HomeMy WebLinkAbout3870 Allison StreetA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: � V
.r-•, t e
❑ 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: Inspector:
®O NOT REMOVE THIS NOTICE
i 1 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: '
t
i
i
i
❑ No one available for inspection: Time
Re -Inspection required: Y(s No', )
When corrections have been made, scl;es ule for re -inspection online at:
http://www.ci.wheatridge.co.usrinspect on
Dat-� actor:
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: D \J-) S f �.j
Job Address: 506 cl� `".
Permit Number: -- C)- Q-�, C`�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes ANoi
When corrections have been made, schedule for re -inspection online at:
httpYlwww. ci. wheatridge, co. uarinspection
Date: -'-6 1'c Inspector:"---),
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: P�2 `� b -n
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.ci. wheatridge.co.uslinspection
Date: -7, W r OdO Inspector:
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:
❑ No one available for inspection: Tir
Re -Inspection required: Yes(_ R0_D
When corrections have been made,
hffp✓/www.ci. wheatridge.co. ualinspi
M/P
re -inspection online at:
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 202001247
202001247
3870 Allison St
Remodel of basement bathroom.
Sq ft: 710
ISSUED: 07/15/2020
EXPIRES: 07/15/2021
*** CONTACTS ***
OWNER (407)765-8007 RHOME KRISTINE D
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61500.00
FEES
Total Valuation 0.00
Plan Review Fee 101.89
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 395.14
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
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.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 202001247
202001247
3870 Allison St
Remodel of basement bathroom.
Sq ft: 710
ISSUED: 07/15/2020
EXPIRES: 07/15/2021
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�permrt. 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 performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Sunday, July 5, 2020 6:33:15 PM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 3870 Allison St, Wheat Ridge, CO 80033
Property Owner Name Calen and Kristine Rhome
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
407-765-8007
calenrhome@gmail.com
Electronic -Payment -Form 3870AIIisonSt.odf
APPLICANT INFORMATION
Applicant Name Calen Rhome
What is your role in the Property Owner
project?
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
407-765-8007
Contact Email Address
for Plan Review
Comments
calenrhome@gmail.com
Retype Contractor calenrhome@gmail.com
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Remodel of basement bathroom. Removing current shower that
Work - Provide a
is roughly 3ft in length and extending to 6ft into the current closet
detailed description of
area. Sink area and toilet area will remain in the same locations.
work including
Sink vanity will be updated. Plumping for shower will be extended
mechanical, electrical,
to entrance wall — so extended roughly 3ft. Electrical will stay the
plumbing work
same except for the light in the shower that will be slightly
adjusted to be centered for the length of the shower. We will be
occurring,
laying tile over current flooring and adding tile for the shower
adding/removing walls,
area. The wall and ceiling tested positive for asbestos but only
etc
accounts for around 25sgft that we will be removing which is
under the 32sgft regulations. We are mainly removing the tile
walls inside and outside the shower which tested negative per
the report that is attached.
Location of Work
Basement Bathroom
Square Footage Area
710
of Work Being
Performed
Asbestos Report
Calen Rhome Limited asbestos identification survey 7-2-2020 ndf
Upload letter size
Fleld not completed.
documents here
Construction Plans Bathroom Remodel FloorPlans 3870AIlisonSt.odf
scanned on 11'x17" or
larger
Project Value (contract $3,000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Galen Rhome
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
4
City of
"�
Wh& atVil!(:Age
COMMUNITY DEVELOPMENT
Ficial Certification of Pro
r 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. Propert
y must be in individuals' name, not a company.
Property Owner(s): � /� �� 2 tfi4 tom,- 4.
Project Property: � $ � r; /� �L�
Project
C�
Notarized signature of Applicant
State of Colorado
County of
} ss
The foregoing i�-ns�trument was acknowledged by me this
REBECCALROSEBEARY
NOTARY PUBLIC -STATE OF COLORADO
NOTARY ID 20184017096
MY COMMISSION EXPIRES APR 19, 2022
Notary Public
CO gcc3�
My Commission Expires �/�/20 ZZ
Limited Asbestos Identification Survey
July 2, 2020
Location: Calen Rhome, 3870 Allison Street, Wheat Ridge, Colorado 80033
Due to an anticipated renovation within this property, I did bulk sampling of the respective areas in
question. The suspect materials were sampled on July 2, 2020.
A total of five (5) bulk samples of suspect ACM were collected of the materials in question to provide
adequate representation of the homogenous materials in question.
All samples were analyzed by Polarized Light Microscopy (PLM) at Reservoirs Environmental Inc., an
American Industrial Hygiene Association (AIHA) accredited laboratory. Samples demonstrate that the
identified material samples are as listed within the table by Reservoirs Environmental Inc., following
within this document.
In my opinion, the suspect duct sealer materials are homogenous, due to the age, exposure, and
appearance. Per the table within, the materials tested are as follows:
1. 3870-1-W, lower level bathroom wall/ceiling, off white joint compound and off-white
compound tested positive for asbestos containing materials.
2. 3870-2-W, lower level wall behind wall tile, tested negative (NG) for asbestos containing
materials.
3. 3870-3-W, lower level bathroom wall/ceiling, off white joint compound and off-white
compound tested positive for asbestos containing materials.
