and that are visually and physically accessible. The Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of the Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other than the Client is not authorized without the written mutual consent of the Client and envioCore LLC. Asbestos The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity. The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and federal laws at the time of inspection. General The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject property for visible suspect ACBM and/or Lead Based Paint. This does not include any materials that were covered or hidden by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing, etc. However, the Certified Inspector made every reasonable effort to access and identify all suspect ACM and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is solely a record of activities, observations, analytical results, and recommendations performed to date. Asbestos Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified Inspector. If the color, texture, construction, application date, or general appearance differs between materials or if for any reason the Certified Inspector suspects that the materials might differ in any respect, the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took 4 0-s 22 representative bulk samples were similar materials, but this does not guarantee that materials of similar appearance are of the same composition. Even similar materials are subject to uneven mixing and distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its professional judgment consistent with industry standards in order to identify all suspect ACBM. Bulk samples were analyzed by Certified Asbestos Laboratory. The inspector was called to the subject property by Michael Claugus, Owner. Mr. Michael Claugus was concerned about asbestos containing building materials in the affected areas of the building. Per Mr. Michael Claugus, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: Mortar - Siding Roofing Drywall The affected areas include: - Rubble Pile The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall include only the above -referenced potentially affected areas. If the Work Activity later includes other areas or materials that may contain ACBM, the Client understands that the Certified Inspector will only perform a Limited Asbestos Inspection of these areas upon a subsequent engagement. Using methods that are generally accepted in the industry, the Certified Inspector determined that it was necessary to collect 10 bulk samples from the various homogenous areas (see the Asbestos Sampling below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results are incorporated into this report. Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable in any manner for erroneous laboratory results or other errors with the laboratory testing process. See Data Table (Table 1) Below for Tabulated Results along with Attached Photos (Figure 1 etc.) G .S 2 Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Detected, Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos containing building materials WERE NOT mound in the samples analyzed by the laboratory. The affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing at the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. Core Damaged or 5572 -MOI -01 significantly To Rubble Pile Gray Mortar ND N/A N/A Friable damaged 200 N/A 5572 -MOI -02 friable miscellaneous ACM Damaged or 5572 -SII -01 significantly To Rubble Pile Beige Siding ND N/A N/A Friable damaged 200 N/A 5572-S11-02 friable miscellaneous ACM Damaged or 5572 -RFI -01 significantly To Rubble Pile Black Roofing ND N/A N/A Friable damaged 200 N/A 5572 -RFI -02 friable miscellaneous ACM Damaged or 5572-RF2-01 significantly To Rubble Pile Black Roofing ND N/A N/A Friable damaged 2fl0 N jA 5572-RF2-02 triable miscellaneous ACM Damaged or 5572 -DW -01 significantly To Rubble Pile White Drywall ND N/A N/A Friable damaged 200 N/A / 5572 -DW -02 friable miscellaneous ACM Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Detected, Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos containing building materials WERE NOT mound in the samples analyzed by the laboratory. The affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing at the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. Core EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use or reliance on this report or the opinions expressed herein. EnvioCore makes no risk assessment, warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken and locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or provided by EnvioCore. Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas inside the subject property. This report was prepared pursuant to the contract EnvioCore has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between EnvioCore and its client, reliance or any use of this report by anyone other than the client, for whom it was prepared, is prohibited and therefore not foreseeable to EnvioCore. No warranty is made. EnvioCore's liability and that of contractors and subcontractors arising from any service rendered here under shall not exceed the total fee paid by the client to EnvioCore. Thank you for the opportunity to work with you on this project. Please call at (303) GoEnvio (463) 6846 with any questions or concerns. Thank you. Sincerely, Chad Moore Certified Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert. No. 21428 b ''. Figure I _- Overview of Exterior- w.3gr re l_ . vervie cif Ac(_,,;;,e5-q 0 Figure 3--�-,rview of Rubble Pile Figure 4-- Sample, Icy ration # I 'Core Foure, 5, locofic)n #21 F, a j i -ie 6 -- S al rn 0 e, I -oi c c -fl, i o n 4', 1 ac re 7----, Samr)le loccitiol-1 # z Figure 8- Sarnpitc,, XPAGE 11 OF 22 �core A.. 5,gure 9-- Sample location -14 Figure 10 - Somple, location #I PAGE 12 OF 22 'Corp Figure 11 io'cation 4i' - Figure 12- Sample location #I PAGE 13 OF 22 Fi.,,,,jure 13- Sample location #2 Pr^,(7'F. 14 OF 22 AA r C AArAkT ANALYTICAL REPORT Prepared for: EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver, CO 80222 Project: 0918-24 Claugus, Micheal Order No.: 0026645 Report Date: 09/14/2018 ATC Group Services LLC 8985 E. Nichols Avenue, Suite 350, Centennial, CO 80112 Ph: 303-799-6100 These samples t5r:re analyzad by layers Specifir, layer or tnrnponent asbestus rsrntent is indicated when relevant. The EPA --td—a materia! to he asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation {CVAE) EPA regulations also indicate that Regulated Asbestosm Containing Materials {RACM) -- rnatenals which are fnable dr may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE, Our la ci,atary uniizes CVAE an a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement wittrout consulting with ATC. :'%-[-' 16 ('1F '212, 8985 E. Nichols Avenue, Suite 350 Centennial, CO 80112 AffliTcPhone +1 303 799 6100 " Fax +1 303 799 3441 ®" www.atcgroupservic es.corn Customer. PLM REPORT SUMMARY NVtAPLab Code 102031 AIHA Lab Code 101536 Nick Hopkinson ATC Job No.: EnvioCore Environmental. LLC Batch No.: 0026645 1685 S. Colorado Blvd. Report Date: 0911412018 Denver CO 80222 Sample Date: 09113/2018 Project: 0918-24 Claugus, Micheal Date Analyzed: 09/14/2018 Customer Project No.: Identification: NIA Test Method: 600/R-93/116 Page 1 of 1 Client No. Lab No. Sample Description / Location Asbestos Content 5572-MOl-01 0026645-001 Mortar, Gray. 23"C None Detected Rubble Pile 5572 -MOI -02 0026645-002 Mortar, Gray, 23'C None Detected Rubble Pile 5572 -Sit -01 0026645-003 Siding. BeigetBrown 23`C None Detected Rubble Pile 5572-St1-02 0026645-004 Siding. Beige/Brown. 23'C None Detected Rubble Pile 5572 -RFI -01 0026645-005 Rooting. Black, 23'C None Detected Rubble Pile 5572-RF1-02 0026645-006 Roofing. Black, 23"C None Detected Rubble Pile 5572-RF2-01 0026645-007 Roofing, Black, 23-C None Detected Rubble Pile 5572-RF2-02 0026645-008 Roofing. Black, 23'C None Detected Rubble Pile 5572 -DW -01 0026645-009 Drywall, Brown/White, 23`C None Detected Rubble Pile 5572 -DW -02 0026645-010 Drywall, BrownANnite, 23'C None Detected Rubble Pile These samples t5r:re analyzad by layers Specifir, layer or tnrnponent asbestus rsrntent is indicated when relevant. The EPA --td—a materia! to he asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation {CVAE) EPA regulations also indicate that Regulated Asbestosm Containing Materials {RACM) -- rnatenals which are fnable dr may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE, Our la ci,atary uniizes CVAE an a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement wittrout consulting with ATC. :'%-[-' 16 ('1F '212, A* C tT 8985 E Nichols Avenue, Suite 350 Centennial. CO 801112 Phone +1 303 799 8100 Fax +1303 799,U41 www.atcgreupsendces. corn Customer. PLM REPORT SUMMARY NVLAP Lab Code 102031 AlHA Lab Code 101536 Nick Hopkinson ATC Job No.: EnvioCore Environmental. LLC Batch No.: 0026645 1685 S. Colorado Blvd, Report Date: 09/14/2018 Denver CO 80222 Sample Date: 09!13/2018 Project: 0918-24 Claugus, Micheal Date Analyzed: 09/14/2018 Customer Project No.: Identification: NIA Test Method: 600/R-93/116 Page 1 of 1 PLM Analysis Methodology PLM samples were analyzed utilizing the Environmental Protection Agency's Test Method: Method for the Determination of Asbestos in Building Materials (EPA 6001R-931116. July, 1993) 40 CFR, Part 763, Appendix E to Subpart E. Reporting Limit -1% Asbestos. Additional treatment and tests maybe required to accurately define composition (Le. ashing. extractions, acetone treatment, and TEM). Unused portions of samples are archived for one year unless client requests special handling. Asbestos content of mastic/adhesive is separated from total percent asbestos and other materials, Laboratory Equipment Laboratory analysis was accomplished utilizing an Olympus BH -2 polarized light microscope. The microscope is equipped with dispersion staining lenses. Quality Control ATC Group Services is accredited by NVLAP Bulk Asbestos Sample Quality Assurance Program (Lab Code 102031). ATC participates in the NVLAP Bulk Asbestos Sample Quality Assurance Program and maintains an in-house QC/QA program for bulk samples whereby 10% of all submitted samples are reanalyzed and documented in a Quality Control Manual. ATC also participates in a quarterly round robin QC/QA program for bulk samples with several accredited laboratories throughout the United States. Current and past QC/QA program results are available in the laboratory for inspection. jr{ Approved Signatory McKenzie Wenger Wen9 f !!!