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8755 W. 41st Avenue
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: N L - Job Address: Permit Number: c %/ --r_ ❑ No one available for inspection: Time �` AM/PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at. http✓/www. ci. wheatridge. co. usrnspection Date: _ 6j Inspector: DO NOT REMOVE THIS NOTICE A i 1CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: o Job Address: <9 r ALT - Permit Number: ` 20 Q� ( �i `z 'a= ❑ No one available for inspecti Re -Inspection required: When corrections have been made, http://www.ci. wheatridge.co. usdnspi r Date: 6 Inspec for M online at. e � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: ` �� �J L41 Permit Number: C)1_1 ❑ No one available for inspection: Time I�1 %''AM/ M Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Datej Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: n Job Address: '�i VU Permit Number: L'> C 0�v°� ❑ No one available for inspection: Time.AM/PM Re -Inspection required: Yeso When corrections have been made, schedule for re -inspection online at: httpJ/www.ci. wheatridge.co.usrnspection Date: `' F I `p Inspector: DO NOT REMOVE THIS NOTICE 1*' ! e CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _:�9r INSPECTION NOTICE Inspection Type: _ ��` V2 f- e P, Job Address: '-4 4 r_ Permit Number:, ao \G C.; ��<_� D-1 Q�loazt' 0�_ it (- W 1-1 VV'( - I '" , , , f� 1 g e tre 3`d1�1� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at; http//ww/w.ci.wheatridge.co.uslinspection Date: Inspector: ®O NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: j Job Address: ES Z ,,l Permit Number: ❑ No one available for inspection: Time QPM Re -Inspection required: Yes (N-01) When corrections have been made s'dule for re -inspection online at: http://www.ci, wheatridge.co.uslinspectiork Date Zi- �� Insp�c i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:c_- Permit Number: (-)o 1 G 0 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No: When corrections have been made, schedule for re -inspection online at: http✓/www, ci. wheatridge. co. uslinspection Date: Inspector: ®O NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201901927 PERMIT NO: 201901927 ISSUED: 09/19/2019 JOB ADDRESS: 8755 W 41st Ave EXPIRES: 09/18/2020 JOB DESCRIPTION: SWO: Bathroom remodel removing and replacing in same area, all new fixtures and cut down existing wall for a half wall with glass partition. $quare footage: 100 *** CONTACTS *** OWNER (303)521-4081 BOZARD KATIE GC (303)550-1944 JEFF ROSENBERG 190267 ALL PHASE CONSTRUCTION SUB (303)901-3255 PATRICK A. TACKWELL 018622 SRT ELECTRIC CO SUB (281)726-6994 CHRIS PETERSON 180373 CSP PLUMBING SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00 FEES Total Valuation 0.00 Plan Review Fee 153.40 Use Tax 252.00 Permit Fee 236.00 Investigative Fees 236.00 ** TOTAL ** 877.40 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 201901927 PERMIT NO: 201901927 ISSUED: 09/19/2019 JOB ADDRESS: 8755 W 41st Ave EXPIRES: 09/18/2020 JOB DESCRIPTION: SWO: Bathroom remodel removing and replacing in same area, all new fixtures and cut down existing wall for a half wall with glass partition. Square footage: 100 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 furter tt ally authorized -to- include all entities named within this document as parties to the work to be perfe d t t 1 ork to ' e per is di osed i this document and/or its' accompanying approved plans and specifications. (^ c Signatur R or CONMinform ir Date 1. T ' ermi wqcoliance ued based on thon pro ' ed in the permit application and accompanying plans and specifications and is s ct to the with those docum applicable statutes, ordinances, regulations, policies and procedures. 2. is permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services ;e or gra f g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ;ode 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 COMMUNITY DEVELOPMENT midge 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: permits(a.ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: g- sjA . Property Owner (please print): KVkC—_� Phone:/�� ) Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Phone: Contractor Name: N` PK�'S (—/ri to Q-C)W\ MOO , LL City of Wheat Ridge License #: Phone: Y-O-+Aqq Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print):t �nSE:N43 d&RP— Phone: �;� i 4 CONTACT EMAIL(please 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. ®;, Ze-w'si JV-' +4' D Q (Ct ) izz� 5 ;-cr'V\C. S) 5t\wEP' V3PA\ 1Q. 5\1'0Q e �o� 1 C�Cio�cJ QZ���PS Sq. FULF G' BTUs Gallons Amps Squares For Solar: KW # of Panels Requires structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ i0.fto. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) Signature (first and last name): Printed Name: REPRESENTATIVE) of (OWNER) (CONTRACTOR) DATE: —� DEPARTMENT USE ONLY 2 ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: V6 Reviewer: BUILDING DEP MENT OMMENTS: Reviewer: /--- /IT/ tat PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: F City of€: ID Wh6atpNi d e COMMUN a y DEVELOPMENT pe� 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: �_!a Permit #: General Contractor: a Electrical Sub -Contractor Company Name' M_ :lz ( ("C • Phone #:_ State License #: .nn022r, l Master #: Hr. - Wheat r. -Wheat Ridge License (required field) l / Signature of Authorized Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date F � , City Of Wh6attPs iclge 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: I�.1�; Permit #: General Contractor: �A p\Nk�- Qs �, \� � LLe. Electrical Sub -Contractor Company Name: ,Sr ��('a i � Phone #: �6O� —a State License #: a U 'A k Master #: Wheat Ridge License #: Signature of Authorized. Agent Plumbing Sub -Contractor (required field) Date Company Name:lsg}.g RA f, , {f Phone #: _2rT0 - 97S- %3 1H State License #:_34y61(.2 Master #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Company Name: Wheat Ridge License #: Signature of Authorized Agent (required field) Date Phone: (required field) Date L. @ 0 y o 2 � U > O (0 O N 4d _ NMN . E No N 5 a C Uco'D C-4 [6 Ea N O �-Mt D U o C di QOM MO N • N W 0' U N Oi M 'voi � o -00 c o x 0) CL i @avoaLL m 61 LL L :L L ° E 4) U) '3 a � U @ OCo y O CE am w 0) C O C U N O m N @@ T N c rn m =3 C C c O- CO U NU 0O O E m c N d i o u E m :? 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Z E c 6 (0 a N 10 cower p o d' -0 o (D m E 1015 a N O O R N C L C N rncon o cv�Em O N L N > (0 N Eo�a 3 fl y O @ a a°� Z T 0) U CO mo 0 -0 C M.0 O Nlq U _ - O 0) N 6 d Coy E m m 1 3 J o .,o., = E Q m 3 Q'R N N O (0 t c>,,' O. d N Om u � Co N (DO O w E U C 0 l0 o U 3 t�1 US @ wI y 4 cg �3 _o n O O C >O C) nc E(0 o ro d m y'm °' a'� a� n L UU J fl Property Information Bozard Katie 8755 W 41 st Ave Wheat Ridge, CO 80033 Property Type Residential Date of Construction 1952 PH 303-521-4081 Prepared By EnvioCore LLC Asbestos Consulting Firm No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoEnvio (463) 6846 www.goEnvioCore.com info@goenviocore.com Conducted By John Peralta Asbestos Building Inspector Cert. No. 24339 Inspection Information Inspection Date 08-20-2019 Arrival Time 04:30 PM Report Date 08-21-2019 Inspection # 0819-41 Katie Bozard Protocols Followed Asbestos Lab Information Limited Residential Asbestos Renovation Inspection Report 8755 W 41 st Ave AHERA envi 0, ore ENVIRONMENTAL INSPECTIONS CEI Labs 730 SE Maynard Road Carly, NC 919-481-1413 Asbestos NVLAP Cert # 107168-0 en v 1�PAGE 1 OF 39 _o _ E IVSD f .°:. k.., -T I� r Table of Contents Definitions.................................................................................................................................................... 3 KeyTerms.................................................................................................................................................... 3 LimitedInspection Summary .....................................................................................................................4 General....................................................................................................................................................................... 4 Asbestos...................................................................................................................................................................... 4 Purposeand Scope of Inspection............................................................................................................. 4 General....................................................................................................................................................................... 4 Asbestos...................................................................................................................................................................... 4 Background................................................................................................................................................5 Sampling.....................................................................................................................................................5 AsbestosResults Reporting........................................................................................................................ 6 Asbestos Inspection Conclusion............................................................................................................... 6 Closing......................................................................................................................................................... 7 InspectionPhotos.......................................................................................................................................8 LabResults.................................................................................................................................................17 InspectionCertifications..........................................................................................................................38 �a !r en yWq, PAGE 2 OF 39 Definitions 1. The term "Certified Inspector" 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. Key Terms 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. Surfacing 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 (TSI) 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 Containinq Material" or "ACM" shall mean surfacing, thermal system insulation, or miscellaneous materials that contain 1 % 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. City Of . envi Core PAGE 3 OF 39 V vh�atRfdg" 13. The term "Certified Asbestos Consultina 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 Damaged 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. Limited Inspection Summary 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. Purpose and Scope 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 envWCore PAGE 4 Or 39 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. Background The inspector was called to the subject property by Katie Bozard Owner. Mrs. Bozard was concerned about asbestos containing building materials in the affected areas of the building. Per Mrs. Bozard, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: Texture - Tile - Thin Set - Drywall - Joint Compound - Mastic The affected areas include: - Master Bathroom 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. Sampling Using methods that are generally accepted in the industry, the Certified Inspector determined that it was necessary to collect 1— 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.) % of envi�'Core PAGE 5 OF 34 wheat Ridge ENViF01Jt1E h•-nL NF?CCTONS U1111dingDM&... Asbestos Results Reporting Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Detected, t , G; otos ivluit lots i.