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8425 W. 45th Avenue
CITY OF WHEAT RIDGE Building Inspection Division e7 - Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 1.j No one available for inspection: Time AM/PM' Re -inspection required: Yes, No When corrections have been made, call for re -inspection at 303-234-593 Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE. Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 3 F—� Job Address: ca427�' Permit Number: _ZcE)aiC6 ( -- a No one available for inspection: Time M/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. uslinspectiQn;! Date i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Anspection Type: Job Address: ;8-1/? S ,vim Permit Number: � ?_4® ® j ❑ No one available for inspection: Time /-/Q AM Re -Inspection required: Yeso -D When corrections have been made, sc dule for re -inspection online at. http✓/www. ci. wheatridge. co. usli'nspection Date: lam' ' ` 'annspector:00 DO NOT REMOVE THIS NOTICE # bozo of 7Z Final Visual Inspection and Air Monitoring Report Asbestos Abatement Activities 8425 W. 45th Ave Wheat Ridge, CO 80033 August 28, 2020 Final Visual Inspection and Air Monitoring Report Asbestos Abatement Activities 8425 W. 45' Ave Wheat Ridge, CO 80033 August 28, 2020 Prepared for: Ronald Jaquez Project Manager My Father's Business LLC 5757 E. 122nd Dr. Brighton, CO 80602 Prepared by:���`� Joshua Masek,#22489 Air Monitoring Specialist Submitted by Alta Environmental LLC 7045 W. 37" Ave. Wheat Ridge, CO 80033 (303) 669-7007 TABLE OF CONTENTS 1 INTRODUCTION......................................................................................................................................... 4 2 Final Clearance Air Monitoring Sampling.................................................................................................. 5 2.1 Air Sampling Summary ................................................................................................................................... 5 3 INSPECTION AND AIR MONITORING RESULTS.............................................................................. 5 4 CONCLUSIONS........................................................................................................................................... 5 5 LIMITATIONS............................................................................................................................................. 6 LIST OF APPENDICES Appendix A — On -Site Photographs Appendix B — PCM Sample Analytical Results Appendix C — Air Monitoring Specialist Certifications LIST OF TABLES Table 1 Clearance Air Monitoring Results I Acronyms and Abbreviations ACM asbestos -containing material AHERA Asbestos Hazard Emergency Response Act AIHA American Industrial Hygiene Association CDPHE Colorado Department of Public Health and Environment EPA Environmental Protection Agency HSE/NPL Health & Safety Executive / National Physical Laboratory 1pm liters per minute MAAL maximum allowable asbestos level MFB My Father's Business LLC mm millimeter NESHAP National Emission Standards for Hazardous Air Pollutants NIOSH National Institute of Occupational Safety and Health NVLAP National Voluntary Laboratory Accreditation Program PCM Phase Contrast Microscopy I 4 Qy T - EXECUTIVE SUMMARY Alta Environmental LLC (Alta) provided project management and air -monitoring services for the Client (My Father's Business LLC) at the property located at 8425 West Forty Fifth Avenue in Wheat Ridge, Colorado on August 27th, 2020. Work was performed in conjunction with removal of asbestos -containing materials from the structure. Asbestos removal, as part of a scheduled demolition of the buildings, was completed by My Father's Business LLC (MFB) of Brighton, Colorado. MFB is a Colorado Department of Public Health and Environment (CDPHE) licensed asbestos removal contractor. Alta's services included final visual inspections and clearance air monitoring as required in the abatement areas. Upon completion of a visual inspection of containment after asbestos removal, Alta collected final clearance air samples and released the work area when laboratory results indicated airborne fiber concentrations were within acceptable limits. Based on Alta's observations on air monitoring results, asbestos removal was completed in accordance with applicable federal, state and local regulations. At project completion, air monitoring results indicated that concentrations of airborne asbestos fibers within the established containment areas were below the level of 0.01 fibers per cubic centimeter (f/cc) of air as defined in CDPHE Regulation No. 8. rM Final Visual Inspection and Air Monitoring Report Asbestos Abatement Activities 8425 W. 4511 Ave Wheat Ridge, CO 80033 1 INTRODUCTION Alta Environmental LLC (Alta) was contracted by the Client (MFB) to provide final visual inspections and clearance air monitoring as required in the abatement areas at the property located at 8425 West Forty Fifth Avenue in Wheat Ridge, Colorado on August 27', 2020 Friable and/or non -friable asbestos -containing materials (ACM) were removed from the building prior to a planned demolition of the structure in accordance with the National Emission Standards for Hazardous Air Pollutants (NESHAP) and the CDPHE Regulation 8 Asbestos Requirements (Regulation 8). Asbestos removal was completed by My Father's Business LLC (MFB) of Brighton, Colorado. MFB is a CDPHE licensed asbestos removal contractor. 2 Final Clearance Air Monitoring Sampling Air samples were collected on 3 -piece 25 -millimeter mixed -cellulose ester membrane filters (0.8 micron pore size) designed for phase -contrast microscopy (PCM) analysis. The filters were preassembled by the manufacturer in conductive, three -stage cassettes with extension cowls. Rates were recorded at the beginning and at the end of the sampling period using a rotometer calibrated with a DrycalTM primary flow calibrator. Air samples were collected on open-faced cassettes that were positioned at breathing zone height (approximately five feet above the floor) with the exposed portion of the cassette facing downward. Asbestos air monitoring records were completed at the site each day that air samples were collected. These records are designed to be the primary working document, containing most information about air sampling activities and are attached to this letter. Analysis of air monitoring samples under PCM was performed by Alta Environmental's Consultants in accordance with the NIOSH 7400 method. The method may be found in the NIOSH Manual of Analytical Methods. PCM samples are reported as fibers per cubic centimeter of air sampled (f/cc). Acceptable clearance air samples are those at or below 0.01 f/cc for all PCM analyses. Regulation 8, Part B, Section III.P.3.b explains the Colorado requirements for air sampling and acceptable concentrations. 