� NVLAP LAB CODE 102031-0 The non -detection of asbestos fibers in floor the by PLM is of itself inconclusive. Confirmation by Transmission Electron Microscope (TEM) is recommended for negative floor life samples. This report must not be used by the client to claim product endorsements by NVLAP or an agency of the U.S. government. This test reports only to the items stated. BATCH NO. 0026645 NVLAP Lab Code 102031 AIHA Lab Code 101536 Nick Hopkinson Customer Project No.: Asbestos EnvioCore Environmental, LLC Description: 0918_24 Claugus, Micheal 1685 S. Colorado Blvd. Date Received: 09113/2018 Denver CO 80222 Sample # Sample Description (%) Date Analyzed: 09/14/2018 Collected: 09/13/2018 Date Reported: 09/14/2018 Collected By: Nick Hopkinson Comments: 5572 -MOI -01 Collection Address: 5572 W- 27th Ave-, Wheat Ridge, Fibrous Glass (ISO) Aggregate Colorado 80214 Roofing,Black, 23'C Aggregate 0026645-006 Rubble Pile Asbestos Non -Asbestos 5572-RF1-02 Lab ID Sample Location / Constituents Constituents Sample # Sample Description (%) (%) Tar Binder 0026645-001 Rubble Pile None Detected Cellulose Fiber (Incom) 10% 5572 -MOI -01 Mortar, Gray, 23`C Fibrous Glass (ISO) Aggregate 55% Roofing,Black, 23'C Aggregate 101/6 Binder/Filler 35% 0026645-002 Rubble Pile None Detected Cellulose Fiber (Incom) 5% 5572 -MOI -02 Mortar. Gray, 23`C Aggregate 601% BindedFiller 35% 0026645-003 Rubble Pile None Detected Cellulose Fiber (Incom) 85% 5572-S11-01 Siding, Beige/Brown. 23"C Binder/Filler 15% 0026645-004 Rubble Pile None Detected Cellulose Fiber (Incom) 85% 5572 -SII -02 Siding, Beige/Brown, 23`C Binder/Filler 15% 0026645-005 Rubble Pile None Detected Cellulose Fiber (Incom) 50% 5572 -RFI -01 Roofing, Black, 23"C Aggregate 10% BinderiFiiler 10% Tar Binder 30% 0026645-006 Rubble Pile None Detected Cellulose Fiber (Incom) 55% 5572-RF1-02 Roofing. Black, 23'C Aggregate 5% Binder/Filler 10% Tar Binder 30% 0026645-007 Rubble Pile None Detected Cellulose Fiber (Incom) 5% Fibrous Glass (ISO) 15% 5572-RF2-01 Roofing,Black, 23'C Aggregate 101/6 Carbonates 30% B€ndedFiller 10% Tar Binder 30% Analyzed by: �" I -A C4 22. Reviewed by: a Page 1 of 2 t. Analyzed by: i 1" Reviewed by: Page 2 of 2 r BATCH NO. A' C 0026645 Aff NVLAP Lab Code 102031 AIHA Lab Code 101536 Nick Hopkinson Customer Project No.: EnvioCore Environmental, LLC Description: 0918-24 Claugus, Micheal 1685 S. Colorado Blvd. Date Received: 09/13/2018 Denver CO 80222 Date Analyzed: 09/14/2018 Collected: 09/13/2018 Date Reported: 09/14/2018 Collected By: Nick Hopkinson Comments: Collection Address: 5572 W. 27th Ave_, Wheat Ridge, Colorado 80214 Lab ID Sample Location 1 Asbestos Constituents Non -Asbestos Constituents Sample # Sample Description ("/al M 0026645-008 Rubble Pile None Detected Cellulose Fiber (Incom) 10 Fibrous Glass (180) 10% 5572-RF2-02 Roofing, Black, 23`C Aggregate 101 Carbonates 301, Binder/Filler 1010 Tar Binder 3010 0026645-009 Rubble Pile None Detected Cellulose Fiber (Incom) 254% 5572 -DW -01 Drywall. Brown/White, 23"C Gypsum 751% 0026645-010 Rubble Pile None Detected Cellulose Fiber (Inco n) 30 5572 -DW -02 Drywall Brown/White, 23'C Gypsum 7D'/. Analyzed by: i 1" Reviewed by: Page 2 of 2 r Usti Ras ishuh momin Sma 30) (.."iorf.do MI1 P Eno, 3617=6100 M50524! PAGE 2b 012"' . ...... . .. .. ..... . D:'nvO: la ll 2 MAW. cmuci: v oc, I c 1 Reaekv,yj BV: .. . ....... Who .. .. ....... �. .......... .. TAil G , 61 tx icxc e xYrrt ......... . . A Us I — ------ Rib .. ....... . ... ... .. ........ .... PAGE 2b 012"' yew. oe' C"'*� Coloradoe of Rtbh: Healthnt and Environment ASBESTOS CONSULTING FIRM This certifies that envioCore Registration No.: ACT - 21660 has met.the registration requirements of 25.7-507, C.R.S. and the Air Quality Control Commission` Regulation No; 8, Part B, and is hereby authorized`mperform asbestos consulting activities as required under Regulation:No 8, Part. B'; in the state :of Colorado - Issued: January 13, 2018 Expires: January 13, 2019 - :. �.. nNhorcea nPCaRepf`.;ee. SEAL- X l s1,. i.g{g v:.:Q. Y. x-•y�-sti i!-_ _"`_ r t+x,.sv-:Kf + OF cpm 01 _�-�:�is �► 1876 Colorado Department of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that Chad Moore Certification No.: 21428 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: July 24, 2018 Expires: July 25, 2019 " This cettiJfcaie is valid only with the possession oja current Division -approved training course certi,Jlcatlan in the discipline specified above. thorn APCp R.prespntat vs SEAL E c k-rt( ( /AtL tD�( A 41 City of Wheat Ridge Residential Roofing PERMIT - 201704885 PERMIT NO: 201704885 ISSUED: 07/26/2017 JOB ADDRESS: 5572 W 27th AVE EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install OWENS CORNING DURATION asphalt shingles with 13SQ HOUSE 8/12 PITCH *** CONTACTS *** OWNER (303)718-1388 FARLEY SHANE A SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,500.00 FEES Total Valuation 0.00 Use Tax 73.50 Permit Fee 109.20 ** TOTAL ** 182.70 Rip 41 0 It *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704885 PERMIT NO: 201704885 ISSUED: 07/26/2017 JOB ADDRESS: 5572 W 27th AVE EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install OWENS CORNING DURATION asphalt shingles with 13SQ HOUSE 8/12 PITCH VI, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, 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 b performed 's is losed in this document and/or its' accom anying 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature �Ag_Offii��A� Date REQUESTS MADE BY 11:59PM ANY INESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 18, 2017 3:10 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 5572 W 27th Ave Shane Farley 3037181388 jwiles@interstateroof.