� !U LL"'Ultilt Irit.'Lit ou i oy KLIIU�ufwft i Derr ulit oti. If this occurs the on change from Non -Friable to Friable and all state and federal regulation shall be followed) 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 Inspection Conclusion Asbestos containing building materials WERE found in the samples analyzed by the laboratory. The affected building materials DO need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of 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. t env4icore,, PACE 6 OF 39 +S SEC T�❑rJ5 8755 -SMI -01 Master Bath - SM - Plaster - Good To Shower - Wall Smooth Texture ND N/A N/A Friable Condition 200 N/A 8755 -SMI -03 D 8755-FC1-01 To Master Bath - Misc. - Tile & ND N/A N/A Non- Good 35 N/A Floor Thin Set Mortar Friable Condition 8755-FC1-02 8755-SM2-01 To Master Bath - SM - Drywall - 2% N/A N/A Friable Good 30 2% Chrysotile in Texture Vanity - Wall D Hand Texture Condition 8755-SM2-03 8755-JC2-01 To Master Bath - Joint ND N/A N/A Friable Good 10 N/A Vanity Compound Condition 8755-JC2-02 8755 -WTI -01 Master Bath - Misc - Tile & <1% 3.1% N/A Non- Good 20 3.1% Chrysotile in Mastic Shower Mastic Friable Condition 8755 WTl -02 Master Bath - Misc - Tile & <1% 49% N/A Non- Good 20 .49 Chrysotile in Mastic Shower Mastic Friable Condition Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Detected, t , G; otos ivluit lots i.� !U LL"'Ultilt Irit.'Lit ou i oy KLIIU�ufwft i Derr ulit oti. If this occurs the on change from Non -Friable to Friable and all state and federal regulation shall be followed) 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 Inspection Conclusion Asbestos containing building materials WERE found in the samples analyzed by the laboratory. The affected building materials DO need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of 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. t env4icore,, PACE 6 OF 39 +S SEC T�❑rJ5 Closing 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, r John Peralta Certified Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert. No. 24339 % ar Wheat Ridge env Core PAGE 7 OF 39 ENVIFDIJl.1E h"AL NSaGC T!p N5 Inspection Photos l Figure 1 - Overview of Exterior Figure 2- Overview of Address envCore PAGE 8 OF 39 iN_�CC' GNS Figure 3- Overview of Master Bathroom Figure 4- Overview of Master Bathroom - Bath Shower City of Wheat Ridge en b pre PAGE ?OF39 ENVIRONMENTAL INSPECTIONS T-. a k P a&L - Waaff Figure 5- Overview of Master Bathroom - Both Shower Figure 6- Sample location # 1 envixcore PAGE 10 OF 34 Figure 7- Sample location #2 Figure 8- Sample location #3 city or Wheat Ridge Hding er1VICOre WAGE 11 OF 39 ENVIFON'IEN-AL IN59EET.QN� Figure 9- Sample location # 1 Figure 10- Sample location #2 envi , Core PAGE 12 OF 39 era n�awrnn. -ni v_ Figure 1 1 - Sample location #I Figure 12- Sample location #2 CRY of Wheat Ridge env,W ore WAGE 13 OF 39 ervviFoni nnE r.-n� NSaEC T'nN5 Figure 13- Sample location #3 44W Figure 14- Sample location # 1 envy .,Core �acE �a or s9 Figure 15- Sample location #2 Figure 16- Sample location #I City or Wheat Ridge Diviso envCore PACE 15 OF 39 Figure 17- Sample location #2 envW I Core WAGE 16 OF 39 EN IIR0 Lab Results 0eurofins ME August 21. 2019 EnvioCore 1685 S. Colorado Blvd. Ste. 5151 Denver, CO 80222 CLIENT PROJECT: 0819-41 8755 W 41st Ave CEI LAB CODE: B194729 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on August 21, 2019. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos -containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is .0% asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. Kind Regards, Tianbao Bai. Ph -D., CIH Laboratory Director TFST1Nfi f NV AVIAh(A)l* D1 ICH I, 730 SE Maynard Road • Cary, NC 27811 • 919.481.1413 C%ilding er1V-Al Core PAGE 17 OF 39 ENVIRON EN NSECT.0N5 tiffeurofins 4 F1 ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for EnvioCore CLIENT PROJECT: 0819-41 8755 VW 41st Ave LAB CODE: B194729 TEST METHOD: EPA 600 / R93 1 116 and EPA 600 1 M4-82 1 020 REPORT DATE: 08121/19 TOTAL SAMPLES ANALYZED: 12 ## SAMPLES >I% ASBESTOS: 3 envCore PAGE 18 OF 39 tip: eurofins Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY CEI PROJECT: 0819-41 8755 W 41 s1 Ave LAB CODE: 8194729 METHOD: EPA 6001 R931116 and EPA 6001 M4-821020 ASBESTOS Client ID Layer Lab ID Color Sample Description % lir=a -7M1 -o1 --------------------- Layer 1 Layer 2 811972 B71972 Whde,Gray ------------------------------------ Gray SmoothTextcre Plaster None Detected None Detected 8755-SM1-02 --------------------------------------------------------------- Layer 1 Layer 2 871973 871973 White,Gray Gray Smooth Texture Plasber [None Detected None Deed 8755 -SMI -03 --------------------------------------------------------------- Layer 1 Layer 871974 871974 White,Gray Gra Smooth Texture Plaster None Demoted None Detected 8755-FC1-01 --------------------- Layer 1 Layer 2 871975 B71975 Tan ------------------------------------ Gray Tile Thin Sea Mortar Mone Detected None Detected 8755-FCI-C2 --------------------------- Layer 1 Layer 2 871976 871976 Tan ----------------------------- Glav Tile Thin Sea Mortar None Detected None Detected - - - 8755-SM2-01 --------------------------------------------------------------- Layer 1 Layer 2 871977 B71977 Gray,Olf-white White Hand Texture Drywall None Detected 8755-SM2-02 --------------------------------------------------------------- layer 1 Layer 2 B71978 1371978 Gray,Off-white White Hand Texlure Drywall None Detected 8755-SM2-03 ---------------------------------------------------------- Layer 1 Layer 871979 B71979 Gray,OK-white White hand Texture Drywall None Detected - - - 8755-JC2-01 871980 White.Gray Joint Umpound None Detected 8755-IC2-02 --------------------- Layer 1 Layer 2 871981 B71981 White White Joint Co®npound ---------------------------- Sheetrock None Detected None Detected 8755-WTt-01 B719M White rile None Detected 8719M Ten Mastic Chryaoale t.1% 8755-WT1-02 871963A White Tile None Detected 8719838 Tan Mastic cir,5ot-_s -I��, Page 1 of 1 Cay of Wheat Ridge envki core PAGE 19 OF 39 ENvI ONMENTAL INSPECTIONS �: eurofins ASBESTOS BULK ANALYSIS - � By: POLARIZING LIGHT MICROSCOPY CE1 Client: EnvtoCore Lab Code: B194729 1685 S Colorado Blvd. Ste S151 Date Received: 08-21-19 Denver CO 80222 Data Analyzed: 08-21-19 Date Reported: 08-21-19 Project: 0819111 8755 W 41st Ave ASBESTOS BULK PLM. EPA 600 METHOD Ctlerit to Lab Lab MON-ASBESTOS COMPONENTS ASBESTOS Lab 10 Description Attributes Famous Nor-,Fbrouu fi 8755 -SMI -01 Smooth Textwe Hete cgetieoqea 2- Pa -,1 None Detente^ Laver ; White.Gray 88% Bye^ B71973 871972 Non -f -'-rows 10% Siicate5 Fibrous Tightly Bourn J Tighty Bound ----------------------------------------------------------------- Layer 2 Piaster Hete oger*ous 0% Hail 65% BirKw None Detected 87,872 Gray 35% Skates Non-fibrous Fibrous Ttghtiy Bour4 Trghtiy Bid 8755 -SMI -02 Smoott Texture Heterogeneous 2% Pa -1 None Detected Layer t White,Gfoy 88% Bader 871973 Non-fibrous 10% Skates Trghty Round ---------------------------------------------------------------- Layer 2 (%.aster Heterogeneou.- a 1% Hair 85% 8 T{te None Dete--ted B71973 Gray 35% S sates Fibrous Tighty Bound 875S.SM1-03 Smoolb Texture Heterogeeneaus 2% POnt None Detected Layer t White.Gray 88% Binder B71974 Non-fibrous 10% Skates Tightty Bound ----------------------------------------------------------------- Laryer 2 Pester Heterogeneous <1% Hair 65% Binder None Detected 871974 Gray 35% Silicates Fibrous Tightry Bound 8755-FC1-01 Tile Hetesogencars 90% Bauder None Detested Layer 1 Tan 10% Silicates 871975 Non-fibrous Ttghtiy Bour4 Page 1 of 5 envt , Core PAGE 20 OF 39 EN': If�ONMEftTAL e u ry f i n s ASBESTOS BULK ANALYSIS • By: POLARIZING LIGHT MICROSCOPY r Client: EnvloCore Lab Code: B194729 1665 S. Colorado Blvd. Ste. 5151 Date Received: 08-21-19 Denver. CO 80222 Date Analyzed: 08-21-19 Date Reported: 08-21-19 Project: 0819-41 8755 W 41st Ave ASBESTOS BULK PLM. EPA 600 METHOD Client to Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Ferrous % ------------------------------------------------------------------ Layer 2 Thin Set Mortar Heteroge^teas 70% Brxfer None Detected 671975 Gray Non fibrous 30% S#icates -1 r1gM1y Bound 8755-FC1-02 rite Hetesogerwous 9m Beater None Detecied Layer t Tan 10% SAcates 871A76 Non4brars ---------------------------------------------------------------- TVtWy Sound Layer 2 Thin Set Mortar Heieroger*ous 7 Erode- None Detect 87x976 Gray 301;1 S :ate5 Non -kraus righty Ekxx C 8755-SM2-01 Hand Texture Hete cge-*aus 3'41•. Palet Layer 1 evay,08-wteite 6501k BEnder 871977 Non-fitrous % Calc Cart ----------------------------------------------------------------- rightly Bound Layer 2 Drywall Heleropwwous 15% Cellose 654: Gypsum None Detected 871977 White 20i�. Br t Fibrous rightty Soured 8755-SM2-02 Hand Texture HeOervger*KXm 3% Pas" Layer 1 Grey,Olf-white 65% Bidet 871978 Non-fibrous 3U% Calc Carb ----------------------------------------------------------------- rightly Bound Layer 2 Drywall Heterogeneous 15% Cellulase 65% Gypsurn None Detected 871978 White 20% Birder Fibrous rightly Bound Page 2 of 5 City of Wheat Ridge ilding env core PAGE 21 OF 39 ENVIRONMENTAL 1N5PECTION5 '= ASBESTUS BULK ANALYSIS eurofins By: POLARIZING LIGHT MICROSCOPY Client: EnvtoCore Lab Code: 5194729 1685 S. Colorado Blvd. Ste S151 Date Received: 08-21-19 Denver. CO 80222 Date Analyzed: 08-21-19 nate Reported: 08-21-19 Project: 0819-41 8755 W 41st Ave ASBESTOS BULK PLM. EPA 600 METHOD ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS I (Client Lab ID Description Attributes Fibrous Non -Fibrous % .6755-SM2-03 Hand Texture He' - 1W". Silicates Layer 1 G -ay Cff=srtute e5 - E 871979 Non-€ibroars 30% Calc Carb 871981 Tghtty Bound -------------------------------- ---------------------- Layer 2 Drywall -------- HeterogeReaars -- 15 6 Cellulose 65% Gypsum None Detected B71979 White 20%, BmxW Fibrous Tightty Bound 8755 -JC 2-01 Jamt Compound Heterogeneous 2% Pa ^t None Detected B; v Whde,Gray 88% B+Rde* Non-fibrous 10% Skates T-ightty Bound Lab Rises No sheetrock present 8755-0C2-02 Joint Compound Heterogeneous 2% Part None Detected Layer t White 88% Bws7er 871981 Non-fibrous 1W". Silicates Heterogeneous =00?'i Mastic K1%ChrysaW rightly Bound Tan ----------------------------------------------------------------- Layer2 S"eegoc* Hete,ogeneaus 16'2 Cellulose 65:A Gypsum None Detect 871981 White 25% Bridw Fibrous T'rghuy Bow A 8755-VVT1-01 Tde Hetero us 90% Baxies None Detected E 7 ? W2A. White 10% SJircates NOR -Wows Tightly Bound B719e2B Mastic Heterogeneous =00?'i Mastic K1%ChrysaW Tan Non -Wows itghvy Boj td Page 3 of 5 env'nl core PAGE 22 OF 39 I�iMEtiNC�CCT O^.� 4%,',- eurofins ASBESTOS SULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY Gul Client: EnvloCore Lab Code: 6194729 1685 S. Colorado Blvd. Ste S151 Date Received: 08-21-19 Denver. CO 80222 Date Analyzed: 08-21-19 Date Reported: 08-21-19 Project: 0819-41 8755 W 41st Ave ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASSESTOS COVPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Mrous % 8755 -WTI -02 `iI H, <.:_;--;.. "I P _-_ None DehwAed Whha �tv Non Ttghty Sower t" ew0ger--m;'S `'.!