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Home My WebLink About5835 W. 39th Avenue5 � � 2%44, %,o a ICON RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection [60ccupancy/T 3Te Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not —Cover Under round or Below/In-Slab Work Prior To Approval Of The Above I Rough Inspections Date Inspector Initials Comments Sheathing Mid -Roof r Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Lough Grading nsulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building Comments Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. 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 from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Pro# --t This Card From The Weather 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 busin s day PERMIT: ADDRESS: "k) JOB CODE: L4_#1 A 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 uo trot .over unaergrouna or t3elow 1 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: aO ADDRESS: l �/ J JOB COD Rough Inspection (continued) Date Inspector CommentsInitials 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 Final Inspections Date Inspector CommentsInitials 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 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. City of Wheat Ridge Residential Miscella PERMIT - 201708915 PERMIT NO: 201708915 ISSUED: 11/29/2017 JOB ADDRESS: 5835 W 39th AVE EXPIRES: 11/29/2018 JOB DESCRIPTION: Permit to install a header between kitchen and great room to open up the wall. (1) outlet to be moved. *** CONTACTS *** OWNER (303)619-0165 BURRIS NICHOLAS SUB (303)420-5544 DENNIS CULLIGAN 017772 Culligan Construction Co., Inc SUB (303)478-7855 Jeffrey J. Brewster 110195 Jay's Electric LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Plan Review Fee 39.33 Use Tax 31.50 Permit Fee 60.50 ** TOTAL ** 131.33 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 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, a by'in 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 hi 01: t , I further attest that I am legally authorized to include all entities named within this document as parties to the work to be phi ormed aid thatJd 1 or,, o be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sign ure<of OWNER o TOR (Circle one) Date ,f; T,kfs permit was issued base on tA 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, poheies 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 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 gr n ' g 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 ox any rdmance or regulation of this jurisdiction. Approval of work is subject to field inspection. a Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. R City of Wheat -Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(ilci.wheatridge.co.us FOR OFFICE USE ONLY Date: l t I —q Plan/Permit # Plan Review Fee: Building Permit Application **" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: J��i 3 5 / /� Av,-- Property Owner (please print):/ICCsIs� / Phone: Property Owner Email:v Mailing Address: (if different than property address) Address City, State, / i Architect/Engineer E-mail: lcf V�C� fk6(�hone: Contractor: .� r Contractors City License #: Contractor E-mail Address: N Sub Contractors: Electrical: Jaa _5 E%(-0, Plumbing: W.R. City License # W.R. City License # Other City Licensed Sub: City License # Phone: 303— 4�W --j 44 �4 S" Mechanical: W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL LrRESIDENTIAL Description of work: (Check all that apply) /❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPANCE REPAIR or REPLACEMENT tir El OTHER (Describe) � f �r`H �� r ��,- �L' h ir' ��c° (For ALL projects, please provide a detmled description of work to'be perfdrmed, including curr 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.) / /j / Kr I�tDG( FN /14 f �� /' e fr��t �A-6 ��(/ a 4ea�t- /V dj%G�I �� fir e Sq. Ft./LFi \ Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ � �/-5 00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE (OWNER) (CO RACTOR o N iITHORIZED REPRESENTA V� of (OWNER) (CONTRACTOR) Signature (first and last name): DA _ / i DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: 1111-00T) Building Division Valuation: $'� Brian Tardif From: Brian Tardif Sent: Thursday, November 16, 2017 9:34 AM To: 'gymthecarpenter@gmail.com' Cc: moe.kowalski@gmail.com' Subject: 5 8 3 s W 3q jL, Hi James, I have started the review for you project. I have a list of questions that I will list below. Please provide the corrections on new sheets and submit them to the permit techs for review. 1. Please provide an engineer approved letter for the load and beam size. 2. Please provide an engineer approved letter for the load for the beam to the foundation. 