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Interstate Roofing Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 13 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 13 roofing material for this project Provide additional detail house, 8:12 pitch here on the description of J� z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 3500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Jeremy Wiles Email not displaying correctly? View it in your browser. 3 referralisto com Submitted To 4N*&te TNTERSTATE ROOFING Date ` Zits' ('?K Email s�'^-��`�"Phonre' ,��— /� _ Alt. Phone street'55?Z I1- 144 Ave CityVil�',�, f40616r" State C'O Zip Insurance Company Claim# Poficy# ©�'�'�-� $ ✓'� Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.; however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agrrjeee to pay for this additional work. jD -�wr�'r .+nom Chinnla rlAamrfarhrrar 0 • 5 COM" Type _ I Y M • • " b� COfoP��+�- `• - int. 531 (`Tear off I -- layers of composition shingles ❑ Tear off one layer of wood shingles ❑ Install Decking (7/16" OSB) t �U n� n install new fa{t 5i1�Cf 5(�l1 t t rI¢� erinstall pre -painted eave meta to code - Color Brown Charcoal Tan Gray White int._:$Z� ,C4-4Valley(s) will be closed ❑ Valleys will be open &1�iidge(s) to be color -coordinated )2f�Ridge(s) will be "High Profile Ridge" color -coordinated shingles Ztnstaif new pipejacks ,21"Repiace Vents as needed ,ErRe-flash chimneys and all wail abutment as needed and if possible (stucco or siding may be a deterrent) ❑ Install In. ft. of series ridge vent �, ,13"Install In. ft. of ice & water shield to code M UQll4" X Install nails per shingle / // J/ El Clean out gutters - 1 eAVpV q `/ 9,q I el -5 AT 5 year workmanship warranty einterstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate ,®T Make a magnetic sweep of driveway and yard for removal of any nails Remove all debris resulting from above wotr / 44 j!rspecial lnstrucons r-- The approximate costs of the services based on damages known at the time this contract is entered is $ 6- interstate Roofing, inc., however, will perform the scope of work approved by the insurance company for the arn6unt of the insurance approved proceeds, "th n additional costs to you exce t for o uctible. The final scope and price agreed on between the insurance company and Interstate Roof(ng, Inc. s a become a tna contract price for the insurance approved scope. You will he responsible to pay for any upgrades or additional work authorized by you that the insurance company determines isnot covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. Approximate Dates of Service:_ These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor 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 work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of interstate Roofing, Inc. as co -payee on any subsequent toss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc. to pick up in per"T arty loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: Interstate Roofing shall hold In trust any payment Trom ine 1 materials at the residential property site or has preformed a I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement roofing Date of Acceptance jZ Client Signature(s),�'+ lYL�t=(a �l3 Representative Corporate Headquarters Colorado Springs Office P 970.E Collins F Office &82.4018 1010 S Oreaie CN ghway 9800ce tE Arapahoe dack Ins. c#205 2161 N. Academy Blvd. 1000 M 47th Ave. Denver, CO 80211 Colorado Springs, CO W909 Tota Free 877.898.8144 Cheyenne, WY 80211 Englewood, Cc 80112-3726 P. 303.763.9114 F. 303.789.3790 P. 719.471"9752 F. 719.597.4444 www.inteNateroat.com P. 307.634.2553 (303)397-7820 wWw.interstateroof.com into@interstateroof.com i -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: M 10 Job Address: 155'1 2. Tl4 by� Permit Number: _'Z01-7 ()A_Qj9nc.7 ❑ No one available for inspection: Time 5 ' 4 AMEO Re -Inspection required: Yes No When corrections have been made, call force -inspection at 303-2345 L44 Date: 6 .2 ` 6 -IInspector: 5TED DO NOT REMOVE THIS NOTICE A V City of 9 COMMuNrry DF"vr-,t,oPmENT Building Permit Application Mailing Adtimss: (if different than property address) Address: LLLo --- ke) t-- City, State, Zip: rnr 1 " l 11,��,�ill"� 111 oll, m� 7� FOR OFFICE USE ONLY Pr it # / 'L � - 2 0 t I- (T" () t ' , -) ' Complete all info ton on BOTH sides of this form " ' City of Wheat Ridge ]r Residential Demoliti PERMIT - 110128 PERMIT NO: 110128 ISSUED: 02/10/2011 JOB ADDRESS: 5572 W 27TH AVE EXPIRES: 02/10/2012 DESCRIPTION: Demo of existing garage * ** CONTACTS * ** owner 303/246 -0305 Loree Wilcox sub 720/217 -9817 Duran Gerardo 11 -0029 GD Concrete ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0811 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: .00 FEES Demolition Fee 50.00 Total Valuation .00 ** TOTAL ** 50.00 Conditions: 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, 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 his document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or 'ts' a�panying approved plans and specifications. or CONTRACTOR (Circle one) Date 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. S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of ilding Offical Date T LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY City of Wheat dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Date: Plan # Permit # �) Property Owner (please print) Lo �k }; c uX P hone: Mailing Address: (if different than property address) �( Address: qy - )T) � - -I L`FL� i t )w' F '-S - City, State, Zip: , ,` i f o iootr,.ae #off License #• Phone: � �aerr�.s/d� j CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 070163 ISSUed: 05/03/07 Stipulations: This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Owner: Loree Wilcox Contractor: Site Address: 5572 27TH AV Parcel Number: 39-254-28-003 For the Following Purpose: Residential Remodel Code Editions NO change shall be made in the USE of ~ 2003 ICC/2005 NEC this building without prior notice 2003 ICC/2002 NEC and a new Certificate of Completion 1997 UBC/2002 NEC from the City of Wheat Ridge. Sprinkler System Chief Bu7ICAT! Inspector Zoninistrator CERTI MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 (303) 235-3855 f/ns4ection Line (303) 2345933 Inspections will not be made unless this card is posted on the building site 24 Hours notice required for inspections Job Address f~j Building Permit No. p 1 a~ Date Issued 3.~' Type Occupancy Owner ~-t:- U -c Contractor _ hWAIV- Contractor Address INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATiON INSPECTIONS DATE APPROVAL DISAPPROVAL INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemvvall Reinforring or Monolithic Weatherproof / French Drain WatedSewer Service Lines CONCREfE SLAB FIOOR Electrical (Underground) Pkimbing (Underground) Heating (Underground) Electrical Service - Rough Eiectric 3_ Rough Plumbing 3,. e.. er) Ai Test Cas Piping Rough Mechanical e d3• Framing Roofing Insulation Drywall Screw c!Ip U FiN,v.s Electrical ~v Plum¢in9 -Q7 (5~s" Mecbanical Fra6e / Interior Finish ~ R~O.W & Drainage Fire Department Parlcing & Landscaping "NOTE: ADDITIONAL INSPECTIONS / COMMENTS ON BACK OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM TNE WEATHER W ~ ~ fD N 7 W 4600 ~ mm W O W = . Q 7 y S N G fD 6 fD N 7 N d fD ~ m 0 ~ ~ ~ N (D ~ 0 ~ m C.. O C ~ a a a N N ~ V ~ 0 O ~ C (D Z M9 0 (D ^ ~ ~ o' v ' ~ < O N W z m ~ N •r Z (D ~ 0m N ' 7 < n - (D v ~ ~o w~ O S W CD Nm. w0 Ap ~ t~0 m W n W O 7 N 3 < W Q N fD 7 3 v a m ~ 0 ~ Im N ~ 9 ~ » O ~ O i I 1 C- 0 a a a w N ~ •I o ~ ~ m r+ Wcn a O w ~ m ~ • r ~ o m < z ~ Q ❑ 3 m ~ ~ City of Wheat Ridge ' o a Residential Remodel PERMIT - 070163 YER"tIT N0; 070163 . ISSUED: 03/05/2007 Jp$ ADDRESS:. 5572 27TH AV EXPIRES: 09/01/2007 . DESCktIPTION: Kitchen/Sath, New plumb, elec,change bath, + dishwasher. ::m*x CODTL'ACT3 ;+...+t . . . . . owner 303/202-0048 LOree Wilcox 02-1591 BENEFIEL ELECTRIC, INC. SUH 303/422-0430$II$303/456-6120 RObert L. Currie 02-0267 Quality Plumbing & Heating PP3tCEL TNPO ZOM CODi: . UA USE: R-3 . 3UBAIVISION:UA -BLOCK/LOT#: 0/ f* ;E& SUMMRY ESTIMATED PROJECT VALUATION: 15,000.00 . FEES pexmit Fee.. 326.70 . P13n 212.36 Tpial Valuation ,00 a UB& Tax.. . . 270.00 . TOTAL x* . . . 809.06 . . CR:-.i..`OKAY 'WI4'H NOTBS 6N. PLANS ELECTCtICAL MUST MEST 2005 NEC Sli8J8CT TO FIELD II+Y5PECTION I herEby Certify thaCthe eetbackBistancee propoeed by thie permit application are accurate, and do not violate appiicable prdinancea, rvlee or xegtilationa of.the CSty of Wheat Ridge or cwenants, eaeemente or reetrictione of record;.that all mfdeuTements'shown,. aiW allegatione made are accurate; that I have sead and agree to abdde by all conditioae printed on thia agpAicaCthat I aeaume full reeponeibility for compliance with the Wheat Ridge euilding Code (Z.B.C) and all other _:6..~ rh, e u;den a4dingaces, for work under thie(pesmtt. Plane subject to field inspection. Sivzu~ofcontractor/ownea I ( date 1. `fhie pem1t wae ieaued in accordance with the provisions aet forth in your application and ie eubje<t to the lawe of the ~.6taCe pf Calorado.and.to the Ztlning RegulatSOne and Bullding Codes of wheat Rid9e, Colorado or any other applicable orditiancee.af the~City. 2,.Th;g ppnmit ehall:exyise194 dayefrom the ieeue date. Requeete tor an exteneion muet be received prio[.to expiration date. Ap exteneion may be granted at the diecretion oY the Building Official. rovided no 3...:.If this peYmi[ explres, a new pexmit may be acquired for a fee of one-half the artwunt normally required,.p 'changea have.been or will be made in the original plane and epecificatione and any auepeneion or abandonment hae not exceed'!fl'.oac (1) year.. If changes have been or if euepeneion or abandonment exceede one (1) year, full fees ehall '.bt paid for a new.pexmSt. ..4.,.NO wbrk Of'eny mhm+er ehall.be done ttiat will cRan9e the natural Elow of water caueing a drainage problem. 