_ .. Masvr ,�t'•h: tir7L11R Tan Non -f brows Tighty So,,nd Page 4 of 5 City of Wheat Ridge env Core PAGE 23 OF 39 ENVIRONMENTAL INSPECTIONS 4i eurofins U1 LEGEND: Non-Anth - Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate MET1400: EPA 600 1 R931 116 and EPA 6001 M4-82 1020 REPORTING LIMIT: <1% by visual estimation REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0. 11% by 1,OD0 Points REGULATORY LIMIT: >I% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBs) such as vinyl ftoor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples far asbestos is not covered under NVLAP accreditation Estimated measurement of uncertainty is available on request This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurohns CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client Samples were received in acceptable condition unless otherwise noted, This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U S. Government Information provided by customer includes customer sample ID, location, volume and area as well as date and time of sampling. ANALYST: APPROVED BY: .,✓��r� L Justin Shu Tianbao Bay. Ph D, CIH Laboratory Director Hv to r TFFI-I CI NV Al I Aa r S * UI �hH I, Page 5 of 5 envi Core PAGE 24 OF 39 �:-ni cr .1 xn .nw«+«s»T1CEI Samptifs ChNn Of Custody (COC') r., ns ux Tau c—, l'^nM+b u /bM N..~d . 031"1 JIM W41* A.$ x..w Ieeesrrr...na.. ..b.a.awn:sw ••.. u rwrr.n. :rA.-nvJ+.. Slav ., MOT— [U 4nQ�. AN1 06a. S scA�aT.n Mary :a. wnn Iwwrb n.►�a1a t t! Au +W�"iniEET . t�rrTr+ xeTe tl+i✓taTr, - + aN.►+o! 11ta+e.Ttl tbla'Tw.. Sa�yMxbll+i. laT4�l ..+non rtbn erVy Via• MvMs w.Ts a.#n qi lx Lu4MtAa.-� ®issrasa! M r..T�.. e4N Q cu 6 anr. "0 kA TRT i 6'XdM ! 24'. ZEEXk- *gym. $ ■T]S! lm WNs•.s-r%-Hent-"It a T%. Msbt♦ PJF+VON Tat Gw-*4Mr. VNV W •ass dao* k'wl" vs.ay T^w Q asi c.eu.r +a+v KPA 1 tad LST « ra, Ta TV, Grow xv- 6K ! 0-W VAT a rk- pl'i 'A 7 fiTA' envilCore PAGE 25 OF 34 ENVIFONMEN-AL CT .111 4 pJ J�q H 9` i31-ii q ? Y719, LUROFIN5 CEI. INC SAMPLES ACCEPTED --4-- City of Wheat Ridge eurofins LEGEND: Non-Anth = Non-Asbestiform AnthophyWte Non -Tram = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate MET1400: EPA 600 i R931116 and EPA 6401 M4-821020 REPORTING LIMIT: 0% by visual estimation REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1% by 1,000 Pants REGULATORY LIMIT: > 1 % by weight Due to the limitations of the EPA 600 method, nonfnable organically bound materials (NOBS) such as vinyl ftoor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBS analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is riot covered under NVLAP accreditation Estlnnated measurement of uncertainty is available an request This report relates only to the samples tested or analyzed and may not be reproduced. except in full, without written approval by Eurofins CEL Eurofms CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government Information provided by customer includes customer sample ID, location, volume and area as well as date and time of sampling. ANALYST. APPROVED BY: I/- Just;n Shu Tianbso Bal. PhD, CIH Laboratory Director mv(%P' TFE-,(,16 W.' AVIAK(Ii,* DIIN81- Page 5 of 5 envi , Core PAGE 26 OF 39 -CCT 01 - cr "' CELW Soonples CtwR Of Cu*Wdy (CQq rums �It-Mza�f Hs til Yt Mat enpre PAGE 27 OF 39 E- 110Y*PTID� I LUROHNS CE'. iNrL SAM.PL E S ACCEPTED City Of Wheat Ridge mmummu=rm NWAM' ..................... ammommmomm rri enpre PAGE 27 OF 39 E- 110Y*PTID� I LUROHNS CE'. iNrL SAM.PL E S ACCEPTED City Of Wheat Ridge �eurofins CEI August 22, 2019 EnvioCore 1685 S. Colorado Blvd. Ste, S151 Denver, CO 80222 CLIENT PROJECT: 0819141 8755 W 41st Ave CEI LAB CODE: B194729A Dear Customer: Enclosed are asbestos analysis results for PLM bulk samples received at our laboratory on August 22. 2019. The samples were analyzed for asbestos using polarized light microscopy (PLM) gravimetric point count per the EPA 600 Method. Sample results containing > 1% asbestos are considered asbestos -containing materials (ACMs) per the EPA regulatory requirements. The detection limit for the EPA 600 method is < 0.25% for gravimetric point count depending on the processed sample weight and points counted. Thank you for your business and we look forward to continuing good relations 14VLA t. TEZTI , 'fVW V; cco_ .ai. ea n envCore Kind Regards, %C o k Tianbao Bai, PhD.. CIN Laboratory Director 730 SE Maynard Road • Cary, NC 27511 • 919.481 . 1413 PAGE 28 OF 39 -� ;W euroffins CEI ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for EnvioCore CLIENT PROJECT: 0819-41 8755 W 41st Ave LAB CODE: B194729A TEST METHOD: PLM Gravimetric Point Count EPA 600 f R93 f 116 and EPA 6001 M4-82 ! 020 REPORT DATE: 08122!19 City of Wheat Ridge enviCore WAGE 29 OF 39 1-0hMErv-AL NS�ECT ONS .;•. eurofins ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY Client: EnvioCore Lab Code: B194729A 1685 S. Colorado Blvd. Ste. S 151 Date Received: 08-22-19 Denver, CO 80222 Date Analyzed: 08-22-19 Date Reported: 08-22-19 Project: 0819-418755 W 41st Ave ASBESTOS GRAVIMETRIC POINT COUNT PLM, EPA 600 METHOD Client ID Material Sample Organic Acid Soluble Acid Insoluble ASBESTOS Lab ID Description Weight (g) Material (`w) Material (7b) Material ("m} 8755-WT1-01 1--Ufilc 971982 Sarnpir. 8755-WT1-02 4r 049„ Chrysotile 871983 Page 1 cf 2 eny qCore PAGE 30 OF 39 tih eurofins I CEI LEGEND: None METFIOD: EPA 6001 R93/ 116 and EPA 6001 M4-821020 REPORTING LIMIT: Varies with the weight and constituents of the sample (<0.25%) REGULATORY LIMIT: >1% by weight This report relates only to the samples tested or analyzed and may not be reproduced, except in fuel, without written approval by Eurofins CEI. Eurofns CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client Samples were received in acceptable condition unless otherwise noted. Estimated measurement of uncertainty is available on request_ This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Govemment. Information provided by customer includes customer sample ID, location, volume and area as well as date and time of sampling. ANALYST: Kyle Demsko NVLA TE IvL7 L`.5 CCD APPROVED BY: /`� Tianbao Bai, Ph.D., GH Laboratory Director env core PAGE 31 OF 39 Et-r-ONIAEr.;-al NEF`EET ❑N5 Page 2of2 city Of Wheat Ridge Vanessa C000ens l 1 U From: vanessa Coppers Sent: Thursday August 22 2019 1020 AM hr. 1 To: 'johniPgoermocore.com' _ I1 Subject: Paint Count RegLwst 18194729) HI John, I just wanted to confirm that we will be performing a point count request for project 0819-418755 W 41st Ave orz all the <1% samples This Witt be completed on a same day turnaround Thank youl Vanessa Coppens Lab Operations Support Specialist E urofrns Cf 1 730 St Maynard Road Cary, NC 27511 Office 919 481 1413 vanessacgpgens@f urof niV$ eom www eurafinsus.tomlcei in, envkCore PAGE 32 OF 39 C'�'��l J_ -CCT Or.� ti•% eurofins CEI August 26, 2019 EnvioCore 1655 S. Colorado Blvd. Ste. 5151 Denver, CO 80222 CLIENT PROJECT; 8755 W. 41st Ave, Wheat Ridge LAB CODE: T192552 Dear Customer: Enclosed are asbestos analysis results for TEM bulk samples received at our laboratory on August 26, 2019. The samples were analyzed for asbestos using transmission electron microscopy (TEM) per Chatfield Method. Sample results containing > 1% asbestos are considered asbestos -containing materials (AGMs) per the EPA regulatory requirements. The detection limit for the TEM Chatfield method is ¢1 % depending on the processed weight and constituents of the sample. Thank you for your business and we look forward to continuing good relations Kind Regards, Tianbao Bai, Ph.D., CIH Laboratory Director 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 City 01 Vdheat Ridge envki core PAGE 33 OF 39 ENVIF0NMENTAL INSPECTIONS ti- eurofins ASBESTOS ANALYTICAL REPORT By: Transmission Electron Microscopy Prepared for EnvioCore CLIENT PROJECT: 8755 W. 41st Ave, Wheat Ridge LAB CODE: T192552 TEST METHOD: Bulk Chatfield EPA 6001 R93 f 116 REPORT DATE: 08126119 env Cpre PAGE 34 OF 39 EN✓IRONrAENTaI qS T'.11 ASBESTOS BULK ANALYSIS tiffe u rof i n s I By TRANSMISSION ELECTRON MICROSCOPY CE! Client: EnvioCore Lab Code: T192552 1685 S. Colorado Blvd. Ste. S151 Date Received: 08-26-19 Denver. CO 80222 Date Analyzed: 08-26-19 Date Reported: 08-26-19 Project: 8755 W. 41 st Ave, Wheat Ridge TEM BULK CHATFIELD t EPA 6461 R931116 Sample Organic Acid Soluble Acid Insoluble Client ID Material Weight Material Material Material Asbestos Lab ID Description (g) `A % % 75 8755-WT1-01 we G.M 7 4.2 951 None 7104464 Detected 8755-WT1-01 Mash 0.139 47.5 259 266 3.1%Chrysotile 7104463 Page 1 of 2 � Cyty of Wheat Ride envi Core WAGE 35 OF 39 ENVIRONMEry �l�l NSAEC ore .1 eurofins CEI LEGEND: None METHOD: CHATFIELD & EPAt600rR-93/116 LIMIT OF DETECTION: Varies with the weight and constituents of the sample (0%) REGULATORY LIMIT: > 1 % by weight This report relates only to the samples tested of analyzed and may not be reproduced. except in full, without wntten approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client Estimated measurement of unoertainty is available our request_ Samples were received m acceptable condition unless otherwise noted Information provided by customer includes customer sample ID, location. volume and area as well as date and time of sampling. ANALYST: —id4 ,0144 APPROVED BY:— Brunilde Gibka Trantao Bai. PhD . CIH Latroralory Dredor Page 2 of 2 envl Core PAGE 36 OF 39 1VPNL5S2 Ttp4yG3 • 14614 env tre lW!I1 Golorax et4 SAf 141 IRSiLCTDIt: Joan p"wi8 Vw 3D3 -4Q -Wb Cell 12i -W9226 wo�orr cow, pw#wnvwlxe cm _,^ pro�OfTAddress Mip«aotii!s►A s 1 `,*c,i-�,-- - r+ - $? 5,5 W 41't PrVIF �?F— 51.'gp�y p Cta1�/lfidiOM R t Tz 141r Test &dt 144, e•t+wmrm RN1*r1cu I"-. R+mnat� DAtss'De�tiDltlnn 1 cq 1J Reason lot ntPectnn ��/ C. mo for 1 Woto t %Imr*tw I Inie thw1vt sme ��� �sslkll- w u Dfp"w TiN Wt yet % RA'II ,'h,'1.,'I, ,'h.'/.,I Swt Dat Jaw of pmoo catfir mx Malensl D"V E ;.IROFi t3 S CEI INC i *WU v wa SAUPLES ACCEPTED I espona OM Patty e�Vte lo— k' fv Ntutly CDPNf Lob Palmer Praede sVaPtw�e r teat _ Dta�OttLosdw aw UPS 1 USPS I EMSI I RES I ATC1 CEI _,^ pro�OfTAddress phW 51.'gp�y p Cta1�/lfidiOM R t Tz 141r DitffTOft ETA 144, e•t+wmrm RN1*r1cu I"-. I Sattydes i" t Dete 1 trsne 1 cq 1J t WIF . ! LIMN G1D1ffi ctwl! Y1M76RFt9 Yd f A" Asti?G G Awtft""11' ` 1, PA , L Oflce tk r WAIT", f City of irdheat Ridge env r ore PAGE 37 OF 39 ENVIRONMEN1gL N�PECTi.NS t Tz 141r owit3lr 144, e•t+wmrm RN1*r1cu I"-. /llcf' M? •' A/itC'§ fA11Itt LIMN G1D1ffi ctwl! Y1M76RFt9 Yd f A" Asti?G G Awtft""11' ` 1, PA , L Oflce tk r WAIT", f Wil tf AlfeLY: DUMPj " � 1 wyl _ }755 �. sm, 1 "��� ie Z .tl, VL .N. � �" tr,a,w� M,br. At � I1Y1N G10!ffi t un � YtN �!� �, i SM; ` �rVA eE,RM4 ft, W,W A/ilk/0 17Y1N S(G!§D t!tMT! Y/N N twle�,� A,rY�+ .�._ .. ,_ ..w...... 1.t lwk t1m," ero7ffi YIN �� + Nam ,A1VC1G A U4 tv tA 04 -4 PW"tl. rtl61' AIi1CJ 11MIH 81DIso tiaWtl TIM I 1MSC , {ff st.4Aw"ate+ aAs. KN i S CFS, INC RA t Isi sex au tl. to W. OK NJ k Wt 4lrF,w �'�' wn •Cnt- nso. AllSC1Dj L! M, G?Di SD FMYM1 , T!M .1cJ — .._._ _........m__.._._� m u, s oft} Al iJC1� IIM+N G!D!ffi "W],i } Y1N AMPLESACCEPTH 5urtgrr Mt tAtce+ Via4MIaMx M!a t IKa SWIM to to aI CA aroftm +u, r, en lasf+ Atilt:/J t/mi" GlolsD :1MCt1 YIN tM'„i to+as.. star City of irdheat Ridge env r ore PAGE 37 OF 39 ENVIRONMEN1gL N�PECTi.NS nspection Certiticntiens of'cOrO N 1876 Colorado Department Of Public Health and Environment ASBESTOS CONSULTING FIRM This certifies that envioCore, LLC ,- = Registration No.: ACF - 21660 has met the registration-rc�Wrements of 25=7.507, U.S. and the Air Quality Control Commission Regulation No ,'-Nit B, and is hereby authorized to.perfoi_m asbestos consulting activities as regvtred under Regulation No 8, Part B, in'the state of Colorado. Issued:. February. 