3. These plans must be submitted for the entire project to include the kitchen remodel, drywall, insulation, wiring, 4. Please correct the wind speed on the plans from 100 mph to 105 mph with 3 second wind gust. Brian Tardif Combination Inspector/ Plan Examiner 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2850 Fax: 303-237-8929 www.ci.wheatridge.co.us c ill y of hc..t i do CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. if you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. x COLORADO ASBESTOS Limited Asbestos Inspection Report 5835 W 39th Ave Wheat Ridge, CO 80211 Report Date: 7/17/17 Prepared For. Melissa Kowalski 5835 W 39th Ave Wheat Ridge, CO 80211 303-619-0165 moe.kowalski@qmaii.com Prepared by: Colorado Asbestos Inspections 303 S Broadway, Unit 200-209 Denver, CO 80209 intogcoas bestest. com 303-246-4587 SID 11011 *(I S r6,`r1p Table of Contents 1.1 Project Summary 1.2 Homogenous Areas in Work Scope 1.3 Photo Log of ACM and/or Trace Materials (if identified) 1.4 Summary of Asbestos Samples Section 2 Recommendations Section 3 Project Overview Section 4 4.1 Asbestos Containing Materials (ACM) 4.2 Suspect Asbestos Containing Materials 4.3 General Comments Conclusion Appendix A: Drawing(s) B: Certifications C: Laboratory Report and Chain of Custody Form Section i 1.1 Project summary ` Location/ Textured walls in the kitchen, attic insulation, ceiling the in the living room, kitchen vinyl flooring. components No drywall or plaster was discovered behind the living room paneling. inspected: Ghent: Melissa Kowalski Consulting Firm #. 19102 Inspection Date: ... "7/13/17 _ — BuildingSingle - -- - ._.._.----- .. family residence Description: Date(s) of 1947 construction: Class 1.2 Homogenous Areas in Work Scope Inspector: James Durgee Inspector Cert # 116040 Scope: Partial renovation Laboratory: Reservoirs Environmental NVLAP # 101896-0 Homogenous Areas in Work Scope Class= Material Classification: S=Surfacing Material, M=Miscellaneous, T=TSI *Quantities are estimates only and should not be used for bidding 1 Group --------�._..._._..__.... Class ' Material Location(s) .._.. .... .......... _._... () Quantity. Samples 1 M _........__....._..._....- Black blown insulation Attic space (above kitchen, front entry) 600 2 M Blown insulation with vermiculite '� Attic space-(Abo bfronl' entry,,. 0 �� 2 y 3 S White smooth textured plaster Hitchen plaster walls 100 � 3 4 S White smooth texture, drywall Kitchen plaster patch wall 20 3 5 �_...... ......... M -- - Yellow sheet vinyl Kitchen below subfloor 100 -- - ------------------ - 1 6 M --.-...._......- White thick pattern ceiling tiles (12") Living room ceiling 300 1 ---_-_...---. ........... 7 .... - ----- M ------ ..._ White dotted ceiling tiles (12") Living room patch area } 16 1 1.3 Photo Log of ACM and/or Trace Materials (if Identified) 1.4 Summary of Asbestos Samples Bulk Sample and Locations Table Section 2 2.1 Recommendations fie following rnata- Is cont, ki trice asbestos {Below 1 %} Blown::insulaton w`verrrucuj�te At#ic spare above frorentty); . x. White smooth textureej plasterlCrtre(aerroualis� Trace Asbestos_ Mateols watt less`tharY [4 >astaestos cr�ntetat an3lyzedxbyp¢ i nt ar�a[ysts) are riot regulated bar, tt a state of Colorado and may by,discarded as r6gu SHA regula onsh'for wcirker prt tect[orxl 5 safety apply Al,riot regulated.,y tl�e state a state certified aabestosa�ate�rren%,opay-fie %mtsdered /As per AHERA, a material is tv be coosldefed as�asb`estos Coln ulesi^is�rover� otbet+v�sesy appp sampling Plea$e wor sb .W and if liou encougXpr any other suspect buildn-triaterrals notTrstsd in this repc3rt, ptease: contact Colorado Asbestos lnspect�ons for addh6hAl�sahrpling F .?- ^v Section 3 Project Overview Colorado Asbestos Inspections was contracted by the client to perform a limited asbestos inspection at the previously referenced address. This asbestos inspection was conducted by a Colorado State Certified Asbestos Building Inspector. The client is planning remodeling activities of the inspected areas in the property at the above mentioned address. Colorado Regulation #8 requires that all suspect Asbestos Containing Building Materials (ACBM) be properly sampled and analyzed prior to conducting any repair or renovation activities over the established trigger levels (32 sq. feet or 50 linear feet or the equivalent to a 55 gallon drum, for residential properties and 160 square ft, 260 linear feet for commercial properties).. The purpose of this inspection was to identify and sample all suspect ACBM that may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection This asbestos inspection was conducted according to the United States Environmental Protection Agency (EPA) procedures published in 40 Code of Federal Regulations (CFR) Part 763, Subpart E — Asbestos -containing Materials in Schools and Colorado Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). This inspection involved identification and sampling of suspect ACBM in the areas to be repaired or renovated. Suspect ACBM includes nearly all building materials except glass, metal, wood and ceramic. Bulk samples of suspect ACBM were collected in general conformance with AHERA protocols as outlined in Colorado Regulation 8. Random samples of suspect building materials were collected throughout each homogeneous area (see appendix A). Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. 4,1 Asbestos Containing Materials Asbestos Containing Materials (ACM) contain asbestos in concentrations greater than 1 percent, (> 1 % asbestos) as confirmed by an accredited laboratory. ACM is categorized as Non -friable or Friable asbestos. Non -friable asbestos is any maienal that cannot be crumbled, pulverized or reduced to a powder by hand pressure when dry. Friable asbestos can be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Sample(s) were submitted under chain of custody procedures to an accredited laboratory for analysis by polarized light microscopy with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Microscopic visual estimation was used in obtaining the percentage of asbestos in bulk samples. The laboratory is accredited under the National Voluntary Laboratory Accreditation Program NVLAP. See appendix A for sample and laboratory summary and appendix C for laboratory report and chain of custody documents. 4.2 Suspect Asbestos Containing Materials Suspect ACBM are building materials historically known to contain asbestos and therefore suspected to contain asbestos. The EPA and the Occupational Safety and Health Administration (OSHA) maintain comprehensive lists of suspect ACBM frequently encountered during inspections. 4.3 General Comments This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the areas in question. 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. Colorado Asbestos Inspections does not warrant the work of regulatory agencies, laboratories or other third parties supplying information that may have been used in the preparation of this report. No warranty, express or implied is made. 4.4 Conclusion Colorado Asbestos Inspections has performed a limited asbestos inspection of the property previously referenced. Through laboratory analysis of bulk samples, Colorado Asbestos Inspections recommends hiring a certified asbestos abatement contractor only if asbestos containing materials were identified, as determined by laboratory testing and in Sections 1 & 2 of this report. ,any work associated with any asbestos containing materials must be performed in accordance with all State and Federal Regulations. Reasonable effort was made by Colorado Asbestos Inspections to locate and sample accessible suspect building materials. However, for any structure, the existence of unique or concealed asbestos containing materials is a strong possibility. Colorado Asbestos Inspections only collected PLM bulk samples in the property's repair/renovation areas at the direction of the client. This limited asbestos inspection report is not considered a comprehensive asbestos inspection report. Respectfully Submitted, James Durgee Colorado State Certified Building Inspector: 16040 Consulting Firm: 19102 Colorado Asbestos Inspections, LLC. 303 S Broadway, Suite 200-209 Denver CO. 80209 Tel (303) 246 4587 info®coasbestest.com Appendix A: Drawing Not to scale , 3 -P i i ? f , . i i e 1 � i =. r ; i i , e i i i. S _i i - ..... ._, Fire�face_roQm i s [ E , ! i i i r r i. i i i SMW 1-2 ` i ! S i . 'MW i. : _ - INS 1-2 (attic) - E i i VIN 1-1 i i i y - Kixh�rl - -- - s , ' -1 (attic) -- - ._ — __.,_ - — � SMW 2-1, 2-2, 2-3 .. . ; ; E SMW 1 3 t .. ._.__ _..._..__ ....-�- i.._. _ t - ( 1 .. .... -y. . -_ E - - INS INS 2 1 I � ,- -'(a'c) , i i : ............................ its 10 Tz,-, Appendix C: Laboratory Report and Chain of Custody Form Reservoirs Environmental, Inc. Effective January 1, 2015 Reservoirs Environmental QA Manual TAQAQC%LaMReservoirs Environmental QA Manual.doc Z2 r 'L5i - - July 14, 2017 Colorado Asbestos Inspections 303 S. Broadway Suite 200-209 Denver CO 80209 Dear Customer. Subcontract Number: Laboratory Report: Project # ! P.O. # Project Description: NA RES 384327-2 170713-1 5835 W. 39th Ave 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 384327-2 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, (st zS c ti , v vim. c-' ' Jeanne Spencer President P: 303-964-1986 F: 30347742T5 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 1 -866 -REST -ENV www.reilab.com z 0 +- Q Y_ Lo O to O O O C) O O O O O O m 0 O O v u a � IL° y O i to w � r a N Q C! 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E aLU.. :E � � fA a 3 3 3 °' _ m n 3 3 3 1 3 3 V) cm cs a o 0 m e e aso c c - - n W •U m•U O E 40 FO- -i Q i W 0' Q in Q Q Q Q Q Q i Q) m m m 4m 0) M, LO LO LO LO LO � W cO0 c?p c2 � W c?0 J w w w w w w w M r- N M L a� .SEE T S N w w w w> Z V U) z t~J U c m aI ' /i / �° t �� \! 4.! �;�| /! � � ` : - � . 