5.-ICOntractqr:ehall notify ChesuSlding Iaepector twmty-four (24) house in advance for all inepectiona anQehall receSve aiitten appYOVal on inepection caid before proceeding wiih eucceeaive phasee of the job. . 6.'Tlaeiesuance of apermit or the approval of drawinge and apecificatione ehall not be constrvedto be a pexmit for, nor ..an agpioval:oE,any vWation oE the pr 'one of the building codea or any other ordinance, law, rule or regulation. All plam review 1e k to. el ena. 5*grtatu;e.oE Chi uilding officadate =yZgp$CTIpN RSQUSST LI1P8: (303) 234-5933 BUILDING OFFICE: (303) 235-2855 ~ REQUESTS~.MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTIONTHE FOLLOWING BUSINESS DAY. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number. o<w"E'°rP BUILDINGWSPECTIONLINE-303-234-5933 Date: ~ a CITY OF WHEAT RID6E 7500 WEST 29TH AVENUE pLAN # WHEAT RIDGE, CO 80033 - (303-235-2855) ArrNaR APPLIcATIaN Property Owner: Lp~_~ Whup,x Property Addiess: rj j7a Phone: / Contcactor License No.: Company: Ph ne: G:~L-JJ . OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildinq Dept. Valuation Figure: $ I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulalions of the City of Va]llE:~ IS-C-700 W heat Ridge or covenants, easements or restrictions of record; ihat all measurements shown, and allegations made are accuratei that I have read and agree lo abide by all Perillll F00:$ conditions printed on this application and that I assume full responsibility for compliance wilh the W heat Ridge Building Code Q.B.C) and all other applicable W heat Pldri ReV1CW FeO:$ Ridge Ordinances, for work under th/iS.RermiL Plans subject to fieid inspection. jJSC T3X: (OWNERI(CONTRACTOR):516NE0 J( U"' l DATE TOta1l Use of Space (description): Description of work: 4• 'It ~~l r~u~.~ r- E ~ ~ ~ ~+'~a~ Sq.Ft.added~ DEPARTMENT USE ONLY SIC: Approval: Zoning: ]ING COMMENTS~ Approval: .IG WORKS COMMENTS: Approval: DEPARTMENT COMMENTS: Approval: :uoancv: Walls Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company j_;ErjEFEiL Company: QL,A_U7~ Company: ~ WNj_ Expiration Date: Expiration Date: Expiration Date: ApprovaP Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or anyother applicable ordinances of the City. (2) This permit shall expire it (A) the work authorized is not commenced within sixly (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If Ihis 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 . (t ) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done lhat will change the natural flow of water causing a drainage problem. (5) Contractor shall notifythe Building Inspector lwenty-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 ot drawings and specificalions shall not be construed to be a permit for, nor an approvalof,anyviolationoftheprovisionsqfthebuildingcodesoranyolher ordinance,law,mleorregulation.Aliplanreview is subject to field inspections. Chief Building Official A ~ ~ ~L ~ ~ i ~ ~ ~ ~ ^1 <s ~ s a 3i ~ v N • ~ m£ m ~ >.T ~ ~L~ ma a o B_ m ~ 3 0 ~~s o a r ~ ~ ~ ~ ~ 00 ~ i J _ - Cn . - ~ ~ M W ~ ~n LL ~ 2 3 ~ ~s ~ S ~ ~ - ~ iYry ~J -11 Z ~T I W~ ~ U~ ~l ~ ~i ~ I i I~ ~ ~~t 1~61 ~ ~ ~ 1~2 -x ~ ~ ~ T ~ r . ~ -r- - ~ i h r W ~ ~ \ V a oT ~ ~ { i F 4ti` I ~ ! ! i} i ~ . - - - ~c- ~ ~ ~ ~ ~ ~ a~ ~ ~ ~ 3 ~~~2 ~~32 ~ ~~~o ~-~~~~P ~ a-~W~i ~2~~ ~ ~ ~ 1- oo ~o d=~ d a ~ Ii ~ ~ ~ ~ 0 6 a Q o ~ r ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ S , ~ ; ~ / ~ _ J~ ~ ~ w r~ ~ ~ ~~koltA 2 ? r ~.J ~ ~ ~ l~ ~ _ ~ . ~ e3rvotsro oi wren~~o ~o awsrvou~n3d 31tl0 3WI1 ' 3tlO1VN`JISINPoOOOOItl3W01500 . . . . •.'..'.31tla ' 3WLL ( . L V . ~ r.~. ABO39'JVl . 3NOHd'NOI1tlWtlOdNI t13H1!lf19 klOd : ! ~ 7 ~ , ~ ~ ~ ` ~ ~ ' . r~l ) _ > f ^+'1 ~r-.~~ve, . ~~~~1 . _ J il- ~ ~ , ~ ~ , 1 ' \ ~y' ~ ..i ~`V # . v . ~r _ ,:1" _ _ . ~ ~ 03103tltl003901N01 IdN00 i / ~ .~:~1 ~ " ~3~NtlllddYf03dA1aNtl3WVN 'HtlOMtlitld3tl'JNIWtl0~tl3d Oltl0ltld SIN3W3tlIf103tl LWtl3d ONtl 300~ tl0~ 1N3W1tltld30'JNIdli11B 'tl017tllI1N0~ 431dI1tlf10 tl A9 3UtlW N3393AtlN NOLL~3dSNl H'~110tlOHltl ONtl StlItld3H lI1Nf13~IM1iS ~tl~0~ tl110A1~tl1N0~ 'OtltlZtlH 31tlIG3WWl Ntl 531tl3tl~ MO138 NMOXS Stl 031]3tltl0~ 3B Ol NOI110NOJ NI H~tl8111d 3910N lSlIIY 1N3Wd11103 SIHl < ~::i - aavzvH - ~ ~ , s d~01f1HS ki313W 8~lddtl H109 ❑ ~ tl3H10 ❑ 1N3`Jtl ~ 1NtlN31 ~'tl3NM0 jj0l1313W dd030NVIlddV ❑ .~naes d~01f1HS ON ❑ n i 1 . , ..~1 , N3Ntl1NOIlOV ~ lirvindlarvvr+e3 Sro > j ~ ? ~ ! T ] ? ( . s"s3eaav ~ ` ON'1EV eoo~i ui5 ui+no~ no HMOi - OUtlHOIOJ d0 J~NtldWO~~S ~IlBfld _ ezu-zo-a~v~w~wdo~ y~; - -~,R ~ ~~--_~.r~,~ H3W01$(1'J 011NYd(1']'.1010 dIMSNnI lY1IH 31tlC 3WI1 3tlO1tlN9151NVd0000/tl3WO1Sl10 " i .1 . ~ :3NOHd'NOIltlWkiOdNl 83HlFlfld HOd ~ D -1{ j N 7!' /t b j2' . ' 1 , c. . . ' ~ Y _ . .J fi. 1 ' ✓ 03103tltl00 3B Ol NOIIIONOC ++2 . ' ~ ' ~iy'.