14,2019 npq. 14; 2020 AUI Mrbd l'1�l'.D I�Opt pE env Core PAGE 38 Of 39 Erd_moruncr.,-ni iu_vCC*ons mmmi.vm� =dmLTAI.f--flwmlm= Starbucks eGift Cards from CashStar https:Hstarbucks. cashstar.com/recipient-experience/redemption/M... The eGift amount reflects the balance of the card at the time of delivery and is not necessarily the current balance of the card. Reload your eGift and check your balance at participating Starbucks stores, www.starbucks.com/card or 1-800-782-7282. Your Starbucks Card eGift may only be used for making purchases at participating Starbucks stores. It cannot be redeemed for cash unless required by law. Refunds can only be provided for unused eGifts with the original receipt. This eGift does not expire, nor does Starbucks charge fees. Complete terms and conditions available on our website. Use of this eGift constitutes acceptance of these terms and conditions. Treat this eGift like Cash. For our full Terms & Conditions, click here. Contact Us Privacy Statement 2 of 2 09/11/2019, 2:31 PM 00 W Z Z OW aw Um J J 0- 0. a� �z c 0 G Q � U as a C W J Q 0 U_z_ OO 0 Z LL. Z= W~ W Q �_ 0- a� m O a U O j LU uj WW u) L_ a c E 3 m .a U m N 7 O E rnw 7 •O c o c •� °1 0 � = 3 _ N O O T N c c cp m N 0O V O E m c cca) C: m Y c°)EmP Z S E C �QO CUE-12 m or cm c6 C = C N o) CO a •u�Em N 2 N T m E oL n O .0 N (0 a Z'ON1� C.p N NO N O C N O Nc a) M ccoEm� Q)wN— o)m= 3 E4 a E E N 0msm =Q0Ua O m cep 0 N C, >O G a N C O m N O •O • - U'O N tm Imo— ao 5 m °f,je y z. rnom°cEo UJm O Ma) Cl) c W O U 0 0CL O O U co F4 F4 (D F i Cl. a O O 7 Oao > 0 Q. 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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: SJ A Permit #: j General Contractor:—r_r \\G-C>C Opns- -\P-k3T,0� ��Ut Electrical Sub -Contractor I Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor Phone #- Master #• (required field) Date Company Names ; r, (. ..Phone #: State License #: '-)! Master #: Wheat]Ridge License #: -1-s (required field) Signature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date /Ai 64 met - 1 1NS��moN "IaJ(40:% ?b B E I NST,(„ �jj ,r EX -f -C41 LIC (NAZ Cf � �� lei ?� SNow►�, 2.a2 ) 2C N u nZ•K.I 1 U �`� � d r o• i �1., I icy 4 1 .✓ 2-4 zoi Tai 1e a - 1 ►12 E i � ew CT'A (\ A f c:It U ew wo )i tJ (�URy-- Vow N ov,1 C� `�; ow .. �w City of WICLwbc-:lkt Page MUNI tY I 1r 1 APPRO" EL) WINm'05 Revie r Code Cuslp.iani:a Plans aminer Da:r Vdk t d oemk Rw js*Awxe of o Pe►mit W W euu; /atons wK �fkodon/ and owroutamns shah not be o pmadlbr, or on " .o.or of Mn wotatow b any of Me prov/stora ay the building Caft OF of ory City ardramcet. PerM tt praum" to ow outhrsrtty to wokw or ew"I the proashivu of ow swift CMA or otter orkromn of ft ! n v --i. .... „vod. 1� �-J C� Wolekf- `"T D (?OM ()L-t,� w ir-t I • Zol Z Ix -9e Z. COLOkAroo Cook F. SCE 4TT7A GKCOYWTS I'-::i�Z � D,Ti rJnh� &),V C � � t2�M'� . co _q --V,3 -3 kurrtbfc �eperoj , ooll�ocAor 34T(ey C o I / CA COO rrl� GO to Whe OX volt ll t4., 91. S1 w k ec-+ .01 s1 1`D O'B`I wheat R�d9e 8uildi"9 pivis�a" City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201901956 PERMIT NO: 201901956 ISSUED: 09/13/2019 JOB ADDRESS: 8755 W 41st Ave EXPIRES: 09/12/2020 JOB DESCRIPTION: Asbestos abatement 82 sq ft. State permit # 19JE5903N *** CONTACTS *** OWNER (303)521-4081 BOZARD KATIE SUB (303)317-7981 LUIS BALMAEDA 190271 CLEAR DEVELOPMENTS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,783.80 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** 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, 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 thiv�permrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pertorme at all work to be performed is disclosed in this document and/or its` accompanying approved plans and specifications. �!• s3 S' re of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-cial and is not guaranteed. 4' No work of amanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. d5. The permit ho iy er 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 a4 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 midge COMMUNITY DFWLOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm itsCc)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 2Ke:)l 7� Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: e0SSw.LA,\ u Q—,. kc ) 60033 Property Owner (please print): V6J; R__ Phon<3022>'S_2 1 -L 0V Property Owner Email: \L&A.; ` no ;.u-1 a „� ,n kir , Co „�► Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: --.)C._V\.' e—, City, State, Zip: Architect/Engineer E-mail: Contractor Name: 1 City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: Phon1- 11q2fl CONTACT NAME (please print): L14i*tk c..` acej,' PhoneE(�-- CONTACT EMAIL(p/ease print):6ba CCe,o,,do . ne.k 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. ou'w De vq0 e rUMJ'-'- .w - l t re,vove, 0.P&Oat i n tp-�( AZ Cr Acte, �rorn 4 -hal:, b a}-kro�� W`� a(( 'lGS i � � �ln t5 Wt,u'k ricul -i r ab te— i wo k p(tN Cc, �a �f PibCeXJ . / W 25 �e' WJ' li bc. joly f"ly ��a %G✓G' d i Q5 k��s a J ( lid. /l Sq. FULF �i�5� BTUs Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) I 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 e � on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the applica ' n. CIRCLE ONE: (OWNER (CONTRACTOR _ ( D RE ENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and/last DamDATE: Printed Name: 4 vI/.S DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _ CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: �v- C C7 C' n 0 �. m CD < (D �' tl Q CD 0 v 3 In, � QCD O Cl 0 N O-0 '1C CL9"3 3 Sc N Q 7 CD N (� O tj C v Q ci C CL o 0( v7n -' y 7 O CD (I CD 0In C: < v U) 0m c yS Q w 0 '< S O EP O R CD L CD v 7 X- 6 a D 3 Q C E c CD a CD CD Cl fn CD G V N v 3 N 7 a 0 Q �'-y..O c 7 O -0 N N C m� 7 m °' (D F N aNcro -COD3 v (D S N C v 3 c 0 c cc CD o v v CD a(omo c s v n CKC N 3 CD > > O Q N 07. 5,Q) l0 3 0 O CD O CD v.0N� 3 7 n (vn (D g 0-,z N S CD y CD (D ^_ a v 7 CD �0 7 3 Q Qc3 CD C: o C) v O 0 CD D �a R [1 Z R I2 n :v 0 fD f!1 0 CD CD N CT v CD a m D W n D C-) —0 0 C) 0 m W -i n cn o . O CD 0 (D O CD O p O(D �. 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Q N CD K N / O o oC oC2 C C Q Q (D CD N N O O y O W rn ul O d CD (D 9i 8 O v Cn O O T CD O -71 Q Q Q (> CD (D CD N _N N N co O COiC O o m CD �Q vCD C) av 0 3 Q CD O O ~ �. -bcch N O Q < o ci Z D O 0 �j o (D CD Cn y T (n O Z N O Cn CD CD O 3 -0 Q O c o00 0 < G 0 CD CD 3.I 3 ❑ �rnCCVn NQQ CD CD 'D El— Hi 69 n W O OD cin n go Eo- �n T -n X v CD (D IN ;u -,u L CD Z a� D CD �• Q ;n O C7 O m � CD v n 11 El C> O O � r O T O Q C" �Q Cl 0 T 'cD CD m O Q �G Cr " v D S CD cn (D0 n � y (Q CDZ � � O � v x p IS T ¢� O m Q N wCD CD p°- .3, C) -mc, n m o �00 m< ° o w O,z CDo OC co owon �o Mi b' wwq N Co < O CD ° C CD Cf) = 0 CD c N S j -n V/ m 'W^ K N C -4 (10 _...� D Cl) C -)D CW oD zm zm _2 --I Z 00 l J 0 OD —1 -v 0 r Z m --I m� D a. rm C) O� S) D r I- 000 mD X 0 CZ z -n M 0 o;u m Colorado Department of Public Health and Environment Air Pollution Control Division — Stationary Sources Program — Indoor Air Unit 4300 Cherry Creek Drive South, APCD-SS-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-7820278 E-mail: asbestos@state.co.us ASBESTOS APPROVAL NOTICE This notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 16, 2003, and effective March 2, 2005, the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). It is only for the purpose of allowing asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos approval notice is valid beginning 9/29/2019 through 11:59 PM on 10/1/2019. The actual scheduled work dates are from 9/29/2019 through 10/1/2019. Approval issued on: 9/3/2019 Record number: 152218 Notice Number: 19JE5903N For the location specified below: Residence Basement 8755 41st. Ave Wheatridge Jefferson County This notice has been issued to: Amount paid: $80.00 Check number: CC 1909 Clear Developments, LLC Issued by: CA 2895 W. Oxford Ave Unit 5 Sheridan, CO 80110 40 - / � ��'����`�k» $/.\{�^ \\�zyez<�� � \ , � ... \�}� .\�-� / ^ �<� \\. ^ ^^��� y� : >- /�\ Katie Bozard To CDRHE, My name is Katie Bozard. I began to remodel my bathroom on 08/14/2019. The City of Wheat Ridge gave us a cease and desist order on 08/20/2019. 1 was unaware that we need to test for asbestos before work began. I hired a certified Air Monitor Specialist to test all materials that where to be impacted during the remodel. The mastic behind the ceramic tile came back positive for asbestos. I am aware that there is a 10 -day processing period and I am requesting for those 10 days to be waived so that Clear Developments can clean up the minor spill and remove the remaining ceramic tile and mastic as I am concern for my and my children's health. If you hgqa�vtey an„y� questions, please contact me at (303) 521-4081 or �' tyP, at-Cc3iL ti �n�9 N A&i3�wi� rL 1 �rv�Ar6. Sincerely, C -a- Clear Developments SNOIlSSdSN)1-� b`1NSWNOHIAN3 ago -inua 9AV Is LV M 99L9 podaa uoiloadsul uoijbwouab sojsagsd jniluapisab pallwil S'+i'JI1-3C�N' '�3Nl fes: 6£ JO 1 3Svd aij6j lX, U; 0-891ZOI # Iaa0 dVIAN soIsagsy £LV 1-1817-616 ON '403 pool paou/\oW 3S 0£Z sgol go uolleuaaojul qel Vd3H`d soIsagsy pannollo j s103010M pJgzog a!Io)! 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Letter Do Not Pour Concrete Prior —To) Underground/Slab Inspections Date Inspector Electrical Initials Sewer Service Plumbing Do Not Cover U Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Comments Of The Above In d or Below/In-Slab Work Prior To Date Inspector Initials Date Inspector Initials Comments Of The Above Ins Comments Comments Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a C of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For low voltage permits y the Building Division. —Please be sure that rough inspections are completed from the Fire District and electri Certificate cal low voltage Occupancy Is Not'Dermittad Until A f-r#if.-atF -)rc yl s ns City of Wheat Ridge Residential Roofing PERMIT - 201706706 ISSUED: 08/29/2017 ;RMIT N0: 201706706 EXPIRES: 08/29/2018 �B ADDRESS: 8755 W 41st AVE Re -roof to install asphalt shingles with 34sq DB DESCRIPTION: Residential ** CONTACTS *** WNER (303)521-4081 TURNER SARA KATHERINE 160146 BLLR dba Ropa Roofing UB (720)284-8831 Brent Roper ** PARCEL INFO *** USE: UA / Unassigned UA / Unassigned 0 ;ONE CODE: SUBDIVISION CODE: 2906 / / BEL AI HEIGHTS, ME BLOCK/LOT#: *** ESTIMATED PROJECT VALUATION: 17,398.00 *** FEE SUMMARY FEES 0.00 Total Valuation 365.36 Use Tax 331.10 Permit Fee 696.46 ** TOTAL ** *** COMMENTS *** *** CONDITIONS *** roved midroof 2014, asphalt shingle installations requireis an installed, prior to final Effective December 1, ercent of the roof covering inspection, conducted when 25-75 p new or overlay) is required on the entire roof approval. Installation of roof sheathing gg(n exceeding one half inch exists. Sheathing and per of the sheathing must be when spaced or board sheathing les are required mid -roofs may be called in at the same time, one hundred Asphalt shingles complete and 25-75 percent of the mid -roof maycomplete. per shingle ladder extending 3 feet above the roof eave . Ice and water shield to be fastened to the roof deck with a minimum of 6 nails p is required. Eave and rake metal is required. d. A d for all roof inspections. Roof ventilation required to be p tion instructions, and secured in place is req required to comply with applicable codes and/or manufacturer installation is req tion of elastomeric or s whichever is more stringent. In order to pass a final inspection royal from the manufacturer technical s a letter of inspection and app ro ect address) has been representative type roof covering that "the application of the roof at (p 7 stating applied in accordance with the binstallation siteat instruction finalroospectional brand name roof covering" is required to art inspection will be Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd partyneeds to e art inspection report AND THE ORIGINAL oP�RMUSTCARD SIGNED by bhedropped required, the 3rd p Y of Wheat Ridge. The rep off to the Permit Desk at the City Homeowner. 