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HomeMy WebLinkAbout3692 Wright Streeti CITY OF WHEAT RIDGE12 r Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: F W L---) S Job Address: 6 !y2. W,^, 474 - Permit 74 -Permit Number: 2 0/ I 0 Z 9' Z/ C5 C9 % -- ❑ No one available for inspection: Time, Re -Inspection required: Yes (Tlq When corrections have been made, schedule for re -inspection online at: http://www. ci. whea tridge. co. uslinspection Date: Inspector: S/4" DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:' Job Address: Permit Number:9 `l A/0 v.?P fe'P_q ,14'No one available for inspection: TimeM Re -Inspection required. Yes No r When corrections have beemmdde, schedule for re -inspection online at: h ttp://www, ci, wheatridge. co. usfinspection Date: / �Ol-V Inspector: SZ10 DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE ; Building Inspection Division ` 3 0 (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Fr / F "'V 2) Job Address: 36 9 Z 4/- -51 Permit Number: 7— i, i ,,f- / S7 ❑ No one available for inspection: Time ®,`® AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http.I www. ci. wheatridge. co. uslinspection Date: Q Inspector: .51� DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: f P/ /.) / C, ,s/ Job Address: �. Permit Number: to >Z f V O 1 t G 'Will � f «�f �a C in� 16> � v S �+—. �f �✓ 1-r rfav �r f p lam. G,/ "49 C• -r/ 9 a P -. r l r—. mss` ❑ No one available for inspection: Time /0 AM/, M , Re -Inspection required:es No When corrections have been made, No for re -inspection online at: hffp✓/www.ci. wheatridge.co.uslinspection Date: Zl0 Inspector: s/0 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �---- Job Address: ­�t Permit Number: 2-LIL ZR PC ❑ No one available for inspection Time /PM Re -Inspection required: Yes oNo' When corrections have been made, gchedule for L Mwe ction online at: http✓/www.ci. wheatridge.co. uslinspegt>on fi Dat . Ins ecto DO NOT REMOVE THIS NOTICE ua_,��1� s-� MOUNTAIN STATES STRUCTURAL, Inc. 636 Leyden Street Denver, CO 80220-5332 Ph: 303-825-1572 Fx:303-484-2376 structural. engineer@yahoo . com February 24, 2020 Attn: Wheat Ridge Building Department Wheat Ridge, CO Re: Structural Engineering for the Remodeling at 3692 N. Wright St. Wheat Ridge, CO 80033 MSS Project #20-030 To Whom It May Concern: At the Contractor's request, a representative from Mountain States Structural, Inc. (the writer) visited the subject site on February 20, 2020. We were asked to observe the beam that was installled to replace an original wall. We determined that the wall was non -load bearing. In our opinion, the (2) 2x 10 with plywood spacer and nailed/screwed together, along with the trimmer and king posts at each end, are adequate to carry the minimal loads that they carry. We specified the post cap that has been installed at each end as well as the packing to the double top plate below. If you have any questions or comments, please call. Sincerely, Alan C. Stepneski, P.E. Principal 'o 33697 ;;1,; �vLp 3692 N. Wright St. Mountain States Structural, Inc. Page 1 of 1 -�u� 2 w ��5�� s� ►mak MOUNTAIN STATES STRUCTURAL, Inc. 636 Leyden Street Denver, CO 80220-5332 Ph: 303-825-1572 Fx:303-484-2376 structural.engineer@yahoo.com February 25, 2020 Attn: Wheat Ridge Building Department Wheat Ridge, CO Re: Structural Engineering for the Remodeling at 3692 N. Wright St. Wheat Ridge, CO 80033 MSS Project #20-030 To Whom It May Concern: We are writing to address the revised rear deck framing at the subject site. The design drawings indicate a (2)2x10 beam with (3) support posts on footings. The deck was built with a (2)2x8 beam on (4) support posts. We have calculated that this revision sis acceptable. If you have any questions or comments, please call. Sincerely, cam'\•' •G° 8TE`p2�F�� Alan C. Stepneski, P.E. 33697 �• Principal ��� •• sees•• '1/"n 3692 N. Wright St. Mountain States Structural, Inc. Page I of I A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: {' 10 \ i t I " Job Address: Permit Number: ❑ No one available for inspection: Time '• AM/PM Re -Inspection required: Yes No, When corrections have been made, schedule for re -inspection online at; http://www. cL wheatridge. co. uslinspection Date: , 's, ` Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: C. Permit Number: _?(� 1 C� 0–)V l ❑ No one available for inspection: Time i -,a AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge.co. uslinspection Date: -'—Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201902494 PERMIT NO: 201902494 ISSUED: 01/15/2020 ,TOB ADDRESS: 3692 Wright St EXPIRES: 01/14/2021 JOB DESCRIPTION: SWO Homeowner kitchen and bathroom remodel, 16 windows and 8 interior doors; new deck Square footage: 2,214 **REVISION: Electrical service change - 200 amps; Added valuation: $2,250.00 *** CONTACTS *** OWNER (720)500-2000 TRUE NORTH INVESTMENTS, LLC GC (303)915-3575 ANTHONY SANCHEZ 190168 303 CONSTRUCTION SERVICES LLC SUB (720)243-9540 GEORGE YAGER 190091 UNITED ELECTRIC SUB (303)332-6438 MICHAEL GEIER 140268 TECHMASTERS PLUMBING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 42,250.00 FEES Total Valuation 0.00 Plan Review Fee 399.46 Use Tax 887.25 Permit Fee 649.05 Investigative Fees 614.55 Investigative Fee 2 614.55 ** TOTAL ** 3,164.86 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 201902494 PERMIT NO: 201902494 ISSUED: 01/15/2020 JOB ADDRESS: 3692 Wright St EXPIRES: 01/14/2021 JOB DESCRIPTION; SWO Homeowner kitchen and bathroom remodel, 16 windows and 8 interior doors: new deck Square footage: 2,214 **REVISION: Electrical service change - 200 amps; Added valuation: $2,250.00 1, by m�si'nature,doapplicleuilding cobythe gal owner othis en I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed nd that all work rn hP�nPrformed is disclosed in this document and/or its° accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying 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 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 issuanceor g g of a pe t6hall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or inance 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 W heat �idgc COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29t1 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)-ci.wheatridae.co.us FOR OFFICE USE ONLY Date: g 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: V�I�\ Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Com ag_ny: (AYI Contact Person: Cie fGC2 c�.at2� Phone: 72 7-,5 —q�9- Contractor: 14 h.l � �Iec i � �(L- Contractors City License #: Phone:_ 7?0 - 57 17 5 Contractor E-mail Address: ('-, y q 'ad � ln,`�r -- j & , 6 M 6t," ( 1 C9tly\ 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: Sq. Ft./LF Amps Btu's Squares 200 Se\r\_J � C_�?__ Gallons Other Additional Prr}oject Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ % t� l�' 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: %(0Wp,N�ERm) ONTRACTOR) r (A UTHORIZED REPRESENTA TI VE) of (OWNER) (CONTRACTOR) %� PRINT NAME: �• 1 SIGNATI 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 sD OCCUPANCY CLASSIFICATION: �JVBuilding Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Ia2 - Job Address: Permit Number: oriIcj 0;� z1gq _tet .. =�. Ami+. • //�� y' IS -41, V)641 2)�/�, jSyy�. /�� /mob !�//1/.A4.l �/ )641, n, id nk cqfea 1 Zc4V,0�indz7T0-,A 50,7,9, 7. ❑ No one available for inspection: Time 6� Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.Co. uslinspection Date: s Inspector:_ DO NOT REMOVE THIS NOTICE IV � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _:�9r INSPECTION NOTICE Inspection Type: '�""?? ").Y Q l Job Address: ` PermitNumber: � r An r L --C, ❑ No one available for inspection: Time �' ` AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Date: c-). P, 2.) � I,, Inspector: DO NOT REMOVE THIS NOTICE e 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: _ ��11.) rV,11_�, V Job Address: ��10 U_)�— Permit Number: .� a Det �. ❑ No one available for inspection: TimeAM/PM Re -Inspection required: Yes )No When corrections have been Made, call for re -inspection at 303-234-5933 D r1 DateInspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:.-� Job Address: _LX 1r2_ (qg� , Permit Number: ( 14- r , ❑ No one available for inspection: Time IM Re -Inspection requireYe No *Whee�lr en etc le torr p ction online at: "(�/' Wheat j-�dge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM m each su This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. eject Address-. 3692 WRIGHT STI)� C Permit #: u� Contractor: 303 COSTRIUCTION SERVICES LLC Electrical Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor Phone #: Master #: (required field) Date Company Name: TroC4 fY,a.S") Phone #.,1 -70 3- 332 State License: - d o o j Master #:4�, 70 Wheat Rid Licenso:` 4 0,;� 6? (required feud) Signature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #.(recitrir ed field) €ignature of Authorized Agent Date a i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Cc, xjr ' Job Address:3\<<1 Permit Number: �, ���� ❑ No one available for inspection: Time_. ;la`� AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge. co. uslinspection Date: Inspector: ®O NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201902494 PERMIT NO: 201902494 ISSUED: 01/15/2020 JOB ADDRESS: 3692 Wright St EXPIRES: 01/14/2021 JOB DESCRIPTION: SWO Homeowner kitchen and bathroom remodel, 16 windows and 8 interior doors. Square footage: 2,214 *** CONTACTS *** OWNER (720)500-2000 TRUE NORTH INVESTMENTS, LLC GC (303)915-3575 ANTHONY SANCHEZ 190168 303 CONSTRUCTION SERVICES LLC SUB (720)243-9540 GEORGE YAGER 190091 UNITED ELECTRIC SUB (702)762-9224 WILSON ESCOBAR 202013 WILSON ESCO13AR *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 40,000.00 FEES Total Valuation 0.00 Plan Review Fee 399.46 Use Tax 840.00 Permit Fee 614.55 Investigative Fees 614.55 Investigative Fee 2 614.55 ** TOTAL ** 3,083.11 *** 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. NOTE: 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 ®f Wheat Ridge Residential Remodel PERMIT - 201902494 PERMIT NO: 201902494 ISSUED: 01/15/2020 JOB ADDRESS: 3692 Wright St EXPIRES: 01/14/2021 JOB DESCRIPTION: SWO Homeowner kitchen and bathroom remodel, 16 windows and 8 interior doors; new deck Square footage: 2,214 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that 1, 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 leggally authorized to include all entities named within this document as parties to the work to be performed an that 11 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 2-s Signa re of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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. T uance or gra ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any p bl code or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat j�idye COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits( a �ci.wheatridge.co.us FOR OFFICE USE ONLY Date: /l/a��� Plan/Permit # Plan Review Fee:j Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner Em Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: I cam.© 9,_ f P_r_Q - E� A % Vkl -A -) r.A . , State Architect/Engineer E-mail: Contractor Name: SE I, F City of Wheat Ridge License M Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please CONTACT EMAIL(p/ease print): ------------ Phone: --Phone• Phone: IYlblcn���,n Cda� Sub Contractors (Must provide Wheat Ridgedicense No 9 Sighed Sub ohtractor 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. ZX' -�R+-V 4A&AeA K't I c.