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6325 W 47th Place
A i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C1 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes ISO) When corrections have been made, call for re -inspection at 303-234-5933 Date: 4S �'' � \ Inspector: 6 DO NOT REMOVE THIS NOTICE A 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: 3 �.— Job Address: `�- Permit Number: ❑ No one available for inspection: Time_fiIVRM �- -- , --) Re -Inspection required: YI46:__ When corrections have been made, Zl=aat 303-234-5933 Date: ' zz Inspec DO NOT REM&E THIS NOTICE ®®� s CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: C� i,A , ' Permit Number: �� �-� \ f}i U '� +FSC.. ! - �,., �.. r -a• � ; �: )i't �� c_. 6 . • ''� i � r � � Cil � ! � � � i� c: r— - r ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: <— - '7 L '\C,Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time � I _PM Re -Inspection required: Yes No When corrections have been made, call for t Date: spector: I 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: Job Address: Permit Number: �No one available for inspection: Time M/ M Re -Inspection required: Yes N� When corrections have been made,,call re -inspection at303-234-5933 Date: - DO NOT REMORIE 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: Job Address: Permit Number: 2p 11100 117 % ❑ No one available for in p ot'on: Time i / ` AM/PM Re -Inspection required: Yes No When corrections have been m��e call for re -inspection at 303-234-5933 Date: q 15/ a/ Inspector: fi]TY DO NOT REMOVE THIS NOTICE ® A s_ CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: v« ?� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge W Homeowner Interior Remodel PERMIT - 201900477 l PERMIT NO: 201900477 ISSUED: 04/04/2019 JOB ADDRESS: 6325 W 47th P1 EXPIRES: 04/03/2020 JOB DESCRIPTION: SWO-Removal of existing kitchen cabinets, countertops and 7.66LFx3ft.10in. knee wall under the kitchen. Installing new cabinets, countertops and reduce opening between living room and dining room; 100 sq ft total REVISION: Replace 36K BTUs, 40 gallon water heater; Added valuation: $850.00 *** CONTACTS *** OWNER (720)375-2114 ROCQUE TYRONE JAMES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,260.00 FEES Total Valuation 0.00 Plan Review Fee 194.61 Use Tax 341.46 Permit Fee 315.25 Investigative Fees 299.40 ** TOTAL ** 1,150.72 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. 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 Homeowner Interior Remodel PERMIT -201900477 PERMIT NO: 201900477 ISSUED: 04/04/2019 JOB ADDRESS: 6325 W 47th Pl EXPIRES: 04/03/2020 JOB DESCRIPTION: SWO-Removal of existing kitchen cabinets, countertops and 7.66LFx3ft.10in. knee wall under the kitchen. Installing new cabinets, countertops and reduce opening between living room and dining room; 100 sq ft total REVISION: Replace 36K BTUs, 40 gallon water heater; Added valuation: $850.00 1, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sign or ONTRACTOR (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. 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 pen -nit. 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 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, any violation of any provision of any applicable code orAny ordinaneg 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 I , dge ��("Wh6at MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 . Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Add to Permit # Building Permit Revision/Amendment Application * Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 60325 (j q � Property Owner (please print): J r� )n Q j-� r Phone: r/ - Property Owner Email: / cx� LA_ �" COM C L4f-, iliQ, - Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Com any: 2:L 4 t? (` OA f r Contact Person: Contractor: <<- oa, c C')t tj/i c r Contractors City License #: Contractor E-mail Address: Phone: Phone: //V Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: 1 Sq. Ft./LF 316,00u A / Btu's Gallons `/ u Amps Squares Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $-S001), 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. CIRCLE ONE: (OWNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: � ( 4� SI ATLTRE: —DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION' Building Division Valuation: $ A 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: (_ (-),- - '\--f t_ Job Address: Permit Number: I' r tr- J L) No one available for inspection: Time AM/PM Re -inspection required: No When corrections have been made, call for re -inspection at 303-234-5933 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201900477 PERMIT NO: 201900477 ISSUED: 04/04/2019 JOB ADDRESS: 6325 W 47th Pl EXPIRES: 04/03/2020 JOB DESCRIPTION: SWO-Removal of existing kitchen cabinets, countertops and 7.66LFx3ft.10in. knee wall under the kitchen. Installing new cabinets, countertops and reduce opening between living room and dining room. Total100sq. ft. *** CONTACTS *** OWNER (720)375-2114 ROCQUE TYRONE JAMES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,410.00 FEES Total Valuation 0.00 Plan Review Fee 194.61 Use Tax 323.61 Permit Fee 299.40 Investigative Fees 299.40 ** TOTAL ** 1,117.02 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. 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 Homeowner Interior Remodel PERMIT - 201900477 PERMIT NO: 201900477 ISSUED: 04/04/2019 JOB ADDRESS: 6325 W 47th P1 EXPIRES: 04/03/2020 JOB DESCRIPTION: SWO-Removal of existing kitchen cabinets, countertops and 7.66LFx3ft.10in. knee wall under the kitchen. Installing new cabinets, countertops and reduce opening between living room and dining room. Total100sq. ft. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codeanall applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. ignature of 01£R CONTRACTOR (Circle one) Date 1. is 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 pennit 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 Divisio 6. The i a e or grantin a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apph co or any finance 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 DEVELOPMENT 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: permits(a)ci.wheatridge.co.us FOR OFFIC USE ONLY Date rr�0 Plan/Permit # � � Plan Review Fee:� (0� Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: (o3ZS W L -M Ploc>v W,� Property Owner (please print):- �Tr�oc�Jp Phone: 711 -27,5-2 Property Owner Email: Q. Comeas-, &Jz/ Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: ?