1* � 4 r City of Wheat Ridge Residential Roofing PERMIT - 201706706 PERMIT NO: 201706706 ISSUED: 08/29/2017 JOB ADDRESS: 8755 W 41st AVE EXPIRES: 08/29/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 34sq *** CONTACTS *** OWNER (303)521-4081 TURNER SARA KATHERINE SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,398.00 FEES Total Valuation 0.00 Use Tax 365.36 Permit Fee 331.10 ** TOTAL ** 696.46 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706706 PERMIT NO: 201706706 ISSUED: 08/29/2017 JOB ADDRESS: 8755 W 41st AVE EXPIRES: 08/29/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 34sq 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 a authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I rther attest that I am legal authorized to include all entities named within this document as partes to the work to be performed andthal yl�toerfo ed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or —CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plan and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUS SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz Q-) From: no-reply@ci.wheatridge.co.us Sent: Friday, August 25, 2017 12:30 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a residential roof? How many dwelling units are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Yes Single Family Home 8755 W 41 st Ave Katie Bozard 303-521-4081 katie@liveurbandenver.com 53 6� Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Bozard, Katie - Agreement.pdf CONTRACTOR INFORMATION Contractor Business Ropa Roofing Name Contractor's License 160146 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-284-8831 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 795 McIntyre St., Golden, CO 80401 (Primary address of your business) Contractor Email Address roparoofing@gmail.com Retype Contractor Email roparoofing@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of (34) the entire scope of work: Project Value (contract 17398 value or cost of ALL materials and labor) / Are you re -decking the No v roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 54 Does the scope of the No project include a pitched roof (2:12 or greater pitch)? Provide any additional remove and replace roof l detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of 55 fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Brent Roper Email not displaying correctly? View it in your browser. 56 1* � 4 r City of Wheat Ridge Residential Roofing PERMIT - 201706706 PERMIT NO: 201706706 ISSUED: 08/29/2017 JOB ADDRESS: 8755 W 41st AVE EXPIRES: 08/29/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 34sq *** CONTACTS *** OWNER (303)521-4081 TURNER SARA KATHERINE SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,398.00 FEES Total Valuation 0.00 Use Tax 365.36 Permit Fee 331.10 ** TOTAL ** 696.46 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706706 PERMIT NO: 201706706 ISSUED: 08/29/2017 JOB ADDRESS: 8755 W 41st AVE EXPIRES: 08/29/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 34sq 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 a authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I rther attest that I am legal authorized to include all entities named within this document as partes to the work to be performed andthal yl�toerfo ed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or —CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plan and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUS SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz Q-) From: no-reply@ci.wheatridge.co.us Sent: Friday, August 25, 2017 12:30 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a residential roof? How many dwelling units are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Yes Single Family Home 8755 W 41 st Ave Katie Bozard 303-521-4081 katie@liveurbandenver.com 53 6� Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Bozard, Katie - Agreement.pdf CONTRACTOR INFORMATION Contractor Business Ropa Roofing Name Contractor's License 160146 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-284-8831 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 795 McIntyre St., Golden, CO 80401 (Primary address of your business) Contractor Email Address roparoofing@gmail.com Retype Contractor Email roparoofing@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of (34) the entire scope of work: Project Value (contract 17398 value or cost of ALL materials and labor) / Are you re -decking the No v roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 54 Does the scope of the No project include a pitched roof (2:12 or greater pitch)? Provide any additional remove and replace roof l detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of 55 fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Brent Roper Email not displaying correctly? View it in your browser. 56 r 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: 1/0 C/ 4 O F Job Address: ) 71-5- W q171' Permit Number:/7a67L16 ❑ No one available for inspectiorijime ! //"1 'J AM/PM �1 Re -Inspection required: Yes ;No ` When corrections have been made, cal! for re -inspection at 303 -234- Date: - 03 -234 -Date: %I �� Inspector: O T Y 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: 119 Job Address: g % 1�- , Ll /5 Permit Number: Qo/ %p 6 % 6 ❑ No one available for inspecti :Time I! 1AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: �%—/--Inspector:�M7— 1 DO NOT REMOVE THIS NOTICE I* ® A i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspection: Time %)/ �'� AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-insp Ztion-at 303-234-5933 Date_ , Inspector: ,; DO NOT REMOVE�THIS NOTICE 3t}f Date: �(GOMAAMJUMTY DEVELOPMENT FlanJperrnnit # Building & Inspection Services Division 7500 Wa 2e Ave., Whet Ridge, CO 80033 Plan Review: Office: 303-235-2855 * Fax: 303.237-8929 Inspection Line; 303-234-5933 34-5933 Email;n its i..whetrid e. o.us Building r it Application i t m�e�mmammt f� t St al mf'A'ft soma l f r m t fitima 1 i %iEsa em►t&m+ fDeamm mm 1w h momm �x party wii j a J Mailing Address: (it' clifferent than property address) Address: City, Mete, Zip: rchite E 'nee r E-mail: Phone. t ContractorE-mail: cress. Q::,., � Subs Contractors: Electrical Plumbing: Mechanical: W,R. Doty License # W.R. City License # WR City License ense # Other City Licensed Sub: Other City Licensed Sub: City License # City License Complete all information on BOTH sides oft is form �! aw w {...w • { .. w t w� w w l w ♦ i w w i. w' M t � r w Y t of materials to be used, etc.) j �J-tkkx. �> Ak-" Sq. FULF stws Gallons Amps Squares Other 0112812016 09:19 7202495121 JOSH -WARD PAGE 01 City of I 'Wh6at « it ISI I! I ILII ��ii�` J��� II 0 ITY I� DWELwor NT Perm' 113 Office.Building Division 7500 W. 2941 Ave.; Wheat Ridge, CO 80033 Inspecton• sM## *# .. IN M.- m ir_ .n ... • s r w MN Use ga ,. F PIA" #, Kavtaw ftef Sq LGallonr _ ..• �. .. ., _ •_.. • .. w: r. rs<;.:• • ar:`. -••.: a w :. .... ! ff Q '.Q QY 4 *. # Q a f wit, # s ' e, s • s �. I�) l� I II III INI�IM� Propert" Addr "sv y Property Owner (p/ease p fin Phone: m City, State, zip: no $ub Cbbtradors- Qjjh gate:, lmdamw-fMi2a, Aggmv-gl, lailm let ral-figiffm - I INSPECTION RECORD OCOupancVlTVpe °'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (EEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain f Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. YOUR NO CONCRETE UNTIL ABOVE HAS SEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric - - Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation - Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER • CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office,* (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type �� ',✓� Job Address F05�,5 W Y1 07 "' 6 Permit Number ✓ °/? E� K r. f 0 one available for inspection: Time AM/ .�- ispection required: Yes When c - — Inspector: 1IS NOTICE " ' City of Wheat Ridge .� Resid. Windows /Doors PERMIT - 102217 PERMIT NO: 102217 ISSUED: 09/21/2010 JOB ADDRESS: 8755 W 41ST AVE EXPIRES: 09/21/2011 DESCRIPTION: Replace 6 windows like for like * ** CONTACTS * ** owner 303/422 -7308 Gerald Smith sub 303/773 -1515 Dustin Warren 09 -0445 Crown Construction, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0281 BLOCK /LOT #: -0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,217.00 FEES Permit Fee 50.00 Total Valuation .00 Use Tax 93.91 c_C ** TOTAL ** 143.91 Conditions: Tempered glazing is required within 24 inches of doors, in tub enclosures, and as required by code. Replacement windows shall have a U- factor of .35 or less. Inspection prior to covering is required. Subject to field inspections. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicabl ' Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. (& (e-- Alfa Signature of contractor /owner I da e 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. Signature f Building Official date INSPE ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUE C IS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From:Renewal by Andersen 3037731530 09121/2010 10:26 #090 P.002/005 city, of N �t✓,�.� �. � Date: —� M A2 U N n Y' D r, v t L U P M E— t' + iT ' Plan # Building & Inspection Services Division Permit# I 1 7500 W. 29 Ave., Wheat Ridge, CO 80033 - Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Iff _: _' : de s V�9- ye5} Avc U O 33 Property Owner (please print) Get - AId sylt -ft Phone: 303.ItZ2 - -73og Mailing Address: (if different than property address) Address: City, State, Zip: Contractors City License #: City License # Plumbing: City License # 6- rilation of VV R Phone: 5O . 3 . Mechanical: City License # S ontract Value: 5 2- 1-7 -00 Review Fee (due at time ofsubmittao: 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 perfona 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. CIRCLE ONE (OWNER) (CONT�R o (AUTHORIZED REPRES/E`Nl _TAT,I.VEq) �f (_OWNER) CONTRACTOR) PRINT NAME: C lkI- d E on? ;I`— SIGNATURE: AAT.C: j i Bldg Valuation: $ I vl�a i`ke- For� bt`ka 1 tares BTU's Gallons Amps Sq Ft. Phone: 5O . 3 . Mechanical: City License # S ontract Value: 5 2- 1-7 -00 Review Fee (due at time ofsubmittao: 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 perfona 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. CIRCLE ONE (OWNER) (CONT�R o (AUTHORIZED REPRES/E`Nl _TAT,I.VEq) �f (_OWNER) CONTRACTOR) PRINT NAME: C lkI- d E on? ;I`— SIGNATURE: AAT.C: j i Bldg Valuation: $ From:Renewal by Andersen 3037731530 09/21/2010 10:27 #090 P.003/005 XenewalbyAndersen CUST9, WINDOW WORKSHEET "' Pase of r OTE: Review this wolksh ro ect thoroughly. Ono, b is s. and accepted it bw CUSTOMER NAME' LOT eme nr s part ofyo purchase Any changers may result in at increase in price. X ! - MULLED with # Diagram OSLI G Full Screen Q Half Sawn G Hardware T,. 