7 y2 . / ?d}<§7 �:`% «7 • \ ,Y AIM, R t alit QUWtPA b3ww $Atwmw wvAxj BILL TO Melissa Kowalski 5835 W 39th Ave Wheat Ridge, CO Asbestos Inspection j 5835 W 39th Ave Wheat Ridge CO Samples 13 PLM Samples Please send payment to the address above or call 303-246-45 MENT to pay with MasterCard or Visa. ALANCE DUE INVOICE # 170713-1 DATE 07/13/2017 DUE DATE 08/12/2017 TERMS Net 30 Ra;'6 A ': 235.00- 235.00G 20.00 260.00 495.00 $0.00 Colorado Asbestos Inspections, LLC 303 S Broadway, 200-209 ti n 0f9ASBES 01. Denver, CO 80209 US (303) 246-4587 infoCaa coasbestest.com BILL TO Melissa Kowalski 5835 W 39th Ave Wheat Ridge, CO Asbestos Inspection j 5835 W 39th Ave Wheat Ridge CO Samples 13 PLM Samples Please send payment to the address above or call 303-246-45 MENT to pay with MasterCard or Visa. ALANCE DUE INVOICE # 170713-1 DATE 07/13/2017 DUE DATE 08/12/2017 TERMS Net 30 Ra;'6 A ': 235.00- 235.00G 20.00 260.00 495.00 $0.00 November 17, 2017 Wheat Ridge Building Division 7500 W. 29th Avenue Wheat Ridge, CO 80033 Re: 5835 W. 39th Ave. Wheat Ridge, CO As indicated by the drawing provided, the new header supports the existing roof framing, and was designed for a 30 psf roof snow load. The header (2-9'/2" LVLs), as detailed, is capable of supporting half of the 23'-6" house roof width, for a total line load of 588 plf. The trimmers, as detailed, are capable of transmitting the 3000 lb to the existing foundation. Sincerely, Cody B. Bohall, P.E. CEO/President Studio 8.18 Engineering, PC City of Wheat Fridge 3222 Tejon Street, Studio F Denver, CO 80211 p: 303.255.3664 f: 303.568.0433 is studio818engineering.com City of Wheat Ridge Residential Roofing PERMIT - 201706557 PERMIT NO: 201706557 ISSUED: 08/24/2017 JOB ADDRESS: 5835 W 39th AVE EXPIRES: 08/24/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 25 sq *** CONTACTS *** OWNER (303)619-0165 BURRIS NICHOLAS SUB (303)234-1539 S.Kowalski/M.Kowalsk 017246 Any Weather Roofing, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,900.00 FEES Total Valuation 0.00 Use Tax 207.90 Permit Fee 204.30 ** TOTAL ** 412.20 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. ., v . City of Wheat Ridge Residential Roofing PERMIT - 201706557 PERMIT NO: 201706557 ISSUED: JOB ADDRESS: 5835 W 39th AVE EXPIRES: JOB DESCRIPTION: Residential Re -roof to install asphalt shingles 08/24/2017 08/24/2018 25 sq 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pe o, ed and that all wok o be performed is disclosed in this document and/or its` accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date �. I. This permit was issued based on the information provided in the permit application and accompanying Flans 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The !issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature o hf6f$uilding 0fMS4 Date REQUESTS MUST BE MADE BY 11:59PM AAY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett '70 1 70 G �57 From: no-reply@ci.wheatri dge.co.us Sent: Tuesday, August 22, 2017 8:46 AM 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 Dr Property Address 5835 w 39 ave Property Owner Name nick burris Property Owner Phone 303-619-0165 Number (enter WITH dashes, eg 303-123-4567) 1,10 209 Q5 l� 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 CC108222017.ipa Contract CONTRACTOR INFORMATION Contractor Business anyweather roofing Name Contractor's License 017246 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-234-1539 6066 w 55 ave. arvada,co. 80002 Contractor Email Address sales@anyweatherroofing.com Retype Contractor Email sales@anyweatherroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 25 the entire scope of work: Project Value (contract 91 900.00 value or cost of ALL materials and labor) Are you re -decking the No roof? 210 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No Yes 25 30 yr dimentional Asphalt house and garage SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 211 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. Name of Applicant michael kowalski Email not displaying correctly? View it in your browser. 212 ROOFING & ALUMINUM CONSTRUCTION, INC. 6066 W. 55th Avenue - Arvada, CO 50002 OFFICE (303) 234-1539 - FAX (303) 274-2390 w Arw.anyweatherroofing.com } Customer Name V, 0 i Address City State zip i Telephone A Cumomst Assistar= Progrm. of W4 eec-. sustre" surae„ sales@anyweatherroofing.com Jeb Address-----=�-�N` City State Zip i Telephone i DESCRIPTION 1. Remove Ridge Cap LA or) 2. Install New Dimensional Roof System lich includes: New Starter Course New Dimensional Shingle (Tamko - Fiberglass) 0� New Ridge Cap 3. Remove Debris 4. Tar: Where Necessary 5> j� cCT ("1� l4,L )�} I Ems/9 e. V&ij^cs i tttkt f L* (0 I) 5 Yr. Installation Guarantee Y. 30 Year Manufacturer's Warranty on Shingles ❑ 50 Year Manufacturer's Warranty on Shingles Price Includes: Labor, Material, Permit, All Disc. TOTAL 9 06 TERMS: ACCEPTANCE OF PROPOSAL — The above prices, specifications, and !' i conditions are satisfactory and accepted. You are authorized to do the f work as specified. Payment will be made as outlined above. ' na ure DATE OF ACCEPTANCE: Signature / Colorado owned and operated since 1980 LICENSED MEMBER — DENVER CHAMBER OF COMMERCE