� 3AA�� 4-C,- N� -�- Sq. FULF Amps Squares BTUs Gallons 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) 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE:(OWNER) nCONMT) T RIZED REPRESENTATIVE) of (OW.NER) (CONTRAC OR) Si¢nature (first and last �ampe)n:��7DATE: Printed Name: MPG, ; / % , t'/ DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: tALIAV!jZ Reviewer:a'61— PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation:"? December 20, 2019 A- 1;,,_c I T o'q'?Z gy True North Investments Martin Moloney 1220 Bergen Parkway Evergreen, Colorado 80204 f4of;v c&T, eafak�t 11318 Fowler Drive Northglenn, Colorado 80233 RE: PCM Final Air Clearance 3692 Wright Street, Wheat Ridge, CO 80033 Enviro Care Project Number: 121919-1 Dear Mr. Moloney: city of What Rtd9e e4pol'�9 Df V,s�R Property of City of Wheat Ridge Building Division As requested, Enviro Care Consulting Services LLC. (Enviro Care) performed your final air clearance and visual inspection for your asbestos abatement project at the above referenced address on December 19, 2019. Final clearance air sampling was performed following the interior demolition at the above referenced property. Samples were collected by a Colorado Certified Air Monitoring Specialist (AMS). Samples were analyzed onsite using a satellite laboratory under Air Quality Analysis certified by the American Industrial Hygiene Association. AQA-AIHA Certificate number is 219321. The analysis was performed by the AMS, a Proficiency Analytical Testing (PAT) certified microscopist, utilizing Phase Contrast Microscopy (PCM). Removal and disposal of the asbestos containing material was performed by Aspen Industries. This report details the fieldwork completed and analytical results of samples collected. 1.0 FIELD ACTIVITIES Visual Inspections Prior to collecting air samples for clearance purposes, a post abatement final visual inspection was conducted to verify the major asbestos spill was cleaned as specified, and that the containment was free from visible dust and debris. With only critical barriers in place and the HEPA air filtration unit still in operation, the air monitoring specialist (AMS) conducted a thorough visual inspection of the regulated work area. Careful examinations of all areas within the containment where debris and water could accumulate and be concealed were thoroughly inspected. If any area had visible dust or debris, the contractor was required to perform the necessary re -cleaning until the area met the final visual inspection criteria. Once the containment met the visual criteria aggressive final air clearance sampling was performed. Aggressive Method Final air clearance was conducted using aggressive techniques as outlined in Appendix A of the EPA Asbestos Hazard Emergency Response Act (AHERA) regulation (40 CFR Part 763), and as referenced in CDPHE Regulation No. 8 Part B Asbestos. Aggressive sampling consists of EWtv cam corm&iisPi/*1H6 LLV property of 11318 Fowler Drive Northglenn, Colorado 80233 Cirri of Uf —h.Rid90 . A,,_.,-Di\,ision agitating the air using a leaf blower with 1 horsepower, on low, for five (5) minutes for every 1,000 square feet of floor space and one (1) stationary box fan per 10,000 cubic feet of volume in containment. Air Sampling Following the aggressive protocol activities, five (5) air samples were then collected throughout the containment using variable high-volume pumps. Flow rates of each pump were established and checked with a calibrated flow meter before and after the collection of each sample using a rotameter (secondary standard) traceable to a primary standard. Air samples were collected by drawing air through 25mm mixed cellulose ester membrane (Millipore 0.8 MCEF) filter, housed in three-piece cassettes and equipped with 50mm electrically conductive extension cowls. A pre and post calibration of each sample pump was documented and an average flow rate was calculated and used in the final analysis of each sample collected. Calculations used in the final analysis combine the average flow rate (LPM), the total sample time and the volume of air collected. PCM Analysis All air samples collected were analyzed onsite by the AMS under Air Quality Analysis, LLC using the Phase Contrast Microscopy (PCM) NIOSH 7400 Method. Samples were analyzed for airborne fibers using a positive Phase -Contrast microscope equipped with a Walton -Beckett graticule (type G-22 for "A counting Rules"). Only fibers greater than 5 microns in length with a length -width (aspect) ratio equal to or greater than 3:1 were counted. A total fiber count for each sample filter was divided by their respective sample volumes. The resulting concentrations were expressed in terms of total fibers per cubic centimeter of air (fibers/cc). The resulting concentrations were expressed in terms of total fibers per cubic centimeter of air (f/cc). PCM is not asbestos specific as it counts total fibers, which shows worse case situation because all fibers are counted (carpet, cloth, hair, paper, asbestos, etc.). Final Clearance Criteria An asbestos abatement action is considered complete when the results of samples collected within the abatement work area and analyzed by PCM using the NIOSH Method 7400 show that the concentration of fibers for each of the five samples collected is equal to or less than, 0.01 f/cc. The is the level the EPA and the Air Quality Control Commission (CDPHE) requires all samples to be equal to or less than in order to have an area released to the public. All final air samples collected for this project have met the clearance criteria and the containment can be Dismantled, and the area returned for normal occupancy. 2.0 FINDINGS AND CONCLUSIONS Analytical results from the area sampled during final clearance testing had fiber counts of 0.01 f/cc (fibers per cubic centimeter of air) or less. This is the level the EPA and the State of Colorado Air 2 4Wtv c&Y, co*ra&. f 11318 Fowler Drive Northglenn, Colorado 80233 Quality Control Commission requires all samples to be equal to, or less than, prior to releasing an area for public occupancy. Based on visual observations, documentation review and air sample results, it is the opinion of Enviro Care that the air quality within your work areas were in compliance with regulatory and industry standards at the time the sampling was conducted. 3.0 LIMITATIONS The PCM final air clearances were 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 and/or conclusions expressed in this report are based on conditions observed during our testing of the areas in question. The information contained in this report is relevant to the date on which the PCM final air clearance 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. Enviro Care does not warrant the work of regulatory agencies or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. A copy of the PCM Final Air Clearance sheet is attached. Should you have any questions concerning this project, please do not hesitate to contact our office at (720) 390-5768. Sincerely, Enviro Care Consulting Services, LLC n�vG property of Kimberly Lopez Colorado Air Monitoring Specialist #3317 city of Wheat Ridge Enclosures: AQA Laboratory Report Sample Data Sheet Building Division Air Quality Analysis, LLC "Air quality assurance professionals" DATE: December 20, 2019 True North Investments Martin Moloney 1220 Bergen Parkway #310 Evergreen, Colorado 80439 Project: 121919-1 3692 Wright Street Wheat Ridge, CO Dear Mr. Moloney: Air Quality Analysis, LLC (AQA) has analyzed the following samples by Phase Contrast Microscopy (PCM), according to the National Institute for Occupational Safety and Health (NIOSH) 7400 method in general accordance with the PCM methodology. AQA is accredited through the American Industrial Hygiene Association (AIHA) for Phase Contrast Microscopy (PCM) analysis Lab ID #219321. AQA successfully participates in the AIHA Proficient testing (PAT) program. Samples were analyzed by a Colorado certified Air Monitoring Specialist (AMS). AQA Laboratory Job #: AQA19-0298 is the lab number assigned to this project. The air sample results for the project referenced above have been included in your final report and sent to the email and or address associated with this project. The results described in this report apply only to the samples submitted and analyzed. This report is considered highly confidential and the sole property of the client. Should you have any questions concerning this project, please do not hesitate to contact our office at (303) 945-0091. Respectfully, Kimberly Lopez AMS Cert # 3317 P.O. Box 685 Kittredge, CO 80457-0685 (303) 945-0091 i N (4 N T � N � R d C _U) O o E m a ain¢� ^N, C\W E m L II a' m II c m Q C 0 CC O V r m to M Q >N Z '- . a 00 _ r N U m N 3 C o 0 LL N co CO 01 rn 5 M O M Z oM a U w 0 E O _ N U) U d V C O2L N d L Q10) � � d cn O N O C Z ry U NCD 2 m r U O F - w O W U m N O o x E 'o o E d = Ln 0i E is N I E m o w z -j Z o ~ O O C d d d 'o o O O Uaa` m a` d u Q a d m Q U N O 10 a o m m m E c � d N a � a y N a ¢ o a m a LU } f � Y K m 6 = 3 a n o W i u� a Ir m LL a 0 E o d m � O u d Z U W J X 0 0 W N C O Z o aai m E L N 0 0 vi m >_ a o U K CO K E o_ m g n > U Ij X W U W N z U <6 m c c , 0 0 LL 3 9 m m o'm a Q a 0 Q O m Lu 3 W _ a o T a 2 IL Ti Y11 F O m w 2 W J ProPBdy 04 City of Wheat Ridge guOding Dlv}slon m N co c Q N a) CL O J a� I, co M V 10 j� O O O N O N O x y � O O O O O O O O O O m m LL N N Dl 000 N N M O O d E N O O OO 00 O O O O O E LL rn co o N oo O n o 0 N LL N y h n n o6 O O d tLL E 0 C to V 7 U� N H LOO N O O V N � YI m W O O ooc oocc 0000 00 00 F a a a a a G1 Q E O ao m o v v n F N N v N N N v N H N H N N C .0 c a m o a 1�0 N .•. a v v v v v a. a J o 0 0 0 0 do is W ? 3 O U) v v v Z Z CL E a CL d C E a a a a a a a rn g 8 C O N ?o L m m c m Vc6 L_ (6 m N J Z L_ L m m •; t >> (n U y 7 U) O N O N U a Y > N m c tl ll J J E c c y � � m d C. N m m LL N m m LL N m m LL m m LL N m m LL N m m LL N m m LL m a` d u Q a d m Q U N O 10 a o m m m E c � d N a � a y N a ¢ o a m a LU } f � Y K m 6 = 3 a n o W i u� a Ir m LL a 0 E o d m � O u d Z U W J X 0 0 W N C O Z o aai m E L N 0 0 vi m >_ a o U K CO K E o_ m g n > U Ij X W U W N z U <6 m c c , 0 0 LL 3 9 m m o'm a Q a 0 Q O m Lu 3 W _ a o T a 2 IL Ti Y11 F O m w 2 W J ProPBdy 04 City of Wheat Ridge guOding Dlv}slon m N co c Q N a) CL O J a� I, City of eat 1 e COMMUNITY 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. , I , _ , _ f Project Property: �U h6 io Project Type: i�- LQ —' V5?z� Qc;��_K +Lq 0/t*C'(1 Notari i atu pplicant State of Colorado } County ofss The foregoing instrument was acknowledged by me this 22!�day ofK)O( Qvv\Wj;1 _20a° by ANNE M KOENTGES NOTARY PUBLIC - STATE OF COLORADO NOTARY ID 20194003028 MY COMMISSION EXPIRES JAN 23, 2023 My Commission Expires C� � / 21/20_ Notary Public W heat fdge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3692 WRIGHT ST Permit M General Contractor: 303 COSTRIUCTION SERVICES LLC Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required held) Signature of Authorized Agent Plumbing Sub -Contractor Company Name: WILSON ESCOBAR MP.03000360 State License #: Date Phone #:(-W) %6), qz?c( Master #: Wheat Rid License :a09-01 (required field) -0 Signature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) signature of Authorized Agent Date wclty of h6atR g c COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and li must be up to date prior to permit issuance. Project Address: emit #: General Contractor:, �u�a � 2 W& Electrical Sub -Contractor Company Name: fK Phone #: �% � Ci5�� State License #: E_ r , ©/OZ Vffm�,aster #:./A4. 