--C) ` 0,4 2,70 k 7 b City, State, KtL L IrA-� %,j LO �Q�Z7 Architect/Engineer E-mail: Contractor Name: -� City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: Phone: _ CONTACT NAME (please print): / y (nAe ': o ue Phone: rZW - 37.5 - 2_i/C1 CONTACT EMAIL(p/ease print): _TR0C.C2%,\e Q C61nC4Sl. k)e,,7- /`7 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. RRM0 A2� lz ,Cn C I(; els, CoUn4 tr1 OL r7,(o(a LT -X V/0° LAt Jt r .i n S\'\\ � e�1 k C��n Ca� � n s , (O LAn ( lop 5 aJ ea4 c� 4 P en l i► �,e�t,J�e� r'00f \ WJ A,MVtj rVvM l,, —�O 0tCU)Mt'-U1 OLn QCIJ"�illla CA. IIV14. Sq. ./LF Wlin X00 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) x ',) . C::.") n 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)ONTRACTOR) or (AUT ED REPRESENTATIVE)*1R>'M' ? TRACTOR) Signature (first and last `e): DJ ATE: Z) ) 9 Printed Name: Yroll e K OC.Q V7 -C DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:_ CONSTRUCTION TYPE: V6 Reviewer: BUILDING DEP ENT ICOMMEN Reviewer. PUBLIC WORKS COMMENTS: Reviewer: I O �_ Building Division Valuation: 54 � Kimberly Cook From: Tyrone ROCQUE <tjrocque@comcast.net> Sent: Wednesday, April 3, 2019 7:50 AM To: Lagenia Reimer Subject: Re: 6325 W 47th Ave/201900477 Categories: Dina Lagenia, Can I pick up the permit today? Thank you, Tyrone On April 1, 2019 at 2:24 PM Tyrone ROCQUE <tjrocque@comcast.net> wrote: Lagenia, Please provide a breakdown of the $1056.94 balance. It is much higher than I anticipated. Below is an updated scope of work. SCOPE OF WORK: Remove existing kitchen cabinets, counter tops and a 7.66 LF x 3' 10" knee wall under the kitchen peninsula. Install new kitchen cabinets, counter tops and reduce opening between living room and dining room 11" to accommodate an additional cabinet. Replace existing kitchen lighting with recessed can lights. Replace existing dining room light with recessed can lights. Replace tile surround and shower valve in the upstairs bathroom. The asbestos report is attached. Thank you, Tyrone On March 27, 2019 at 4:29 PM Lagenia Reimer <lreimer@ci.wheatridge.co.us> wrote: Hi Tyrone, Your plans have been approved. The balance due is $1056.94 In order to issue the permit, the following needs to be done: 1. The modification needs to be added to the scope of work for the replacement of the tile around the tub in the upstairs bathroom. 2. The asbestos test provided. The subcontractors working on this project, are licensed with the City of Wheat Ridge and have signed the subcontractor authorization form to be listed on the permit. A Homeowner is allowed to pull a permit and act as their own General Contractor when these criteria are met: An individual who desires to perform work involving construction, alterations or additions including plumbing and mechanical alterations of a single-family dwelling owned by that individual, in which he/she resides and will reside for a period of one year after project completion. This is allowed when homeowners complying with the above qualifications are performing work which affects the structural sufficiency of the home, or when work is being performed by individuals/contractors other than the owner under the owners supervision. By signing the homeowner authorization affidavit you have certified that you meet these requirements to be able to pull the permit as a homeowner. Let me know if you have any questions. Thank you, Lagenia Reimer Permit Technician Office Phone: 303-235-2810 ;CG )0411 4� IF City of Wheati e COMMUN iTY DEVELOPMENT 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 Owner(s): Project Property: M � t V Project Type: i 1 lra,n ReffiE?SQ' Notarized signatu State of Colorado } County of ���'f elsar� } ss The foregoing instrument was acknowledged by me this 'C4dayof 1"'1 20J by Z9c5tL.� FNOTARY ARA D ODEAN TARY PUBLIC OF COLORADO ID 20164015481 ON EXPIRES APRIL 22, 2020 6JC.3My Commission Expires __�_/2/202,z� Notary Public 33 Lagenia Reimer From: Lagenia Reimer Sent: Tuesday, March 26, 2019 11:25 AM To: 'tjrocque@comcast.net' Cc: Kimberly Cook; Dina Kemp Subject: Homeowner Permit Application for 6325 W 47th Ave Attachments: Sub contractor Authorization.pdf Good Morning Tyrone, There are a few items that are needed regarding your project at 6325 W. 47th Avenue. You will need modify your scope of work to include the replacement of the tile around tub in the upstairs bathroom. An asbestos test will need to be provided for the removal of the drywall and flooring. I have attached a subcontractor authorization form for the subcontractors ,that are working on this project ,to complete and be added to the permit. The subcontractors will need to be licensed with the City of Wheat Ridge. Sincerely, Lagenia Reimer Permit Technician Office Phone: 303-235-2810 vVh at tie i CITY OF WHEAT FUDGE Building Inspection Qivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE)) Inspection Type: Job Address: `'15 E„- 4 7,4 PIs Permit Number: , ��Z (7 F ift� ;"f l'�"� r'•�f 4: j�F;.j .r j ...;t 4/.:. i'., -i:!. f 1 N j '` t:I '.f t � J`i'� 1� �' f- P,y, 1 r/*!� r i ;i i✓i:! l �t • s f ❑ No one available for inspection: Time i; Re -Inspection required: Yes Nod When corrections have been made, call for re -inspection at 303-234-5933 Date: - '-P I q Inspector: DO NOT REMOVE THIS NOTICE _e All Clear Environmental COfv SLi l_TI:VG 11092 Mallard Ct. Parker, CO 80134 1720-982-1513 Asbestos Inspection and Sampling Report R P r Prepared for: Tyrone Rocque 6325 W. 47t" pl. Wheat Ridge, Co 8o033 Performed & Prepared by: Josh Berard All Clear Environmental Consulting 11092 Mallard Ct. Parker, CO 8o134 (720) 982-1513 Project Number: 11oo Inspection Date: 3/23/2019 6325 W. 47th P1. Wheat Ridge, Co 8oO33 02Z)/9 ot)ZI �� Table of Contents Inspection Overview Introduction.................................................................. I SiteDescription.............................................................. II Scopeof Work.................................................................. III Sampling and Analytical Procedures .............................. IV IV (a) ......................... Sampling Procedure IV (b) ......................... Analytical Procedure Inspection Protocol........................................................ V Homogenous Areas.......................................................... VI VI (a) .......................... Classifications of Materials VI (b) ................................ Friable Material VI (c) ......................... Material Conditions VI (d) ............................ Sample Quantities ResultOverview................................................................ VII Photos................................................................................ VIII Laboratory Results............................................................ IX Conclusion/Recommendations......................................... X Limitations......................................................................... XI Certifications...................................................................... XII 2 I. INTRODUCTION On March 23rd, 2019 Mr. Josh Berard with All Clear Environmental Consulting conducted a limited asbestos inspection and collected asbestos bulk -samples of suspect asbestos -containing materials (ACM) within the kitchen of the residence located at 6325 W 47th Pl. The purpose of the inspection was to identify and sample potentially hazardous friable and non -friable ACM within the residence that would be impacted & has already been impacted. City of Wheat Ridge stopped remodel work until proof of inspection. Mr. Berard is Accredited by the Environmental Protection Agency (EPA) and certified by the Colorado Department of Public Health and Environment (CDPHE) as an Asbestos Building Inspector. A copy of his accreditations and certifications can be found in section XI of this report. II. SITE DESCRIPTION The one structure is a single family, 3 story duplex with basement III. SCOPE OF WORK Tyrone Rocque retained All Clear Environmental to conduct sampling of suspect materials within the residence that have already been impacted. The limited asbestos inspection conducted on March 23rd, 2019 constituted a limited inspection and fulfills the asbestos inspection requirements for structures that are to be renovated. IV. SAMPLING & ANALYTICAL PROCEDURES (a) Sampling Procedures: Random bulk -samples representative of the suspect ACM of each homogeneous area were collected according to the guidelines published as EPA Final Rule: Title II of the Toxic Substances Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40 CFR, Part 763 and CDPHE Regulation Number 8, Part B - Asbestos (Reg. 8). All Clear Environmental has collected the appropriate number of bulk -samples to meet all regulatory requirements for the classification and quantity of each homogeneous area. Note some minor destructive sampling was conducted. 3 (b) Analytical Procedures: Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of Asbestos in Bulk Building Materials (EPA 600/R/116, July, 1993) and the McCrone Research Institute's The Asbestos Particle Atlas as methods references. All bulk -samples were analyzed by a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory using the Polarized Light Microscopy (PLM) method for asbestos content (see X for laboratory report). V. INSPECTION PROTOCOL The asbestos inspection was conducted by an Environmental Protection Agency (EPA) and CDPHE certified Building Inspector. The inspection procedures included identifying and sampling suspect ACM within pre -defined areas. Suspect materials alike in appearance and application were sampled as HAs. After identifying the appropriate suspect ACM, with the use of a random number generator, random samples of Drywall & Sheet Vinyl Flooring were taken from kitchen and sent to an NVLAP accredited laboratory for analysis. See lab results in section IX VI. HOMOGENOUS AREAS (a) Suspect materials are divided into three classifications: 1. Thermal systems insulation (TSI): any type of duct, boiler, tank, or pipe insulation. 2. Surfacing material (SM): sprayed or troweled onto structural building member. 3. Miscellaneous (Misc.): other suspect materials ie. flooring, ceiling tiles, insulation, and finishing materials. (b) Friable material is one that, when dry, can be pulverized, or reduced to powder by hand pressure, a non -friable material cannot. A non -friable material may become friable if its condition had deteriorated or has been impacted by forces that have rendered it friable. 4 (c) The three categories in which sampled materials are placed are as follows: Good: None to very little visible damage or deterioration Damaged: The surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over less than one-tenth of the surface if the damage is evenly distributed, or one-quarter if the damage is localized Significantly Damaged: The surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over greater than 10% of the surface if the damage is evenly distributed, or %25 if the damage is localized (d) All Clear Environmental collected at least the minimum number of samples from each homogeneous area necessary to meet all regulatory requirements for the quantity of material to be disturbed. The quantities listed in this report are approximate and on-site verification of the exact quantity of each material is required. The following outlines the minimum sample quantities required per homogeneous area: Thermal Sustem Insulation (TSI): Each homogeneous area requires a minimum of three (3) samples; at least one (1) sample must be collected from each patch; and collect enough samples sufficient to adequately assess the material and determine the asbestos content for TSI fittings such as pipe elbows or "T's". Surfacing Materials (SM): up to 1,000 ft2 of material requires a minimum of three (3) samples; between 1,000 ft2 and 5,000 ft2 of material requires a minimum of five (5) samples; over 5,000 ft2 of material requires a minimum of seven (7) samples; one (1) sample of each patch Miscellaneous Materials (Misc.): collect enough samples sufficient to determine the asbestos content A Homogenous Area (HA) is defined by material that is uniform in appearance, texture, color and date of application. Once the homogeneous area is determined, the inspector will choose the appropriate number of samples to take in accordance with EPA and CDHPE. (HA)1. Drywall/Texture Kitchen 2. Sheet Vinyl Flooring Kitchen 5 VII. RESULTS Asbestos was NOT reported within the bulk -samples collected and analyzed. All Clear Environmental collected a total of five (5) asbestos bulk -samples of two (2) homogeneous areas. The following are the suspect asbestos -containing materials that were collected and their respective asbestos content: Material Asbestos Content All Materials Determined to be Non -Detect ND The following table describes the materials composing each homogeneous area as well as the locations of each bulk -sample collected. Also listed is the classification, condition, friability and estimated quantity of material to be removed and/or disturbed, as well as the asbestos content within each bulk -sample. Please see section IX for a breakdown of each bulk sample. 