INSURED CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE J Inspection Type: flop of Job Address: T k3 f Permit Number: � `/ 70 (, t T7 ❑ No one available for inspection: Time ' f M PM Re -Inspection required: Yes ;No When corrections have been made, c I for re -inspection at 303-234-5933 Date: Inspector:—' � DO NOT REMOVE THIS NOTICE 1l i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:' Permit Number: ❑ No one available for inspection: Time AM/P1 Re -Inspection required: Yes i_Nc When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE i Building Permit Property Add ress: .. `� Complete to all information on BOTH sues of this fora a mount tlt of materials I f3 +IISE# x f „ j a i x s r � 4 q> 1 44 0 4 , Sq. FULF Btu's Gallons Amps Squares Other s. 3q Ar a INSPECTION RECORD iJ'Ni1GIC�`C7GtS I ,�� INSPECTION REQUEST LINE: (303) 234 -5933 Occuroancvne Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector omments Comments Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior To A pro al Of The Above Inspections Underground /Slab Inspections Date Inspector Comments omments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below / In -slab) Heating (Below / In -slab) Do Not Cover Underground or Below /In -Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector omments Comments Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above Rough Inspections Rough Framing Insulation Drywall Screw /Nail Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303 - 235 -2846. For ROW and drainage inspections call 303 - 235 -2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. * *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. occupancy Is Not vermittea until A certificate of Occupancy Is Issued Protect This Card From The Weather CITY OF xinspection: Time /,:2;/5 AMIP A: Yes ( f gam. a been made, call for re-inspection at 303-234-5933 Inspector: Of REMOVE THIS NOTICE aE3 aa, 1B'f> �.SB for inspection: Time s ired:� No 3ve been made, call for re - i Inspector: f. ♦�A •- CITY OF WHEAT RIDGE 'f Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address " ..StU -< Permit Number 1101751 E s . r i ❑ No one available for inspection: Time DC fired: Yes we been made, call for re- inspection at 30 e- Inspection required: 'e�,1 No 39 Ave X 11 N44 -e� ec, pan d VeplMe, INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234 -5933 Date Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Electrical (Underground) Foundation Inspections Date Inspector Initials Comments Monolithic Slab Reinforcement Water Service (Underground) Caissons Plumbing (Below / In -slab) Date Inspector Initials Comments Concrete Encased Ground (CEG) Rough Mechanical Footing /Stemwall P.E. Letter Gas Piping UO Not Four Uonrrete Prior 1 - n Annrnual (If Thn Ahnun Incner4i.,.,c Underground /Slab Inspections Date Inspector Comments omments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below / In -slab) Date Inspector Initials Comments Heating (Below/ In -slab) Off-Nis I V14IJQU`t -7 la a 10 [40 IIIQI I U.rQ i- far.P7lf A't R - 11 lTi7J7riTi.A• .�'T.Tl.TrL16in wmva- r.Tw.m rrmrTSST_TT! Rough Inspections Date Inspector Initials Comments Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Date Inspector Initials Comments Rough Plumbing Rough Mechanical Gas Piping Uo Not Proceed Without Aonroval Of Above Rounh Insnarfinns Rough Framing Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303 - 235 -2846. For ROW and drainage inspections call 303 - 235 -2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. * *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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather F' ❑ No one available for inspection: Time �,Wgm Re- Inspection required: Yes r o *When corrections have been made, call for re-inspection at 303- 234 -5933 Date: 2 o`I? Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge ./� / Residential Electric PERMIT - 110974 PERMIT NO: 110974 ISSUED: 08/17/2011 JOB ADDRESS: 5835 W 39TH AVE EXPIRES: 08/16/2012 DESCRIPTION: Install 60 amp sub panel and 15 amp furnace circuit �Ci 63e��(&n * ** CONTACTS * ** YlW4 owner 720/207 -8015 George Putnik sub 720/207 -8015 Derick Smith 11 -0184 SNAP Electrical Services LLC ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0428 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 250.00 FEES Permit Fee 26.50 Total Valuation .00 Use Tax 4.50 ** TOTAL ** 31.00 Conditions: Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall. expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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 in ec Signature; f Building Offical Date INSPE Z ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Melissa Macke From: SNAP Electrical Services [snapsvcs @gmail.com] Sent: Wednesday, August 17, 2011 3:21 PM To: Melissa Mackey Subject: Permit #110974 Hello On the morning of 8/17 a permit was pulled for a panel replacement at 5835 w 39th ave. The permit should be for a 60 amp sub panel install and a 15 amp furnace circuit install. The valuation is the same. I was told that an email needs to be sent to adjust the job scope description. This is that email. If you have any questions please call me at 720- 207 -8015. My name is Derick Smith. Thanks 1 City of Wheat Ridge / Residential Electric PERMIT - 110974 - - -- PERMIT NO: 110974 ISSUED: 08/17/2011 JOB ADDRESS: 5835 W 39TH AVE EXPIRES: 08/16/2012 DESCRIPTION: Panel replacement * ** CONTACTS * ** owner 720/207 -8015 George Putnik sub 720/207 -8015 Derick Smith 11 -0184 SNAP Electrical Services LLC ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0428 USE: UA BLOCK /LOT #: 0/ Conditions: Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection. 