0 FF Brie unsold Type (OR only) 0 Color 0 Traditional �1'�/ 0F.1u,,jww(svmdmd) [] Standard 0 Picture Frame De�riptiort O Full Frame - ❑TmSCenc- ❑Metro(CW &AW) 13 Mere ❑Aluminum O Copect (CW &AW) O Siding Cut Back -/ FkJ t'R'`17 ML UL 17 Tempatexd ❑ T- Handle (C & AW) 11 Stucco Conack Bottom sash only 0 Casement Window 0 Boon, Out 11 Obscured 17 OSLI Hiowd 0 Re is nu Opening �� �( p 4 N[ Bx1T LGl.ssTyp ❑Standard 0 m Fern SASH RATIO 11 O New Opening 13 Casrsde [3 Pebble Double Hung Window l3 hominess, Opening b Fl O Equal Sash 0 Decrease Opening Oriel Style 0 New Sill & Apron :CLR Low -Et Sun Smart Sun ❑Grilles Og7 ❑42 Type part. 17 Collage Style 0 Newlnterier Trim rement Type [] 23 O 2:4 17 Qsing D Coloe➢rt Inc GFW m CPW Type " Lutes ❑ hLl ❑ 129 ❑ Wood Step" "- S//S3 W' II_ Iment Widows Typc S2 W I @'Between Drywall / Wood ❑ New IncRewras Notes: [3 Jump Frmle I7 Drywall OWood [] Window to go in to lusert BrieknuNd Type 17 New Exterior Trim 0 New Bay/Bow 0 Picture 1. only Type — 13 Old BayBow 13 Owmdi Trim 0 Full Co➢ Wrap N 7 ' Diagram OSLI ❑ PO Srrcen Q Half Soma ❑ Hardware Type ❑ FF Bridtmold Type L MULLRJ) with #/ — P (OR Only) D Color 17 T duh nsl 0 Fiberglass (standard) 11 Standard ❑ Picture Frame Desuription {{ W 0/ Taua ❑ Full Frame 13 TmScene° ❑Mcu'o(CW &AW) 0 None 0 Aluminum 0 Campeau (CW & AW) ❑ Siding Cut Back .:. 11 Tempered ❑ T- Handle (CW & AW) 0 St . c.tback _� LA L.. V��{ BA LL UL ❑ 8ouom ea^L only 0 Casement Window Q Bump Out OObscured 0OSLI Hinged_ ORetmme Opening {L �[ [ Color: Ext k) in YT []Standard []Standard O Fern SASH RATIO []Qt New opening OCascade 12 Pebble Double Hung Window O[ocrease Opening O Equal Sash O Decrease Opening Size W /� R J ID 0 D nd Style Q New Sill & Apron Glass Type: CLR Low -B4 Son - ntar €Sun [] Grilles 0 3:2 134:2 Type Pattern [3 c Style ONew ln[cior TOm Tech MeasuremenC Type [] 23 [12--4 ❑ Casing ❑Color: Ext--It GPWor CPW Type Lutes ❑ 1:1:1 ❑ 12:1 0 Wood Stop Sl /S3 W H Insert Widows Type_ S2 W l� FrBetween Drywall / Wood [] NewlntRetoms Notes: 0 Jump Frame [] Drywall []wood [] Window 0 go in to Insert Briekmold Type 0 New Exterior Trim 0 New BayBow O picture Frame only Type — 0 Old Bay /Bow [] Owrfn Trim 0 Full Coil Wrap R 7 Diagram OSLI ❑ Full Screen Q HaHScreen Q Hardware Type 0 VF BriWnold Type •? MULLED pith# (DB only) 0 Color 0 TradiGdtal DtS�pROri 0 Full Frame ❑ Fiberglass (standard) 0 Standard 0 Picture Femme OTiuS..- O Memo (CW &AW) 0 None DAluminure 13 CO p W act(C&AW) 0Sidtng Cut Back ¢finen lt;,c'- p `- / r7_ _ 0 Tempered ❑ T- Handle (CW & AW) ❑ Swao Cutbxk Location G- V /✓Il BA LL UL 11 ➢ottom sash only 13 Cas¢vwnt Window ❑Bump Out 0 Obscured [] OSLIBinled _ 0 Rmfiame Opening � ��( OStandard El Fern SASHRATIO 13 Car New Opening Sim Color: Bxt tot tlA l l I v 3 6 �' H.2 ❑Cascade O Pebble Double Hong Window 13 jo..e Opening 13 Equal Sash Ol uasc Opening O Orid Style ❑ New Sill &Apron Glass Tpe: CLR Law - 134 Sun Tech Sna Sun 0Gri➢es 03:2 042 Type Pattern 0 Collage Style ❑ New Interior Trim Measurement Typ ❑ 23 1124 [] Casing O Color. Ext ba GPWor CPW Type Lutes ❑ LI:1 ❑ 1:29 0 Woad Stop Notes: slis3 w Insert Widows Type S2 W_E etween Drywall / Wood 0 New IntRetums 0 Jump Frame 0 Drywall ❑ Wood 0 Window to go in to Insert Briekmold Type 0 M ExteHrTrim 0 New BayBow 0 Flom. Frame only Type 0 Old BayBow Q 0v nt Trim 17 Fun Call Wrap The Abme specifrcati(es are correct. No other work or matwials will be pmvided I authorize Renewal By ersen to process this order. Signed: r� Date 3 / FIi , Signed: l rsrn ri.r Cn.etn er Revised Ii27 /1n From:Renewal by Andersen 3037731530 09121/2010 10:27 #090 P.004/005 NOTE: Reviewthis worksheet thoroughly. Ontt it igis,, . andaccep tWitbsrmwspadofymopmchare agreemrat Any changes may remit in on i ome= in price. n ,l II xipdon PO mart 0 Full Fame air. 4f CF1' A LL B (5; UL r. Ext Ws rot Q.(� t 1 (y L v Type: CLR Lo,Fil Sun )e.Spri u . � lnacn 0 Full F. rnacrt ❑ Fuli �F &SV �J� BA LL UL Diagram OSLI O FeH Sereen ❑ IIalf Sae MB only) D Fiberglas¢ (smndard) ❑ T Scene - 0 Aluminum ❑ Tempered 0 Bottom sash only 13 o Obsew ❑ Stundard D Fern OCmeade D Pebble ❑ Grilles Pattem Type 0 Color. Fxt Lives S I/S3 W S2 wJ 13 Window to go in to El Now BeyBOw 11 Old Bay/Bow Diagram OSLT ❑ F.H Seen 0 Half Sere (DB only) 11 Fdberglass (standard) 0 7r useene. 13 Al Tempered 11 Bosom sash only Ob cumd ❑Standard 1 3 Fern ❑Cascade O pebble � Griller Patmm Type Color Ext Tm Liter — SI /S3 W H S2 W H MULLED with # Y.A ipsett Full Frame . 6 V 4 BA LL UL 13 Window to go In to ❑ New BuyBow Q Old Bay/Bow Diagram OSLI ❑ Full screen ❑ Halliseeten (DB only) D Fiberglass (sundand) 0 TmScerw- D Aluminum ❑ Tempered 13 Bottom sash only 0 Obscured DStandard D Fern 11 aseade D Pebble Low.F4 Sun C Smart Su ❑ Grilles Pattern Type D Color.Fxtint_ Lives SI /S3 W_H_ S2 W D Windowtogointo ❑ New Bay/Bow 0 Old Baymow The Above specifications are emoct. No other work or aaucni is will be provided. I m Signed: : I ❑ Color ❑ Standard ❑ Metro (CW & Awl ❑ Compact (CW & AW) ❑ T- Handle (CW & AW) D Cii n ent Window 0 OSU Horsed SASHRATTO Double Hung Window ❑ Equsl Sash ❑ Oriel Style 13 32 0 4:2 Collage Style El 23 02A GFW or CPW _ ❑ 1:1:1 ❑ 12:1 Iuso Widows gt Between Drywall / Wood 0 Jump Frame Insert Brickmotd Type D Planer Frame only 0 ()w>fit Trim 13 Color 11 Standard O Metro (CW & AW) 13 Comport (CW &AW) 0 T- Handle (CW & AW) 13 Casement Window D OSUHinged_ SASHRATIO Double Hung Window 0 Equal Sash D Oriel Style 11 31 0 42 11 CotAge Style U 23 El 2:4 GPW or CPW ❑ Iaa O 12:1 In t'vVdowa rd Between, Drywall / Wood D Jump Frame Insert Bririrmold Type El picture Frame only 13 Oftmim U FF Isdol mold Type 13 Traditional 0 Plcmm Fame 0 Noue ❑ Siding Cut Back ❑ Stucco Cutback El Bump Out 0 Refrwme Opening 11 Cut New Opening O Increase Opening D Duress Opening 0 New Sill & Apron Type D New Interior Trim D Casing _TyTe _— 0 Wood Stop Type 11 New In Ammins 0 Drywall 13 WOOd 11 New Exterior Trim Typ ❑ Full Coil Wrap O FF Brlckmold Type D Tnditionat ❑ Picture Fmme D None 13 Siding Cet Back 13 Source CLtbnck ❑ Bump Out ❑ Reframe Opening ❑ at New Opening D Increase Opening El Dwrense Opening 0 New Sill & Apron Type ❑ New Interior Tdm 0 Casing Type 13 Woad Stop Type ❑ New I.OZ,muma 0 Drywall OWood El New Emnor Trim Type ❑ Full all Wrap 13 Herd varo Type ❑ FF BNekmeld Type El Color 0 Trediu not 0 Standard 13 PscUUUFrame D Melm (CW & Awl 13 None O Compact (CW &AW) 13 Siding Cut Back UT- Handie(CW &AW) 12 Stucco Nrbsek D Casement Window ❑ Bump out, D OSU Hinged ❑ Refon. Opening SASHRATTO El Cut New Opening Double Hung Window O Increase Opening 0 Equal Sash 0 Decrease Opening D Orid Style ❑ New Sill & Apron 13 32 Dal Type ❑ Cottage Style ❑ Newlnundwi Trim 0 2:3 D 2:4 D Casing GPW or CPW Type ❑ 1:1:1 ❑ 1:2:1 ❑ Wood Stop Ins jee 't Widows Type 4'Between Drywall /Wood ❑ New intRemms D Jump Frame O Drywall Elwood Insert BrtokmoM Type El New Exterior Trim 0 Picture Fmme only Type ❑ Orrht Trim ❑ Full Coil WaP Renewal By fya�orsen to process this order From:Renewal by Andersen 3037731530 0912112010 10:27 #090 P.005/005 _ i J e V1/.{ Vii i WV1E4T F i uo ~i ~m cow City of Wheat Ridge Residential Plumbing PERMIT - 070948 PERMIT NO: 070948 JOB ADDRESS:"8755 W 41ST AVE DESCRIPTION: Replace water heater ISSUED: 09/06/2007 EXPIRES: 03/04/2008 (30 galgas w.h.) ***CONTACTS owner 303/422-7308 gc303/534-0881 Gerald SmithGary Kenfield 01-7152 Precise Plumbing PARCEL INFO ZONE CODE: UA USE: r-3 SUBDIVISION: 0281 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 975.00 FEES Permit Fee 50.40 Tota1 Valuation 331i .00 PRESCRIPTIVE ENERGY CODE TOTAL 50.40 Raplacementboilers/Fumaces-Minimumof80%AFUE eliem hqnmIiauie! 99%AFUE comments : Setback Thetmostat required (Excepc for Hydronic Heat) Gas VYeter Heaters - Minimum of .60 Energy factor Elechic Nster Heaten - Minimum of .93 Energy FacW , Insulation reauiremenls: • R-21 Walls ■ R-38 Ceilings • R-19 CrWM Spsoes a R-19 Basement walls I hereby certify that the setback distancea 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 alle9ations made are accurate; that I have read and agree to abide by allconditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.H.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Si9nature of contractor/owner daee 1. This permit was issued in accoidance 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 Rid9e, Colorado or any other applicable ordinances of the City. - 2.Thia permit shall expire 180 days Erom the issue date. Reguests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If thia permit expires, a new permit may be acquired for a fe@ of one-hal£ the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) yeaz, full feea shall be paid for a new pesmit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Huilding Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any, violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan re ieb~iq ject to field inspections. I~ Signature of ief uilding Official date ~ . INSPECTI N REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303-234-5933' Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~PLICATION Property Owner: Ge,-„ 5.., r~'A' Phone : 303- l1;9-"~fO ° ProPertY Address: "Yi ~ Contractor License No.: / / 3' 2. CompanY: Ppt ci s r Plw•., 9~h c Phone: S3 y O S"~'/ O WNEILCONTRACTOR SIGNATURE OF UNDERSfANDING AND AGR&IDA&NT I hearby ceNfy thet the aetback diafancaa proposed by f}iis petmit applioation ua accurate, md do not violnte applioable ordinanow, mlea ot rogulafionn of the City of Wheat Ridge or covenanfs, edvemenfs ot reettictions of reoord; that alt measurements shown, md allegationa made are aoburate; tMS I 6ave read md agree to abide by all conditions pturted on this appllcationa md that I assume full responsibility for compliance with $e Wheet Ridge Building Code (U.H.C) md al I other applicable Wheat Ridge Ordinances, fot work undat Uu3 pemut Construction Value: Permit F So• yp . Plan Review Fee: TTeP TaY• So.a~ z Total: 5 c~. 17'o (OPnNERXCJN'I?2ACI'OR): SI6NPD AT3 Description: /'/9 c¢ „vAZ~.^ h.rA -t-l-3~ O Electrical License No: Plumbittg License No: Mechanical License No: Company: Company: Company: Expiration Date; Expiration Date: Expiration Date: ,Approval: Approval: Approval: (1) This pemut wu isned in eceordence wiN the provitiom 3et forth in your epplieetion md ie subjxt W the lawe of t6e 3Gte af ColoraAo md to the Zoning Regulations md Bvilding Code oCWheet Ridgq Colondo ac e¢y oNec appliiable ocdiwicu of the City. (2) This pexmit shnll ezplre if (A) 1he work authorized'u mt commenced Within eixty (60) dnyt ham isaue dete ar (B) the buildin8 authorized is suspendeA or abendoned for a pedad of 120 dryt. (3) If tNs pamut exp'ves, e new pamit mey be ecqtirad fm a fae otorteMlf the emowt novmally requited, prwided no ohenyes heve been or wi116e meAe in the original plms md ~paitlutiona and ury nupeo~ion ot ~bwdanmmLAu mt exaeeded arte (1) ye+r. Itolhenges have been ot if.nupwion or abmdommmi exceedsone(1)yeu,fullfeesshdlbepaidtuanswpmait . . (a) No woik oCazry mnnne[ ilull6e done Ihnt wlll chmye the mWnl flow o(water uming a Minuge problem (5) -'COnhacbt s1u11 rtotify the Btilding Lupxtor Lwenry-fmu (24) Mucs in ed`imee foc aIl iwpeetiau md ahell receive written appravel on impeetion cazd bcfore pcoceedinH w'+th nccmeive phaam of iltejo6. (6) The issuance of a pemtit ot the appravA of Mwings md speeiLeetlons ilull mt be conshved lo he e pemut foq noc en appmval of, eny viola4on of thc provisions atthn building codm or any otha udimno4lew, rvle at regWation. Chief Building Inspector 4M%NH,, eat Ridge City of Wh Residential Mechanic PERMIT - 070887 :RMIT N0: 070887 ISSUED: 08/22/2007 PB ADDRESS: 8755 W 415T AVE EXPIRES: 02/18/2008 ;SCRIPTION: Install 80% 70K BTU 2-stage furnace w/ Elect. reconnect. . CONTACTS iwner 303/422-7308 Jerry Smith 3c 303/458-5988 Josh Ward 01-8236 Applewood Plumbing & Heating & 3ub 303/458-5988 Josh Ward 01-8236 Applewood Plumbing & Heating & k* PARCEL INFO ,70NE CODE: UA USE: r-3 3UBDIVISION: 0281 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,940.00 FEES :Permit Fee 126.50 `Total valuation oo TM 'Use Tax 70•92 TOTAL 197.42 __..m..rTavt FNFRGY Cf?DIE rr~c • - - - - aFUt Reptacementboilerslfumacas•MI'^ '-;pFUE gpilerslfumaces in new construction N; ~.m ,c Heati $gtback Thermostat reqwred (Excet'! 