0 Asbestos Bulk Sampling Log HA Sample LD Material Type Sample Location Condition Friable (YIN) ACM Type Quantity 47-1-01 Kitchen - S. wall W. end top ND 1 Sly Damaged y Approx.1,1oo Sq. Ft. 47-1-02 Kitchen - W. wall middle ND 47-1-03 Kitchen - N. wall W. end middle ND 47-2-01 Kitchen - Floor middle ND 2 MM Damaged N Approx. no Sq. Ft. 47-2-02 Kitchen - Floor W. end ND SM — Surfacing Material MM — Miscellaneous Material ND — Non Detect VIII. Photos �, tw\-bl IX. Laboratory Results Reservoirs Environmental, Inc. Effective April 2, 2018 Reservoirs Environmental QA Manual Q;\QAQC\Lab\Reservoirs Environmental QA Manual.doc RE -"1 LA13 Reservoirs Environmental, Inc. T March 24, 2019 Josh Berard All Clear Environmental 11092 Mallard Ct Parker CO 80134 Dear Customer, Subcontract Number: NA Laboratory Report: RES 431093-1 Project # / P.O. # 1100 Project Description: W. 47th Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 431093-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P. 303-964-1986 F. 3034774275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 A 1-866-RESI-ENV yr neilab.com (i Z J Q Z W 2 Z O Z W N O W U) W 0: O O a v y a > c rD E y m m a Z 0 < E V N > U U m m Z o .Q E E o aav� o °in c c c m Lc m m m m w U U U 0 2 F a C p 0 O Oa O O O O O O N O O (D O lO O LO O O O M co O OO m 0 o ii a 0 CL E i 0 O L c m N C10 N Z w o m v Ln ~ v >r M M r N N Oa IC Oen M A L N O N Q m M U c r L 40 L V 2 Q a O IxQ ;32W M IL G' O O a v y a > c rD E y m m a Z 0 < E V N > U U m m Z o .Q E E o aav� o °in c c c m Lc m m m m w U U U 0 2 F a C p 0 O Oa O O O O O O N O O (D O lO O LO O O O M co O OO Z a o ii a E 0 O O C o O O O Q' 00 O OR O N Z w o m v Ln ~ v m c a o Q LL a E 0 U r^ D D D D C C O C loco O ZZ ZZ Z Z Z Z Z Z Z Z £ w >> o W w 0 W m � m g 7 m c U) d .... Loin � M N O O O Nm m v N O04 M S V c0 V _c Y i9 E rn C U m a o m a a o E ° y � p a o c m v c w m C l0 C w T U L N a E l0 a T O L as m o o. 3 U Y L m rn - m c c E = 3 y w c_ > n0loY naa ® a m r o r a'0 m y U r U 0 Y N f0 y m .m.. m m m L L t L .0 L L C L O 3: 33: :-�:: r 3 E 0 _j«W Of <a0 <m <m U0 <cm U 0 a04 C14cc N N N E 3 N N N N N J W W W W m Ca O O o O m E E N m7 ^V V NZ 7 V V 10 e Z o W� ex (i z � e z LU ■ z 0 � > z w U) ■ > � w ■ LU ■ ■ IL j � ■ j/} E E z ) a-CL LU����n of0000 11 R \j ii « z2 b o = ■3 § k( ] o !4, �e �- )15 2§`® ° °® ® ;2[ a}- «®` © #LL [ Z E o kk3 �=-ZZZZ 2 c kk �' J ' § � & ]) /--aa m k7 ;7 \ U cm �tL / \f « k ID CL -- _ A- 0 acB:=m) 2 /m03:2E § u«»�0� <cooo u C4 co , CD 44 E \ a % CL ujIx2 —1 w \ } .. 7E C)|2 �E$ )/k §2£ § 11 R \j ii 12 Mr Oil 12 wAft- 4� I 46*w-&..1 Vftfts team OW -ft 008"W. umw -040 dry 0-4-06 .ts • W.0 -W co vs, v wav- t 12 X. CONCLUSION & RECOMMENDATIONS Asbestos was NOTidentified within the materials in the residence that were within the scope of the limited inspection and bulk -sampling performed on March 23rd, 2019; therefore, professional abatement activities are NOT required to remove or disturb the above -sampled drywall & sheet vinyl flooring materials. All Clear Environmental (ACE) recommends that when ACM is removed/abated, that only a licensed asbestos abatement contractor using personnel trained in the handling of ACM be allowed to conduct such activities using appropriate methods (HEPA-filtered vacuuming, wet cleaning methods, respiratory protection, protective clothing, personnel decontamination, negative -air enclosures, air monitoring, etc.) XI. LIMITATIONS All reports and recommendations are based on conditions, practices observed and information made available to All Clear Environmental (ACE) by the client and the designated site on the days sampling was conducted. All activities were performed in accordance with all applicable federal, state, and local regulations as well as generally accepted standards and professional practice. No responsibility is assumed by All Clear Environmental for the control or correction of conditions or practices existing at the facility/residence, for and on behalf of the client. Any materials encountered during demolition that were sampled during this inspection should be assumed positive until confirmed otherwise by a Certified Asbestos Building Inspector. Any ACM that will be disturbed should be handled according to CDPHE, EPA (Environmental Protection Agency) and OSHA protocol. All Clear Environmental greatly appreciates the opportunity in providing our services to you. Feel free to call us at any moment if you have any further questions! Kindest Regards, Josh Berard — President All Clear Environmental Consulting 720.982.1513 Josh@Al1ClearEC.com 13 — CERTIFICATIONS — 14 •i F�,y �M .•:117G� {� of PuNi., t icAh f E arta lrin►ntrttnt �' It .' CERTIFICATION* � t This ccnilic% that Josh Herard ' { erlificalmn Nm: ,' Mf 15 u y has mcl the requltrnlcnU O(25-7-1.40. ( 9 4, 4rid Air t} Wit) Conttt-A l'►•►tunic<ion Rcgulation Na. S. Pan H. and i+ hmhy ce"ified br# the .144 "' •, slate of Coboadu in the fully- r.: discir4inc e E%pim: No%gimbtt 0.1, 2t) 14) `1 ' ,H.. v#i+r► N •sad +M! -M Av rMwitim sY • f / s RAW fww>! j r� DO* UAL 14 X11 zz z kA f aQ ell f �r is. 1 iar.s w 1 � qqq 2 rV" Z X11 zz z 15 0 a M f aQ ell f �r is. 1 iar.s w 1 � qqq 2 a t 0 15 0 a mV M f aQ ell f �r is. 1 mV M f aQ ell f �r is. w 1 � 2 mV � .� L-. 16 k ■ � � �< ■ /■� \ � C ask � t g ■ , � « ` � .$ WQOH-LY2 5V(V-LS8n 00CD0 co UP - REF. - Existing Floor Plan 459 sq ft CD co Family Room Dining Room New Floor Plan .. 459 sq ft City of �Wheat�� CoMMUNI IY I)LVEU�PMENT APPROVED Reviewed for Code Compliance ./21 /-,u :� Z 19 Plan Examiner Date V�Mdkk of pennII she issuance of o permit or approval of pions speuJwatwo and compurahons shaN root be a permit fo , or on approval of any vrolobon to any of the provisions of the Wilding code or of any City arMances. perp tt presuming to give outhority to vlolate or Canal the promlons of the a dift codes or other ordinonon of the City Owls not be wird 6 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE r Inspection Type: �/ Job Address: pf Permit Number: A' CAS :i r?/,•'i l ! iia.. �✓! .�?� i7 !+� Jt,i � t.� �. L.✓ �� 6� ,! �rl !t_ e ` 1••t '-•{1!/`-'�a '�. � ir` � � r++�^%' C i� `ted lyi,Ps a f✓ F�'� r - ; i0o P 6/1 -4;o B ❑ No one available for inspection: Time 1 a1 `^ Re -Inspection required: Yes (No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' s't, Inspector: 7— DO DO NOT REMOVE THIS NOTICE PERMIT: ADDRESS: �I Z 5- V �7� � rl, JOB CODE: R R r INSPECTION RECORD 6/f Z Inspection online fo : htt J .c i.wheatridge.co.us/inspection !� Cancellations must be submitte a on ction Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 303 Roof Sheathing 105 Stem Walls 304 Sheer Inspection 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. 