-,"i j ! ~'✓:S ~ ' ~ i ' i t ' ~ 30NWIlddVd03dAZONV3WVN 'MtlOMtllVd3tl'JNIWtl0Atl3d 01 tl0ltld SiN3W3tl1f103tl LWtl3d ONtl 3003 tlOd 1N3Y111lYd30'JNlallfl9 1n0l HfI0A1otl1N0o'tlO10tltl1N00 431111tl(10 Y AB 30tlW N339 3AYX NOLL73dSNl H'JfI0110X1tl dNtl Stlltld3tl 1I10 3DlAtl3S ~ NI7qtlH 111d 3910N 1SfIW 1N3Wd11103 SINl'OtlY2tlN 31tlIU3WWl NY 931tl3tlO M0139 NMOHS ~tl 03103tlH03 39 OINOILONO3 - , V- - aanzvH - uolnHSe3law z ❑ Aj0 F1313W 8*lddtl H108 El tl3H10 ❑ 1N3'JV ~ 1NVN31 ~ H3NM0 jj030NVIlddV ❑ AjI03d5 djOlf1HSON ❑ .1 r i ' . . N3Nb1N011"7b ' (1NIbd) 3WYNtl3WOlSf19 ' .1:~ t.. ; . ~ '1 y / 1 FJ !Y 'f ~ ' ' ON1dV tlOOli !y N plIONMOl-A110 1 . _y ~ ~ ~SS3tla0tl OOtlHOlO3i.:~NifdWO3 301A S~~Il9fld,,,n,s e~zu zo>~r cw wa .,~!trtle~TE4~ sr-•° .•,•a,,~j~~~. \/l ) 3~Nyllddtl i0 3dA14NV 3 ,1 11Y1N07 'tlOl~tltl1N09 U31~I1Yf10 Y A9 3UY~M 3B U1110H8 SN011~3tltlOJ '~~H V 31Y3tl~ O1110] ONY S3tl1103JOtld jjj tld3tl 9NIWtl0~3 tln~ H11M 3 NY11ldW0 3 NI1YLONd SInMOl3B ONMOHS S~d30N~0~N0110N03 39l dl . .AtlOM ONtl S3JI1JYtld 031d333Y Al1N ~ ~N'NatlM I ~ 1N3~Jtl ❑ 1NtlN31 tl3NM0 j~,.~ / ~tl3H10 jjO1f1HStl313W ❑ ~GY~~~3asl Aj0 N313W 4'1ddtl H109 ❑ ' LLN1tld13VNM tl3P1D15~ jj030Ntlllddd ❑ ~ ,,:IO 1f1HS O ~ L ~ ssauaor N3Ntl1 ~ ALNOODtlONM01-AlIO ' LVLS7A"V16~)WtlOj piidr uoo13 .y",, lO~ d0 ANtldWOD 30IAd3S oI19f1 gECV~J OOtltlO DEPARTMENT OF PLANNING AND DEVELOPMENT . BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Date : 6/1/2001 Property Owner : Property Address : 5572 W 27TH AVE Contractor License No. : 20253 Company : PROFESSIONAL HOME EXTERIORS Phone: 444-3185 Phone: 303-424-6874 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are acwrate, 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 allegalions made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full respons ility for compliance with the Wheat Ridge Buiiding Code (U.B.C.) and all other applicable Wh~t Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED C L~' DATE,,,WA9,4_1 Description : VINYL SIDING Construction Value : $4,782.00 Permit Fee : $111.25 Plan Review Fee : $0.00 Use Tax : $71.73 Total: $182.98 Use ,,-P LS r0 BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : ,h Approval: Zoning : W,~:..IWIRPI~ Approval: F4~'~A~z FI*? Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permi[ was issued in accordance with the provisions sel forth in yopur application and is subjecl to ihe laws of the State of Cobredo and to ihe Zoning Regulations and Building Cotle of Wheat Ridge, Cobratlo or any other applicable ordinances of the City. - (2) This permit shall expire if (A) the work authonzed is not mmmencetl within sixty (60) days tmm issue date or (B) the building authorized is suspended or ahandoned for a period of 120 tlays. (3) If this permit expires, a new permd may be acquired For a fee of one-half the amount normally required, provided no changes have been or will be matle in ihe original plans and specifications antl any suspension or abantlonment has not exceetled one (1) year. If changes are made or if suspension or abantlonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shali be done that will change the naturel flow of water causing a drainage problem. (5) Contrector shall notiry the Building Inspector fivenry-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceetlii ith succes e phases of ihe job. (6) The iss nc of a r the approval oF tlrawings and specifications shall not be construetl to be a permit for, nor an approval of, any violation of ihe provisions of t ild g r ny olhg:ordinance, law, rule or regulation. Building Permit Number : 12254 Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: 1.10v[: aY,enjk Property Address : S57 a L„-) a7 th t~~d Contrac,or License No. : al Company : Qa ~ess~on .wl Buifding Permit Number : Date : I Phone : 3D,3 1-1 44 - 31B j Pnone:3o3 ~'o?y-b8?z_l OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the set6ack distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge ar covenants, easements or restrictions of recortl: that all measurements shown, antl allegations made are accurate; that I have read and agree ro abide by all conditions printed on this application, and that I assume full respon biiity for compliance with the Wheat Ridge Buiidinq Code (U.B.C.) and all other applica6le h at Ridge ordinances, for work untler this permit. (OWNER)(CONTRACTOR) SIGNE I DATE~ Descriptian : U i ~ ` Sf fJ ~ ry s Occupancy : '.'jalls Electrical License No : Company: Expiration Date : Approval : E Construction Value : ~7b'a, eo P°rmit Fee : Use Tax : Total : uae . BUILDING DEPARTMENT USE ONLY SIC Sq. FC : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company : Company : Expiration Date : Expiration Date : Approval Approval : (1) This pertnit was i55ueE in accordance with the provisions set foM in yopur applicatlon and is subject to the laws of the SW[e of Colo2do and to the Zoning Re9ulatians anE 8uilding Code of Wheat Ritlge, Colo240 or any oNer applicable ortlinances of the City. (2) This pertnit shall expire it (A) the work authonzed is not commenced withm sixry (60) tlays hom issue tlate or (B) the builtling authonzed is suspentletl or abandonetl (or a penotl of 120 days. (3) If Ihis pertnit expires, a new permR may be acquired for a fee o( one-half the amcunt nortnally requireQ provitletl no changes have been or will be matle in the onginal plans and specifitations antl any suspension of abantlonment has not exceetletl one (1) year. If changes are maCe or it suspension or aOanGOnment exceetls