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 his d rC28f - 'Mn (or its' accompanying approved plans and specifications„ Signature of OWNER or CONTRACTOR (Circle one) I Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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. SirESTS Chief Building Offical Date IN REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 R MUST BE MAD E BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of heat Date: COA4tvtUNITY DFVELOPMENT Plan # Building & Inspection Services Division Permit # l 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application PropertyAdelress: _Sd3S w rt� go? 1 Property Owner (please print): > �1 ' N k A I . Phone: `720 20 -&c tS Mailing Address: (if different than property address) Address: <0 -T( )VIA City, State, Zip: Con rac*: 5K-wp L—tFe :t4C9 -L S€zvices Contractors City License #: Phone: Sub "Cont"ractorss Electrical: Plumbing: Mechanical: City License # City License # City License # b 6 6v6r6 1 1 ��EL I�E'PIAe�n^grJl Contract Value: $ '2Sb Review Fee (due at time of submittal): Squares BTU's Gallons Amps 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 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) (OWNER) (CONTRACTOR) PRINT NAME: Sm " SIGNATURE: DATE: o$ -7 DEPARTM�T]T OSE ONLY z , ZONING CCtuIMENXS :, �omn w Reviewer' ° BUILQING DEPARTMENT COMM1��NTS " - PUBLIC WCRKS COMMENTS „ ';, ,� ;:,QCCl7PANCY I x 5 F1RE"DEPARTMENT ❑ approYed w/ comments Q disapproved ❑ po review required Bldg Valuation: $ ♦��I City of Wheat Ridge Residential Mechanic PERMIT - 110951 PERMIT NO: 110951 ISSUED: 08/11/2011 JOB ADDRESS: 5835 W 39TH AVE EXPIRES: 08/10/2012 DESCRIPTION: Replace furnace and gas line * ** CONTACTS * ** go 303/956 -7343 Avision Home Service 11 -0180 Avision Home Services Owner 303/956 -7343 George Putnik ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0428 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATI 0 FEES 6 Permit Fee 109.20 Total Valuation .00 Use Tax 57.06 ** TOTAL ** 166.26 Conditions: Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, 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 inspection. 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 th' ent as parties to the work to be performed and that all work to be performed is disclosed in this docent and it§/ accympan ing approved plans and specifications. Signature - OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired .......permits is at the sole discretion of the Chief. Building. Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspect/,}inf City of -�CC?RRMUNf71'DEVILt,�t'IvSENT I Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Date: `/ f/ Plan # Permit # Office: 303 - 235 - 2855 * Fax: 303- 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address:, Property Owner (please print): �jy��q Q, r ,�� Phone::,�o3 ^CS6 - �3 , t Mailing Address: (if different than property address) Address: City, State, Zip: Contracfior':: Nu ks Contractors City License #: l —Q Phone:: C /,Sti Electrical: Plumbing: Mechanical: City License # City License # City License # ®escrintion 'of work: B't.fn0.C� g'�iGeCitie sc r�G e Review Fee (due at time of submittal): Squares BTU's 7G/C Gallons _Amps Sq Ft. $ O WNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate,applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read . and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE (OWNER) (CON or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: L'o r� so_ .' L SIGNATURE: DATE: '1 ,2' It �m SPECTION RECORD OccuuancvlTVpe '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. Lath / Wall tie_..... - ,. > INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Rough Electric Stemwall / (CEG) Concrete Encased Ground Rough Plumbing Reinforcing or Monolithic Rough Mechanical Weatherproof /French Drain ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Sewer Service Lines Water Service Lines Sheathing Lath / Wall tie_..... - ,. Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE: ALL ITEMS MUSTBE 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 A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT,PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER e ! i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSP CTIIOON NNOOTICE Inspection Type: D\ l 1 Job Address: ~~S3S l . 