6, b (, vagi r - Wheat Ridge License #: - � (required field) 1 / Si re of Author' ed gen Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Glazing in walls or enclosures of bathtub or shower, less than 60 inches, measured vertically from water edge & not more than 60 inches above walking surface shall have safety glazing per R308.4. Minimum 50 CFM exhaust fan vented to exterior shall be provided in toilet rooms and bathrooms. L'o)w Walls in shower shall have non- absorbent finish to 6' above floor. All new and existing smoke alarms shall be interconnected so the actuation of one alarm will activate all of the alarms per 2012 IRC R314.5. Smoke alarms shall be required in each sleeping room and outside each sleeping area per 2012 IRC, Section 313. Carbon monoxide detector(s) shall comply with Section R315 of the 2102 IRC & not more than 10' from the entrance of any sleeping room. Outlet type, location and spacing j shall comply with 2012 IRC and 2014 NEC. In areas specified in NEC article / 210.12 (A) where 15 & 20 A, 120v !/ receptacles are replaced, arc -fault protection shall be provided as per NFC artielp 106,1 MI(al 36Q DE �ob2c- --,4-r-� V'� ) tiles �>jzp_ ! e-12,� City Wh APPROVED JAMWLd"": lbw iss—r ofa pe 1 of awovd of pfom w ifkao" srdaaaPat "M ibab ow be a peuntt for, w on approval of, aiq wa me..Z AI r/Ibe rffl-sioro 01ft ftw&v Cade or of any Ciayardr arw". rrmm� ..>rwwrowa�ebaaao.,ra.Kai�nKrw�a ank.�, aaruwoewwowaaaofftco0'"A fhwwt (9 [A, co�W---' 7'6 T ei \ PpAI/ I I I � N,0T LOAIT�, u-2"��• cftyof Wheat Ridge suMM9 Division City of Wheat Ridge Residential Remodel PERMIT - 201902494 PERMIT NO: 201902494 ISSUED: 01/15/2020 JOB ADDRESS: 3692 Wright St EXPIRES: 01/14/2021 JOB DESCRIPTION: SWO Homeowner kitchen and bathroom remodel, 16 windows and 8 interior doors. Square footage: 2,214 *** CONTACTS *** OWNER (720)500-2000 TRUE NORTH INVESTMENTS, LLC GC (303)915-3575 ANTHONY SANCHEZ 190168 303 CONSTRUCTION SERVICES LLC SUB (720)243-9540 GEORGE YAGER 190091 UNITED ELECTRIC SUB (702)762-9224 WILSON ESCOBAR 202013 WILSON ESCO13AR *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 40,000.00 FEES Total Valuation 0.00 Plan Review Fee 399.46 Use Tax 840.00 Permit Fee 614.55 Investigative Fees 614.55 Investigative Fee 2 614.55 ** TOTAL ** 3,083.11 *** 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. NOTE: 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 Residential Remodel PERMIT - 201902494 PERMIT NO: 201902494 ISSUED: 01/15/2020 JOB ADDRESS: 3692 Wright St EXPIRES: 01/14/2021 JOB DESCRIPTION: SWO Homeowner kitchen and bathroom remodel, 16 windows and 8 interior doors. Square footage: 2,214 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationsZ 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 leg�ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be pertOriny 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_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 Division. 6. The : ance or grant of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap i le de ora rdinance 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 W heat j�idye COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits( a �ci.wheatridge.co.us FOR OFFICE USE ONLY Date: /l/a��� Plan/Permit # Plan Review Fee:j Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner Em Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: I cam.© 9,_ f P_r_Q - E� A % Vkl -A -) r.A . , State Architect/Engineer E-mail: Contractor Name: SE I, F City of Wheat Ridge License M Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please CONTACT EMAIL(p/ease print): ------------ Phone: --Phone• Phone: IYlblcn���,n Cda� Sub Contractors (Must provide Wheat Ridgedicense No 9 Sighed Sub ohtractor 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. ZX' -�R+-V 4A&AeA K't I c.� 3AA�� 4-C,- N� -�- Sq. FULF Amps Squares BTUs Gallons 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) 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE:(OWNER) nCONMT) T RIZED REPRESENTATIVE) of (OW.NER) (CONTRAC OR) Si¢nature (first and last �ampe)n:��7DATE: Printed Name: MPG, ; / % , t'/ DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: tALIAV!jZ Reviewer:a'61— PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation:"? December 20, 2019 A- 1;,,_c I T o'q'?Z gy True North Investments Martin Moloney 1220 Bergen Parkway Evergreen, Colorado 80204 f4of;v c&T, eafak�t 11318 Fowler Drive Northglenn, Colorado 80233 RE: PCM Final Air Clearance 3692 Wright Street, Wheat Ridge, CO 80033 Enviro Care Project Number: 121919-1 Dear Mr. Moloney: city of What Rtd9e e4pol'�9 Df V,s�R Property of City of Wheat Ridge Building Division As requested, Enviro Care Consulting Services LLC. (Enviro Care) performed your final air clearance and visual inspection for your asbestos abatement project at the above referenced address on December 19, 2019. Final clearance air sampling was performed following the interior demolition at the above referenced property. Samples were collected by a Colorado Certified Air Monitoring Specialist (AMS). Samples were analyzed onsite using a satellite laboratory under Air Quality Analysis certified by the American Industrial Hygiene Association. AQA-AIHA Certificate number is 219321. The analysis was performed by the AMS, a Proficiency Analytical Testing (PAT) certified microscopist, utilizing Phase Contrast Microscopy (PCM). Removal and disposal of the asbestos containing material was performed by Aspen Industries. This report details the fieldwork completed and analytical results of samples collected. 1.0 FIELD ACTIVITIES Visual Inspections Prior to collecting air samples for clearance purposes, a post abatement final visual inspection was conducted to verify the major asbestos spill was cleaned as specified, and that the containment was free from visible dust and debris. With only critical barriers in place and the HEPA air filtration unit still in operation, the air monitoring specialist (AMS) conducted a thorough visual inspection of the regulated work area. Careful examinations of all areas within the containment where debris and water could accumulate and be concealed were thoroughly inspected. If any area had visible dust or debris, the contractor was required to perform the necessary re -cleaning until the area met the final visual inspection criteria. Once the containment met the visual criteria aggressive final air clearance sampling was performed. Aggressive Method Final air clearance was conducted using aggressive techniques as outlined in Appendix A of the EPA Asbestos Hazard Emergency Response Act (AHERA) regulation (40 CFR Part 763), and as referenced in CDPHE Regulation No. 8 Part B Asbestos. Aggressive sampling consists of EWtv cam corm&iisPi/*1H6 LLV property of 11318 Fowler Drive Northglenn, Colorado 80233 Cirri of Uf —h.Rid90 . A,,_.,-Di\,ision agitating the air using a leaf blower with 1 horsepower, on low, for five (5) minutes for every 1,000 square feet of floor space and one (1) stationary box fan per 10,000 cubic feet of volume in containment. Air Sampling Following the aggressive protocol activities, five (5) air samples were then collected throughout the containment using variable high-volume pumps. Flow rates of each pump were established and checked with a calibrated flow meter before and after the collection of each sample using a rotameter (secondary standard) traceable to a primary standard. Air samples were collected by drawing air through 25mm mixed cellulose ester membrane (Millipore 0.8 MCEF) filter, housed in three-piece cassettes and equipped with 50mm electrically conductive extension cowls. A pre and post calibration of each sample pump was documented and an average flow rate was calculated and used in the final analysis of each sample collected. Calculations used in the final analysis combine the average flow rate (LPM), the total sample time and the volume of air collected. PCM Analysis All air samples collected were analyzed onsite by the AMS under Air Quality Analysis, LLC using the Phase Contrast Microscopy (PCM) NIOSH 7400 Method. Samples were analyzed for airborne fibers using a positive Phase -Contrast microscope equipped with a Walton -Beckett graticule (type G-22 for "A counting Rules"). Only fibers greater than 5 microns in length with a length -width (aspect) ratio equal to or greater than 3:1 were counted. A total fiber count for each sample filter was divided by their respective sample volumes. The resulting concentrations were expressed in terms of total fibers per cubic centimeter of air (fibers/cc). The resulting concentrations were expressed in terms of total fibers per cubic centimeter of air (f/cc). PCM is not asbestos specific as it counts total fibers, which shows worse case situation because all fibers are counted (carpet, cloth, hair, paper, asbestos, etc.). Final Clearance Criteria An asbestos abatement action is considered complete when the results of samples collected within the abatement work area and analyzed by PCM using the NIOSH Method 7400 show that the concentration of fibers for each of the five samples collected is equal to or less than, 0.01 f/cc. The is the level the EPA and the Air Quality Control Commission (CDPHE) requires all samples to be equal to or less than in order to have an area released to the public. All final air samples collected for this project have met the clearance criteria and the containment can be Dismantled, and the area returned for normal occupancy. 2.0 FINDINGS AND CONCLUSIONS Analytical results from the area sampled during final clearance testing had fiber counts of 0.01 f/cc (fibers per cubic centimeter of air) or less. This is the level the EPA and the State of Colorado Air 2 4Wtv c&Y, co*ra&. f 11318 Fowler Drive Northglenn, Colorado 80233 Quality Control Commission requires all samples to be equal to, or less than, prior to releasing an area for public occupancy. Based on visual observations, documentation review and air sample results, it is the opinion of Enviro Care that the air quality within your work areas were in compliance with regulatory and industry standards at the time the sampling was conducted. 