4. 38704-F, lower level bathroom floor by doorway,
S. 3870-5-F, lower level bathroom floor in closet doorway,
Abatement by a CDPHE Colorado certified abatement contractor or listed homeowner will be
required for the removal of any drywall materials as afore listed as positive per CDPHE
regulation 8, part B, 2009.
If there are qye.Zons, please call me at 720.272.5946.
David L. Still
CDPHE Building Inspector #19358
ACF -21904
City of
Wheat Ridge
Building Division
11830 West 32nd Avenue Wheat Ridge, Colorado 720.272.5946
80033-6507
Scope of Work:
David Still's inspection incorporated non-destructive sampling techniques and visual inspections in areas
which were visual/accessible. Conditions and/or materials which were not inspected and/or commented
on may very well differ from those which were inspected and/or commented on.
David Still selected sample locations and frequency of sampling based on observations and
requirements, functional spaces and/or the assumption that like materials in the same areas are
homogeneous.
Bulk Sample Analysis:
Bulk material samples may have been analyzed utilizing Polarized Light Microscopy (PLM) analysis and
dispersion staining techniques according to U>S> EPA guidelines (EPA/600R-93/116). This guideline was
developed for use on friable building materials and is not recommended for non -friable building
materials such as floor tiles. Additional analysis is recommended by EPA, such as Transmission Electron
Microscopy (TEM) to confirm negative Polarized Light Microscopy (PLM) results on floor tiles. TEM
analysis requires specific requests from the client due to cost differential.
Bulk material samples may have been analyzed utilizing PLM Point Counting analysis according to the
National Emissions Standard for Hazardous Air Pollutants (NESHAP).
Any materials that contain over one percent (1%) of any type of asbestos is considered Asbestos
Containing Materials (ACM) and must be handled according to State, OSHA and EPA regulations if
disturbed.
According to EPA (NESHAP) as published in Federal Register, 40 CFR, Part 61, Subpart M, and AQCC
Regulation 8, "if the asbestos content is less than ten percent (10%) as determined by a method other
than point counting by polarized light microscopy (PLM), verify the asbestos content by point counting
using PLM.
For purposes of this Environmental Asbestos Building Inspection, friable Asbestos Containing Materials
which are <1.0% by PLM and friable Asbestos Containing Materials which are 1.0% or less by PLM are
considered positive, however, point counting by PLM is required should renovation or demolition of
these materials occur.
Samples are retained for a period of 60 days unless prearranged by the client, in accordance with the
aforementioned regulations.
City of
Wheat Ridge
Building Division
geasgln Inc EI q tM,=6
Rm ,Emve MIOAA Icv O:BOAC{.YIeONaamweEmmmymelpAMe,uai.Ex
RET Reservoirs Environmental, Inc,
July 02, 2020 Subcontractor Number:
Laboratory Report:
RES 466985.1
Project #/P.O. #:
None Given
Project Description:
Calen Rhome, 3870 Allison St.,
Wheat Ridge, Co
David Still
SHC Construction Services Inc.
11830 W. 32nd Avenue
Wheat Ridge CO 80033
Dear David,
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 466965.1 is the job number assigned to this study. This report is considered highly confidential and the
sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of
the U.S. Government. This report shall not be reproduced except in full, without written approval from
Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.
If you have any questions about this report, please feel free to call 303-964-1986.
Sincerely,
.; N'OvdeI E,MM
Jeanne Spencer
President
City of
Wheat Ridge
Building Division
R.iw�isu,wa sao,iae.s,.w.,w. w.,..coem,e
riwa�manE
RESERVOIRS ENVIRONMENTAL INC.
NVLAP lab gond 1019964
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number
RES 4fi6985-1
0ry
SHC Construction Services Inc.
Client Project Number) P.O.:
None Given
Client Project Description:
Calan Rhome, 3070 Alllson SL, Wheat Ridge, Cc
Dale Samples Received
July 02, 2020
Method
EPA 600IRAWl16-Short Report, Bulk
Turnaround
Priority
Date Samples Analyzed:
July 02, 2020
a.M1gNMGrran Em�mumv,Y.Wr2 AImo!
ND=Nona Domestic
TR=Txe, <1%visual Eadwale
TreMAq=TmTtlhdMlintlile
ClientNita
Semple
Number
A Sud
V PM1yaiw3 can
E Description
R (%)
A9IIEBt06 COnfgM
Mineral Visual
!Estimate
(0/6)
A6beaux
Fibrous
Components
1%7
Non
Fibrous
Components
1%
3670-1-W
A Otf elute pint canpouM 6
Chryeo6le 3
0
97
B Were Ups 9
ND
90
10
C Off Mute/multi-colored paint 10
ND
0
100
D Off Watecolnpound 25
Chrysotile 2
0
98
E O6 whitellen dryrall 50
ND
16
84
3010.2-W
A Bmvrn resinous materiel T
NO
0
100
B OU wfiiU plaster 93
ND
0
100
387(SW
AOR wtakdrmlti ored paint 3
ND
0
100
B Whrte Ups 3
ND
90
10
C off white joint oampound 4
Chrysotile 2
0
95
DOff whue wmpoura 5
Chmorle 2
0
96
E OR whiteltan drywall 85
ND
16
84
3810-0-F
A Tan adhesive 4
NO
0
100
B Gmylmuld-wooled floor ids 96
China le 4
0
96
TEM Analysis recommended forotgenically bound Meat (ia. face tile) If PLM results are <1 %.
sm, lx�.Wa.9m �W, amv.we#�e
PVa, uz
City of
Wheat Ridge
Building Division
RESERVOIRS ENVIRONMENTAL INC.
wl-dP Lab Code 101898E
TABLE: PLM BULLA ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number.