4o{ ;e ~ , ; ;~ctor Gas Weter Heaters - Minimum o. ~act E~ctric Water Heaters -:iR ~~"'Wa~iV~': Geii ngs ruirements loSn P^ • R-19 Crawl Spaces , R 19 Basement walis 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 ov this application and that I assume full responsibility for compliance with the Wheat Rid9e Building Code (I.H.C) and all other apDlicable Wheat Ridge Ordinances, Eor work under this permit. Plans subject to field inspection. 3ignaf~-C5~ of conC/actor/owner ' aace . This permit was issued in accordance with the provisiona setforth in your application and is aubject to the laws oE the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. . . This pemit shall expire 180 days from the issue date. Requests for an extension must be received prior,to espiration date. An extension may be granted at the discretion of the Building Official. . I£ this pemit expires, a new permit may be acquired for a Eee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid Eor a new permit. No work of any manner shall be done that will change the natural flow o£ water causing a drainage problem. Contractor shall notify the Buildin9 Inspector twenty-four (24) hoursin advance for all inapections and shall receive written approval on inspection card before proceeding with successive phases of the job. . The issuance f smit or the approval of drawings and specifications shall not be construed to be a pemit for, nor an appro y violation of the provisions of the building codes or any other ordinance, law, rule or regulation. . All plan is subject to field inspections. Official date NSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 EQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION TAE FOLLOWING BUSINESS DAY. COMMUNITY DEVELOPMENT DEPARTMEiNT Building Permit Number: ~ of W"E'°ry~ gUILDING iNSPECTiON LINE-303-2345933 Date: ~ o CITY OF WHEAT RIDGE ° 7500+NEST 29TH AVENUE # WHEAT RIDGE, CO 80033 - (303-235-2555) ~0[ORPO~ lllll e llll. li£FLL l..ATtQN PropertyOwner: 77-7 71 vH.iiZi Property Address: 2-WS- Phone: Contractor License No.: 1$'~}~ (p ComPanY:tFnb)n,ta,Phone: ~03 '~-~•5 ~l ~ ~sr~ DI, i L OWNERICONTRAC70R SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildina Denf. VaAuafion Figure: I hereby certify that the setback distances proposed by this permit appfication are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or resinctions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under tly's,permit Plans subjecQ 4a field'enspection. (OW NERj(CONiRACTOR): V2IUE:$ Permit Fee:$ Plan Review Fee:$ TOtal:$ Use of Space (description): Description of work: e"S fi v~ ~urJ4-e. eg c-vz,14 '?eK oT~l Sq. Ft. added Electrical License No: IWS"~ Plumbing License No: Mechanical License No: 199-?6 Company: "V'~p,, t2"e2i pl"w.h" Company: Company:Aycc,rc~ df-e~.Fr~c~ Exqoiration 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 Cobrado and to the Zoning Regulatlons and Building Codesffi Wheat Ridge, Colorado or any Mher applicable ordinances of the City. (2) This permd shall expire 180 days from the issue date. Reques4s for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building bfficial. (3) If this permit eupires, a new permit may be acquired for a fee of one-half the amount normalty required, provided no changes have been or witl. be made in the original plans and specifications and any suspension or abandonment has not exceededone (1) year. If changes have been or rf 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 pmblem: (5) -Contractor shall notifythe Building Inspector hventy-four (24) hours in advancefor all inspections and shall receive written approval on inspection card before proceeding with successive phases of thejob. (6) The issuance of a permit or the approval of drawings and speeffications shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions of the building codes or any Mher ordinance, law, rule or regulatlon. All plan review is subject to fleld inspections. 4NN"EA2-, eat Ridge City of Wh Residential Mechanic PERMIT - 070869 [IT NO: 070869 ISSUED: 08/17/2007 ADDRESS: 8755 W 415T AVE EXPIRES: 02/13/2008 'RIPTION: replace furnace w/ 80% 45K BTU2 stage. reconnect & GFI. CONTACTS : - ~~~owner 303/422-7308 Jerry Smith c 303/458-5988 Josh Ward ,,4 ~F<~ 01-8236 Applewood Plumbing & Heating & r;sub 303/458-5988 Josh Ward - 01-8236 Applewood Plumbing & Heating & r. PARCEL INFO ZONE CODE: UA USE: r-3 SUBDIVISION: 0281 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,000.00 R, FEES Permit Fee 126.50 ~ Total Valuation PRESCRIPTIVE ENERGY CODE use Tax ~ 72.00 Replacement boilerslfumaces - Minimum of 8G9'o AFUE TOTAL 198.50 aces in new CAnstruction Mtrumum of 90%AFUE /f um gp0ers , s.., u„Amnir 14AM1 lomments : . acwa.... Gas Water Heaters - Minimum of 6U Energy ac or Eleqric Water Heaters - Minimum of .93 Energy FaCtat ~a 4 p Insulation reaUirements: ■ R-21 Nhails • R-38 Ceilinga 2~p ■ R-19 Crawl Spaces 0 R-19 Basement walis i hereby certify that the setback distancesproposed by this pexmit 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 accurat -'that I have read and agree to abide by all conditions printed on this application and that I assume f 11 responsibili or compliance with the Wheat Ridge Building Code (I.B.C) and all other applica Wheat Ridge Ordi s, ork er this permit. Plane subject to field inspection. Signat re.of cont ctor/o er da / . 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 Regulationa and Huilding Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire 180 days from the isaue date. Requests Eor an extension must be received prior to expiration . date. An extension may be granted at the discretion o£ the Building official. If this permit expires, a new permit may be acquired for a fee o£ one-half the amount normally required, provided no - changes have been or will be made in the original plans and speci£ications and any suspension or abandonment has not . exceeded one (1) year. IE changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit.. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive - written approval on inspection card before proceeding with succesaive phases of the job. The issuance of a ermit or the approval of drawinga and specifications shall not be construed to be a permit for, nor . an approval o~,violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan/~v/~~/ s aubject to field inspections. Huilding Of£icial date NREQUEST LINE: (303)234-5933BUILDING OFFICE: (303)235-2855 MUST.BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ---CORRMUNITY DEVELOPMENT DEPARTMEFIT Building Permit Number: oE WHEAr,p BUILDING INSPECTION LINE - 303-2345933 Date: -71 ~ o, CITY OF WHEAT RIDGE ° 7500 WEST 29TH AVENUE ~LAP~ # WHEAT RIDGE, CO 80033 - (303-235-2855) . COCOftPO~. MlltlOlv. e`YlPLlCfYlLQN Property Owner: Jejr rl Svk i ~ PropertyAddress:~'~-~' (N~ W1'zzffz_~d`~, ~-o 03S Phone Contractor License No.: Company-A.GA~lcwuz~c) PlUwibti~ i{eedz~~EZ~~-1ri ~ Phone: ~n-'~.~~`'S`t ~ OWNERICONTRACTOR SIGNA7URE OF UNDERSTANOING AND AGREEMENT I Bei/dinq DepY. 0/alvation Figure: $_J lication are it thi d b s perm app y I hereby certify that the sefback distances propose accurate, and do nM violate applicable oMinances, rules or regulafions of ihe Ciry of V31Ue:$ '-100V °C Wheat Ridge or covenants, easements or restrictions of record; that all measurements Pem71t Fee:$ shown, and allegations made are accurate; ihaf I have read and agree to abide 6y conditions printed on this application and that I assume full responsibility for compliance Plal ReV1eW Fee:$ with the Wheat Ridge Building Code Q.B.C) and all other applicable Wheat Ridge Ordinances, for work under tlyapeSmit. ~lans subjecZ 4o field inspection. jJSe (O W NER)(CON7RACTOR): TOt21:$ Use of Space (description): Description of work: (~~acl- qT-K 8075, ` rkc~ G`~lec~fncaf rvrwc~c.._ t`a-~ovt~~e~-i- Ft' ~Hg4c.t( ~ FL ~02 wrKC~c 2. Sq.Ft.added Electrical License No: 141~9S 6 Plumbing License No: Mechanical License No: 6' j~P~ Company:,9ip&~ Company: Company:AQfkc~ "'7 Exqoiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (t) This permit was issued in accordance with the provisions set forth in your application and is subject lo the laws of the State of Cobrado and to the Zoning Regulatlons and Building Codes of Wheat Ridge, Cobredo or any other applica6le ordinanGes of the City. (2) This pertnit shali eupire 180 days from the issue date. Requests for an extension must be received pnor to expiration date. An extension may be granted at the discretion of the Building Official.- (3) If this permit emires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or witl be made in the original plans and specificadons and any suspension or abandonment has not acceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change fhe naturel flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector 1weMy-four (24) hours in advance for all inspedions and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance of a permd ar the approval of drawings and specifications shall not be construed to be a permR for, nor an approval of, any violation of the proNsions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at Z7-95 & e~~ Zt I have this day inspected this structure and these premises and have found the foliowing violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date DO NOT REMOVE FOfiM WFi6-22 'rispector for Builtling Dept TAG COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17198 BUILDING INSPECTION LINE -(303-234-5933) Date : 6/9/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: Property Address Contractor License No. STELLA LAUGHLIN 8795 W 41 ST AVE 19620 Phone : 421-8940 Company : Larry Merkl Coatings Phone : 853-0978 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 respo i ility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicableat Ridge ordinqces,491 worC^der this permit. ~ ~i~.~,~~~ (OWNER)(CONTRACTOR) SIG ~ DATE& Construction Value : $3,700.00 Permit Fee : $126.50 Plan Review Fee : $0.00 Use Tax : $44.40 Total: $170.90 Use: Description : INSTALL NEW SEAL DIMENSIONAL ROOF lf~ BUILDING DEPARTMENT USE ONLY Zomng~Co"mme'°~ts= SIC: Sq.Ft.: Approval: Zoning : Approval : ~~br ~ P u I~c~W orks Com ments; Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : P;pproval : .