3°1 y C Permit Number: ❑ No one available for inspection: Time v & /PM Re-Inspection required: Yes o *When corrections have been made, calf fo ye-inspection at 303-234-5933 Date: °f 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: f~ i Job Address: 3~~ i Ai ~~:7t Permit Number: C) s(J No one available for inspection: Time f, 0'*` " AM/PM') Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-234-5933 Date: 1 4LvGrf inspector: 0 V~IvI DO NOT REMOVETHIS~NOTICE f ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: / Job Address:`' l Permit Number: 27~ i ❑ No one available for inspection: Time 0-3 AMIPM'a Re-Inspection required: Yes Do 'When corrections have been made, call for re-inspection at 303-234-5933 I r' Date: ! 1(1o,' Inspector: A) L, DO NOT REMOVE THIS AiOTICE City of Wheat Ridge Residential Roofing PERMIT - 093730 r4000"r, PERMIT NO: 093730ISSUED:. 10/30/2009 JOB'ADDRESS: .5835 W39TH AVE `EXPIRES: 04/28/2010 DESCRIPTION: Reroof-28 sqs ***'CONTACTS owner 303/424-1490 George Putnik sub 303/433-4055 J.& B. Hernandez 08-0062 United Roofing & Gutters Inc. PARCEL INFO ZONE CODE : UA USE: UA SUBDIVISION: 0428 BLOCK/LOT#: 0/ **:FEE SUMMARY ESTIMATED PROJECT VALUATION: 12,388.93 FEES yz Permit Fee 290.30 Total Valuation .00y.rP Use Tax ..223.00 **-TOTAL 513.30 Conditions:. 6 nail installation mid roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on, entire roof. Iceand - water shield required from eave edge to 21 inside exterior walls._ ***Contractor/Property owner shall ;provide ladder.(s) secured in place for. inpsections. Subject to field inspection. 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 applica ion and `t t I as ume full: responsibility for compliance with the Wheat Ridge Building Code `(I.B:C) and all other appli le WheaR dge 0 finances,. for work under this permit. Plana subject to field inspection. S a ure f.: contractor/o er date 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." 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 ff the Building Official. If.: this permit expires, -a new permit maybe 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 abandonmenthas 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. No work of any. manner shall be done that will lchange the natural flow of water causing a drainage: problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job.: 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. A11_rplan r vi 's subject to field inspections. ignature ef: Building.-0fficial '.date NSPE ION REQUEST LINE: (30.3)234-5933 BUILDING OFFICE:. (303)235-2855 EQUESTS MUST. BE !MADE BY 3PM. ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-2345933 Building Permit Application Property Address: Property Owner (please prink: n~q ~11 1l 1 ]C Pt Mailing Address: (ifdMerentthan property address) Address: Date. Plan Permit City, State, Zip: Exp. Date: Exp. Date: Exp. Date: /approval: ~ Approval: Approval: Use of space (description): L r IW °j ~Lt( rPV5 Construction Value: $ /2 Description of work; (as calculated per the fidlldfnp VetuaRon Data sheeU J__ec Of roof d awn. Fq G J i n S I ( K Plan Review (due at ofsubmittao; s W. W -3o U/ r. Sq. FtfL. Ft added: Squares 2-5 BTU's Gallons Amps _ ~//Z Pt OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback dlstanoss 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 measuremenis 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 Budding Code (I.B.C} and all other applicable Wheat Ridge Ordnances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: BrAyl SIGNATURE: !A (n- ,✓/t Qfy,(k~Q /~y Date: ZONING COMMENTS: Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. FIRE DEPARTMENT:: 0 approved wf oomments 0 disapproved ❑ no review required OCCUPANCY: DEPARTMENT USE ONLY t'd 9£06LLb£0£ S?131-Lno $ ONIJOON G311Nn e0b:60 60 00 PO Sub Contractors: Electrical City License Plumbing City License Mechanical City License # Company: Company Company: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4480 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 1/20/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 5835 39TH AV Contractor License No. : 18232 Company : Aaark Heating & AIC, Inc. 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 : WIRE EVAP COOLER Phone : 424-1490 Phone : 431 8015 Construction Value : $1,000.00 Permit Fee : $35.75 Plan Review Fee : $0.00 Use Tax : $12.00 Total: $47.75 Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permi[ was issued in accortlance wi[h the provisions set forth in yopur application and is sub"eQ to the laws of the State of Coloratlo and to the Zoning - Regula[ions and Building Cotle of Wheat Ridge, Coloredo or any other applicable ordinances of t~e City. (2) . This permit shall expire if (A) fhe work authorized is not commenced within sizty (60) days from issue date or (B) the building authorizetl 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 normally requiretl, provided no changes have been orwill be matle in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. IFChanges are made or if suspension or abandonmen[ exceeds one (1) year, full fees shall be paitl for a new permit. (4) No work of any manner shall he done that will change the naturel flow of water causing a dreinage problem. (5) Contractor shall notify ihe Builtling Inspectorriventy-four (24) hours in advance for all inspections antl shall receive wntten approval on inspeclion card before yvw~.