RES 466988-1
Client:
SHC Construction Services Inc.
Client Project Number IPO.:
None Given
Client Project Desorption:
Calen Rbome, WD Allison St, What Ridge, Cc
Date Samples Received:
July 02, 2020
n,o `M
"ni EPA 60UIR4)X116-Short Report, Bulk ND:=DNeaea
Turnaround: priority TR=Trace. �1%visual Estimate
Data Samples Analyred July 02, 2020 TmMAd=TmmdiWMhwlile
Client
ASba6t08 Content
Non
Non -
Sample
A
Psbeatoa
Fibrous
Number
Y Physical pan
Mineral Visual
Fibrous
Components
RDescription
;Estimate
Components
(%)
(w)
M)
(%)
88TPSF
A Yellow aEtresive TR
NO
0
100
B Brawn adhesive 8
NO
0
100
C Light gray/mum-colored floor file 92
Chrysotile 6
0
96
TEM Analysis recommended for organically bound matmial (i.e. floor did) fl PLM results are a1%.
a. m"m tw
^+ t
w rwm � Iso. o. ..wrano
Analyst / Data OA
City of
Wheat Ridge
Building Division
a FEReservairs Environmental, Inc. RES Job#: 466985�b�
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Wheat Ridge
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a
7J,
Lot
U
x
O
a1
N
FM
BEDROOM
PROPOSED FLOOR PLAN
88
33 1 201/2 1
1
16 516 1 717/16
103116
Mechanical exhaust required 50 cfm
or intermittent 20 cfm Conti us
77
TOILET �
HALF WALL U f
CABINET R
SHOWER
1 E �M
14 1116 1 733116
ru
30 231n /331/2
13.16 a 1rz
Shower head location. Shower heads shall be so located on the sidewall of the
shower compartments or be arranged so the shower head does not discharge
directly at the entrance to the compartment and the bather can adjust the valve
prior to stepping into the shower spray. (Colorado Plumbing Code)
ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
ALL Projects are
Subject to Field Inspections
ALL WORK SHALL COMPLY WITH
2018 IRC and 2017 NEC
Light must be rated
for damp locations
City of
•" ,O WUNI'lheal p,@ e
APPROVED
Reviewgd for Code Complianee
Randy Slusser 7/08/2020
Plans Examiner Date
validity of oermll: The issuance of a permit or gpprovol of pkns spectfkattons
and computations shag riot be a permit for, or on approvol of, ony wotobon an
any of the provisions o/ Me budding code or of oW City ordina►ces. Permits
presumng to give outbonry to vdWoltt or concel the prwis ons of ttte
coda or other ordlnoom of tit Oty sW not be WA
BEDROOM
ORIGINAL FLOOR PLAN
33
1
201!2 33112
165116
717/16
103116
SINK
1
TOILET
,I
SHOWER
CLOSET
54 518
1 6
1 27 318
30 1
23 318 1 6 1 27 318
13116
1 54 112
1 331/2
KITCHEN
City of
Wheat Ridge
Building Division
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 202001247
202001247
3870 Allison St
Remodel of basement bathroom.
Sq ft: 710
ISSUED: 07/15/2020
EXPIRES: 07/15/2021
*** CONTACTS ***
OWNER (407)765-8007 RHOME KRISTINE D
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61500.00
FEES
Total Valuation 0.00
Plan Review Fee 101.89
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 395.14
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
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.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 202001247
202001247
3870 Allison St
Remodel of basement bathroom.
Sq ft: 710
ISSUED: 07/15/2020
EXPIRES: 07/15/2021
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�permrt. 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 performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Sunday, July 5, 2020 6:33:15 PM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 3870 Allison St, Wheat Ridge, CO 80033
Property Owner Name Calen and Kristine Rhome
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
407-765-8007
calenrhome@gmail.com
Electronic -Payment -Form 3870AIIisonSt.odf
APPLICANT INFORMATION
Applicant Name Calen Rhome
What is your role in the Property Owner
project?
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
407-765-8007
Contact Email Address
for Plan Review
Comments
calenrhome@gmail.com
Retype Contractor calenrhome@gmail.com
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Remodel of basement bathroom. Removing current shower that
Work - Provide a
is roughly 3ft in length and extending to 6ft into the current closet
detailed description of
area. Sink area and toilet area will remain in the same locations.
work including
Sink vanity will be updated. Plumping for shower will be extended
mechanical, electrical,
to entrance wall — so extended roughly 3ft. Electrical will stay the
plumbing work
same except for the light in the shower that will be slightly
adjusted to be centered for the length of the shower. We will be
occurring,
laying tile over current flooring and adding tile for the shower
adding/removing walls,
area. The wall and ceiling tested positive for asbestos but only
etc
accounts for around 25sgft that we will be removing which is
under the 32sgft regulations. We are mainly removing the tile
walls inside and outside the shower which tested negative per
the report that is attached.