(i) 7his permit was issued in accordance with ihe provisions set toM1h in yopur application and is subjed to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry. (2) This pertnit shall expi2 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) ihe building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-haif the amount normally required, provided no changes have been orwill be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new percnit. (4) No work of any manner shall be done that will change the natural Flow of water causing a dreinage problem. . (5) Contrector shall notifythe Building Inspector hventy-four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before proceediing with successive phases of the job. (6) The issuanqqpit permit ort oval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the onf- pro ItO buil ' odes or any ordinance, law, rule or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number. of w"Eq'~ gUILDING INSPECTION LINE -303-234-5933 Date: ~ a CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855). `°`°R"°° APPLICATION Properiy Owner: 1 K) GG /1 Proper[y Address: 9 7 9-5- u 7~ Phone: .~O Contractor License No.: p Company: Phone: _ /-n t? R q n~e JZ ,Y'/e l./) A fi,r)0 S D17 7s, OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurate, and do not violate applirable ordinances,rules or regulations of the City of Wheat Ridge or covenants, easements orrestrictions 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 applicatlon and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and allpther applicable Wheat Ridge Ordinances, forArk under this pertnit. ;tion Value:$ ~P2oO Permit Fee:$ Plan Review Fee:$ IJse Tax-$ Total:$ Description: Sq. Ft. added og_~ . Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This pemit 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 Re9ulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This pemit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 days. (3) If this pemit expires, a new pemit may be acquired tor a fee oF one-half the amount normally required, provided no changes have been orwill be made in the original plans and specifications and anysuspension or abandonment has not exceeded one . (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall nolify the Building Inspector hventy-four (24) hours in advance for all inspeciions and shall receive written approval on inspectlon card before proceeding with successive phases of ihe job. (6) The issuance of a pemit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of Ihe provisions of the buildinq codes or any other ordinance, law, fule or regula6on. Chief Building Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9315 ;BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 8/13/99 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 8755 W, 41st Ave. Contractor License No. : 17152 Company : Precise Plumbing Phone: 303-422-7308 Phone : 534 0881 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ortlmances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Replace water heater Construction Value : $500.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $23.50 Use: Electrical License No : Company: Plumbing License No : Company : Mechanical License No : . Company : Expiration Date : Approvai: Expiration Date : Approvai: Expiration Date : Approval: (1) This permit was issued in accortlance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations antl Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commencetl wifhin sixty (60) days from issue date or (B) the building authorized is suspended or abantloned for a periotl of 120 days. (3) IFthis pertnit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been orwill be made in the original plans and speafications and any suspension or abandonment has not ezceeded one (1) year. If changes are made or if suspension or a6andonment exceeds one (1) year, full fees shall be paitl for a new pertni[. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspec[or Rventy-four (24) hours in advance for all inspeclions antl shall receive written approval on inspection card before proceediing with successive phases of thejob. (6) The issuance of a permi[ or the approval of tlrawings antl specifcations shall not be consW etl to be a permif for, nor an approval of, any viola[ion of the provisions of the building codes or any other ordmance, law, rule or regulatiort . Chief Building insp ctor ~ DEPARTMEN7 01: PLANNING AND OEVELOPMENT Building Permrt tVumber: BUILDING INSPECTION DNISION - 235-2855 ClTY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 ProPerty Owner : Property Address Phone : 4/-~2, A ^ 730 ~ Contractor License No. : / 7/ .-'z Company 3' 3> P~PCise, Phone:S3~/-o8sr/ ,f OWNER/CONTRACTOR SIGNATUSE pF UNDERSTANDING AND AGREEMENT I nereby cervey tnat me setbaac d'utances aroposec oy thia partnn appucation are acwrate. and ao not vlolate aop6able orcmanoes. ruks a regutations c/ the Cdy of Whea[ Ritlpe or eovenartts. easemena of rosviUiaons of reapny: qhat aY meuuromartts alqwn. ana alkpabons rmaae aro aaurace: mat f have mao uW agim to abtle by sfl contlippns pnmtay on this (OWNER)(CONTRAC70R)SIGNEDA7E construction Vaiue : aPPdCation. ano mat I asaume fuq nuepmP4anee wah Me NNMat Rldga BMft C "a~a{U.B.C.)aneaUotherappLicableLVhvi oromaneas.forwakLunWrMispartnR. Pertnit Fee : 2 i SO Use Tax : .1Zr,&--S ro-o;L,y TOf21: DescnpGon : Z~tfiit'Ldttiofiftti0 Approval : Zoning : ~ldFli'~e~iri~ Approvai : Appmva: : Occupancy : Walls buILDING DEPARTMENT USE ONLY Roof : Stories : Residentiai Units : Electncal License No : Plumbing License No : ' Mechanical License No : Company: Company: - Company: Expiredon Date : Expiration Date : Expiratlon Date : Approval : Approvai : P.f~r►s ApProval: ~ `Rfqulred - ?mhs Re~uUed .1 (1) R u permrt was iswea u~ atzoruanee wm~ fne prpvaqns set Mrm in yoour aoWqCOn ana is SuOy~ct (p Me liwi o( tly Stab d CAIqaOO uW pp pia Zpninp ;27 Th~s°~cum°frt sna~ii e: ~oue n ~n~me w« Oaut «ieaCo i = w or mma ariy ~vun ~naa oroinances oi the Ciry. aDarWOneo for 3 oenoa of 120 aaYS. w1Y (Ba) tlaYS frOm Iuus ate a(B) t11e WuiICU7q autlqnYeC a tutWxW of (7) If W7 CQRf1rt Qx01Ri. 4 n!W OOf11Y[ RItY W lCQWM bf i fiR W M!-IIaH VIQ alIWUl1I t10RltlIIY feQYtRd. OMr4l4 M ongvul Wsns ana speeiRCapply anp Liy Syypnspn p amnponmem nas not exoebpay one (1) ysu. 11 ~ss miW n tM QxC00C! On! 11) YGaf. (UII hQl 314Y OQ 0110 IOf i 11lw DOI1M. ~~f0 IIIiC10! iI tYtQMtqI10f ~WlppylyM (4) No wOfK of a(fy manner fnan 00 OOfle plal MnH tlfanqe Rlp nafunl llow of watH UuL a tlniMqe prOGllm. (5) COntr]ROf 511d11l1pU(y tll! BNICNy IlISOQCIW tWMty-lpyf (24) IfOYli IIf IWa11CQ fOf illnqmsppcppn3 aIM fMq feeyyd won lPWO"I Otf ulip0mW1 Ct10 CO(01! Ortceeannq w,u~ suceeurve onasse of me pb. (e) Th e usuance of a peRntt Or N! 70DrWa1 of CTnnqs an0 SOOpRCapans Snill not Oa CpnSWGC b Da i pe1mM Ipf, nor an mpPmysl a, ifry vW1iU0110t tllf p/OVlsqnf of tt1! OWICInq cppti Ol ]ny ONlf 0lORqnCG, 12W. N:! 0/ fl9UIi0011. Ghief Buildmg Inspecror For Mayor :THIS..PERMIT VALID ONLY WHEN SiGNED' BY THECHIEF'BUILDINC ENSPECTOR AND MAYOR CALL: 2345933 24 HOURS PR10R TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT , BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number Date 4649 2/24/97 Property Owner : Property Address : 8755 41ST AV Contractor License No. : 17663 Company : Mikkelsen Metal & Roofing Phone : 422-7308 Phone : 989 0853 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 the Wheat Ridge 8uilding Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNEQ~=d'~ .~'~i~_.-F]]ATE4ZtV?7 Description : REROOF Electrical License No : Plumbing License No : Mechanical License No ; Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : wi 'm m (1) This pertnitwas issued in accordance with Regulations and Building Code of Wheat F (2) This permit shall eacpire if (A) ihe work auth abantloned for a period of 120 days. (3) If this permit expires, a new permit may be original plans and specifications and any s exceeds one (1) year, full fees shall 6e pai~ (4) Noworkofanymannershallbetlonethat(5) Contrac[or shall notify the Building Inspecb proceediing wi[h successive phases of ihe (6) The issuance of a pertnit or the approval o. or any antl is subject to the laws of the State of Coloredo and to the Zoning sixty (60) days from issue date or (B) the building authorized is suspended or a amount normally required, provided no changes have been or will be made in the not ezceeded one (1) year. If changes are matle or if suspension or a6andonment of the bVltlingpqtles or any other ortlinanc l-"A Chi§uildi g Inspector [he natural flow of water causing a drainage problem. ur (24) houre in advance for all inspeclions and shall receive written approval. on inspection card before nd specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions or regulation. Construction Value : $9,015.40 Permit Fee : $163.00 Plan Review Fee : $0.00 Use Tax : $108.18 Total: $271.18 PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - Building Permit Number : Date : Property Owner : ~r.t? ^✓+'+145 • rCRRY S~'1 17H PropertyAddress: g7ST CV' Contractor License No. : j ~7663 Company:19'1/Kl~'CSC.~ 111~7146-¢/260F/A/G Phone : ya~ -.7308' Pnone:9~~ agS3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit appliration are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Builtling Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED. ~~ATE4ZS_* Description : _pii~ BUILDING DEPARTMENT USE ONL' Approval: Zoning : BLU-1fding'~~fs~ Approval: Approval : Construction Value : ~`9C Permit Fee : Plan Review Fee : Use Tax: Total : /as SIC : Sq. Ft. : Occupancy : Walls : Roof : Stories : Residentiai Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approvai: ig ~P~la-~r,? . re~ IN ti'i ,~,s.R.4,WreV___. a R~q (1) This permit was issued in accordance with ihe provisions set forth in yopur application and is subjec[ to the laws of the Slate of Colorado and to Ihe Zoning Regulations and Buildiny Code of Wheat Ritlge. Colorado or any other applicable ortlinances oFthe City. (2) This pertnit shall expire if (A) ihe work authonzed is not commenced within si>1y (60) days from issue tlate or (B) the building authorized is suspended or abandoned for a penotl of 720 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been orwill be made in the onginal plans and specifications and any suspension or abandonment has not exceedetl one (7) year. Itchanges are matle or R suspension or abandonment exceeds one (1) year, PoII fees shall be paid tor a new pertnit. (4) No work of any manner shall be done that will chan9e the naturel 8ow of water causing a drainage problem. (5) Contraclor shall notiy the Building Inspeclor hvenry-four (24) hours in advance torall inspections and shall receive wririen approval on inspection card before proceediing wiN successive phases of the 7~ob. (6) The issuance of a permit orthe approval of dawings and specificallons shall not be construed to be a pertnit tor, nor an approval of, any violation otthe provisions of ihe building codes or any other ordinance, law, rule or regulation. Chief Building Inspector Foc Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION r'l 19~a~~3aJ ~ INSPECTION TICKET JOB ~ ADDRESS ~F7S~" ~ cF~~ , DATE: BLDG. PERMIT# ~307 , PERMIT# BLDG. CONTR._U ' SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSR INSPECTION MADE INSPECTION TICKET I Joe ADDRESS 4,- DATE: a~ BLDG. PERMIT#~a~ ~ PERMIT# I BLDG. CONTR. ~ SUBCONTRACTOR ' DATE INSP. RE4.1) - 3 TYPE OF I WSPECTIC REMARKS W.F. 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