303 Roof Sheathing 204 Plumbing Underground Int. 304 Sheer Inspection 205 Plumbing Underground Ext. 206 Water Underground 306 Mid -Roof 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 306 Mid -Roof / 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 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 P P'2�)a 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 P P'2�)a 4'iu Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and par".d.ig inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please ccntact 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. A 4' City of Wheat Ridge �r Residential Roofing PERMIT - 201708122 i PERMIT NO: 201708122 ISSUED: 10/09/2017 JOB ADDRESS: 6325 W 47th PL EXPIRES: 10/09/2018 JOB DESCRIPTION: Residential re -roof to install OC asphalt shingles - 30 SQ Pitch = 6/12 *** CONTACTS *** OWNER (720)375-2114 ROCQUE TYRONE JAMES SUB (720)301-2634 Ken Baldwin 170174 Apex Roof & Consulting Svc Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT 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 *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. 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. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201708122 PERMIT NO: 201708122 ISSUED: JOB ADDRESS: 6325 W 47th PL EXPIRES: JOB DESCRIPTION: Residential re -roof to install OC asphalt shingles 10/09/2017 10/09/2018 - 30 SQ Pitch = 6/12 Ib 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 f the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permtt rfo. I rt r attest that I am legally authorized to include all entities named within this document as parties to the work to be permedi thall work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatdre oLWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-cial and is not guaranteed. 4, No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buil ilial A Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Apex Roof & Consulting, Inc. Work Authorization Roof Quote: Tyrone Roque 6325 W. 47u' PL Wheat Ridge, Co. 80033 Price Roof Scope: -Remove existing roof (1 layer) including all haul off included -install 36" ice/water shield at all eave edges included -install new O/C Duration Storm shingle roof system including 15# felt Included Color. Homeowner Choice -All new plumbing jacks, step flashing, pre -painted drip edge and roof vents included -Permit fee Included ROOF PRICE including all materials, tax, and labor 30 sq. $13,000.00 Payment Terms: 50% upon contract acceptance. 50% upon job completion. WARRANTY: Workmanship warranty good for "2" years. Roof to be free from any leaks related to original installation. Does not include any future storm related or mechanical damage. Customer Signatur : Date: / Date: 10 2 17 Apex Rep Signature: " Signature above acknowledges that customer agrees to all terms and conditions of Work Authorization. PO Box 33965 Northglenn, Co. 80233 Ph. 720-301-2634 E. apexroof@comcast.net Dane Lovett �_)©I Y) � &I 2 2 From: no-reply@ci.wheatridge.co.us Sent: Thursday, October 5, 2017 4:34 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 6325 W. 47th PI. Property Owner Name Tyrone Roque Property Owner Phone 720-375-2114 Number (enter WITH dashes, eg 303-123-4567) 49 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract - 6325 W. 47th Pl..pdf Contract CONTRACTOR INFORMATION Contractor Business Apex Roof & Consulting, Inc. Name i Contractor's License 170174 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-301-2634 Number (enter WITH dashes, eg 303-123-4567) Contractor Address PO Box 33965, Northglenn, Co. 80233 (Primary address of your business) Contractor Email Address apexroof@comcast.net Retype Contractor Email apexroof@comcast.net Address DESCRIPTION OF WORK TOTAL SQUARES of 30 the entire scope of work: Project Value (contract 13,000 value or cost of ALL materials and labor) Are you re-decking the No / roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 50 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Owens Corning Duration Asphalt Provide any additional house re roof detail here on the description of work. (Is this for a house or garage? 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 51 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. Name of Applicant Ken Baldwin Email not displaying correctly? View it in your browser. 52 A i CITY OF WHEAT RIDGE Building Inspection Division c (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _ Job Address: Permit Number: ✓ _0 V '51�1 2 U� ,:l II _/Q !P 1 1 ( 1-'(1) -) 1 (1-1-1.-22 l ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes Na When correc�ions ave been made, call for re -inspection at 303-234- :�5933 Date: � Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: s'U Job Address: ell, Permit Number:��/� ^ / ❑ No one available for inspection: Time s z AM/ISM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: % - Inspector: )<o) DO NOT REMOVE THIS NOTICE DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13029 BUILDING INSPECTION LINE - 303-234-5933 Date CITY OF WHEAT RIDGE : 10/30/01 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 6325 W 47TH AVE Contractor License No. : 17590 Phone: 525-8426 Company : C J Roofing Co. Phone : 394-2802 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by lhis 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 accurete; that I have rea d agree to abide by all conditions printed on this application, and that I assume ful resp nsibility for compliance with the Wheat Ridge 6 ildin Code (U.B.C.) and all other applic ble heat Rid e o 'naru~,f,pr work under this pernit. ~ (OWNER)(CONTRACTOR) Description : RE-ROOF HOUSE 14SQ Construction Value : $1,573.00 Permit Fee : $57.05 Plan Review Fee : $0.00 Use Tax : $23.60 Total: $80.64 Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : 'NW.' e', e ~00~i OKAY Approval: DM V WO~.~.~ Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval: Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of ihe State ot Colorado and to the Zoning Regulations and Building Code ot Wheat Ridge, Colorado or any other applicable ortlinances of the Cily. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (6G) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 tlays. (3) If this permit expires, a new permit may 6e acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the onginal plans antl specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment exceetls one (1) year, Full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change ihe natural Flow of water causing a dreinage problem. (5) Contmclor shall notify the Builtling Inspector twenry-four (24) hours in advance for all inspections and shalt receive wntten approval on inspection card before pmceediing with successive phases of the job. (6) The issuance permit or the approval of drawings and specifications shall no[ be constmed to be a permit for, nor an approval of, any violation of the provisi h uild s or any other ortlinance, law, mle or regulation. Chief Building Insq40tor ,S1'r ~ DcPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :/30Z~ BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~ Property Owner : ,~3 T7 Procerty Address l Con;rac[cr Llcensz No. Company ~1 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ~Q,-sz~-gyac~ FhIcn2 : ~ Phar,e:~~• `~'j~/r ~t~-)Z Construciicnvalue= /~7 P°(fT1i( Fe? ; O S US2 TaX : Total : Descriptian: ~YjW I'~dC[,SC (}al~/7 I~{sCv_4pvo~C~ ~ ~ ~ I hh=reby cartify:hat :he sztback tlis;ances proposzC by [his oermi[ aoolica[ien are accvrate. and tlo not violate apolicabie ordinances, rules cr reyulations of [ne City of Whea; RiCge or covenants, zasements or restrictions of record; that all measuremencs shown. antl allegations maCe ar= accurate; that I have read anC agree to abide by all conditions printed on this aoplication, anC that I assume ful re onsibility ror co hancz with the 'Nheat Ridge 9 lding Code (U.B.C.) and all other appli 61e heat Ridge or ces; rk untler this per it. (OWNER)(CONTR4CTOR) SIGNE V DATc BUILDING DEPARTMENT USE ONLY m , SIC : Sq. Ft. : Approval Zoning : o mn Approval : I : -fsT! %UMD Approval : Occupancy : :`ialis : Roer : Stories : Residential Units : i Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval Mechanical License No : Company : Expiration Date : Aporoval (1) This permit was issued in accortlance with the provisions set farth in yopur applica6on an0 is subject to Ihe laws of Ne State of Cabratlo ana to the Zonin9 Re9ulations and BuilOing Cotle of Wheat Ridge, CobraCO or any oNer applicahle ortlinances of the Qty. (2) This pertnit Shall expire if (A) Ne wOrk authon2eC i5 not commenceC within Siuty (60) days (rom i55ue date of (B) the OUiltling authonZed i5 Su50enoed or abantloned iar a penod o(12o aays. (7j It Ihis pertnit _xpires, a new permit may be acquireG tor a`ee of one-half the amount normalty requiretl. provitled no changes have been or wdl be maae in the original plans and specificatlons and any suspension or abantlonment has not exceedetl one (1) year. It changes are maae or it suspension or abantlonment exceeGS one (1) year, (ull fees shall be paitl br a new pertnit. (4) No work of any manner shall Oe done Ihat wili change Ihe natu2l flow of water causing a drainage problem. (5) Contrac:or snall notiry the BuilCing Inspector Rvenry-four (24) hours in advance for all inspections antl shall receive wntten approval on inspection Card 5ebre proceetliing wilh sutcessive pnases of the job. (6) The issuance of a pe Ne appmval of dawings antl speufcations snall not be cons;rued to be a permit lor, nor an appmval of, any violation of !he provisions of t0e building coCey~6r ygre~yortlinance, law, rule or regulaGOn. Chief Building 7500 wESr 29th AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 EXT. 255 P.o. BoX 638 BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 ION TWp gE7g OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICAT BUSINESS AND N ~ SPECIFY NORTH (CIRCIE FRONT) N E S SHgHpW LEAST DISTANCE TO PROPERITYDIL NES NOTIMAXIMUM OR AVERAGEaDISTANCE ERTY -'-IES ON ABOVE SKETCH; LEGAL DESCRIPTION W OWNERS NAME r~~~ ~cto3 ~F A✓~ SPM/~ LIC.NO. CONTRACTOR (~L '?2 PHONE2 ADDRESS ~ ~ ~ f~2L-8 S P` METES AND BOUNDS DESCRIPTIOqN7 ATTACHED ADDRESS '?2 LAT N0. " BLOCK NO.~ CITY ZIPCODE Cf{pf"/(. FILING DEPTH AREA SUBDIVISION F~r LOT WIDTH y~yter L Sewer L StormDrainaqe~= INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: Curbd6utter[, SireetPovinq L -ARRA AREET HERENANGEMENTS SPECIALEA SESSMENTS AGAINST TH SSPROPERTY YESTINNOYES_NO- EXTERIOR MATERIALSw WALLS ROOF ^ - ~ , fr.vn, s Rvi fLPl/JL STORIES ~ UNITS i namNn~~~- - OWNER / CON7RACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify thot the obove setback distances shown on this permit application are accurate, and do nof violate measuremelnts shownu,latndnall Qat o sltm de a e a ac'urate rthatelnhave read andtagree to abide by all copdc ~h lat aIl ordinances i condifions Drinted on ihis aDGlicafion, and that I assume full resDOnsbility for compliance with the Wheat Ridqe Buildinq Code (U.B.C) and all other apPl✓~a W~, 801 Ri ordinances, for work under ihis perm~z /z I Iq3 S DATE l~'_'. (OWNER)(CONTRACTOR) SIGNED e11~i n-Ixir_ ncenRTMENT USE ONLY Sa FT COST BASEMENT-ROUGH BASEMENT-FINISHED 6ROUND FLOOR SEGOND FLOOR GARAGE OTHER OTHER PLANS REVIEWED (_OK)(-NOT OK) NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIL._- PERMIT ISSUED TO PER REOUEST AS PER PLANS NO qg pppROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR THE PROPERTY LOCATED AT-1= IS PRESENTLY ZONED-~ THE PROPOSER USE (_IS) (-IS NOT) BUILDW~ ST $ ~nn~ i innRWG PERMIT PERMIT FEE S-L{ .0-V ~ ~ \ (Z•~d-~3 T ED UNDP THE ZONING ORDINpNCE. ~ ~ USE TAX Ga.OU / ~ TOTAL FEE $ ~ NOT ED PERM PLANS REVIEWED (-OK)(-NOT OK) PLANS REVIEWED-(-Un)l n~ NO PLANS NEEDED NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE 0 PLANS NEEDED PRIOR TO ISSUANCE OF MECHANICAL PERMIT PLUMBING PERMIT PERMIT ISSUED TO PER REQUEST AS PER PLANS N0. q5 APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR PERMIT ISSUED TO PER REOUEST AS PER PIANS N0.- AS APPROVED AND ON FILE IN MYOF DO NOT ISSUE PERMIT UNTIL CLEARED CMIEF BUILDINGINSPECTOR BY OK) )ITIONS (I) ATHIS ND TORTNE ZONINGUF GULATIONS AND UILDING GODEVOFI WHEATTR DGE, 6IX.ORADOPOR'ANY10TMEF FPPL1 ABLE ORD NANCES OF THE CITYpTE OF COLORA (2) THIS PERMR SHALL E%PBE IF (A1 TME WORK Al1THORIZED IS NOT GOMMENGED WITHIN 51%TY (60) DAVS FROM ISSUE DATE OR (B) TME BUILDING AUTHOHRED IS tOVIDED ILL CHANGES . SUSPENUED Ofl ABANDONED FOR A VERI00 OF 120 DPYS I `3, BETMADEEN^TIHEEOflIG NAL l.ANS PND SPEGAiF CATAONSIPND ANY SUSPENSION OR ABANDONMENT HPS NOT E%CEEDED ONE (I)YEPR.NF CNANGESH RE MPDE ONVIF SUSPENSION ON ABANDONMENT E%CEEDS ONEIUYENR, FULL FEES SHALL BE PAID FOP A NEW OERMIT. (1) NO WORK OF ANY MANNER SHALL BE DONE TMPT WILL OBSTRUGT TME NPTURR FLOW OF WATEH CAUSIN P DFAINAOE PROBLEM. (3) CONTFALTOR SHA OTIFY E BUILDING INSPECTOR TWENTY-FOUR (24) M XS IN PDVANCE FOR AL NSP TIONS ?ND SHALL ~~EIVE WN~TTEN PRWAL ON INSPECTION PR BEFO PROCEEDING WR SUCCESSNE GM4SES OF T Joa. AppROVE FOR MAYOR HIEF BUILDING 1NSPE TOR PERMIT N0. B9444864 PRIOR ~ N X, ~ N h ~ ^ ~ Z~ 7 ~ ~ ~ ~ I ~ I r ~ -1 ~ ~ ~ RJLPOilaT L A N D S U R V E Y I N G 5460 WARO ROAD • SUITE 160 ARVADA, COLORADO 80002 13031 420-4788 IMPROVEMENT LOGATION CERTIFICATE Attn: RICHARD DATE t.., ._f 93 FEE 80.00 -108#93-17513 MoRrcnce co.GREEN VALLEY MORTGAGE ADDRE55 6325 W. 47TH PL UNIT A&B BORROWERS NAME BEAM LEGAL DESCRIPTION FIPER C4ENTLOT 4, BLOCK 2 FLETCHER ~ SUBDIVISION, RFFERSON COUNTY, STATE OF COLORADO ~ 32' ~ FRAME N laARAGE 6 632 ~ 17" ~ . ~ c 3 344 I"=301 I 2~~z 6 I~ N ~ ~~I~ -7S./6, ~ trd.GOss 75. z! 6'325 G1//. 