Location of Work
Basement Bathroom
Square Footage Area
710
of Work Being
Performed
Asbestos Report
Calen Rhome Limited asbestos identification survey 7-2-2020 ndf
Upload letter size
Fleld not completed.
documents here
Construction Plans Bathroom Remodel FloorPlans 3870AIlisonSt.odf
scanned on 11'x17" or
larger
Project Value (contract $3,000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Galen Rhome
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
4
City of
"�
Wh& atVil!(:Age
COMMUNITY DEVELOPMENT
Ficial Certification of Pro
r 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. Propert
y must be in individuals' name, not a company.
Property Owner(s): � /� �� 2 tfi4 tom,- 4.
Project Property: � $ � r; /� �L�
Project
C�
Notarized signature of Applicant
State of Colorado
County of
} ss
The foregoing i�-ns�trument was acknowledged by me this
REBECCALROSEBEARY
NOTARY PUBLIC -STATE OF COLORADO
NOTARY ID 20184017096
MY COMMISSION EXPIRES APR 19, 2022
Notary Public
CO gcc3�
My Commission Expires �/�/20 ZZ
Limited Asbestos Identification Survey
July 2, 2020
Location: Calen Rhome, 3870 Allison Street, Wheat Ridge, Colorado 80033
Due to an anticipated renovation within this property, I did bulk sampling of the respective areas in
question. The suspect materials were sampled on July 2, 2020.
A total of five (5) bulk samples of suspect ACM were collected of the materials in question to provide
adequate representation of the homogenous materials in question.
All samples were analyzed by Polarized Light Microscopy (PLM) at Reservoirs Environmental Inc., an
American Industrial Hygiene Association (AIHA) accredited laboratory. Samples demonstrate that the
identified material samples are as listed within the table by Reservoirs Environmental Inc., following
within this document.
In my opinion, the suspect duct sealer materials are homogenous, due to the age, exposure, and
appearance. Per the table within, the materials tested are as follows:
1. 3870-1-W, lower level bathroom wall/ceiling, off white joint compound and off-white
compound tested positive for asbestos containing materials.
2. 3870-2-W, lower level wall behind wall tile, tested negative (NG) for asbestos containing
materials.
3. 3870-3-W, lower level bathroom wall/ceiling, off white joint compound and off-white
compound tested positive for asbestos containing materials.
4. 38704-F, lower level bathroom floor by doorway,
S. 3870-5-F, lower level bathroom floor in closet doorway,
Abatement by a CDPHE Colorado certified abatement contractor or listed homeowner will be
required for the removal of any drywall materials as afore listed as positive per CDPHE
regulation 8, part B, 2009.
If there are qye.Zons, please call me at 720.272.5946.
David L. Still
CDPHE Building Inspector #19358
ACF -21904
City of
Wheat Ridge
Building Division
11830 West 32nd Avenue Wheat Ridge, Colorado 720.272.5946
80033-6507
Scope of Work:
David Still's inspection incorporated non-destructive sampling techniques and visual inspections in areas
which were visual/accessible. Conditions and/or materials which were not inspected and/or commented
on may very well differ from those which were inspected and/or commented on.
David Still selected sample locations and frequency of sampling based on observations and
requirements, functional spaces and/or the assumption that like materials in the same areas are
homogeneous.
Bulk Sample Analysis:
Bulk material samples may have been analyzed utilizing Polarized Light Microscopy (PLM) analysis and
dispersion staining techniques according to U>S> EPA guidelines (EPA/600R-93/116). This guideline was
developed for use on friable building materials and is not recommended for non -friable building
materials such as floor tiles. Additional analysis is recommended by EPA, such as Transmission Electron
Microscopy (TEM) to confirm negative Polarized Light Microscopy (PLM) results on floor tiles. TEM
analysis requires specific requests from the client due to cost differential.
Bulk material samples may have been analyzed utilizing PLM Point Counting analysis according to the
National Emissions Standard for Hazardous Air Pollutants (NESHAP).
Any materials that contain over one percent (1%) of any type of asbestos is considered Asbestos
Containing Materials (ACM) and must be handled according to State, OSHA and EPA regulations if
disturbed.
According to EPA (NESHAP) as published in Federal Register, 40 CFR, Part 61, Subpart M, and AQCC
Regulation 8, "if the asbestos content is less than ten percent (10%) as determined by a method other
than point counting by polarized light microscopy (PLM), verify the asbestos content by point counting
using PLM.
For purposes of this Environmental Asbestos Building Inspection, friable Asbestos Containing Materials
which are <1.0% by PLM and friable Asbestos Containing Materials which are 1.0% or less by PLM are
considered positive, however, point counting by PLM is required should renovation or demolition of
these materials occur.
Samples are retained for a period of 60 days unless prearranged by the client, in accordance with the
aforementioned regulations.
City of
Wheat Ridge
Building Division
geasgln Inc EI q tM,=6
Rm ,Emve MIOAA Icv O:BOAC{.YIeONaamweEmmmymelpAMe,uai.Ex
RET Reservoirs Environmental, Inc,
July 02, 2020 Subcontractor Number:
Laboratory Report:
RES 466985.1
Project #/P.O. #:
None Given
Project Description:
Calen Rhome, 3870 Allison St.,
Wheat Ridge, Co
David Still
SHC Construction Services Inc.