3.0 LIMITATIONS The PCM final air clearances were 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 and/or conclusions expressed in this report are based on conditions observed during our testing of the areas in question. The information contained in this report is relevant to the date on which the PCM final air clearance 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. Enviro Care does not warrant the work of regulatory agencies or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. A copy of the PCM Final Air Clearance sheet is attached. Should you have any questions concerning this project, please do not hesitate to contact our office at (720) 390-5768. Sincerely, Enviro Care Consulting Services, LLC n�vG property of Kimberly Lopez Colorado Air Monitoring Specialist #3317 city of Wheat Ridge Enclosures: AQA Laboratory Report Sample Data Sheet Building Division Air Quality Analysis, LLC "Air quality assurance professionals" DATE: December 20, 2019 True North Investments Martin Moloney 1220 Bergen Parkway #310 Evergreen, Colorado 80439 Project: 121919-1 3692 Wright Street Wheat Ridge, CO Dear Mr. Moloney: Air Quality Analysis, LLC (AQA) has analyzed the following samples by Phase Contrast Microscopy (PCM), according to the National Institute for Occupational Safety and Health (NIOSH) 7400 method in general accordance with the PCM methodology. AQA is accredited through the American Industrial Hygiene Association (AIHA) for Phase Contrast Microscopy (PCM) analysis Lab ID #219321. AQA successfully participates in the AIHA Proficient testing (PAT) program. Samples were analyzed by a Colorado certified Air Monitoring Specialist (AMS). AQA Laboratory Job #: AQA19-0298 is the lab number assigned to this project. The air sample results for the project referenced above have been included in your final report and sent to the email and or address associated with this project. The results described in this report apply only to the samples submitted and analyzed. This report is considered highly confidential and the sole property of the client. Should you have any questions concerning this project, please do not hesitate to contact our office at (303) 945-0091. Respectfully, Kimberly Lopez AMS Cert # 3317 P.O. Box 685 Kittredge, CO 80457-0685 (303) 945-0091 i N (4 N T � N � R d C _U) O o E m a ain¢� ^N, C\W E m L II a' m II c m Q C 0 CC O V r m to M Q >N Z '- . a 00 _ r N U m N 3 C o 0 LL N co CO 01 rn 5 M O M Z oM a U w 0 E O _ N U) U d V C O2L N d L Q10) � � d cn O N O C Z ry U NCD 2 m r U O F - w O W U m N O o x E 'o o E d = Ln 0i E is N I E m o w z -j Z o ~ O O C d d d 'o o O O Uaa` m a` d u Q a d m Q U N O 10 a o m m m E c � d N a � a y N a ¢ o a m a LU } f � Y K m 6 = 3 a n o W i u� a Ir m LL a 0 E o d m � O u d Z U W J X 0 0 W N C O Z o aai m E L N 0 0 vi m >_ a o U K CO K E o_ m g n > U Ij X W U W N z U <6 m c c , 0 0 LL 3 9 m m o'm a Q a 0 Q O m Lu 3 W _ a o T a 2 IL Ti Y11 F O m w 2 W J ProPBdy 04 City of Wheat Ridge guOding Dlv}slon m N co c Q N a) CL O J a� I, co M V 10 j� O O O N O N O x y � O O O O O O O O O O m m LL N N Dl 000 N N M O O d E N O O OO 00 O O O O O E LL rn co o N oo O n o 0 N LL N y h n n o6 O O d tLL E 0 C to V 7 U� N H LOO N O O V N � YI m W O O ooc oocc 0000 00 00 F a a a a a G1 Q E O ao m o v v n F N N v N N N v N H N H N N C .0 c a m o a 1�0 N .•. a v v v v v a. a J o 0 0 0 0 do is W ? 3 O U) v v v Z Z CL E a CL d C E a a a a a a a rn g 8 C O N ?o L m m c m Vc6 L_ (6 m N J Z L_ L m m •; t >> (n U y 7 U) O N O N U a Y > N m c tl ll J J E c c y � � m d C. N m m LL N m m LL N m m LL m m LL N m m LL N m m LL N m m LL m a` d u Q a d m Q U N O 10 a o m m m E c � d N a � a y N a ¢ o a m a LU } f � Y K m 6 = 3 a n o W i u� a Ir m LL a 0 E o d m � O u d Z U W J X 0 0 W N C O Z o aai m E L N 0 0 vi m >_ a o U K CO K E o_ m g n > U Ij X W U W N z U <6 m c c , 0 0 LL 3 9 m m o'm a Q a 0 Q O m Lu 3 W _ a o T a 2 IL Ti Y11 F O m w 2 W J ProPBdy 04 City of Wheat Ridge guOding Dlv}slon m N co c Q N a) CL O J a� I, City of eat 1 e COMMUNITY 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. , I , _ , _ f Project Property: �U h6 io Project Type: i�- LQ —' V5?z� Qc;��_K +Lq 0/t*C'(1 Notari i atu pplicant State of Colorado } County ofss The foregoing instrument was acknowledged by me this 22!�day ofK)O( Qvv\Wj;1 _20a° by ANNE M KOENTGES NOTARY PUBLIC - STATE OF COLORADO NOTARY ID 20194003028 MY COMMISSION EXPIRES JAN 23, 2023 My Commission Expires C� � / 21/20_ Notary Public W heat fdge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3692 WRIGHT ST Permit M General Contractor: 303 COSTRIUCTION SERVICES LLC Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required held) Signature of Authorized Agent Plumbing Sub -Contractor Company Name: WILSON ESCOBAR MP.03000360 State License #: Date Phone #:(-W) %6), qz?c( Master #: Wheat Rid License :a09-01 (required field) -0 Signature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) signature of Authorized Agent Date wclty of h6atR g c COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and li must be up to date prior to permit issuance. Project Address: emit #: General Contractor:, �u�a � 2 W& Electrical Sub -Contractor Company Name: fK Phone #: �% � Ci5�� State License #: E_ r , ©/OZ Vffm�,aster #:./A4. 6, b (, vagi r - Wheat Ridge License #: - � (required field) 1 / Si re of Author' ed gen Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Glazing in walls or enclosures of bathtub or shower, less than 60 inches, measured vertically from water edge & not more than 60 inches above walking surface shall have safety glazing per R308.4. Minimum 50 CFM exhaust fan vented to exterior shall be provided in toilet rooms and bathrooms. L'o)w Walls in shower shall have non- absorbent finish to 6' above floor. All new and existing smoke alarms shall be interconnected so the actuation of one alarm will activate all of the alarms per 2012 IRC R314.5. Smoke alarms shall be required in each sleeping room and outside each sleeping area per 2012 IRC, Section 313. Carbon monoxide detector(s) shall comply with Section R315 of the 2102 IRC & not more than 10' from the entrance of any sleeping room. Outlet type, location and spacing j shall comply with 2012 IRC and 2014 NEC. In areas specified in NEC article / 210.12 (A) where 15 & 20 A, 120v !/ receptacles are replaced, arc -fault protection shall be provided as per NFC artielp 106,1 MI(al 36Q DE �ob2c- --,4-r-� V'� ) tiles �>jzp_ ! e-12,� City Wh APPROVED JAMWLd"": lbw iss—r ofa pe 1 of awovd of pfom w ifkao" srdaaaPat "M ibab ow be a peuntt for, w on approval of, aiq wa me..Z AI r/Ibe rffl-sioro 01ft ftw&v Cade or of any Ciayardr arw". rrmm� ..>rwwrowa�ebaaao.,ra.Kai�nKrw�a ank.�, aaruwoewwowaaaofftco0'"A fhwwt (9 [A, co�W---' 7'6 T ei \ PpAI/ I I I � N,0T LOAIT�, u-2"��• cftyof Wheat Ridge suMM9 Division City of Wheat Ridge v Residential Asbestos Abatement PERMIT - 201902542 PERMIT NO: 201902542 ISSUED: 12/09/2019 JOB ADDRESS: 3692 Wright St EXPIRES: 12/08/2020 JOB DESCRIPTION: Residential abatement of asbestos spill in bath and kitchen. Square footage: 100 *** CONTACTS *** OWNER (720)500-2000 TRUE NORTH INVESTMENTS, LLC SUB (303)791-5017 DOUG TARNOWSKI 190289 ASPEN INDUSTRIES LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this penn�t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pertOrme d that all work to be performed is disclosed in this docu nt andlor its' accompanying approved plans and specifications. Signature%f R or CONTRACTOR (Circle one) Date 1. This permit as issued based on the information provided in the permit application and accompanying plans and specifications and is subject to th c mpliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 tee. 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 Budding 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 grantig of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appliAKe code or any,1ojdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chih Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of ]��WheatRj,jge MUNrry DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: 12ermitscZD-ci.wheatrid-ge.co.us I FOR OFFICE USE ONLY Date: r7/1 PlaWPennit # Plan Revrew Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: �� 9 2- i Z- N S?_ Property Owner (please print):T LI 1�'�'�Tf/ _I n �i ��ST����'T L Phone: 71;? Property Owner Email: /%7,!� -�_ Cti',C yI?JAr 7"/`v`D' 6A'7,4 I C Tenant Name (Commercial Projects Only) Jam, Property Owner Mailing Address: (if different than property address) Address: %,,2o _-2 4�C�:e A'r j _t'J A' J/ City, State, Zip: Arch itect/Engineer:�) Arch itectlEngineer E-mail: Phone: CIES LZ_ 7- i��T 06An'7-124C'7`G� Contractor Name: 4;�� �- City of Wheat Ridge License #: / ` 0-� 6 9 Phone: _b �' 7 � l Contractor E-mail Address:tii� ,L�l� -`� / L �' �C_" ✓ f�4� For Plan Review Questions & Comments (please print): CONTACT NAME (please print): fi64V 'T 1`L' m�L�� %/ Phone: Zia -a CONTACT EMAIL(please print): iC G ����da/2l ��� �M l L_ (10/q 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. e6 tt/,7 I5 ASg�l.5TD-5- 541Lr! / CE 56 LTjN6 r2 ni ZWIY74 e �. 7-0 7'�X u/1 �i� D2 � r v � �� tA/ �'4 r4 '9ti" � -r c �► . 1 Rm / r roiz 4d qr& evr X-13 zllC u1 �T�l 7`w �; �4r� dr (!DG61ZAO evP y ©i Sq. FULF o A) 1/12o AJ/n e&) -r- (C"OPN 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) $ '3-ia'-) 0 "., C, 0 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) , C�O'NT�RACT - or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): /GeU ✓Llii sv+'Z-t I DATE: �� g Printed Name: L{ 71-A /ZA,1C? ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer, DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 66 00 W �LL.Z Z o U im CL co Q co 1--o ~Q � U a� V Q LLJ z -j O a. Q O (j Z c O OG Z 1L Z = W H- 5 } Q W a Q O V+ Q ®j co ri. W w M W W coU- a NM O M a ccic a UO Z N C N C7 a N CI' � y 20 „0 � U o M mU U ¢ a 's C-) U 9+ a Q 2 a m m U d z d 0 o C EILL m (n > m d O d) o c O1 Q C9 W U !r — z g m CL co 3 o = • CO 2 N o cQ � to m a m and t� M O O � Q > W N M O N N y N N E Na N m 0 m O a m Z o a Q co tL z Q o C N CL N O a c N d co U lA U FO- W 'o U M U. d j I I i 4)oo rn o w I I o Q O o N m ¢ E 4 O Z NN th N❑ § N 8 ago o N Q LL❑ �'' v c E ❑ x~LOa Lo .j. G> 0N� -ir $Q 0 �" -N mm * 0 U m cc NN = vm oto a UI_ $m LL 7 O W y W 2 G1 £'• 'L C J'+ r. CO ❑ „a,., O O. O J N LL N p Ad a co Wa CL 22 Z w m c U N CID �l ❑ T 1 N c '0 wQ E m s` �' m oc m� o= c.2 aT .2LL Q S t a . Z ro F- Y e m to U m (n U V W J C w OD a)o ` aco Cl) c L O t[1 2 N _ C3, U y C L o O O) m d •fir V U a s o CO P_ d tY m� � U� J 0 m M 4 = M w mM 0 0° CL a v a ¢ n V LL O J J CO IY Q C y UO y *0 _ o d z z °� c E Z m o a o Y O m c Y 3 Ri Q L m C. Z y C Q m om cEa z m s E U OE Z N Q.' # O ik lL m U N E # O c, ca Q U o c sr t3 o = o a,o m z C a 0 E (D N M m a a a. a N W vi a a M U co U Cl)CD Uo c- M LN R a D 3 7 3 y U s m �c i (D tm CC UL 3 = o 0 (D ~ N N c m OE G Q y a) O m c m aw m vY rami P: a8Q `m v O a F- U m F-�3 N r- 0 p o m c 7 N N VO N a m 0M°aa 10 3 N Q� - t m m t - O U y y E m N = N X y m> m V C1 C O.C= C N=_ CL -0=-0 •y N m .r '3 _� E 3 m 0L m y Paco 3,E 8-c-�miom 0m Q111 C c ,wt.. a m 0-.T 7 O` E CI ct�yycc U U m Qco.-mav a m 0-d)- ai�o N C O m y 4l •- O U m c Qy>, aU a E m .O tet.. m E >0 0) vC5 M z w y C y U O c Q ac C� Li y _m W m c(D y .J L 4) N 41 m c 0 o M7 c m O S E 0 m 3 m .� '> m U m j m c y m TD m m a� O U w 3 8 _ Ol 65 A rn c 0.5 ul) 8 O'N N C a mmm0QaEmy ym C y U7 O M i09 C. CD O O m m E U' > •> 8 R N y _ m y y ow :3E'3£ ma E "fl y H L C a 'C l0 f6 O CL ••L« cY c '- � O 0 0) N 76i o yd maT.�om °3acx 2'-E.