~~~~ (e) 7he issu of a p it orthe approv of drawin9s and specifcations shall not be consVUed to be a permit for, nor an approval of, any violation of the provisions n co ~ aryx,othe ortl nce, law, rule or regulation. of ihe b il r 1TCh' uilding Inspector HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4480 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 1/20/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 5835 39TH AV Phone : 424-1490 Contractor License No. : 18232 Company : Aaark Heating & A/C, Inc. Phone : 431 8015 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 : WIRE EVAP COOLER Construction Value : $100.00 Permit Fee : $21.00 Plan Review Fee : $0.00 Use Tax : $1.25 Total: $zz25 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (7) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloredo and lo the Zoning Regulations and Builtling Code of Wheat Ridge, Coloredo or any oiher applicable ordinances of the City. (2) This permii shall expire if (A) the work authorized is no[ commencetl wiihin sixty (60) days fmm issue date or (6) the building authorized is suspended or abandonetl for a period oF 720 days. . (3) If this permit expires, a new pertnit may be acquired for a fee of one-half the amount normally required, provitletl no changes have 6een or will be made in the original plans and specifcations and any suspension or abantlonment has not exceeded one (1) year. If chan9es are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change ihe naWral 9ow of water causing a drainage problem. (5) ConUactor s II notiry the Building Inspector hventy-four (24) hours in advance for all inspecUons and shall receive written approval on inspection card before proceetliinoi succes rve phases of the job. (6) The issua ce f a per it or the approval oFdr wings and specifications shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions of the blr any other or nan~rule or regulaiion. (77 ' Chief uilding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION i. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit IVumber : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 °i r PropertyOwner: Property Address : Contractor License No. : ($OL~ 1. Company: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT -I hereby ceRify that the setback distances proposed by this permit application are accurate, and do not wolate applicable ordinances, rules or regulations of the City of Wheat Ridge or ~-covenants, easements or restnctions of recortl; that all measurements shown, antl allegations made are accurete; that I have read and agree to abide by all conditions printed on this : application, and that I assume full responsibility for comphance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat ~fd9y ordina es, fo`r ufj derthis perm/it. . (OWNER)(CONTRACTOR)SIGNED e4%v°" `6!l•"4"~ ~F7ATE "/O` Phone : 1:12 / '(pO ls Phone: Y011 "A/ lC~ . Construction Value :f aGCS ,V0 ' Permit Fee : A 5"•t✓: 33 M Use Tax : Total: Description : ~.,C /~.1~ Z° . ~~'.s- Occupancy : Walls : Roof : Stories Rf Electrical License No :3e~~'-( Plumbing License No : Mech; Company:4V/~K Company: ComF ` Expiretion Date : Expiration Date : Expire Approval : Approval : Appra (7) This permit was issuetl in accortlance with the.provisions set (odh in yopur applica6on and is subf'ect to 1 Regulations and BuiltlingCode of Wneat Ritlge, Colo2tlo or any other applica6le ordinances o( ihe: City (2) This permit shall expire if (A) the work authonzed is not commenced wilhm siuty (60) days from issue da abandoned (or a penod af 720 days. - (3) It NiSpertnit ezpires, a new pertnR may be acquired for a fee of ona-hal( the amount nortnalty reqwred { odginal plans and spedfiwtlons and any suspenswn or abandonment has not excee0ed one (1) year:I ezceetls one (1) year, full tees shall be paid for a new permR ' (4) No vrork of any manner shall be done Nat will change the natu2l fiow of water causing a tlrslnageprobl.(5) ConUactor shall noUry Ne 8uiltling Inspectortwenry-four (24) hoursin advance forall inspflc6ons and sh . proceetliing with successive phases of ihejob. - (s) The issuance o( a permit or the approval of tlrawings and speafiwtlons shall nat be consW etl ta be a pi . of ihe Dmltling codes or any oNer ordinance, law, rule or regulation:'" J,_ . , .x . ChiefBuildinglnspector _ ForMayor-: THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDII - CALL: 234-5933 24 HOURS PRIOR TO INSPI cal License No : y 146 - VD MAYOR