11830 W. 32nd Avenue
Wheat Ridge CO 80033
Dear David,
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 466965.1 is the job number assigned to this study. This report is considered highly confidential and the
sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of
the U.S. Government. This report shall not be reproduced except in full, without written approval from
Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.
If you have any questions about this report, please feel free to call 303-964-1986.
Sincerely,
.; N'OvdeI E,MM
Jeanne Spencer
President
City of
Wheat Ridge
Building Division
R.iw�isu,wa sao,iae.s,.w.,w. w.,..coem,e
riwa�manE
RESERVOIRS ENVIRONMENTAL INC.
NVLAP lab gond 1019964
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number
RES 4fi6985-1
0ry
SHC Construction Services Inc.
Client Project Number) P.O.:
None Given
Client Project Description:
Calan Rhome, 3070 Alllson SL, Wheat Ridge, Cc
Dale Samples Received
July 02, 2020
Method
EPA 600IRAWl16-Short Report, Bulk
Turnaround
Priority
Date Samples Analyzed:
July 02, 2020
a.M1gNMGrran Em�mumv,Y.Wr2 AImo!
ND=Nona Domestic
TR=Txe, <1%visual Eadwale
TreMAq=TmTtlhdMlintlile
ClientNita
Semple
Number
A Sud
V PM1yaiw3 can
E Description
R (%)
A9IIEBt06 COnfgM
Mineral Visual
!Estimate
(0/6)
A6beaux
Fibrous
Components
1%7
Non
Fibrous
Components
1%
3670-1-W
A Otf elute pint canpouM 6
Chryeo6le 3
0
97
B Were Ups 9
ND
90
10
C Off Mute/multi-colored paint 10
ND
0
100
D Off Watecolnpound 25
Chrysotile 2
0
98
E O6 whitellen dryrall 50
ND
16
84
3010.2-W
A Bmvrn resinous materiel T
NO
0
100
B OU wfiiU plaster 93
ND
0
100
387(SW
AOR wtakdrmlti ored paint 3
ND
0
100
B Whrte Ups 3
ND
90
10
C off white joint oampound 4
Chrysotile 2
0
95
DOff whue wmpoura 5
Chmorle 2
0
96
E OR whiteltan drywall 85
ND
16
84
3810-0-F
A Tan adhesive 4
NO
0
100
B Gmylmuld-wooled floor ids 96
China le 4
0
96
TEM Analysis recommended forotgenically bound Meat (ia. face tile) If PLM results are <1 %.
sm, lx�.Wa.9m �W, amv.we#�e
PVa, uz
City of
Wheat Ridge
Building Division
RESERVOIRS ENVIRONMENTAL INC.
wl-dP Lab Code 101898E
TABLE: PLM BULLA ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number.
RES 466988-1
Client:
SHC Construction Services Inc.
Client Project Number IPO.:
None Given
Client Project Desorption:
Calen Rbome, WD Allison St, What Ridge, Cc
Date Samples Received:
July 02, 2020
n,o `M
"ni EPA 60UIR4)X116-Short Report, Bulk ND:=DNeaea
Turnaround: priority TR=Trace. �1%visual Estimate
Data Samples Analyred July 02, 2020 TmMAd=TmmdiWMhwlile
Client
ASba6t08 Content
Non
Non -
Sample
A
Psbeatoa
Fibrous
Number
Y Physical pan
Mineral Visual
Fibrous
Components
RDescription
;Estimate
Components
(%)
(w)
M)
(%)
88TPSF
A Yellow aEtresive TR
NO
0
100
B Brawn adhesive 8
NO
0
100
C Light gray/mum-colored floor file 92
Chrysotile 6
0
96
TEM Analysis recommended for organically bound matmial (i.e. floor did) fl PLM results are a1%.
a. m"m tw
^+ t
w rwm � Iso. o. ..wrano
Analyst / Data OA
City of
Wheat Ridge
Building Division
a FEReservairs Environmental, Inc. RES Job#: 466985�b�
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City of
Wheat Ridge
Building Division
va0
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pWN,I "OR 020113437
S.nWenCn:un: ACCEPTASL INTACT
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City of
Wheat Ridge
Building Division
a
7J,
Lot
U
x
O
a1
N
FM
BEDROOM
PROPOSED FLOOR PLAN
88
33 1 201/2 1
1
16 516 1 717/16
103116
Mechanical exhaust required 50 cfm
or intermittent 20 cfm Conti us
77
TOILET �
HALF WALL U f
CABINET R
SHOWER
1 E �M
14 1116 1 733116
ru
30 231n /331/2
13.16 a 1rz
Shower head location. Shower heads shall be so located on the sidewall of the
shower compartments or be arranged so the shower head does not discharge
directly at the entrance to the compartment and the bather can adjust the valve
prior to stepping into the shower spray. (Colorado Plumbing Code)
ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
ALL Projects are
Subject to Field Inspections
ALL WORK SHALL COMPLY WITH
2018 IRC and 2017 NEC
Light must be rated
for damp locations
City of
•" ,O WUNI'lheal p,@ e
APPROVED
Reviewgd for Code Complianee
Randy Slusser 7/08/2020
Plans Examiner Date
validity of oermll: The issuance of a permit or gpprovol of pkns spectfkattons
and computations shag riot be a permit for, or on approvol of, ony wotobon an
any of the provisions o/ Me budding code or of oW City ordina►ces. Permits
presumng to give outbonry to vdWoltt or concel the prwis ons of ttte
coda or other ordlnoom of tit Oty sW not be WA
BEDROOM
ORIGINAL FLOOR PLAN
33
1
201!2 33112
165116
717/16
103116
SINK
1
TOILET
,I
SHOWER
CLOSET
54 518
1 6
1 27 318
30 1
23 318 1 6 1 27 318
13116