-� �.O E E'E o� E E 3 m 47 y N O = � >m o m E s Z�c Nmy �Q mwrnyc Ey aai � n�'G c "3 Co Q m N m o m y Q N O V w' U ocrcm3. uyiY.2.0 3 aci � m -0 co c on;M c_a a tll LO= E m T m r co L ao E oa H.oatgomaS ATMDepartment of Public ! Health fs Environment Dedicated to protecting and improving the health and environment of the people of Colorado Date: _,�LZ_5 Customer information Company/ Individual Name: Aspen Industries LLC Company/ Individual Address:1206 Buffalo Ridge Road City: Castle Pines I etephone Number: 303 791 5017 Email: aspenindustries@hotmaii.com Payment Information Payment Amount: State: Colorado Zip: 80108 Fax: 303 4716479 Payment is for (example: Site or name for APEN or Asbestos permit/ certification etc): ,17AA -f F'7 _.Tr l G.0 Gcl , t_1 F -cu rI Fl t rJ i� s.. Printed Name of Person on Card: Douglas P Tamowski Cardhotder Signature:60 ` � Date: / Credit Card Number: Expiration Date: 07/23 3 -Digit Code: 639 (For office use only) Fee Type (Circle): Asb Permit Asb Demo Asb Cert/Class Ld Cert Ld Permit APEN/GP CEC Forms or o 4300 Cherry Creek Drive 5, Denver, CO 80246-7530 P 303.692-2000 svww.cotorado.gov/cdphe �� o John W. Hickenlooper, Governor I Larry Wotk, MD, MSPH, Executive Director and Chief Medical Officer +4, -,•_`- -, fn ,,�1:9 7- l� 1 11318 Fowler Drive — Northglenn, Colorado 80233 December 2, 2019 True North Investments Martin Moloney 1153 Bergen Parkway Evergreen, Colorado 80439 RE: Major Asbestos Spill Inspection 3692 Wright Street — Wheat Ridge, Colorado 80033 Enviro Care Project Number: 110819-1 Dear Mr. Moloney: Enviro Care Consulting Services LLC (Enviro Care) is pleased to submit this report summarizing our limited Asbestos Containing Materials (ACM) inspection to facilitate renovation of your house. This report details the fieldwork completed and analytical results of samples collected. It is our understanding that the city of Wheat Ridge placed a stop -work order on the property for non-compliance, precipitating to you contacting Enviro Care for sampling of materials removed from the property to determine if the materials contain Asbestos. Per the United States Environmental Protection Agency (EPA) procedures published in Code of Federal Regulations (CFR) Title 40 Part 763, Subpart E — Asbestos -containing Materials in Schools and Colorado Regulation 8 (Regulation 8), suspect Asbestos Containing Building Materials (ACBM) must be properly sampled and analyzed prior to any renovation or demolition activities. If friable asbestos or non -friable asbestos than could be rendered friable is present a General abatement Contractor (GAC) must remove those materials prior to any renovation or demolition activities beginning. The purpose of this sampling was to evaluate for the presence of any ACM in the areas identified and if a spill had occurred. The inspection was conducted in accordance with 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). 1.0 FIELD ACTIVITIES The inspection was conducted by a Colorado State Certified Asbestos Building Inspector on November 22, 2019. This inspection involved identification and sampling of suspect ACM in the areas of removal. No Debris was on site at this time and the rebuild process of this renovation was underway. Enviro Care was not informed of the location of the removed materials, nor witnessed any dust or debris on the property. 2.0 LABORATORY ANALYSIS Nineteen (19) samples were submitted under chain of custody procedures to Reservoirs Environmental Services (RES) for analysis by polarized light microscopy (PLM) with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Visual estimations were used in obtaining the percentage of asbestos in bulk samples. RES is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). A copy of the original laboratory report is attached to this summary report. 3.0 FINDINGS Suspect ACM includes nearly all building materials except bare concrete, glass, wood, masonry, metal or rubber. ACM contains asbestos greater than 1 percent, (> 1% asbestos) as confirmed by an accredited laboratory. ACM is categorized as Friable or Non -friable asbestos. Friable asbestos can be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Non - friable asbestos is any material that cannot be crumbled, pulverized or reduced to a powder by hand pressure when dry. Our Inspector observed the following suspect ACM during this inspection: Friable: • Splatter Textured Surfacing Material on Drywall Substrate; • Unpainted Drywall; • Residual Mastic on Tan Floor Leveler; • White Floor Leveling Compound; and, • Off -White Floor Leveling Compound. Non -friable: • Residual Yellow Adhesive; and, • Residual Black Mastic 3.1 Identified Asbestos Containing Materials Based on the completed PLM results, asbestos greater than 1% was identified. Table 1 enclosed, contains a listing of homogeneous materials and locations of those materials. Table 2, enclosed, contains a summary of samples and results. 3.0 CONCLUSION & RECOMMENDATION This residence is a major asbestos spill due to the amount of asbestos containing materials removed from within the home were above the trigger level for single family residential dwellings. Below are the requirements which must be followed for addressing the major asbestos spill. Initially, keep the door locked and allow no one who is not an asbestos contractor enter to estimate costs for cleanup of the entire envelope of the building, including the removal or cleaning of the heating and ventilation systems. Following the cleanup, Final air clearances are required before re -occupancy. 2 III.T.I Major Asbestos Spills In the event of an asbestos spill involving greater than the trigger levels, the building owner or contractor shall: III.T. la - Restrict access to the area and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. III.T. lb - Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas III.T. lc - Immediately contact the Division by telephone, submit a notification in compliance with subsection IILE. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection III.G. (Permits). III.T. Id - Be exempted from the requirements to have a certified. -Supervisor on-site at all times, until such time as the immediate danger has passed. Any cleanup or asbestos abatement that must occur after the immediate danger has passed shall be supervised by a person certified by the Division. III.T.Ie - Using certified -Supervisors and certified Workers in accordance with section II. (Certification Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas and establish negative air pressure within the contaminated area in accordance with paragraph IILJ. (Air Cleaning and Negative Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates, diffusers and skylights. III.T. if - HEP A vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated area, or discard these materials. III.T.1 - Launder or discard contaminated clothing in accordance with subsection IILR. (Waste Handling). III. T. lh - HEP A vacuum or wet clean all surfaces in the contaminated area. II1.T.1i - Discard all materials in accordance with subsection 111. R_ (Waste Handling). III.T. Ii - Following completion of subparagraph III. T .La. through III. T .Ii above, comply with air monitoring -requirements as described in subsection IILP. (Clearing Abatement Projects); air samples shall be collected aggressively as described in 40 C.F.R Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM -that remains in the area. III.T. lk - Comply with any other measures deemed necessary by the Division to protect public health. Only listed materials were tested or quantified as part of this inspection. If materials are encountered during renovation that have not been discussed in this report, stop all construction activities and contact a Colorado Certified Asbestos Building Inspector to test those materials prior to continuing with building demolition. 5.0 LIMITATIONS This report has been prepared on behalf of and exclusively for use by the client. Client must read and understand this asbestos inspection report to make educated decisions for the property referenced in this report. If there are any questions concerning the materials description, location, or requirements for asbestos containing materials, client must contact Enviro Care to answer questions and/or clarify requirements for materials described and tested or assumed to contain asbestos in the report. Enviro Care will not be held responsible for client misinterpreting the report contents and or regulatory requirements for those materials. Therefore, if questions concerning the contents of this report arise, it is the responsibility of the client to contact Enviro Care to discuss the reported findings and obtain further guidance if necessary. 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/or recommendations expressed in this report are based on conditions observed during our renovation specific inspection of the school. This major asbestos spill inspection is not considered a comprehensive asbestos inspection. Care was taken to sample accessible building materials scheduled for renovation on the interior of the structure, or assume those materials are asbestos. The existence of unique or concealed ACM is possible. In the event hidden or concealed ACM is discovered which is not discussed in this report, additional sampling will be required prior to continuation of disturbance and/or demolition activities. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Enviro Care does not warrant the work of regulatory agencies or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. This report is not to be used as a bidding document. Should you have any questions or require additional information, please feel free to contact our office at 303-945-0091 Sincerely, Dalton Lopez Enviro Care Consulting Services LLC Colorado State Certified Asbestos Building Inspector # 3317 4 Enclosures: Table 1 - Homogenous Materials Table 2 - Summary of Asbestos Samples and Results Laboratory Analytical Report TABLE 1 HOMOGENEOUS MATERIALS TABLE Table 1 HOMOGENEOUS MATERIALS TABLE 3642 Wright Street Wheat Ridge, CO 80033 Estimated Friable Hazard Ranking HA Description Quantity Locations Non-Friable & Disturbance Category Potential 1 Splatter Iestured Surfacing Material on Dnwall Substrate �'� '' it All Textured Walls and Ceilings5 Iligh 2 Unpainted Drvwall 800 ft- Basement Laundry Room and Kitchen F 5 /High 3 Residual Mastic on Tan Floor 400 ft` Front Entry Landing F 5 � Ifigh Leveler 4 Residual Yellow Adhesive 25 ft' Kitchen Walls NF CAT 2 NA / High 5 White Floor Leveling Compound 150 ft' Front Entry Coat Closet F NA / High 6 Off-white Floor Leveling Compound 200 ftZ Basement; Southeast Bedroom Floor F NA / High Asbestos Containing Materials are Listed in Red. Friable: material that be crumbled, pulverized, or reduced to powder with hand pressure when dry Non -Friable: material that cannot be crumbled, pulverized, or reduced to powder with hand pressure when dry Thermal Systems Insulation (TSI): used to control heat transfer and or condensation on HVAC, hot and cold water or other mechanical systems etc. Surfacing Material material that is sprayed or troweled onto surfaces such as fire proofing on structural members, plaster for acoustical, decorative, etc. tilscellaneous Material all other materials including taping mud, floor tile mastic, stucco, leveling compound, and hard plasters. Category l non friable ACM- resilient floor coverings, asphalt roofing products, packings, gaskets, or galbestos containing greater than I % asbestos Category H non -friable ACM: any material that is not Cat] that contains greater than I % asbestos Hazard Ranking: 1= damaged or significantly damaged Thermal Systems Insulation (TSI) ACM. 2=damaged friable surfacing ACM,• 3=significantly damaged friable surfacingACMr 4=damaged or significantly damaged friable miscellaneous ACM; 5 ACBM with potential for damage; 6=ACBM with potential for significant damage; 7=any remaining friable ACBM or suspected ACBM. Disturbance Potential Low = the material may be accessible but is not likely to be damaged under most circumstances. Moderate = the material is accessible and is likely to suffer limited damage over time. High = the material is friable and/or already damaged, is accessible, and there is specific reason to believe the material will receive a large amount of damage in the foreseeable future. Asbestos Containing Materials are Listed in Red. TABLE 2 SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULT TABLE 2 SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULT 3692 Wright Street Wheat Ridge, CO 80033 SAMPLE ASBESTOS HOMOGENOUS NUMBER MATERIAL DESCRIPTION SAMPLE LOCATION SAMPLE MATERIAL RESULTS AND CONDITION SM 1-1 Splatter Textured Surfacing Material South Living Room Wall, 6' High `"° 1 Good on Drywall Substrate