2.1 Air Sampling Summary The following summaries in Table 1 provide an overview of air monitoring conducted by Alta for the work area. Additional information such as final clearance monitoring worksheets and daily air sampling records are included in Appendix B. TABLE 1 CLEARANCE AIR MONITORING RESULTS CLEARANCE AIR MONITORING RESULTS Sample No. Date Sample Description/Location Analytical Result (f/cc) 0827-T 08/27/20 Trip Blank --- 0827-F 08/27/20 Field Blank --- 0827-1 08/27/20 Master Bath, North <0.005 0827-2 08/27/20 Master Bath, South <0.005 0827-3 08/27/20 Master Bedroom, East <0.005 0827-4 08/27/20 Master Bedroom, North <0.005 0827-5 08/27/20 Master Bedroom, South <0.005 f/cc = fibers per cubic centimeter of air 3 INSPECTION AND AIR MONITORING RESULTS The work area abated was cleared for re -occupancy subsequent to final visual inspection and clearance air monitoring. Results of final clearance sampling were at or below the EPA monitoring guideline of 0.01 fibers per cubic centimeter of air for PCM analyses. 4 CONCLUSIONS Based on visual inspections and final clearance air monitoring results, the work area passed the clearance level of 0.01 fibers per cubic centimeter of air for PCM analyses as set by the USEPA and the CDPHE. At project completion, air -monitoring results indicated that concentrations of airborne fibers were less than the concentration recommended by the CDPHE for re -occupancy of the abated area. 5 LIMITATIONS Alta cannot document or comment on all day-to-day activities and events with respect to compliance with regulations and specifications. However, based on inspections conducted during asbestos removal operations, work appeared to conform to the specifications and applicable regulations. This report describes the data collected and observations made by Alta during the final clearance sampling in the above referenced building. Alta represents that its services were performed within the limits prescribed by applicable regulations, within scope of work as approved by the EPA and the State of Colorado and in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances. Alta accepts no responsibility for data collected, the recommendations made or expressed to the client, and/or other commitments made by persons or firms other than Alta. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended. Sincerely, Joshua Masek Alta Environmental LLC 7045 West 37th Ave. Wheat Ridge, CO 80033 (303)669-7007 contact@A1taEnv.CO APPENDIX A On -Site Photographs APPENDIX B PCM Sample Analytical Results c1 'r N M O O O O O f v O O ( I O U. ...... ..... 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Monitoring .0. f :)w i tv eAd Wi4 �._ I Now ism x?ci e �m 4rx a oil& Now ism x?ci e �m 4rx i CITY OF WHEAT RIDGE .r© 0 Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE -Inspection Type: Job Address: �T=S .S—`4 Permit Number: Z-® 7_,p 01 7z, f P ">` ✓ �' S _, ,.' t +e c CJS - t r 1.,_.i tl , ❑ No one available for inspection: Time ,f� A s Re -Inspection required: Yes %No, When corrections have been made, schedule for re -inspection online at: httpJ/www.ci. wheatridge.co.us4nspection Date: 7 /sh"ow Inspector: DO NOT REMOVE THIS NOTICE 7 ,. City of Wheat Ridge Residential Remodel PERMIT - 202001728 PERMIT NO: 202001728 ISSUED: 09/02/2020 JOB ADDRESS: 8425 W 45th Ave EXPIRES: 09/02/2021 JOB DESCRIPTION: SWO Remodel two upstair bathrooms, new carpet, new windows *** CONTACTS *** OWNER (402)609-6969 HOLST JACOB SUB (303)233-7007 TOR.REY COSGROVE 017885 LAKEWOOD PLUMBING LLC *** PARCEL INFO *** ZONE CODE: LTA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,600.00 FEES Total Valuation 0.00 Plan Review Fee 174.01 Use Tax 285.60 Permit Fee 267.70 Investigative Fees 267.70 ** TOTAL ** 995.01 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with. 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. i—q i—A I_q i—d City of Wheat Ridge Residential Remodel PERMIT - 202001728 PERMIT NO: 202001728 ISSUED: 09/02/2020 JOB ADDRESS: 8425 W 45th Ave EXPIRES: 09/02/2021 JOB DESCRIPTION: SWO Remodel two upstair bathrooms, new carpet, new windows 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 perinit. I further attesf that I am legally authorized to include all entities narned within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 hall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code orftli�ordinance or 9gulation 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. valuation changed, has asbestos From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Interior Remodel Date: Monday, August 31, 2020 7:42:06 AM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 8425 W. 45th Ave. Property Owner Name Jacob Holst Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 4026096969 jakeholst@hotmail.com e oavment.odf APPLICANT INFORMATION Applicant Name Jacob Holst What is your role in the Property Owner project? Contact Phone Number 4026096969 (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments Retype Contractor Email Address DESCRIPTION OF WORK Detailed Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Location of Work Square Footage Area of Work Being Performed Asbestos Report Upload letter size documents here jakeholst@hotmail.com jakeholst@hotmail.com Cosmetic upgrades to upstairs. Two bathrooms both get new tile (less than 250sgft), new fixtures, new vanities. Master bath becomes double sink into existing drain. Bathtub/shower/toilets everything stays where it is. New carpet. May replace windows in master bath (two windows). All work except for plumbing will be performed by the homeowner. Second floor (bathrooms) I.i1-1:3 Construction Plans Plans.odf scanned on 11'x17" or larger Project Value (contract 10,000 value or cost of ALL bath remodel 6500"'2=$13,000 replacement window 300'2=$600 materials and labor) total=$13,600 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Jacob Holst Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. ♦�A4 .. r Gty Of CMUNiTYDEvELOPMENTWheat Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property must be in individuals' name, not a company. Property Owner(s): J��� t S kp�"e w l51 Project Property: SLIZ5 �/u L{S'zAc- Project Type: �-jpy oy I vrcw01�e State of Colorado ) County ofd_&�_n_ ) ss The foregoing instrument was acknowledged by me this day of a.Qk�etrnhPY. 20?_L by MyCommisslon Expires_t�f_LOJ/201�Zi Notary Public LRIK A L ROSE6LARY WOURY FOLK STATE Of COLORADOIWTARYIO 207110fI096MWSS10W EXryRIS APR 19, 2022 titB-�•QD'�•6'RM'•C�41[:.��'f'1f.�;''f'�:' 1 Illi. fill Ill 111410lit .t,ucd 11% 4-'a ;I ub-Ir•l rl•• j I hn lot'nt %% III um In' .urrlltrd a lilt tnl%•ilw it: I- MthconU•:a•dlr'% l ill of \16cat I(ul•a• 1 icrn.c nnulhcl unr•1 h•. lin .•� ; 1 , �Itltl'nllll':Il'fttl'•� III�II1';1111'c :I IItI IIre1Pl' IU III In' 1'lt 1�� �Lu!t!'�: t" ' I'rajcel \ddre..: I'rt 11111 ' Electrical Sit b-C•onlraculr — -- State I icen.e Wheat Ridge heense n: __ i Signaturcol•.