1 54 112
1 331/2
KITCHEN
City of
Wheat Ridge
Building Division
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type -
Job Address:
Permit Number: 0 Q 71
A>'
�tJ
IVV t
❑ No one available for inspection: Time : L`' AM/PM
Re -Inspection required: OGe No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. whea tridge. co. ueinspection
Date: ? Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: J.'-
Job Address: U I
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. ci. wheatridge. co. uslinspection
Date: ` "� t. �` Inspector:
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
E -Res. Evaporative Cooler Repl PERMIT - 201901203
PERMIT NO: 201901203 ISSUED: 06/12/2019
JOB ADDRESS: 3870 Allison St EXPIRES: 07/31/2020
JOB DESCRIPTION: Replace rooftop evaporative cooler with rehook; 5500 SEER
*** CONTACTS ***
OWNER (303)422-5308 RHOME CALEN & KRISTINE
SUB (303)962-9532 STEVE BRANDT 021365 THE COOLER COMPANY
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,000.00
FEES
Evaporative Cooler 40.00
Total Valuation 0.00
Use Tax 84.00
** TOTAL ** 124.00
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parttes 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
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicgMyode or any o�4nance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chie{Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City cA
W heat I,ge
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may be granted at the
discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permits(a,ci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension: Calen Rhome
Permit # 201901203 Property Address: 3870 Allison St, Wheat Ridge, CO 80033
Phone # 407-765-8007 Email Address: calenrhome@gmail.com
Reason for extension request: The Cooler Company pulled a permit on our behalf for our swamp cooler Installation that took
place in June 2019. We had no clue we had this permit opened until we called a week ago for our final inspection for our kitchen
remodel and the city dnfnrmerd nc of thin open ,iermdt We need to call final nn it hut can'tbecause it iS 9 weakc pact the 1 year
deadline. We would have called for our Finals earlier this March and would have found out about this additional permit but we
couldn't because of Covid.We wou do y as or an extension lust so we can call for our dna inspection of the swamp coo er
that was installed and completed a year ago. Thank you for you time.
Number of days requested: 30 Days
Printed Name: Calen Rhome Signature: Date: June 27, 2020
For office use only ')
This request has been: [-App ved ❑ Denied Extended until• /
Approved by: Date:�j
www.ci.wheatridge.co.us
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: CTS
F
❑ No one available for inspection: Tir AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci.wheatridge.co.usrinspection
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:��
Job Address:
Permit Number: CD U `c, L Q, 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: � 1 "( - k `), Inspector:
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: t� \6, Cj 0 i
f !!A' tc
❑ No one available for inspection: Time 56 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
Inspector:
DO NOT REMOVE THIS NOTICE
2-0(c7 U / 5, S
This home has been professionally insulated with
T= 0 Owens Corning
ualauaalaR>AImMe PROPINKe-L77 PINK Fiberglas's Unbonded Loosefill Insulation
(Job Site Address)
Name
Address
City _,
v-
/i
-/., PA d ;41 /=
State CO Zip
Owens Corning PROPINK® L77 PINK Fiberglas' Unbonded Loosefill Insulation
Owens Corning will accept no responsibility when the product is not installed in accordance with the product label Stated R -value is provided by installing the required
number of bags at a thickness not less than the labeled minimum thickness. installation of the required number of bags may vield more than the specified minimum thickness
Failure by the installer to provide both the required bags and at least the minimum thickness will result in lower insulation R -value.
Specification for Open Now Attics
New Construction
Retmfa
Number of bags used
Estimated Rvalue of
previous insulation
Area of coverage (sq. ft.)
Othertype(s) of
insulation in attic
Thickness of insulation
Depth of previous
insulation
Walls
tfdt'; � JeriYia. ;n�It,SI: k . Tlr.'4k341+' _
35 {7x4? 3 920 11.5 0.379
3-5 (2x4) 5 754 131 0438
.1
55 ()x61 —S54- lel 0596
24 55 r2x61, '.8 40.0 250 0625
Floors
Foil
FS -25 R -Value Thickness
-
Ceilings ❑
all',❑
31 2xB 14 '90
2i6
0:9 -it
39 2x10 14 70.6
327
1079
48 2x12 1 S 23.5
426
406
Cathedral Ceiling
❑
❑
Rmh1t Killim"
kat Moll CF1Yr tilt"*
2xN _
is
0,6-
,6=304
Walls ❑
30 4
0G.
.., .... _ ..
369
Th,sproductsM neg1,,;"se•'.:"..