C:hrvsotile SM 1-� Splatter Textured Surfacing Material East Living Room Wall, 3' High 2 , 1 Good on Drywall Substrate Chrysotile SM 1-3 Splatter Textured Surfacing Material Front Entry Landing; North Wall, 7' High 34° 1 Good on Drywall Substrate Chrysotile SM 1-4 Splatter "Textured Surfacing Material Southeast Bedroom; West Wall, 3' High 3% 1 Good on Drvwall Substrate Chrysotile 1-4D Splatter Textured Surfacing Material Southeast Bedroom; West Wall, 3' High Y,0'SM i Good on Drywall Substrate Chrysotile SM 1-5 Splatter Textured Surfacing Material Southwest Bedroom. North Closet Wall, 2% on Drywall Substrate 3.5' High Chrysotile 1 Good SM 1-6 Splatter Textured Surfacing Material Southeast Bedroom Ceiling: 3' From East 290 on Drywall Substrate Wall, d' From West Wall Chrvsotile l Good SM I-- Splatter Textured Surfacing Material Center of Green Wall 2q0 1 Good on Drywall Substrate Chrysotile CDW 1-1 Unpainted Drywall Laundry Room Ceiling, 2' From Doorxvay 2% 2 Good Chrysotile CDW 1-2 Unpainted Drywall North Side of Kitchen Ceiling 3% 2 Good Chrysotile ND = No Asbestos Detected Sample Results are Expressed in Percentage and Type of Asbestos Mineral Present. Sample Sets That are Greater than I% Asbestos are Listed in Red. Sample Sets Listed in Blue are OSHA Regulated Materials. TABLE 2 SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULTS 3692 Wright Street Wheat Ridge, CO 80033 SAMPLE ASBESTOS HOMOGENOUS NUMBER MATERIAL DESCRIPTION SAMPLE LOCATION SAMPLE MATERIAL RESULTS AND CONDITION CDW t-3 Unpainted Drywall with Tape and South Kitchen Wall at Wall Joint 3o,o ? Goodp Joint Compound Chrvsotiiz- FTM 1-1 Residual Mastic on Tan Floor Leveler FrontEntry Landing 3 Good FTM 1-2 Residual Mastic Basement Landing ND 3 Good AD 1-1 Residual Yellow Adhesive West Kitchen Wall, 4' High ND 4 Good AD 1-2 Residual Yellow Adhesive South Kitchen Wall 4' high ND 4 Good FL 1-1 White Floor Leveling Compound Front Entry Landing; Coat Closet ND 5 Good FL 1-2 White Floor Leveling Compound Front Entry Landing; Coat Closet ND 5 Good FL 2-1 Off-white Floor Leveling Compound Basement, Southeast Bedroom Floor ND 6 Good on Mastic Substrate FL 2-2 Off-white Floor Leveling Compound Basement, Southeast Bedroom Floor ND 6 Good on Mastic Substrate ND = No Asbestos Detected Sample Results are Expressed in Percentage and Type of Asbestos Mineral Present. Sample Sets That are Greater than I ° o Asbestos are Listed in Red. Sample Sets Listed in Blue are OSHA Regulated Materials. Condition: Good = the material had no visible damage, or extremely minor damage or surface marring (i.e., a room offloor the has only four or five with small corners broken from the tile. Damaged = the material had visible damage evenly distributed over less than 10% of tts surface, or localized over less than 25% of its surface. Significantly damaged = the material had visible damage that is evenly distributed over 10% or more of its surface, or localized over 25% or more or its surface. ND = No Asbestos Detected Sample Results are Expressed in Percentage and Type of Asbestos Mineral Present. Sample Sets That are Greater than 1% Asbestos are Listed in Red. Sample Sets Listed in Blue are OSHA Regulated Materials. LABORATORY ANALYTICAL REPORTS Reservoirs Environmental, Inc Effective April 02, 2018 Reservoirs Environmental OA Manual 0:\0AWLablReservoirs Environmental OA Manual.doc Reservoirs Environmental, Inc. REI B November 23, 2019 Dalton Lopez Enviro Care Consulting 11318 Fowler Drive Northglenn CO 80233 Dear Dalton, Subcontractor Number: Laboratory Report: Project #1RO. #: Project Description: RES 450275-2 112219-1 3692 Wright Street Wheat Ridge 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 450275-2 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, by John McIntyre Jeanne Spencer President P:303-9641986 5801 Logan St, Suite 100, Denver, C080216 1-866-RESI-ENV F:3034774275 v ..reilab.com Reservoirs Environmental, Inc. Reservoirs Environmental QAMwual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 450275-2 Client: Enviro Care Consulting Client Project Number / P.O.: 112219-1 Client Project Description: 3692 Wright Street Wheat Ridge Date Samples Received: November 22, 2019 Method: EPA 600111-931116 - Point Count, Bulk Turnaround: Rush Date Samples Analyzed: November 22, 2019 Effective Apo 2, 2018 Q-1QAQCU AMReser m Environ—tal QA Manual.doc ND=None Detected iTR=Trace, <1% Visual Estimate 3T rem /Act=T re mo l ite/Actinolite Client Sample Number L A Sub Y Physical Part E Description R (%) Asbestos Content Mineral Visual Estimate Non Asbestos Fibrous Components Non - Fibrous Components SM 1-1 A Off white compound 10 Chrysotile 2 0 98 Point Count 1.75 B Light gray/multi-colored paint 25 ND 0 100 C Tan/pink drywall 65 ND 85 15 SM 1-2 A Off white compound 5 Chrysotile 2 0 98 B TaNpink drywall 40 ND 80 20 C Light gray/multi-colored paint 55 ND 0 100 SM 1-3 A Off white texture 15 Chrysotile 3 0 97 B Yellow/White paint 25 ND 0 100 C TaNpink drywall 60 ND 80 20 SM1-4A Off white compound 15 Chrysotile 3 0 97 B Light gray/green paint 25 ND 0 100 C TaNpink drywall 60 ND 65 35 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. Only compound, tape and wallboard layers are used in the calculation of a composite result. P: 303-9841988 5801 Logan Stree. Suite 10Q Denver, CO 80218 1 -868 -REST -ENV F: 303-4774275 Page 1 of 5 vww.reila6.cam Reservoirs Environmental, Inc. Reservoirs Environmental QAM—al RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 450275-2 Client: Enviro Care Consulting Client Project Number / P.O.: 112219-1 Client Project Description: 3692 Wright Street Wheat Ridge Date Samples Received: November 22, 2019 Method: EPA 600/R-93/116 - Point Count, Bulk Turnaround: Rush Date Samples Analyzed: November 22, 2019 EHecdve Ape 2, 2018 Q:IQAQCUAMRes m Environmental QA Manual.doc IND=None Detected TR=Trace, <1% Visual Estimate { Trem/Act=Tremolite/Acti nolle Client Sample Number L A Sub Y Physical Part E Description R (%) Asbestos Content Mineral Visual Estimate (oi) Non Asbestos Fibrous Components Non - Fibrous Components SM 14D A Off white compound 13 Chrysotile 3 0 97 8 Light gray/multi-colored paint 30 NO 0 100 C Tan/pink drywall 57 NO 85 15 SM 1-5 A Tan paper 5 NO 90 10 B Off white joint compound 8 Chrysotile 2 0 98 C Off white tape 12 NO 95 5 D Off light gray/green paint 23 NO 0 100 E Off white compound 52 Chrysotile 2 0 98 SM 1-6 A Off white compound 5 Chrysotile 2 0 98 B White paint 10 NO 0 100 C Tan/pink drywall 85 NO 40 60 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 W Only compound, tape and wallboard layers are used in the calculation of a composite result. P: 303964-1986 6601 Lagan Stree, Suke 100, Denver, CO 80216 1-966-RESI-ENV F: 303477-4276 Page 2 of 5 wvrvr.relab.com Reservoirs Environmental, Inc. Reservoirs Environmental QA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 450275.2 Client: Enviro Care Consulting Client Project Number/ P.O.: 112219-1 Client Project Description: 3692 Wright Street Wheat Ridge Date Samples Received: November 22, 2019 Method: EPA 600/11-931116 - Point Count, Bulk Turnaround: Rush Date Samples Analyzed: November 22, 2019 Effective April 2, 2018 QAQAQCU AB\Resery m Envirmnrental QA Manual.doc IND=None Detected ITR=Trace, <1% Visual Estimate ITrem/Act=Tremo l @e/Acti no lde I Client Sample Number L A Sub Y Physical Part E Description Asbestos Content Mineral Visual Estimate Non Asbestos Fibrous Components Non - Fibrous Components SM 1-7 A Off white compound 12 Chrysotile 2 0 98 B Light gray/green paint 28 ND 0 100 C Tan/pink drywall 60 ND 70 30 CDW 1-1 A Green/white paint 10 ND 0 100 B Tan/pink drywall 40 ND 70 30 C Off white compound 50 Chrysotile 2 0 98 Composite 1.11 CDW 1-2 A Colorless adhesive 2 ND 0 100 B Tan/pink drywall w/ white paint 98 ND 70 30 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. Only compound, tape and wallboard layers are used in the calculation of a composite result. P. 3039641986 5801 Logan Street, Sude 100, Da—, Co 80216 1-966-RESI-ENV F. 303477-4275 Page 3 of 5 —reilab.cam Reservoirs Environmental, Inc. Reservoirs Envir°nmantal QAManual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: Client: Client Project Number / P.O. Client Project Description: Date Samples Received: Method: Turnaround: Date Samples Analyzed: RES 4602766-2 Enviro Care Consulting 112219-1 3692 Wright Street Wheat Ridge November 22, 2019 EPA 600/R-93/116 - Point Count, Bulk Rush November 22, 2019 Effective Apil 2, 2018 0:10A000AMReservoim Environmental QA, Mamal.cloc jND--None Detected !TR=Trace, <1% Visual Estimate iTrem/Act=Tremolite/Actinolite Client Sample Number L A Sub y Physical Part E Description R (%) Asbestos Content Mineral Visual ' Estimate Non Asbestos Fibrous Components Non - Fibrous Components CDW 1-3 A Off white tape 5 ND 95 5 B Off white joint compound 5 Chrysotile 3 0 97 C Off white compound 7 Chrysotile 3 0 97 D Tan/pink drywall 83 ND 20 80 Composite 0.36 FTM 1-1 A Tan compound 5 Chrysotile 4 0 96 B Black mastic 95 ND 0 100 FTM 1-2 A Black mastic 100 ND 0 100 AD 1-1 A Off white paint 1 ND 0 100 B Off white compound 2 Chrysotile TR 0 100 C Brown adhesive 97 ND 0 100 AD 1-2 A Brown adhesive w/ off white paint 100 ND 0 100 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. Only compound, tape and wallboard layers are used in the calculation of a composite result. P: 3019641966 5801 Logan Street, Suite 100, Denier, Co 80216 F: 303Pa 477-4275 1-666-ge A of vnvw.rehab NV 5 reila6.cam Reservoirs Environmental, Inc. Reservoirs Environmental OA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: Client: Client Project Number / P_O. Client Project Description: Date Samples Received: RES 460275-2 Enviro Care Consulting 112219-1 3692 Wright Street Wheat Ridge November 22, 2019 ERective April 2, 2018 O:10eserAOCU-MRam Environ—dal OA Manual.doc Method: EPA 600/R-93/116 - Point Count, Bulk ND Turnaround: Rush TR Trem Date Samples Analyzed: November 22, 2018 Non. -Trace, <1% Visual Estimate /Act--Tremolite/Actinolite Client L Asbestos Content Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components FL 1-1 A Black mastic 10 ND 0 100 B Off white/tan leveling compound 90 ND 4 96 FL 1-2 A Gray granular cementitious material 6 ND 0 100 B Black mastic 13 ND 0 100 C Off white leveling compound 81 ND 4 96 FL 2-1 A Black mastic 10 ND 0 100 B Off white resinous material 90 ND 0 100 FL 2-2 A Black mastic 6 ND 0 100 B Off white resinous material 94 ND 0 100 TEM Analysis recommended for organically bound material (i.e floor tile) if PLM results are <1 %. Only compound, tape and wallboard layers are used in the calculation of a composite result. cet' *-/ Mw C %U""e Analyst / Data OA P. 3038641986 5801 Lagan S°eeL Sine 100, Denver, CO 80216 1-866RESI-ENV F: 303-477-4275 Pam 5 of 6 vmw.reilab.com ae '2l"u I` E o cr , Oj Z; -�jIW O' 21 z �Q z'n u LLL a � m E ~ V Q7Z� _ U SJBUI@{Utla � ' apo xu�eyl ea17111) 2u.n�aA aidweg SMDN W314 0 NO S1VUINI S.tMdWV� alce'A-UON JO OWIA upnen4nt;v,,o! I.D�i@Jluluap ' •J* •1!I^E � dell a.rodS RIOW eluawu0jl�u3.lo7Vl gAo uol{eagnuenp �D J. @ueuo Gal . {' 47 uogeal�ll�er:p ;a -t• leCwnj'euatOep' i; O 4 14 E A 01 iuroD Qm:d 7Igwoy "Nf^a�J IrMaD1W;� O ON i SO,{ f:�,gal�Ipasealdt;etenl.�e1g U ui}"y5'a�aUen+1 u •ra suliOPA�JGiRiI@IN�'3 � uOq@Dyyluar�j •- l6 J- Ja•"j@yOudwE'J•9r1a1neb e1LIM11 LHLr40 lima eI:91.10W4e$ '1anD� 4)@Id 7�yD ak :9ua6 Dyjed .