\ulhuri/ed \ cnf Il,ltc C ng Sub-C•oufraclor Name: ��J P%4A,W!5 I'htnu (303) 2-33—iO°�nse #:JJ \la.trd aLiccasc#:Date nical Conlraclor �\ heal Ridge Hcen.c �: �.! -. " ; %itnafureof >,udun•iied \;c111 Daft: i LIMITED ASBESTOS INSPECTION REPORT 8425 W 45th Ave Wheat Ridge, CO 80033 Prepared for: Jake Hoist Jake Hoist 8425 W 45th Ave Wheat Ridge, CO 80033 402-609-6969 Jakehoist@hotmail.com Prepared by: Alta Environmental LLC CDPHE Registration No.: ACF - 24509 7045 W. 37th Ave. Wheat Ridge, CO 80033 Contact@AltaEnv.CO (303)669-7007 www.AltaEnv.CO �Nv �RoNM�. Table of Contents Section 1 Inspection Project Summary 1.1 Homogenous Areas In Work Scope - Table 1.2 Summary of Asbestos Samples 1.3 Sample Locations (optional) Section 2 Results and Recommendations 2.1 Post -Renovation Asbestos Containing Materials Notice (if identified) 2.2 Photo Log of Asbestos Containing Materials (if identified) Section 3 Project Overview Section 4 Asbestos Inspection Procedure 4.1 Suspect Asbestos Containing Building Materials 4.2 Sampling and Laboratory Analysis Section 5 Conclusion 5.1 Limitations Appendix A - Laboratory Report and Chain of Custody Form Appendix B - Major or Minor Spill Response Homogenous Material Upes - Reference List Surfacing Material List of Acronyms TS Textured Surfacing ACM Asbestos Containing Materials PL Plaster ACBM Asbestos Containing Building CMS CMU Sealant Material SOF Spray -on Fire Proofing Thermal System Insulation G Good DT DuctTape/Wrap D Damaged PI Pipe Insulation SD Significantly Damaged Miscellaneous BBA Baseboard Adhesive F Friable CA Carpet Adhesive NFI Non -Friable Category I CDW Composite Drywall NFII Non -Friable Category II CT Ceiling Tile DW Drywall NA Not Analyzed FTM Floor Tile Mastic NO None Detected MA Miscellaneous Adhesive MS Miscellaneous Sealant EA Each OT Other Material LF Linear Feet RSG Roof Shingle SF Square Feet RSH Roof Sheeting RSL Roofing Sealant Ttaae s1% by (Point Count/Composite) SVF Sheet Vinyl Flooring - ACM (>1% asbestos) WG Window Glazing Section 1 Inspection Project Summary Job ID: 20200825-1 Inspector: Joshua Masek Date: 08/25/20 State Cert #: 22489 Client: Jake Hoist Customer: Jake Hoist Pronely Details: Site Address: 8425 W 45th Ave Wheat Ridge, CO 80033 Property Type: SFRD Age of Construction: 1963 Renovation: Inspection Details: Type of Inspection: Limited/Renovation ACM AHERA/Reg 8 Reason of Inspection: Remodel Affected Area(s): 2nd floor master bath Scope of Inspection: Partial Renovation Potential Spill Identification?: Yes (See Section 2 Results and Recommendations) Work Scope Notes: Remodel in progress, sampling impacted materials Sample Notes: Laboratory: Reservoirs NVLAP #: 101-896-0 Results Time: # of Samples: 7 1.1 Homogenous Areas in Work Scope - Table ID* Material Type** # of Samples Material Description Functional Space Quantity in Scope 1 TS 3 white orange peel texture 2nd floor baths walls 250 SF 2 CDW 2 white o.p. joint compound 2nd floor bath joints 250 LF 3 OT 1 2 brown blown insulation attic insulation 100 SF 4 5 6 7 8 9 10 *ID - Homogenous Materials ID in Homogenous Areas Table & Bulk Samples Table **See table of contents Reference L15t for how to classify homogenous materials type 1.2 Summary of Asbestos Samples Sample ID Ho g. Mat'l ID Bulk Sample & Locations Table ; Sample Location ID* _ _ Material Condition Friability Category Analytical Results TS 1-1 1 master bath W wall 23" S 27" up D F 25/oChrysotile TS 1-2 1 master bath W wall 5'S 43" up D F 2% Chrysotile TS 1-3 1 master bath W wall 16" S 38" up D F 2% Chrysotile CDW 1-1 2 master bath W wall NW corner 16" up D NFII 2% Chrysotile CDW 1-2 2 master bath W wall NW corner 27" up D NFII 2% Chrysotile OT 1-1 3 attic W G F ND OT 1-2 3 masterbath floor debris G F ND 1.3 Sample Locations 1.3 Sample Locations Map (Continued) Section 2 Results and Recommendations The damage or disturbance of confirmed asbestos -containing building materials has resulted in an asbestos fiber release episode. Less than the established trigger level quantity of asbestos -containing building materials have been damaged or disturbed resulting in a minor asbestos spill at the Site Address (see section 3 for additional information). Approximately 25 SF of ACM have been disturbed. The master bath should be contained and decontaminated by a certified and licensed asbestos abatement contractor. See Appendix B for recommended asbestos spill response actions. Additional dust or air sampling is recommended to delineate the extent of the spill and possibly reduce the abatement scope of work. All contents in a contaminated room/area must be considered as contaminated unless proper dust or air sampling verifies the area to be free of asbestos. Any work performed on asbestos -containing building materials and/or trace asbestos -containing building materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos construction industry, general construction industry, and respiratory protection standards. Worker exposure assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional engineering or administrative controls to properly protect workers engaged in activities that may damage or disturb materials which contain asbestos. Asbestos -containing building materials have been identified within the affected area(s) of the Site Address. Any repair, removal or other activities that will disturb asbestos -containing materials must be performed by a certified and licensed asbestos abatement contractor in accordance with applicable federal, state, and local regulations. Any friable suspect asbestos -containing materials identified as having trace (51%) asbestos through laboratory visual estimation must be considered to be an asbestos -containing building material. Further analysis may be performed on friable materials having a visual estimate of :51% by point counting, which is a more quantitative analysis of the material. Arty work performed on asbestos -containing building materials and/or trace asbestos -containing building materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos construction industry, general construction industry, and respiratory protection standards. Worker exposure assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional engineering or administrative controls to properly protect workers engaged in activities that may damage or disturb materials which contain asbestos. 2.1 Post -Renovation Asbestos Containing Materials Notice Plans for renovation were not known at time of inspection. Please assume ACBM(s) identified in this report are accessible with the potential for disturbance and/or damage from material contact, vibration and/or air erosion. CDPHE requests that the Client notify the current property owner and all site contractors of the ACBM(s) present at the property. 