47TH .PL.. l 40' ROW) On the basis of my knowledge, informatlon antl t or Improvement SurvePf2N $r121'65'at it'qRrfd improvement lines. I further certify that the connections, are entirely within the boundarie described premises by improvements on any a sign of any easement crossing or burdening an "NOTICE: nccoroing to Coloredo law you must cc /irst tliscover such defect. In no event, may any action the certlficatlon shown hereon." It is my interpretation that the above described property / S^..r- bcated witlun a 100 year nood hazard bourdary based on Pederal Emergerc,y Managernent Agerx.y ' d I rarxa Rate M~ryOated ,o ~ d -Z ST'ORY ~ =nUPI~X 23¢ &)\W a~2 elief,,Yhereby (cel, that this ImprdvemeM location certiflcate was prbpared for that R is not a Land Survey Plat Ebe relied for the esta4~ishment of fence, building, or other future improvemenhe above d9scribed parcel on this date, except utility of the parcept as shown, that there are no encroachments upon the joining premis ept as Indicated, and that there is no apparent evidence or part of said pxcept as noted. Immence eny l eg ecUon h thls survey w!M/n Mree years aRer you sed upon any /ect _ more then ten years Irom the tlate of 27268 o = 21 or FuilEwt M. Hayden, L.: /YO7"E' (ioraqg 5h ed EneroacA~ ~ 8681 /nfo Ens¢manfS ~ I 92-d ~ / WHEN RECORDED MAIL T0: BANK UNITED OF TEXA3 FSB DBA COMMONWEALTH UNITED MTG 5970 S GREENWOOD PLAZA, 4 110 ENGLEWOOD, CO 80111 • rui 003438546 DEED OF TRUST FHA CASE NO. STA'i'E OF COLORADO 0 5 1: 8 3 7 3 6 0 4- 7 0 3 203B _ THIS DEED OF TRUST ("Security Instrument") is made on DECEMBER 23RD , 1993 amongthegrantor,DOUGLAS E. BEAM AND CHARLES E. BEAM ("Boaower"), the Public Trustee of JEFFERSON County ("Trustce"), and the beneficiary, GREEN VALLEY MORTGAGE, INC. which is organized and existing under the laws of THE STATE OF COLORADO and whose address is 789 SftERMAN STREET, SUITE 540, DENVER, COLORADO 80203 ("Lender"). Borrower owes Lender the principa] sum of NINETY TWO THOUSAND fiIGHT HUNDRED THREE AND 00/100 Dollars(U.S.S ***92 803.00 ~This debt is evidenced byborrower's note dated the same dare as this Security Instrument ("Nore"), which provides for monthly payments, with the full debt, if not paid earlier, due and payable on JANUARY 15T, 2024 This Secutiry Instrument secures ro I.ender: (e) the rePaYment of the debt evidenad by the Note, with interest, and all renewals, extensions and modifications; (b) the payment of aU other sums, with interest, advanced under paragraph 6 to protect the securiry of this Security Inshvmmt; and (c) the performance of Botrower's covenants and agreements under this Security Insuvment and the Note. For this pucpose. Borrower does hereby irrevocably grant and convey ro Trustce, in wst, with power of sale, the following described pmperty located in JEFFERSON Counry, Colorado: LOT 4, BLOCR 2, FLETCHER SDBDIVISION, EXCEPT THAT PORTION DEED RECORDED IN BOOR 1798 AT PAGE 342, COUNTY OF JEFFERSON, STATE OF COLORADO. DESCRIBED IN whichhastheaddressof 6324 W. 47TH PL. UNIT A AND B WHEATRIDGE (StreeQ lciryl Colorado 80033 ("PropertyAddress"); (ziocodel ' TOGETHER W ITH all the improvements now or hereafrer erected on the property, and all easements, rights, appurtenances, rents, royalties, mineral, oii and gas righu and profits, warer rights and srock and all fixtures now or hereafter a part of the property. All ceplacements and additions shall also be covered by this Security Instrument. All of the foregoing is rekrred ro in this Securiry instrument as the "Properry." BORROWER COVENANTS that Horrowar is lawfully seized of the estate hereby comeycd and has the right to grant and convey the Property and that the Property is unencumbered, except foc encumbrances of record. Borrower warrants and will defend generally the fide to the Propetry against all claims and demands, subject ro any encumbrances of record. vsi FF{A CpI,plUpp DEED OP 77tU5'1' (pa8t l Of 4 pag[S) (iRnl I. kca pu.lneu Forme. Inc. m T. OrEer Cnll: I.801}5;50999J O FA% 616491 1171 ITEM 6047 (9307) /3 . ~r~~ 7 o INSPECTION TICKET ` JOB ADDRESS ~ S W A \T--'I 1 L DATE: BLDG. PERMITM ~`1 bO PERMITN BLDG. CONTR. cC M SUBCONTRACTOR DATE INSP. REQ. TYPE OF II INSPECTIO REMARKS W.R.FORM 619 v 7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 Exr. 255 P.O. eoX 638 BUILDING INSPECTION DIVISION PERMIT N0. B93#4760 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCAMPANY THIS APPLICATION BUSINESS NAME ADDRESS COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED ,2!i Y 3 Z Nlz l- w I w Z z r y ~ 22-••`' ~ w 0 SPECIFY NORTH 0 N 'j,~~-u f N 13~ ~l- ~ .~FRONT PROPERTY LINE STREET NAME ~ (CIRCLE FRONT) N E(~) W SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINIIHOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH; SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. OWNERS NAME- " cLLi1 /C ! )IZ/~ LEGAL DESLRIPTION CONTRACTOR S AMO) L LIC. N0. / y METES AND BOUNDS DESCRIPTION ATTAC^ p~ H~ED ADDRESS ~ 3 Z)_ (i ~7 nL PHONE U ~"O' ADDRESS_ Z ~ ~l L~I) C~ 9 / 1 GTYL./I//E 17 -T RI h6 £ ZIP CODE ~v 3 LOT N0. BIACK N0. LOT WIDTH_ /~.S ~u DEPTH_~SL AREA SUBDIVISION FILING INDICATE 7HOSE OF THE FOILOWING OFF-SITE IMPROVEMENTS NOW E7(ISTING: Curb6Gutter_SlreetPovinq_Wofsr-Sawer_S1wmDroinaqe- HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW ExISTING: YES_NO_ ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NO_ VccUYANGY ~1 EXTnERIOR MATERIALS: WALLS ROOF STORIES UNITS REMARKS ~ tY~/~-~=-L OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT PERMIT FEE S-9; I hereby certify ihot the obove setbach distances shown on this permit opplication ore occurate, and do not violate USE TAX 0 applicable ordinances, rules or regulotions of the City of Wheai Ridqe oi covenanfs eosemenis or restricfions of re- , cord; that all measuremenis shown, and alleqations made are accurate; fhat I have iead and aqree to abide by all nditi i } d ihi li ti d th t I f ll i TOTAL FEE ons pr co n e on s app ca on, an ossume o u respons bility for compliance with the Wheat Ridqe NOT U ED Building Code (U.BC.) and all other applitablB Wheot Ridge ordinances, fOr work undar ihis permit. C (OWNER) (CONTRACTOR) SIGNED DATE BUILDING DEPARTMENT USE ONLY SQ.FT COST ~ BASEMENT-ROUGH _ 7HE PROPERTY LOCATED A T ~ { ~ ~7 BASEMENT-FINISHED IS PRESENTLY ZONED~~~ ~ 2 y 4.BJ3 ~ GROUND FLOOR THE PROPOSED USE (_(J8'j(_IS NOT) ALLOWED UNDER THE ZONING ORDINANCE. SECOND FLOOR COMMENTS: GARAGE