Loosefdl insulations vary in thermal performance due to factors such as aging, mean temperature, settlement. convection, moisture absorption and irstallat+on vanano,
Convection in glass loosefiil irsulation installed in open attics can reouce its thermal performance in extreme winter temperatures during the neaung season
Blanket Insulation
Blanket and batt fiber glass insulation, when installed according to the manufacturers recommendations, will provide the stated R -Value f R- i 6 m a 5.5" cavity
R -VALUE
To obtain an insulation resistance (R) of R-38 R -38C R-30 R -30C R-25 R-22 R-21 R-19 R-15 R-13 R -k I
MINIMUM THICKNESS
Installed insulation should be* IT' 10.25" 9,51 8 25" 813" 5 S.. 35'
THE FOLLOWING PRODUCTS HAVE BEEN INSTALLED AS SPECIFIED ABOVE:
Kraft Unfaced
Foil
FS -25 R -Value Thickness
No-pkgs. Coverage Area
Ceilings ❑
all',❑
❑ _ Lll 1 r,�
c,tL ��� -
❑
❑
❑
❑
— .
Floors ❑
❑
❑
❑
Walls ❑
❑
❑
❑
Basement ❑
❑
❑
❑
❑
❑
❑
❑ _
Crawispace ❑
❑
❑
❑ __..._
❑
❑
❑
❑
Contractor Denver Insulation
Datet uilder
Dave
�+
Company
Compony
;Signature;
Address 1356 w custer pl Denver, CO 80223
ia•y'-'G'r..-.
Address
Phone 7203552936
Phone
OWENS CORNING INSULATING SYSTEMS, LLC "
ONE OWENS CORNING PARKWAY _
• a • TOLEDO. OHIO, USA 43659 Pub. No 45145-D Printed inLS.A July 2009 THE PINK FANTHER"
1 -800 -GET -PINK' 01964-2009 Metro-Goldwyn-Maye1 Studios Inc All R ghts Re;-e,ve0
IAIIUMt f01111or www.owenscorning.com The color PINK is a registerecitradernarkofOwens CorNrg 020090vvensCann,t
SS �`
a
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: - ` - \ �\ (� r
Job Address:
Permit Number: Ql 0�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
h ttp✓/www. ci. wheatridge. co, usllnspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
�2.mcc�N
Inspection Type: Vim-, � a `r'' C--
Job Address: 2?'V� Cay a 1 \ i! -
Permit Number: <21'
A
❑ No one available for inspection: Time p AM/PM
Re -Inspection required: Yes No)
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. uslinspection
ti
Date: 'fir / Inspector:_
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE r,
1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: (L �4 0 n- C
Job Address: -10 N � \ , � '
Permit Number: 0 ! c: u I �-,
❑ No one available for inspection: Time C �' �AM/PM
Re -Inspection required: /Yep No
When corrections have been made, call for re -inspection at 303-234-
03-234-
Date:—
Date:
Inspector:
Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: � � I,
Job Address:
Permit Number:
❑ No one available for inspection: Time
Re -Inspection required: Yes Na ,'
When corrections have been made, call for re -inspection at
Dater _ i Inspect- .
t
M
City of Wheat Ridge
Residential Remodel PERMIT - 201901555
PERMIT NO: 201901555 ISSUED: 08/06/2019
JOB ADDRESS: 3870 Allison St EXPIRES: 08/05/2020
JOB DESCRIPTION: Vaulted ceiling in living room, dining room, and kitchen - 700 sq ft total;
no electrical
**REVISION: Kitchen remodel, no layout change, replacing countertops,
cabinets, appliances, installing can lights and outlets; Added valuation:
$10,000.00
*** CONTACTS ***
OWNER (407)765-8007 RHOME CALEN & KRISTINE
GC (303)960-6061 BROCK MIERA 190211 MIERA & SON CONSTRUCTION
SUB (720)222-9619 CASEY COLBERT 190244 GC ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
Total Valuation
Plan Review Fee
Use Tax
Permit Fee
** TOTAL **
*** COMMENTS ***
ESTIMATED PROJECT VALUATION
FEES
0.00
194.61
323.61
299.40
817.62
15,410.00
*** 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 - 201901555
PERMIT NO: 201901555 ISSUED: 08/06/2019
JOB ADDRESS: 3870 Allison St EXPIRES: 08/05/2020
JOB DESCRIPTION: Vaulted ceiling in living room, dining room, and kitchen - 700 sq ft total;
no electrical
**REVISION: Kitchen remodel, no layout change, replacing countertops,
cabinets, appliances, installing can lights and outlets; Added valuation:
$10,000.00
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by, the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to b�pe-rformed ' osed in this document and/or its' accompanying approved plans and specifications.
, - C� �-- 1/3/11
Signature of OWNS or``tbNTRACTOR Circle one) Date
1. This perms s i ued based on the information provided in the permit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off tial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permits all not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or ordinance or r gelation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
Wheat jge-
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email:eerrmits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: J
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: � D LmU n S4.