2.2 Photo Log of Asbestos Containing Materials Section 3 Project Overview Alta Environmental LLC (Alta) was contracted by the client to perform a limited repair/renovation specific asbestos inspection (inspection) at the above referenced "Site Address". The inspection was conducted by an Environmental Protection Agency (EPA) accredited and Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Building Inspector. The inspection was performed at the direction of the client and only includes those materials, locations, and quantities specified in the "Homogenous Areas in Work Scope Table". The client is planning repair/renovation activities that will disturb suspect Asbestos Containing Building Materials (ACBM) within the repair/renovation affected areas at the Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos (Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified personnel prior to conducting any repair/renovation activities that will disturb the suspect ACBMs. All samples were analyzed by a laboratory accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the following trigger levels for different types of properties, which specify how suspect and confirmed ACBMs are inspected and subsequently abated: With regard to single-family residential dwellings (SFRD), the trigger levels are 50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon drum • With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes, 160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum The purpose of the inspection was to identify, visually inspect, and sample all suspect ACBMs, at the direction of the client, which may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection Procedure The inspection procedure was conducted in accordance with EPA Asbestos Hazard and Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable Occupational Safety and Health Administration (OSHA) guidelines and regulations. These regulations specify requirements and protocols for conducting asbestos inspections, sample analysis, and asbestos abatement. 4.1 Suspect Asbestos Containing Building Materials Homogenous Material Types The inspection involved identification and sampling of suspect ACBMs in the areas established by the client that would be part of the scope of work. Suspect ACBMs were grouped into homogenous materials based on color, texture, and date of application. Homogenous materials were given distinct codes (CDWO1, FrCO2, TS05, etc.) based on the type sequence of the homogenous material. Details about the size, color, condition, friability, quantity, location within each functional space and other important details for each homogenous material were reported as part of the inspection. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material — material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation — material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous Materials — 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. Homogenous Material Friability Each homogenous material was given one of the three following friability categories defined by the EPA and CDPHE: 1. Friable Material —materials that can be crumbled or reduced to powder by hand pressure. 2. Category I Non -friable Material — materials that cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing materials and asphalt impregnated roofing materials. 3. Category II Non -friable Materials — all other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -friable materials. Homogenous Material Condition Each homogenous material was given one of three condition categories based on visual observation defined by the EPA and CDPHE: 1. Good Condition — No visible signs of damage were observed during the inspection. 2. Damaged Condition — Visible signs of damage less than ten percent spread over the entire material or twenty five percent localized. 3. Significantly Damaged Condition — Severe damage greater than ten percent spread over the entire material or twenty five percent localized. 4.2 Sampling and Laboratory Analysis Sample Collection Bulk samples of each suspect homogenous material were collected randomly throughout the homogenous material area within the scope of work. Bulk samples were sampled all of the way through the material so that all associated layers within each homogenous material are represented. Bulk samples were placed in closeable sample bags and then labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FfC2-1, MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the homogenous materials were also collected at this time during the inspection. Sample quantities of each homogenous material were collected based on material type and quantity detailed in the following table as required by regulation: Homogenous Material Minimum Number of Quantity Type Samples 0 to <1,000 SF 3 Surfacing material 1,000 to 5,000 SF 5 >5,000 SF 7 Each Material 3 Thermal System Insulation Patch < 6 LF, SF 1 Miscellaneous Material Each Material 2 Laboratory Sample Analysis Bulk samples were submitted to the laboratory along with a completed chain of custody form to the above listed NVLAP accredited laboratory for analysis by polarized light microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982). Microscopic visual estimation was used in obtaining the percentage of asbestos within each layer of the bulk samples. Asbestos Containing Building Materials EPA and CDPHE both define an asbestos containing building material (ACBM) as a material which has an asbestos content of greater than one percent. In the event that a friable material is estimated to contain "trace" or between zero -to -one percent, that material must undergo a point -count analysis by the laboratory to confirm that the material is trace asbestos -containing. Further, if a point count analysis is performed on a bulk sample, the point count result takes precedence over the visual estimation result. See appendix A for laboratory report and chain of custody documents. Section 5 Conclusion Alta has performed a limited repair/renovation specific asbestos inspection of the home/facility located at the Site Address. Through visual inspection and laboratory analysis of bulk samples collected at the Site Address, Alta recommends hiring a certified general asbestos abatement contractor to remove any ACBMs that may have been identified within the scope of work. All inspection activities were conducted at the direction of the client and only include those materials, quantities and locations detailed in sections 1 and 2 of this report. See sections 1 and 2 of this report for information regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample information and laboratory analysis results. 5.1 Limitations General Comments and Limitations Reasonable effort was made by Alta to locate and sample accessible suspect ACBMs within the scope of work. However, for any structure, the existence of unique or concealed suspect ACBMs is a strong possibility. Alta only inspected and collected suspect ACBM bulk samples in the repair/renovation areas at the direction of the client. This limited repair/renovation asbestos inspection report is not considered a comprehensive asbestos inspection report and is only valid for the materials and locations detailed in sections 1 and 2 of this report. Should further repair/renovation work expand outside of materials and locations listed in sections 1 and 2 of this report, those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement of ACBMs must be performed in accordance with all federal, state and local regulations pertaining to abatement, transport, and disposal of ACBMs. The asbestos inspection was conducted in a manner consistent with the level of care and skill exercised by professionals of the asbestos inspection profession. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the repair/renovation areas. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Alta does not warrant the work of regulatory agencies, laboratories or other third -parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Sincerely, Joshua Masek Alta Environmental LLC 7045 W. 371 Ave. Wheat Ridge, CO 80033 303.669.7007 contact@AltaEnv.CO AppWdNx A Laboratory R"wt and Chain Of Custody Form 77 ; , u , u o ; u \ 2 1 . z z z _ ) ; E )|{ z z z z z z z z z ! < \ ) \ ! $ iillfOf 4444719$: U u U U U 8 PP p (r z � U U c oo P W Y1 Z° i oe P ro U U s 4 0 N N 0 O {Yi �i ❑ �i ❑ ❑ ❑ 4 y � mi N VI m 8 8 L to z z z z z z z s mr r — a O 6 r q `o � i �' U ❑ 5 C f 6 L _• \ a d v C 0 x „ ❑' „ ❑ N N � =S o o e o N iillfOf 4444719$: �O^ry ALV ivC�Y, � � � �•� M1 ° ]ilia g .2 _ k C ' a D. W 'J u _au G t a d 1�0IV y C v`Ci 6 0 A O y U N C T O Q O Z U p U p Cd y � y CJ L •O U O y y A F L A ^�j w L 7 4 C A F A V •— V y O 4 Z U P, o ,, c t 0 72 U E Do O m V •9 T 'y0 Q tic R S ,.. 4 �E 72cd n f 0 05 nnr'' s U V U V Y u U Z C € 3 m'� Emo E _ T r `O 3 eD v m v o m Ems_ ur 'T •� M1 COY Y u O U C Iti O 'JC CDE co t .°. 3 0 0 3 8 8 Q$ 3 aA a ° 0 5 c o m E E F ryR ua o a y Z '� E V- G L ��.G A b �r' V h Q W Q$ 3 ° n i ° v c J � • 'o e P � tui � � '� y L .o i > � pq O u d 0 7 F 7 ���� t is d-'1.tr f A ■ i Y A. Yam iV L" USE OfILY A Y: 100% $1k'5PIC'A(A) f' ►.n i do 4 . W44 dY YM Aram e-, 7 #1 Ow" W W tw "WK CA R UmboWi , Pt �� �,sr $�: � ha:.xs a pry.ir.�rn (�MrM4a�M aMu+r,�q► Appendix B Major or Minor Spill Response In an event of an asbestos spill involving greater than the trigger levels, the building owner or contractor shall: 1. Restrict access to the area, and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. 2. Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas (if applicable) 3. (Only if above established trigger levels) Immediately contact the CDPHE Air Quality Division by telephone, submit notification in compliance, and apply for a permit. 4. Be exempted from the requirements to have a certified Supervisor on site at all times, until such time as immediate danger has passed. Any clean up or asbestos abatement that must occur after the immediate danger has passed shall be supervised by a person certified by the Division. 5. Using certified Supervisors and certified Workers in accordance with regulation, seal all openings between the contaminated and uncontaminated areas and establish negative air pressure within the contaminated areas in accordance with regulation. This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates, diffusers, and skylights. 6. HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non - clothing fabrics in the contaminated area, or discard these materials. 7. Launder or discard contaminated clothing in accordance with regulation. 8. HEPA vacuum or wet clean all surfaces in the contaminated area. 9. Discard all materials in accordance with regulation. 10. Following the completion of the work air samples shall be collected aggressively as per regulation by an AHERA state -certified Air Monitoring Specialist (AMS), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area. 11. Comply with any other measures deemed necessary by the Division to protect human health. lj A V re SSA ASBESTOS CERTUICATION* TMZ awtif" Joshua A. Mmek CWH&MI No.: 224" hft awl the rimuimm""-7-"7pCX&WAbQualkyCa OC25 *Ed Commbskm Rqpd"*o PAd X $114 is bvft ""Mad by strte O(Czkm& in the follothift d6dpk6e BaiWjipg lR3pMQr* (head: M*r& 10, 2" Ezpkw M*rcb 10, ml smoke alarms shall comply with section 314 of 2018 IRC Smoke alarms shall be installed in the following locations: In each sleeping room. Outside each separate sleeping area in the immediate vicinity ofthe bedrooms. On each additional story of the dwelling, including basements and Q habitable aftics and not including crawl spaces and uninhabitable Q \`� interveln dwellings or ning door between theadjac nt levels, levels smoke alarm an installetl on the upper level shall suffme for the adjacent lower level < provided that the lower level is less than one full story below the L I than Men more than one smoke alarm is required to 11 installed within i n individual manner at thea the alarm devof al shall be interconnected allof in such a manner that the actuation of one alarm will activate all of the alarms in the individual unit. carbon monoxide alarms shall be installed within 15 feet of each sleeping room ALL WORK SHALL COMPLY WITH f� 2018 IRC, 2018 IECC, 2020 NEC, COLORADO PLUMBING CODE CttY of WhcatR�dge COMMVNIIY U[V[MrPMENT APPROVED Reviewed kr Code Compliance BRANDON F 09/01/2020 Plans Examiner Data wma.me<mm m.„xw a...rnwwawaw=/awe. w.or�a..» aeseseak,W ugkrtsaasvov me/ogWxwErw4 hrmb a+rseres' . .'rewnww.Irwwwr.wi.•^7rapwu.p me.vemwwa�+w.allae ayewv,wre. wa4 Ir ON SITE PLANS MUST BE ON SITE FOR INSPECTION Sel l Is Field Inster0i ns 4el2c-4'f , c pb...4-It-k Feel 7 1 '5 4q- (RGF provide clean air report to the inspector at the first inspection and �ny(jC' prior to the inspection �,[Idmg Divlsm b q,v c L c jC—T fN Iry " �p0✓t/1 04{ le -t _ o a 3 [{,o5E1—T I" rI II windows u -factor shall be a ^ , ° minimum .30 windows within 1,4 Winches of shower and less than 60 h � inches a.£f shall be t safety glazed. Wheal Buliding Divisen 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" J Job Address: v \A) • 9`:�-t h VC, Permit Number: %,, L�, ❑ No one available for inspection: Ti Re -Inspection required: Yes No When corrections have been made, cat", r re -inspection at 303-234-5933 Date Inspect DO NOT RE VE 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: _ ---1 Job Address: 0 Permit Number: (j , 122- ❑ No one available for inspection: Time i� AM/PM Re -Inspection required: Yes (I O When corrections have been made, -cell for re -inspection at 303-234-5933 Date: `- In _s o City of Wheat Ridge E -Res. Electrical Service Upgr PERMIT - 201803122 PERMIT NO: 201803122 ISSUED: 12/03/2018 JOB ADDRESS: 8425 W 45th Ave EXPIRES: 12/03/2019 JOB DESCRIPTION: Electrical service upgrade to 200 amp service in house. *** CONTACTS *** OWNER (303)424-5825 KROECKEL FAMILY TRUST THE SUB (720)883-4838 Ari Goldberg 180372 Goldstar Electric *** 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: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am leally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a pqrmit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinan r regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildin4 Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. La enia Reimer I V v From: no-reply@ci.wheatridge.co.us Sent: Monday, December 3, 2018 8:59 AM To: CommDev Permits Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit Application Categories: Gina 1 Residential Electrical Service Change/Upgrade Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE L OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS 8425 west 45th ave jacob holst 402-609-6969 jakeholst@hotmail.com wheat ridge credit auth.pdf CONTRACTOR INFORMATION 1 Contractor Business goldstar electric Name Contractor's License 180372 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-883-4838 Number (enter WITH dashes, eg 303-123-4567) Contractor Address po box 371542 (Primary address of your business) Contractor Email Address ari@gstarelectric.com Retype Contractor Email ari@gstarelectric.com Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 200 Location of house upgrade/change (garage, house, etc) Provide additional details, n/a if needed. 