__ SSS 1413W-SawnWo -id uen Slil awn-qeu}RIw.. '1101 '8 dada y a�ge.:csaa re of asno bl-"S+J 6QO7G -VOO7L Sdaldrojipul-OSI 'oEn-aryl rlen0•wag 'tu@nG wnS opt AV)•1+ CS) LorL 'lile6a-1 "3wt W31 aACelHen ; LOCISU Bic '�unDO;und c^de uc> s W 1d Co » O 0 a J s �i N O � r3 a cao a o a W CA d G V R rr � C � A7 C• �� w m o p O y ae, 17 = ~ = Y � N � y• a• DI .,q CD a 4 � N = f° aD CD R in in 8'.. I (� Q o 90 E� Co » 0 a J s and dr N O � r3 a cao a O o 0 W CA d G 3 R rr C 0 .y 4Y t+� 9 X. _ C 4 ti 4qy i l sy rrI 7H, � � t a e m 0 W ecca x1ji2y4) L- !We l I I � :SUON M3H.L0 VO Swum S,213'1dWVS !eluamuo LAU3A IYI Vap,n� wyi0 ! I I .�;��-- ` a ' uaeeyysum W y. e;lauo-8e ucmeoyquertp 10 •1. 'leBunq 2jolme- VI 8 A '01 lunOO meld 040JaY.VUna'3!el4ws!WGo I ON ! 98A OU0 aiwO eseaid) JeleM aISIS It ! ( ! uoR"luenO Jo y. _zuuOntoO iomue p uoneapu+enp LU y. ue12eG0l4tlwe0 Sn-ameS'euatsll LHGStD ( f co N� 3 'el!auoulsg lun7J ecoid 3rgaaY sua8ayi ed LU — �—� E ? } ? SSL'N13W -SOINYS1lO uesg s19:a}y 'awn j buip,ajA 'd171 '8 Yli02i sjal'Ruv - SIV13W € ) ( w S"JOsaa 'lelol - 1Sf10 VHSO 'HOOPt 'VWIFL W0d CD Sftd panpul- '0eA-OAUC Wenb-iu-oS, 1uen0 'Y• OS; ZOrt "n !09i 'Y?J3aY - W31 im Lvda� bun o4 -•4-» f 444 �_ oil, R` �� Y4 III r i 1 l i f ai� ? j ut W a' CID (} r' e" r- r- •� N N N N N N N N N N F7 M M M M M M rf M M y ► City of Wheat Ridge � r Residential Roofing PERMIT - 201707223 I PERMIT NO: 201707223 ISSUED: 09/13/2017 JOB ADDRESS: 3692 Wright ST EXPIRES: 09/13/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 21 sq Pitch = 2/12 *** CONTACTS *** OWNER (303)264-9267 JUNGHAENE BETTY L SUB (720)862-3928 Lorin Jackman/Thomas H 170140 Storm Guard of S. Metro Denver *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,397.00 FEES Total Valuation 0.00 Use Tax 113.34 Permit Fee 140.90 ** TOTAL ** 254.24 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge � r `rr Residential Roofing PERMIT - 201707223 Ir PERMIT NO: 201707223 ISSUED: JOB ADDRESS: 3692 Wright ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install asphalt shingles 09/13/2017 09/13/2018 21 sq Pitch = 2/12 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesthat 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 Flaps and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services 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 appli a d�efo/r. any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Monday, September 11, 2017 2:09 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 3692 Wright St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Betty Junghaene 303-264-9267 57 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes Junghaene Wright Contract.pdf CONTRACTOR INFORMATION Contractor Business Storm Guard of South Metro Denver Name Contractor's License 170140 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) 720-862-3861 56 Inverness Dr East Contractor Email Address cbiggers@stormguardrestoration.com Retype Contractor Email cbiggers@stormguardrestoration.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Replace 21 sq asphalt single roof Project Value (contract 4200;00 value or cost of ALL materials and labor) �l`� i Are you re -decking the No roof? 58 Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? What is the pitch? 2/12 How many squares are 21 part of the pitched roof? Describe the roofing Asphalt shingle roof materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional House 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. 59 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 Casey Biggers Email not displaying correctly? View it in your browser. 60 Storm Guard of Sotrth Metro ncnver Sb Inverness brive Bast,Suite 104. Protecting the Valu of Your Property Englewood, Colorado 801:2 F Fainly Owned 2nd Locally U crated with the berefirs Wffice/Fax: 720-862-3928and backing of the Storm Gu d National Franchise stormguard-routhmetrodcnycr.com ENTER IOR JIESnpE},gJ`f N Liconscd- hsored Contingency ContraCt (This Contract is Contingent Upon Your Insurance Company's Approyal of YC ur Claim) Property Address: City, State, Zip .� y Property Owner A: j Home # Cell # Email Address: A e7=o !'`� , p L c Work #i Fax It Property Owner 2: 1 KJ Email Address: Work # Fax Insurance Company. Home # Cell It Email Address- IW11 (? Work# Fax Adjuster Name:` Home # Cell Email Address: f ' 3- - c Work# Fax Mortgage cdmpany: JI Hams # Cell Email Address: Work # Fax Claret Num6ei / ". C 7 Job Number Ad tuster.Meetip 'f3a Ya{1d;Ttme �ppte of Loss 'artPge Lpan Number '" 'Lead Source " Manu�a�EuFer 1/JarYanty L l>rr;E' ��� Workrriagshrp Walprantx InspeCttgrj Date: EXtend;c�drranr Date 9f c onii ra ACCERL4NCE OF AGREEMENT By si0iP9 this Contingency Contract, you agree to authorize Storm Guard to assist You in our _agrireme.ntwith your Insurer on y Y pursuit of a darn under your insurance policy 2nd our efforts to reach project scope and prrov You may cancel this er is later. with no penalty before midnight on the third buslness day a er the date of your signature pelow,-or any time before your insurer approves your claim, whichever is later. ypu have no obligation to Storm Guard�nder hi con, unle rout or cls- and St Guar over co a rice tilted the to to fns and if Storm Guard approves the scope and price identified on the loss statement YOU receive from Yourinsurer,then, byrgigningrbelow,uyou sauth rffpe Storm oGuard o complete the replacement of damaged property identified on the lOss statement with n and conditions on thg reverse side of this Contract. Payments must be made as outlined laibbvt ca f this pst totrop ysa t isnotaccepted wi[hM thirty { 0J Subject daytothe a terms o r s and withdrawn, eaxriy���>:D it A— Up Qat d Statusto Pal Check # . mount Deduet'bl t e Depreciation Remaining Supplement ArtitlUnt Upgrades or Retail Final payment Page I BT/ZU 3E)Vd -196LT Q--I3i-jwo SIH Sdfl VJdTT:TO LT07/TT/60 Star= Guard of $oath Metro Denver 56 Inverness Drive Last, Suite 104 Englewood, Colorado 80112 Office/Fax 720-862.5928 stormguard-south=errodenver.edra Terms and Conditions F'rmtecting the vitt Pamily Owned and LocaLjy artd backing of the storm ucensed led'Mth the henefits National Franchise i. Contin ep neies, This Contract is contingent upon; 1. your Insurance company's approval of your claim; and 2. our approval of the scope and price identlf)ed on the loss statement you receive from your Insurer, We may cancel this Contract any time prior to the start of Work. If your insurer denies your claim, then this con act Is not effective. Z. [entract Documents and �hances, This Contract consists of this Contingency contract and any addenda, change orders, drawings, plans, or specificatrc ns, Any work resulting from alteration or deviation from this Contract, including the replacement of deteriorated materials (e,g., docking, fascia boards, roof jackats, ventilators, flashing, etc.), hidden damage, or any other materials not spedfied for replacement in this Contract, as welf as any additional work required by government inspectors to mak the existing structure code compllaht, requires R written change order signed by all parties and may result In extra charges beyond the Contract price, which shall be your respc nsfbillty, This Contract embodies the enure agreement of the parties and supersedes all prior agreements and understandings. Any promises or representations hot include in this Contract are expressly denied, 9. il4EGHANIC'S LIFry RfGFfTS, (A) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A UEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY Is NOT PAID FOR THE CONTRIBUTIONS. (g) YOU HAVE THE RIGHT TO PAY PERSONS WHO SUPPLIED LABOR OR MATERIALS FOR THIS IMPROVEMENT DIRECTLY AND DEDUcr THIS AMOUNT FROM OUR CONTRACT PRICE, Oft WITHHOLD THE AMOUNTS DUE THEM FROM us UNTIL 120 DAY AFTER COMPLETION OF THE IMPROVEMENT, UNLESS WE GIVE YOU ALIEN WAIVER SIGNED By KRSONS WHO 5UPPLIED ANY LABOR OR MATERIAL FOR THE IMPROVEMENT NO WHO GAVE YOU TIMELY NOTICE. a. Warrantles. Upon our receipt of full payment for the Work we provide the following warranties; (a) during the one-year period from and after eofive-year pf Ion of the Work, the Work shall be free from defects caused by faulty workmanship or defective materials due to noncompliance with building standards; (h) during the five ear period from and after completion of the work all products sold in connection with the Work shall be applied according to the manufacturers written specifications, Notwl hstanding any of the above, we expressly disclaim any and all liability for lass or damage of any kind that is not reported to us in writing within six (4) months after you discover or should have discovered the loss or damage. These warranties are given in lleu of all other warranties, express or implied. In no event shall we be liable for consequential or incidental damages of any kind, Including any damage to the building, its contents, orany persons therein. S" Octans gad Commitments, You shall; (a) grant free access to work areas for workers and vehicles; (b) allow storage of materials and rubb h on your property; (c) keep driveways dear and available for movement and parking of vehicles during normal working hours, including removal of ice and snow; (d) supply,electric, water, and other utilities, Including toilet facilities, or compensate us for the cost of providing them; (e) arrange for identification of underground utlfltles before we pe -form any digging; (f) remove, protect, or secure all satellfte dishes, solar panels, sky lights, and other ®xterfor and interior personal property leg., shrubs, flowers, wall hangings, etc.) before the Work begins. You shall hold us harmless from any and all damage to your personal property, including bu%not limited to interiorfixtures, drywail, plaster all construction, decorations, unless caused by our negligence. We shall not be responsible for realigning satellite dish.; or solar panels, The Work may require the use f dum and equipment vehicles, and construction equipment on your property. You hold us harmless from an damage to our y Y weightPeters, heavy vehicles, or equipment, Dumpsters are for construction debris only. you may be charged additional fees for disposing other items In our dumpsters We a I take d asonable efforts to remove construction debris. However, you shall hold us harmless from any dalmage or injury caused by debris remaining on your property r Work, we shall not be expccted to keep gates and doors closed, and you shall hold us haaft r completion of thermfess from claims arising therefrom. Excess construction mate shall remain our Property. 8. Spllection Co tile, unless othenfise limited by appllcable law, we shall add a 1.5% monthly service fee to any outstanding balance not paid within thirty (3C I days the due date" You agree to pay ail reasonable costs we may incur in order to collect amounts owing under this Contract, Inctyding reasonable attorneys' fees, cost, and disbursements. You shall not delay final payment while waiting for final government inspection of the Work_ 7- � be and r Control anal 6eduslonyr You shall hold us harmless from pre-existing conditions on the property discovered dura cam lotion of the sgrtare and plumb conditions may require similar conditions in the Work. some variationg P Orsi Existing out of is ifspecified materials are unavailable. We do not evaluate venting and circulation systcros. Performa ce ulnd texture and planes of gent usp n s may subside to similar materiels beyond our control. The Contract price maybe adjusted due to material or labor price increases caused b unforeseenntmctproblems Contin ant u on strikes, acrid nes, or other delays shortages, or unusual spikes In market demand. The Contract price does not include any governmental permit, service orra ces6 icharge.s? Zer V are not Irespo s�ble Porket�uopplg hazardous material (e.g., lead Paint or asbestos) from your property and May stop Work until it is removed. IL AE[VfiMJsJaf, You authorize us to place advertising yard signs on your property for promotion and identification purposes for workers and materlal supplie s. You grant us an Unlimited license to record images of the Work in any form and to reproduce those images for advertising and promotional use. 9, Insu_annce, To the extent required by law, we maintain current insurance policies OaVerinE our general liability and workers compensation obligations. Prior o co of the Work, you shall have insurance to cover the finished cost of Improvements. mmencement 10, performance Guldelings We agree to complete the Work set forth in this Contract in accordance elf applicable construction codes and the manufacturer;' specifications for installation of all materials. 