one (i) year, lull fees shall be paitl for a new pertnit. (dl No work of any manner shall be dane Nat will change the naWral Flow of water causing a tlrainage problem. (5) Contractor shall noGry the Builtling Inspector hventy-four (24) hours in advance tor all inspections antl shall receive wntten approval an inspection card before (6) The s~~ance with of a pertnit iore Ne ap0~o a~otjCrawings anC s0ec+fications shall not be mnsWetl to be a pertnit (or, nor an approval of, any violatlon of the provisions of the huil0in9 cotles or any oNer ordinance, Iaw, Nle or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10205 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 3/9/00 ^ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 5572 W 27TH AVE Phone : 425-6281 Contractor License No. : 18146 Company : McBride Electric Phone : 303761-6176 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurete, 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 1 have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and ali other applicabie Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTR4CTOR) SIGNED DATE Description : Change of Service Construction Value : $1,300.00 Permit Fee : $47.90 Plan Review Fee : $0.00 Use Tax : $19.50 Total: $67.40 Use: Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This permit was issuetl in accordanee with the provisions set foM in yopur appliradon and is sub1'ect to the laws of the State of Colo2tlo and lo the 2oning Regulatlons and Buildin~ Code W VMeat Ridge, Coloretlo or any other applicable ortlinences M the Ciry. (2) This permit shall expire if (A) ihe work authorized ia no[ commencetl wRhin sixry (80) days hom issue date or (B) the Ouiltling authonzed is suspentletl or abandoned tor a period of 720 days. (3) If this permit expires, a new permit may be acquired for a fee of one-haA the amoun[ normally required, provitletl no changes have been or will be made in the oripinal plans and speuficatlons and any suspension or eEantlonmenl has nol racceedetl one (1) year. If changes are matle or if suspension or abantlonment exceeds one (1) year, (ull fees ahall be paid for a new permit. (4) No work of any manner shall be tlone that will change Me natural flow of water causirq a tl2inage pro6lem. (5) Contrector shall notiy the BuiWing Inspector lwenry-four (24) hours in advance for all inspectlons and shall receive written approval on Inspection card before proceediing wiN successive phases of theob. (6) The issuance a permtt or ihe approval o'~tl2wings and specifications shall not be consWed ta be a permit tor, nor an approval ot, any violation of the provisions of the buil es qr anyqMer ordinance, law, rule or regula4on. Jan-25-99 04:54P DEVREVFAX 303 235 2857 P-02 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 ' CITY OF WHEAT RtDGE Date • 7500 WEST 28TH AVENUE WHEAT RIDGE, CO 80215 APPLICATIoN olv(,()~II Property Owner: ~k Property Address : Jr'S-J U-~, a-7~ Phone :303- Contractor License No. : q ~u ~ Company : AA( E`i2.cV-f', c , L ,l~C Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDINO AND AGRf ?MENT Construction Value : t, 3 o 7 ~ I hereby certHy thet the eetbeek dletences proposetl by thla permR eppliwtlon sre o: ,ureM, p8rtT1it FBB : 117- ~ U and do not violale appliceble ordinences, ruba or rogulations of tha City af Wheat RI gs or covenanri, esaemenb or restdGbns ot rocoM; that all meesuromenh shown, and n epationa made arc accurate; that I heve road and agroe to ebide by ell condftlona printed on G is Use Tax : .,r appllcatian, and that I essurrx full rosponsibilIry Por complianee wkh Me Wheat Rldge Bulltling _ Code (U.B.C.) and all othar applkabk Whe t iibye ordi encea, tor work under this I ertnR. TOt21 `(OWNER)(CONTRACTOR) SIGNEO DATE-~O US@ : ' Description : Cas . BUILDING DEPARTMEN"f USE ONLY SIC : Sq. Ft. : Approval : Zoning : Approval : Approval : ! Occupancy : Walls : Roof : $tories : Residentlal Units : Electrical License No : Plumbing license No : Mechanical License No : Company : Company : Company : Expiration Date : ExpiraUon Date : Expiration Date : Approval: Approvai: Approval: set (1) RThis epuPetbns anClBUl01m CoC o~ NTat RWpe Cobndo or eM othe efro ppr WswortlV t,oa M~~ I~y a lawa ol Ne Strie o1 Cdoretlo ontl to tha Zoninp (p) This p~rtnR shell B(A tl+~ work eWw^utl ia not commencad willtln auty (EO) dir e Gom beua Cate ot (B) Ne Eulltllnq euMOrized is suspendea a aOenCOneO tor a perba o1 t~0 Erye. have (3) If Ihis permil exPi~. a~ P~ ~P be aequirsE for a fee of afe-Mtl tlN *rtl0unt Mi 'Wlly Ipuirl0. „neC~ i~ meES a I( 6ueapMSlonho~f e~Mltlanmpent orlpinsl plana ma ~pedflntlona enG enry w~pm eion a abanaonmmt Ms not exceeCec aia (i) ye 9 S ons I Y~r. NII elull Ds p~i0 for 0 nW W- . exceeE faes ~ (5) inp 0ninps ptoDlem. No vrork of arry msnner sMA be duns tM~ udtl ~hang~ tl» ^~NAI Ilow of wabr uut CoMrector shall notAy Ma BuiWinp 1~e0aUtt twM~Y-fouf (24) houn in a0vlnae fOr all Im ~eCtlms BM ehall rcmiva vrtitten apptov~l on insp~cMOn uN bslme procaea11n0 ~th susaselva pluaa ot Ue ioD. (B) The iaeue ~ni a W~a m~ m oN ~ ~t a~~ N~s oand r i 9ule~tbnnoro ahall nol be con Wetl M bs a WnM1 ta, nor an aPProval o(, airy violatbn M Me proviabm Chief Building Inspector