00 Project Value (contract O 2, Z5 0. value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. 2 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 fraud and may be punishable by fine, imprisonment, or both. Person Applying for ari goldberg Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following busine4��7 PERMIT Y% 7 / k ADDRESS:'N � V_V'W� JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof'_ 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: W / ADDRESS: nW ZLi/l������ � �`�OB CODE: ACL!" Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous l'z %Z► - Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof l'z %Z► - 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works* 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (YJ Job Address: 574 Permit Number: 2a r � Q 1-I Le 5 ►<>� ❑ No one available for inspection: Time 1 V W 9 Y/?M Re -Inspection required: Yes No` When corrections have been made, call f/e-inspection at 303-234-5933 Dated Inspector: I c` Ole Q DO NOT REMOVE THIS NOTICE :r City of Wheat Ridge Residential Roofing PERMIT - 201701765 PERMIT NO: 201701765 ISSUED: 06/08/2017 JOB ADDRESS: 8425 W 45th AVE EXPIRES: 06/08/2018 JOB DESCRIPTION: Residential reroof: Install Owens Corning Duration Asphalt 30 squares *** CONTACTS *** OWNER (303)424-5825 KROECKEL FAMILY TRUST THE SUB (720)600-7236 Christopher Gonzales/Clayton P 170209 Colorado Roofing Solutions *** 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: 13,000.00 FEES Total Valuation 0.00 Use Tax 273.00 Permit Fee 251.85 - ** TOTAL ** 524.85 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€'"s 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's 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. City of Wheat Ridge Residential Roofing PERMIT - 201701765 PERMIT NO: 201701765 ISSUED: 06/08/2017 JOB ADDRESS: 8425 W 45th AVE EXPIRES: 06/08/2018 JOB DESCRIPTION: Residential reroof: Install Owens Corning Duration Asphalt 30 squares 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and,all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by, the legal owner oft heperk)Snd am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further att t thug' am legally authorized to include all entities named within this document as parties to the work to be performed and that al grk e erformed is disclosed in this document and/orifs' acfctompanying approved plans and specifications. Signature of O,"Ek o CONTRRCTOR (Circle one) Date 1. This permit cas'issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date �"" qu REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 7, 2017 5:47 PM To: Permits CommDev 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. 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 O documents at the time you are issued your permit. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address 8425 W 45th Ave Property Owner Name Mary Kroeckel Property Owner Phone 303-424-5825 Number (�( Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Colorado Roofing Solutions Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 170209 720-275-1702 Contractor Email Address Chris@303Roofs.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Owens Corning Duration - Asphalt Material How many squares of 30 material? Provide additional detail Residential House here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 13000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a z permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Chris Gonzales Email not displaying correctly? View it in your browser. DATE �y7I1(1CI9r7�Qt',�,7 CUSTOMER ADDRESS CITY MANUFACTURER 720-600-72136 i • �#��tE�� fi. AF, o o._ WZA7. `_.s • Ts �sy s.` e- a •:... �.. HcO ,E # WORK # CELL # EMAIL SCOPE OF WORK I—) r h7.v—rr,.-. ! 93 REMOVE I_ LAYERS OF ROOFING DOWN TO THE DECKING PrREPLACE POT;$ DECK AREAS AT P£R SHEET �Q R£ .DECi4 &c DECK taRE{31iIREt €fRCOE1E � I!CE & WATER SHIELD: Q EAVES 'VALLEYS a� rO CO£!E P9'INSTALL DRIP EDGE: [WEAVES [RAKES [BTO CODE 2 -INSTALL NEW VALLEYS: ❑ OPEN D`CLOSED ❑ TO CODE EY'RE-FLASH: SKYLIGHT OgCHIMNEY SIDEWA:LI S, C9 NDERLfiaYMENT: E3'NEW PLUMBING BOOTS �/ .� . i��/113rrr�" L VENTILATION: LOW PROFILE _— RIDGEVENT LF 27rNAIL 9 NGM USING 6 GAiVANOED NAILS PER S4iWOIE P MANUFACTURERS WARRANTY: Z -1-7/Z94 1 IfE4 `°'A. _rYPF OF 9"LIEN WAIVER RI�CCO'LORADO ROOFING SOLUTIONS I! YEAR INSTALLATIONGUARANTEE 6 VISUALLY INSPECT INTERIOR FOR EXISTING WATER DAMAGE f�°` �� ,'•`� MATERIAL DROP LOCATION. dAPPRO)aMATE START DATE-. ✓ f. '7 / (FwnvdhedatedHxiai aaeeur codas availabtrtnCokrac�ol�afaag{Sa�xau} COLOR LOW SLOPE DaI**.4W Q PEEL AND STICK MEMBRANE El ROLLED ROOFING -1 EPS .45 ML :60 MS. FULLY ADHERED BALLASTED 0 TPO AS MIL .60 MIL FULLY ADHERED BALLASTED v UNDERLAYMENT GNM 0 DECKING II*NSLAATION 0 TAPER 0 OTHER: ORIGINAL SALE PRICE -4 f6- cl,2C-4 (NOT INCLUDtNG ADDITIONAL INSUR4NCE SUPPLEMENTS RECEIVED UPGRAiPES OR ADDITIONAL WORKPERFORMED) immALS V F I "SUPPLEMENTS: ,f �= INITIALS 'DEDUCTIBLES.? [hilTllilS V, -.. ,�j^� C 'Pkase refer to the back of this agreement for the definitions o f su*emenm overhead & pro fit and faw$4 be;scharges:.syrri:imSngsL^nvw: PwPertyorsneragrees to have readand maderstandsthe def `dots o f a2eoss Wand 14 on nye bad of &s agreement. WINDOWS: EA GUTTERS: LF PAINT SCREENS: EA DOWN SPOUTS: LF LOC: OTY BEAD: LF COLOR; LOC: OTY RE -GLAZE EA IAC: CITY LANLEAN TE Y REM R f#IIS,AND A'WA D GNM PAYMENT SCHEDULE '1sT CHECK FINAL CHECK OTHER: OTHER: DUE: DAY WORK BEGINS DUE. AT COMPLETION DUI:: (IF APPLICABLE) DUE: (IF APPLICABLE) AMOUNTi S AMQUiiT: $ jZ �!i! ,7 Aa t,Ot S' AMOUOM S CtiECi€ t i sF ! CHECK �s �i�%°�—�� 1 CHECK #t CHECK r DATE: r�a OLn DATE 1/2-G£��`�~ar�� DATE: ®ATS COLORADO ROOFING SOLUTIONS, LLC SHALL HOLD IN TRUST ANY PAYMENT RECEIVED FROM PROPERTY OWNER UNTIL ROOFING MATERIALS ARE ONSITE AND WORK HAS BEGUN. YOU THE BUYER WILL NOT ENGAGE ANOTHER ROOFING SPECIALIST, OR OTHER CONTRACT OR, TO REMEDIATE THE WORK COMPLETED DURING THE FIRST VISIT UNTIL COLORADO ROOFING SOLUTIONS IS GIVEN THE OPPORTUNITY TO ADDRESS ANY CONCERNS. AS THE BUYER, YOU HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS ON THE BACK OF THIS AGREEMENT , , el_ r i,tDVYRt ovw gq Mn {fJwmWNY44w tSCIJtA i LiAiE TO VERIFY OUR GENERAL LIABILITY AND WORKERS COMP COVERAGE PLEASE CONTACT CSV i:REEX INSURANCE GROUP AT 303-744.0110 ♦ 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: Pl — ,5, Zft Job Address: y S w h>S7�ov l,! Permit Number: `eP, �G��uf ❑ No one available for inspection: Time 1 %. � AM PM Re- Inspection required: Yes No When corrections have been made, call for re T - Inspection at 303 -234 -5933 Date: ® /� /si Inspector: %e. DO NOT REMOVE THIS NOTICE INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground . .. Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PU13LICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. 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 , - I 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 PU13LICE 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 CONSTITUTE AUTHORIZATION OF ACERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. INSPECTION RECORD OccDDancvlTVDe 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. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER City of Wheat Ridge Residential Plumbing PERMIT - 102750 PERMIT NO: 102750 ISSUED: 12/16/2010 JOB ADDRESS: 8425 W 45TH AVE EXPIRES: 12/16/2011 DESCRIPTION: Replace 50 gallon gas hot water heater * ** CONTACTS * ** owner 303/424 -5825 Van Kroeckel sub 303/534 -0881 Gary Kenfield 01 -7152 Precise Plumbing ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0236 BLOCK /LOT##: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 850.00 FEES Permit Fee 40.00 Total Valuation .00 � ** TOTAL ** 40.00 Conditions: Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. 8313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. Subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' a comp ing approved plans and specifications. 4 k,/i(x I C� 1I4 I.C(D. Signature of OWNER or CONT CTOR (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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. G. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspecti n. S ignatureo Buil ding Offical _. _.. ..Date INSPEC ON EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUES S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS .DAY. Ja_City Cif COMMUNITY DEVELOPMENT Date: Plan # Building & Inspection Services Division Permit # I 1 I 7500 W. 29" Ave. Wheat Ridge, CO 80033 Office: 303- 235 -2855 � Fax: 303- 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Property Address: Property Owner (please print): Pho ne:J -- 9 5' Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: P re L r S 2 I�� 6 i ki ; p Z n G T_ Contractors City License M / ? S 2 Phone:3 03_ S7 e p S'- Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # / JS City License # /J Description of work ,o S Contract Value: $ 8 GZl, ..Review Fee (due at time of submittal): Squares BTU's Gallons _Amp s Sq Ft. $ 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 beeniauthorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I _ CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) 1 PRINT NAME: &,P,- &ell 14,`ele SIGNATURE: - - DATE: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. " � City of Wheat Ridge ]�� Residential Miscella PERMIT - 102070 PERMIT NO: 102070 ISSUED: 08/30/2010 JOB ADDRESS: 8425 W 45TH AVE EXPIRES: 08/30/2011 DESCRIPTION: Replace 7 windows like for like * ** CONTACTS * ** owner 303/424 -5825 Mary Kroeckel sub 303/865 -3328 John Sullivan 09 -0069 American Exteriors, LLC ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0236 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,927.00 FEES Permit Fee 50.00 Total Valuation .00 Use Tax 88.67 vx)*) M -5 , ** TOTAL ** 138.67 „ 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 applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor /owner date 1. This permit was issued in accordance with 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 A�,subject to field inspections. Building Official date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Building Division ° gy m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 * Fax: 303 - 235 -2857 �oaR ° Inspection Line: 303 - 234 -5933 ()o00 (0 � � Property Address: Building Permit Application LAJ P, l -Jr Property Owner (please print): Mailing Address: (d different than property address) Address: Date: Plan #: Permit #: Phone: P City, State, Zip Contractor: 4 v�. I cx\J ( Contractor License #: C)q Od I Phone: Sub Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction value: s 4 2 - 7 - bc> Description of work: (as calculated per the Building aluation Data sheet) Plan Review (due at time of submittal): $ Jfi(�`x�� I✓J1 I VUU1J,j Sq. Ft. /L.Ftadded: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREE I hereby certify that the setback distances proposed by this permit applicatio arr rules or regulations of the City of Wheat Ridge or covenants, easements or 'st, allegations made are accurate; that I have read and agree to abide by all cc dill responsibility for compliance with the Wheat Ridge Building Code (I.B.C) an all under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) NTC6 RACTOR) o PERSONAL REPR EN 1 PRINT NAME t ✓ SIGNATURE: and do not violaie appl'cable ordinances, m ;cord; that all ants shown, and on this applici and that I assume full able Wheat Rid Or inanoes, for work DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer PUBLIC WORKS COMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: D approved WI comments ❑ disapproved ❑ no review required OCCUPANCY: Bldg Valuation: 3 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5935) ' CITY OF WHEAT RIDGE ' 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 17556 8/13/2004 perty Owner: RICHARD KROECKEL arty Address : 8425 W 45TH AVE License No. : 22071 Company : Colorado Sewer Construction Value : $1,800.00 Permit Fee : $82.16 Plan Review Fee : $0.00 Use Tax : $21.60 SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy fhat the~etback distances proposed by this permit application are accurate, and do not violate applicabl ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements r restrictions of record; that all measurements shown, and allegations made are accurate; thaQQQ I have read and agree to abide by all conditions printed on this application, and that I a~sume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all o her applicable Wh~e"idge ordinances, for work under this permit. Use : Description : REPAIR SEWER IN YARD BY SIDEWALK BUILDING DEPARTMENT USE ONLY SIC Approval : Zoning : Approval: Approval : Occupancy: Walls Electrical License No : Company : Expiration Date : Approval: Roof : Stories Plumbing License No : Company : Expiration Date : Approval : Phone : 424-5825 Phone : 424-0448 Total: $103.76 I -75_o'b Lnnt / 78 .76 Sq. Fk Residential Units : Mechanical License No : Company: Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur appliration and is subject to the laws of ihe State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Coloredo or anyother applicable ordinances of the Ciry. (2) This pertnit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue date or (B) the building authorized is suspended or abandoned tor a penod of 120 days. (3) If this pertnit ezpires, a new permit may be acquired for a tee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (i) year. If changes are made 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 nafural flow of water causing a dreinage problem. (5) Contractor shall noiify the Building Inspector hventy-four (24) houre in advance