11. r ancellatio, You may cancel this contract with no penalty befonG midnight on the third business day after the date of your sfgnature on the first page 1 >f this Contract, or any time before your insurer approves your claim, whichever is Later, if you cancel this Contract after your insurer approves your claim but before commentJZC.nlract n' of the work without legal right to do sa, we shall be entitled to the actuel costs we incurred In connectlon With the Work (including any restocking charges) plus 25% of price, which you agree fs a fairand reasonable amount to compensate us for our reliance on the Work, and net a penalty, After commencement ofthe Work, youre responsible for the entire Contract price. lY.ln�Ianca Caveraxe Storm Guard is fully insured by thefollowing; lftr-'a Am Workers Compensation TecFinpl{ogq insurance Company TWC�1583447 13, "cense Storm Guard is fully licensed in the state of Colorado. Douglas County General Contractors PREFERRED CONTRACTOR initial OT/E0 39Vd -1962T Q-DIdwooaH Sdfl Lb5669b60E WdTT:TO LTOZ/TT/60 Storm Guam of South Metro Denver #J7EEffE;T0'J=R4N?j',NF 56 Inverness Drive East, Suite 104 Protecting the Valve of your Property Englewood, Colorado 80112 Family Owned xnd%ocaily peratcd with thebenefitsOfECOI'ax:720•862-3928 � and backing ofthe Stozm and National Franchisestorrngttard-southrnetrodenver.com EKMMOR hicenaed• I nsurccl Acknowledgement Hy signature below, Homeowner agrees to pay Storm Guard the RCV/ACV amount specified In the statement of loss for exterior restoration services (roofing, gutter, windows, siding, palttting) as a materials deposit prior to construction. Homeowner agrees Storm Guard is entitled to contractors' 'Overhead & rofit", material tau an$ base service charge that is pstd by the Insurance company, Your warranty rights are contingent upon our reeeipt of full payment for tha Work. Sea Terms and Conditions, Section 3, on the reverse side C ien Contractor Signature Date rttet �, Ll rr • Date � V page 3 Customer initial contract. OT/VO 719dd -i96LT a-=jwooda Sdfl LVS669VEOC WdTT:T9 LTH/TT/60 I A i CITY OF WHEAT RIDGE - � Bdirtg lnspec#itDivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: y3 0 b - t)? . c/ Job Address: 3 &q a n2c La 114 S -,- Permit Number: -10 o 1-7 0 7 a a 3 . cl - (Ile 0 o -P /-j L"-. ❑ No one available for inspection: Time / = .5-y AMO Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: I I /16 1 `7 Inspector: _7t DO NOT REMOVE THIS NOTICE e o CITY OF WHEAT RIDGE ' Building inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fan INSPECTION NOTICE Inspection Type: lJ 7~ Job Address: 21-z 41///2 T Permit Number: zj :e? yc ❑ 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 J bO NOT REMOVE THIS NOTICE INSPECTION RECORD OccupancV/TVpe 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. 2 Lath !Wall tie PECTOR 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 Gas Piping Weatherproof/ French Drain - Rough Mechanical INSPECTIONS FOR PLANNING HI ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Sewer Service Lines "`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR P ERMISSION FOR OCCUPANCY. Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) nn NOT Pn11R FI nnP I INTII AAnVP HAS RFFN SIGNPn ROUGHS Sheathing Lath !Wall tie Mid -Roof Electrical Service Roof Rough Electric Building Final Rough Plumbing ! Fire Department Gas Piping R.O.W & Drainage - Rough Mechanical INSPECTIONS FOR PLANNING HI ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking ci Landscaping 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 HI ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking ci Landscaping "`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR P ERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: zwir',,goolf Job Address: A~:72 4evQ1g1A7- 5 F- Permit Number: 093;f Y O No one available for inspection: Time ''IP ( , M9PM Re-Inspection required: Yes (To) "When corrections have been made, call forge/-inspection at 303-234-5933 Date: S / Inspector: DO NOT REMOVE THIS NOTICE A 4' City of Wheat Ridge Residential Roofing PERMIT - 093244 PERMIT NO: 093244: 'ISSUED: 10/12/2009 JOB .ADDRESS:. 3692 WRIGHT ST EXPIRES: 04/10/2010 DESCRIPTION.: Reroof `24 sqs CONTACTS owner 303/424-5261 Betty Junghaene sub 248/594-3188 019232 Belfor USA :Group, Inc. **PARCEL INFO ZONE CODE: UA .'USE: UA SUBDIVISION:' 0700 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,400.00 FEES Permit Fee 199.30 tG Total Valuation .00 Use Tax ..133.20 z t P i r TOTAL 332.50 Conditions:` 6 nail installation & mid roof inspection required. Board sheathing spaced more thanes 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from:eave edge to 2' inside exterior walls.` ***Contractor/Property owner shall ;provide ladder(s) secured in place fore: inpsections.'r 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 application and that I assume full responsibility for compliance with the Wheat Ridge Building. code (I.B.C) and,all other applicab a Wheat -Ridge Ordinances for work under this permit. Plans subject to field inspection. Signature of ' tr ct owner ate This per t 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 anyr. 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 the Building Official`. If this permit, expires, a new permit may be acquired fora fee of one-half the amount normally required, provided no changes have been or will be made in the original plans.: and specifications and any suspension or'.abandonment rhas 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;lnew permits :NSPE.CTION REQUEST LINE: (303)234-5933 BUILDING'. OFFICE:(303)235-2855 ' ,EQUESTS MUST: BE MADE BY 3PM`ANY BUSINESS DAY FOR INSPECTION THE 'r FOLLOWING BUSINESS DAY. r 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: 303-234-5933 Property Address: Property Owner (ples Mailing Address: (if different than property address) Address: Date: Plan Permit #:Oq~j City, State, Zip: Contractor: bE -Fop e5liroup tol . .5485 nlyVli~ tE Contractor License M 23-Z) Phone: 303 4- 2-E - 7Q1) Sub Contractors. Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of work: rEmt7 0✓1C' of ~ Taber itnsrt~-! ta~e~' of ~ TES t yob' Construction Value: $ 'Z' 46e , 90 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares Z4 BTU's Gallons Amps 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OOW_N~ER) (CONTRACTOR) or PERSONAL REPRESENTATIVE off VYNER) ( NTRATOR) PRINT NAME: t.-tCC/l, ~CEv3'Ll SIGNATURE: 0 .%.i Date: Building Permit Application ti ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: .oyl f ~ ~~GvyR~€sY Job Address: 3- 7~9 tr Rj:I fr 5r- Permit Number: 09P®Roc7 Rp/1 ~ Sn ~r ~.i e n v a C / ~rrt2 -vim t90 g> J_ ❑ No one available for inspection: Time %/5 AM/PM Re-Inspection required: Yes,`No "When corrections have been made, calf_foorr re-Inspection at 303-234-5933 Date: 71~ffo9 Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: _ 15i 0-L i r 6/ef;a972~ y Job Address: 36 9.2 w,4:a4r- 5T" Permit Number: 09WR07 /.L~~l9"~.+? e/N?7L ~~'~J~ ,P~ ..N~/lf".r°~L/✓~r2 ~ 16t1l , 4 fo . Lt/i ai!~ p p Se Gi~/J17E 2 .rah 7V PV r S~ G7eiJ+~ ❑ No one available for inspection: Time %✓S AM/PM Re-Inspection required: Yes _No When corrections have been made, call for re-inspection at 303-234-5933 ~ Date: 7/n/0 ~d Inspector: ,ems G DO NOT REMOVE THIS NOTICE f ♦ ♦ CITY OF WHEAT RIDGE _ W, Building Inspection Division V r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: A~JeN gmi=' Job Address: .?65P2 S7-" Permit Number: oZ&72o7 7/,UAJ6.~f Af121w/~SIGS✓ 1,iv "7"C7.,% YslPJ ~d~/{g/J6/?7`i~ty Terri t".<+>i1'Y~ll-G9'G+¢Z jL`3 j7r"~!' ✓-So T~. (f( C' l.c. 4- ❑ No one available for inspection: Time So AM/PM kk Re-Inspection required: (1 o "When corrections have been made, call for re-inspection at 303-2345933 rr Date: inspector DO NOT REMOVE THIS NOTICE City of Wheat Ridge )Lae- val.udtiaoil .UU ;e Tax 77.40 ~S TOTAL 222.10 editions: rail installation & mid-roof inspectlon,required: Board sheeting spacedmore en is 1/4 of an inch apart requires plywood overlay on entire roof )Jett to field inspections. tereby certify. that the setback distances proposed by this permit application are accurate, and do not violate applicable linances, rules or regulations of the City of :Wheat Ridge or covenants, easements or restrictions of record; that all surements shown, and allegations made are accurate; that I have read and agree to abide; by all conditions printed on this lication and that I assume full responsibility for compliance withthe Wheat Ridge Building Code i(I.B.C) andall other lit le Wheat' d e Ord` antes, for work under this per It. Pla subject to field inspection. nat e of contractor/owner :dace of ~ This permit was issued in accordance with the. provisions set forth: in your application and is subject to the `flaws 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 maybe grantedt at the discretion of the Building Official. If :this permit expires, a new permit may be acquired for a fee of one half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one :.(1) year. If changes have been or if suspension or abandonment :exceeds one (1) year, full fees shall be paid for a-.new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with 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. All plan review £ to field inspections. )f I~ ature of Chief it g,Official !date PECTION RA VEST LINE: (30.3)234-5933 'BUILDING OFFICE:: (303)235-2855 IUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Building Division a City of Wheat Ridge 7500 W29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Property Address: Property Owner (plea Mailing Address: (if different than property address) Address: City, State, Zip: Date: 6~ I (e N. Plan Permit 06id( Contractor: i3 94 a J Contractor License Sub Contractors: Electrical City License Company: Phone: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): eCpe '60 /Q Construction Value: $ ~ ~ DO Description of work: 9 ( Al 3 T.9 0 f ` s. (as calculated per the Buildiq Valuation Data sheet) O (y C v Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares z;-2L BTU's Gallons Amps OWNERICONTRACTOR 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: ,,((OQOWNER) (CONTRACTOR) or PERSONAL REPRES TATIVE of ( WNER) (CONTRATOR) PRINT NAME:(I~II~SK C^~Y(no4_ i SIGNATURE: .G G Date: DEPARTMENT-USE ONLY ZONING. COMMENTS:. Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS -Reviewer :FIRE: DEPARTMENT:: El approved w/ comments ❑ disapproved 13 -no review required OCCUPANCY: Bldg Valuation: $ Building Permit Application