OTHER s UOO •Ud OTHER BUILDING COST $ ELECTRICAL PERMIT PLUMBWG PERMIT MECHANICAL PERMIT STATE N0. CITY N0. STATE N0. CITY N0. CITY N0. PLANS REVIEWED (_OK)(_NOTOK) PLANS REVIEWED (_OK)(_NOT OK) PLANS REVIEWED-(-OK)(_NOTOK) NO PLANS NEEDED NO PLANS NEEDED NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT PERMIT ISSUED TO PERMIT ISSUED TO PERMIT ISSUED TO PER REOUEST AS PER PLANS NO PER REQUEST AS PER PLANS N0. PER REQUEST AS PER PLANS NO AS APPROVEp AND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MYOFFICE AS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BV DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR 0.4TE CLEARED BY DATE CLEARED BY DATE CLEARED BY CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR BY BV BY DATE DATE DATE CONDITIONS: (1) THIS PERMIT WAS ISSUED IN GLCORDANCE WITM TXE PROVISIONS SET FONTM IN VOUR APPLICATION AND IS SUBJECT TO THE LAWS OF iHE STATE OF COLOXADO ANO i0 THE ZONING flEGULAT10N5 ANp BWLDING COOE OF WHEAT RIDGE, GOLOflADO OR ANY OTMER APPLIGABLE ORDINANCES OF THE CITY. (2) THIS PERMIT SHALL E%GIRE IF (A) THE WORN AUTNORIZED IS NOT COMMENLED WITMIN SI%TY (80)DAYS FROM ISSUE DATE ON (B) THE 9UILDING AUTHOFIZED IS SUSPENDED Ofl ABANDONED FOR q iERIOD OF 120 DAYS. (3) IF THIS PEflMIT EXPIflES, P NEW PERMIT MPY 9E AGpllIREO FOR A FEE OF ONE-NPLF THE AMOUNT NORM4LLY REGUIRED, PROVIDED NO CHANGES HAVE BEEN OR WILL ~t BE MGDE IN THE OFIGINAL PL11N5 AND SPEGiFIGATIONS AND ANY SUSPENSION OR ABANDONMENT HAS NOT E%CEEDED ONE (I) YEAR. IF CMAN6E5 ARE MADE 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 OBSTRUCT THE NATURAL FLOW OF WATER CAUSING A DRAINpOE iROBLEN. lSl CONTRACTOW SHALL NOTIFY THE BUILDING INSGECTOR TWENTY-FOUR (24) HOURS/R ASVECT~SHALL FECEIVE~L53~OVAL ON INNSP7TION GARD B ORE.IRICEED4 G WITH SUGCESSiVE PH45E5 OF TME JOB / CHIEF BUILDING INSPEC OR FOR MAYOR PLANNING & DEVELOPMENT BUILDING PERMIT REVIEW CHECK LIST Addrass : _ L"j Zoning: Existing use: u-'7p 4.2 ~v\ Permit is for: Deed: v Survey: Plot Plan: ~C STANDARDS Setbacks/Height: Required Proposed Front: Side: Side: U7 - - Rear: Structure Height: Coverages: Building Coverage: Lot Coverage: 5 -7 Area and Width Lot Area: Lot Width: ~OG Landscaping Requirements: Landscaping Percentage: Number oP Street Trees: Number of Trees/Shrubs: Parking Requirements: Required Parking Ratio: Number of Spaces: Number of Handicap: Signs: Location Free Standing: Wall: Other: ~R -OC~k-3~a Lighting shown: ~ 1 . R.E. PORT 8 ASSOCIATES INC. °ArE FEE Josr ES-S JJV LAND SURVEYING ATTR: BECk:Y MOR7OAOE co__COLnFADO HOME LOANS 11005 Ralston Rd. Suite 100-G Arvada,Co. 80004 ` (303) 420-4788 IMPROVEMENT LOCATION CEFTIFICATE - -7__~ b ~ =--,1 ~2. L-oT 4- 44 n m ADDRE33 6325 W. 47TH F'LACE #Af.H BORROWER3 NAME HEAM LEOAL OESCRIPTION ~LiJT 4, HLOCK: 2 FLE1"CHEk SL!bDIVISI0N TEFFEkSOM CO., COLORADO L a 5(.lkl.~~I~~~ZO y 3Z 4 z S7or-~ 9. v I`rLah~(~ I ► ~ ~ zi 3id ' LGJ(~/ I qQ~ ~---1_'--~_ - 75 1 i,, "07 W 47rt N 9 _ ~1 . I hereby certify that this improvement locati n~cer~t'ig~ate W~ p18p~~ f~ormation and beGef, hat Plet or Impro ementSurvery Plat~ nd that it is not to be relied ypon for the eetablish enteof fence, building, or other future unprovemeat linee. I further certify that the itnprovemenb on the above deacribed parcel on thie date, except utility connectione e entireIywithin the boundariee of the parcel, except ae ehown, that there are qo encroa improvemente on any adjoining premieee, ezcept a. the described premiees by evidence or eign of any eaeement croseinQ or burde ~ • at there is no apyarent "NOTICE: Accordin; to Colorado law you must cpemenc ~'l,except ae noted. survey within three years after you first diaeover suc °S°l aetlo~ n any dafaet in chis It is hereby anificd Nat the abOVe deecribed '1~~°en , w any action b~sed upon ~n1 defee in is e ed nare th~n ten years property /.S~..oT f~ the Ae certif , IocatcAwithina ippyw ~ hom hereon.' Ilood hueM bouodary io aecord+nce w'iN l6e oI! ~.0• • curteot HUD Federd Adminisvation plood i ` HuW Ba+nduY INip Dated 19_._ s-5Roberl E. PoH11Il+QI1 21 ~ J State bf Colorado Deed of Trust 1 FHA Cese No. 051:4654733 703 This Indenture , made ihis 22 dey of Aorll , 19 88 , between Doualas E. Beam and Charles E. Beam aND ADDIF, BEAM whose eddress Is 6324 West 47th Place Units A& B Wheatridae Colorado 80033 , County of Jeff9rSO11 , State of Colorado, hereinaiter referred to es the grantor, and the Public Trustee of _ Wheatrldge , Couny of JeHerson State of Cotorado, hereinelter referted to as the trustee, Witnesseth: That, WhereBS , the grentor has executed his certain promissory note, bearing even date herewRh, payabie to the order of Colorado Home Loan Corooration " hereinafter reterred to as ihe beneficiary, whose eddress Is In LBkewoOd. COlorad0 80228 , for the principal sum ol Ninetv Four Thousand Fortv Two and 00/100 Dollars($ 94.042.00 l, with Interest at the rate of _ Ten and 50/100 per centum( 10.500 per annum until paid, and payable as follows, namely: In monthly inslallments of Eiah! Hu17drBd Sixtv and 24/100 Dollars($ 860.24 commencing on the first day of Jun9 . 19 88, end on ihe first day of each month thereafter unlil the principal and Inlerest ere fully paid, except that the final payment o1 principal and interest, H not sooner paid, shall be due and payabie on the first day of MaV 2018 . Said principal sum, together with interest thereon, and other payments provided to be made under the tertns of lhis indenture, are hereinafter retened to es the indebtedness; And Whereas , the grantor is desirous not only of securing the prompt payment of ihe indebtedness, but also of efleclually securing and indemnirying the beneficiary lor and/or on account of any assignment, endorsement, or guarantee of ihe indebtedness; NOw, TherefOre , the grantor, in consideration of the premises, end tor the purposes aforesaid, has granted, bargained, sold, and conveyed, end does hereby grant, bargain, seli, and convey unto the irustee, in irust torever, a0 those certain premises and property sftuate in the Wheatridae , County of JefferSOn , and State of Coloredo, known and deseribed as follows, to wk: Lot 4, Block 2, FLETCHER SUBDIVISION, County of JeNerson, State of Colorado. Also Known As: 6324 West 47th Place Units A& B Wheatridge Colorado 80033 w....e~~~on mm mortgages insurea unaer ihe onr to tour-famiy progrems of ihe Natlonal Housing Act which require a One- Time MoAgage Insurance Premium Payments (including sections 203(b) end (i)) in accordence with ihe regutetions for those programs. Previous Editlons Are Obsolete Page 1 of 4 HUD-92105M-1 (3-88 Editlon) 05B,C71 (0318T) P(10/87) U( 9/28/87) 48325 24CFR20.3.17(e)