for all inspedions and shall receive written appmval on inspection card 6efore proceediing with successive phases of the job. (6) Th s f a per ' roval of drewings and specifcations shall not be constmed to be a pertnit for, nor an approval ot, anyviolation of the . m' of t ding codes or an er ordinance, law, rule or regulation. ~di~ Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: o~ W"E'T,~ BUILDING INSPECTION LINE • 303-234-5933 Date: ~ g C1TY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) `°`°a"°° APPLICATION Property Owver: 1?1GI419'RJ7 Kl:~OEG m6L- Property Address: Phone: Contractor License No.: Company:Cdl6RGRl7o Phone:~- ~OZLI- ~~Yg OWNER/CONTR4CTOR SIGNANRE OF UNDERSTANDING ANU AGREEMENT I hereby certify that the setback distances proposed by this pertnit applicaUOn are accu2te, and do not violate applicable ordinances, rules or re9ulations of the Cityof W heat Ridge or covenants, easements or resVic6ons of record: that ail measurements sbown, and allegations made are accurete; that I have read antl agree to abide by all condilions printed on this application and that I assume (ull responsibility for compliance wittt the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for wor"er Ihis permit. If Description: p~.~~I- lti Sq. Ft. added ,SFwE~ ?~7'R p ;tion Value:$ Permit Fee:$ Plan Review Fee:$ Use T x:R Total:$ BY Expiration Date: Expiration Date: Expiration Date: Annroval: Approval: Approvai: (1) This pemit was issued in aaordance with the provisions set fwth in your appliption and is subject to the laws of the State oi Colorado and W the 2oning Regulations and 9uilding Codes oi Wheat Ridge, Colo200 or any other applirable ordinances of the Ciry. (2) This permit shaN expire if (A) the work authonzed is not commenced within sixty (60) days from issue date or (B)1he buil0ing authorized is suspendetl or abandoned for a period of 120 days. (3) If this permft expires, a new parmil may be acquired for a(ee of one-halt the amouni normally required, provided no changes have been orwill be mada in ihe original plans and spedfications and any suspension orabarMonmant has not exceeOeC one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shali be paid for a new permil (4) No work of any manner shall be done that will change the natural flow oi water pusing a drainage problem. (5) Contraclor shall noGty the 8uilding Inspecior iwenty-four (24) hours in advance for all inspec6ons and shali receive wrinen approval on inspection prd before proceeding wiM successive phases ot the job. (6) The issuance of a pertnil or the approval oi d2wings and speafications shail not be construed to be a permit for, nor an approval of, any viola6on of the provisions of the building co0es or any other ordinance, law, rule or re9ulalion. Chief Building Official Electrical License No: Plumbing License No: Mechanical license No: Company: Company: Company: nEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-116 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :1/17/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : KROECKEL FAMILY TRUST THE Property Address : 8425 45TH AV Phone : 424-5825 Contractor License No. : 17152 Company : Precise Plumbing 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 ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : WATER HEATER Construction Value : $410.00 Permit Fee : $15.00 Plan Review Fee : $0.00 Use Tax: Total: $15.00 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : ER' ,~~~~MI (t) This pertnit was issuetl in accortlance wi[h fhe provisions set forth in yopur application and is sub~ect to the laws of the Siate of Colorado and to the Zoning Regulations antl euilding Code of Wheat Ridye, Colorado or any other applira6le ordinances of t~e City. (2) This pertnit shall expire if (A) the work authorrzed is no[ commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period 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 or will be made in the ori9inal plans antl specifrations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (i) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the naturel Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector lwenry-four (24) hours in advance for all inspec[ions and shall receive written approval on inspection rartl before proceediing wilh successive phases of the job. ' (6) The issuance of a permit or the approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the pmvisions of the building codes or any other ordinance, law, mle or regulation. Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF COMMUNITY DEVELOPMENT 7500WEST29IhAVENUE BUILDING INSPECTION DIVISION PERMIT N0. 234-5933 P.O. BOXSSB CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALiD ONLY WHEN SiGNED BY THE rHIEF BUIIDiNG iNSPECTOR ANC RECEIPTED BELOW. APPUGATION FOR MISCELLANEOUS PE7R~~~' IT / JOB ADDRESS ~y a i ~ OWNER A/i' CONTRACTOR n ~/"/'PC (5-e ADDRESS S•z'~ ADDRESS ///'O /~'JUE /aC 2-- PHONE y2 y~ZIPCODE CITY 4~!/` ~d ~'~4 " ZIP CODE ~0~'0/ CONTRACT PRICE $ ~10 PHONE %3 ✓ ,P LICENSE NO. ~ ~~-'5-DATE ~`3_ TYPE GrounO❑ 1 Woll❑ Proiectinp❑ Othar SorDFau . 2. MATERIAL Tofal Square Feet $IGNS ILLUMINATION Yea❑ No❑ 3 TyDe Eleef. Permit No. . 4. SET BACK FROM PROPERTY LINE N (SDecify which ia fronf) _ ❑ S_ E ❑ _ W ❑ ❑ Zone- Approvad,ZOne Inspaetor DieapDrwed - PE . '.:SCfiF.n~. Mere.7hne:90°,•_OGann- ..LAUThan80%Omn MATERIAL ? HeiQM FENCES . 3. SET BACK FROM PROPERTY LINE N (SDewfywhicl+iafront) _ ❑ S_ E ❑ _ W ❑ ❑ Zone_ Approved,Zorn Inspecia Disapproved I . Z OTHER 3 . DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER $TRUCTURE,GIVIh" DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) REAR PROPERTY LINE w z J Y H K w O ¢ a w N ' - 4RbN7'rki)PEk'i~i-ciM1'c - - STREET NAME _ J > F2 ~ N ~ 5PECIFY NORTH SHOW DIS7ANCES FROM THE MAIN BUILDING TOADJOINING HOUSES,STREETS, AND PROPERTY LINESiON IRREGULAR LOTS,SHOW LEAST DIS7ANCE TO PROPERTY LINES, NOT MAxIMUM OR AVERAGE DIST4NCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUIl.01NG INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE UCENSE N0. J°J ~3 ~(O MECHANICAL PERMIT ALUMiNUMWIREUNDERSIZE81LLEfiAL FLOOR BSM IST 2ND 3RD 4TH N0. FlffL; CircleOneGayqlProponeCOdElxSolor Np. WATER ClASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRI6ERATION SYSTEM POWER SU6-CIFCUITS WATER HEATER { Refri eroM Group UTILITV(RANGE,DISPOSER,ETC) AUTO.WASHER Poundt Char e FIXTURES DISH WASHER AUTOMATIC SPRWKLER SYSTEM WIRING MOTORS 9 CONTROLS FIDO7 DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES REMARKS I hereby acknowledqe Ihat this applica- tion ie Correct ond understand that I oonnot start ihis project until this oppli- Cation i1 opproved. I shall [omply wifh fhe lows of the State o1 Colorodo and to ihe Zoninp Repulations and Buildinp Code ofthe City ol Wheat RidQe. Any viololion of the obove terme wdl cause immediate revocotion of fhis permit "I& PERMIT FEE /s ~ NOT VAIID UNLESS USE TAX TOTAI FEE A $ ~S APPROVED DISAPPROVED_ CHIEF BUILDING WSP CTOR,Cityof Wheat Ridqe Date Issued J ` l 6 p S CALL2345933 24 HOURS IN ADVANCE FORINSPECTIONS 4'~plicaM~~qM1aiuq G