Property Owner (please print): (1ai6,n '� V-rkc,�-, r\p (2ho�yU Phone: 1 0-7
Property Owner Email: %D1 Of) Q hD�In2 (Yt-'�) 1 C om
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Submitting Company: GC C 1eC, >y< \ (\
Contact Person: Phone:
Contractor: & OC` 1- - 'l aAe- as ��yI Q -
.J
Contractors City License #: Phone:
Contractor E-mail Address:
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:
r I� 1 �C �� n �-v d e
co nla (caie�+�•, I ' c..r�ki'ivOS, �np+,n���
tr C an t i c�lr��s o .A0 e ts, e -II
�C of " V K- 0 F W P uL Ls Du 2 t ►`h �!'lv r: C 41(, 1 vL
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 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: (OWNS (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �4"*,Y)� V-YWYMf SIGNATURE: 'V —C-0— DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation:
A Work shall comply with the
following codes: 2012 IRC, 2012
IECC &dMM NEC,oic rP�o
C)cA-j Cv 0�
�rC_Cw,r�
4Cr
City of
JoKwheatp-c
i
MUP4M D"tormMT
APPROVED
Reviewed for Code Compiial e
L ? AL3----- -- --� - ,
Plan; t sarewer Date
y*ditv_ot_pwf* The nsuan(e of o prrnIrr w opprovoi of plans speafXatwm
and computations shot! not be v permit 1w, w - opp-4 of, onv emotion to
aey of the provisions of the building code or of any City ordinances. AMnas
pnsuminp to give ourhorMy to viobte deaeseN the provisims Oft* OWWV
cadet or ~ ordinances of the City shall not be valid.
i
�Y"`neer
�'Jca.--J•�c� v� nit_
252 IM
-.1-9-------------------- i
Ca
.._9—_—.___------_.____._-
Carbon monoxide detector (s) shall
be installed outside of each separate
sleeping area in the immediate
vicinity of the bedrooms per R315.1
Smoke alarms shall be required in
each sleeping room and outside each
sleeping area per 2012 IRC, Section
t*-. 31 `f
Carbon monoxide detector(s)
required within 15 ft of all sleeping
areas.
G" of
WnoRIAIA
004
I.
lm—"®
- - - - - - - - - -
NIB
- r - �- - - "L
- :l L
I LN'L q�l 1�: I 90L
J6 1 2 1 ej %j a .. - - -
cijy of
low I?Ict..
Ow'ding Dives 0
all
cijy of
low I?Ict..
Ow'ding Dives 0
C11y D
Wh6atP*j4d e
c�mMuN1Tv DEVFL.OPMENT
SUB -CONTRACTOR AUTHORIZATION FOR,Np �"
Phis forth must be signed by each sub -contractor.
This form will not he accepted %iith missing information.
Subcontractor's City of Wheat lodge License number must lie provided in the applicable space.
Subcontractor's insurance and license must he up to date prior to permit issuance.
Project Address:3snAosw,scwtw*tnkdmcoew= Permit#: sotsoins
Central Contractor: Brock wwa a son consinmi +,
Electrical Sub -Contractor
Company Name: GC Etectm Phone #: 720.222.9619
State LiCense #: EC.0101482 Luster #: mE.t]6=55
M livat Ridge 1 iveii%v 0. 12Q., (required field)
Signature Authorized Advent Date
Plumbing Sub -Contractor
Company ;untie: Phone M
State License #: Master #:
Wheat diidpw 1 ivenw 9 (required belt)}
Signature of Authorized Agent Date
Mechanical Contractor
Comliaut \AAV: Phone:
Nh,•it Ridge 1 avnwst:_ (required field)
Signature of Authorized Agent Dane
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1 r 5
Job Address:
Permit Number: c> ` G
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 7 - I -y , 1 6, Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: `.
Permit Number:
❑ No one available for inspection: Time I AM/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date:— d Inspector: '
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
� Residential Remodel PERMIT - 201901555
PERMIT NO: 201901555 ISSUED: 08/06/2019
JOB ADDRESS: 3870 Allison St EXPIRES: 08/05/2020
JOB DESCRIPTION: Vaulted ceiling in living room, dining room, and kitchen - 700 sq ft total
*** CONTACTS ***
OWNER (407)765-8007 RHOME CALEN & KRISTINE
GC (303)960-6061 BROCK MIERA 190211 MIERA & SON CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00
FEES
Total Valuation 0.00
Plan Review Fee 91.59
Use Tax 126.00
Permit Fee 140.90
** TOTAL ** 358.49
*** 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.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am le ally authorized to include alr entities named within this document as partes to the work to be
performed and that allfwgrlc be perormed is disclosed in this document andlor its' accompanying approved plans and specifications.
Signature o OWNE or CONTRACTOR (Circle one) Date '5' !' /
I . This permit was'issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This pennit 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 pernrt fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5 The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a pen -nit for, or an approval of, any violation of any provision of any
lic
appable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat �iclge
COMMUNITY DEVELOPMENT
Building & Inspection Services /��
7500 W. 29th Ave., Wheat Ridge, CO 80033 N( i�
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridpe.co.us
FOR OFFICE USE ONLY
Date: -72qj '
Plan/Permit #
20 M 10"59
Plan Review Fee: 42 #T(. Q
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: L10 Ali►Son
51-
S3OU33
Property Owner (please print): 0_z�eh
ah A
IGn5V,ne.
r2Ho,rne_
Phone: y0-1 •1 (e5 L7o6-1
Property Owner Email: ('\e rti tzh e �' 4ma l • C o�1
Tenant Name (Commercial Projects Only) N f�
Property Owner Mailing Address: (if different than property address)
Address: SAme a S 3hoy2
City, State, Zip:
Architect/Engjneer: 6&M 5g.� Fwe TH 5L A s s o c/ q-T4_s,, /A/C,
Architect/Engineer E-mail: �SAnn�54yF4Rrt+ cow, Phone: 3o3 -747-,77-12
Contractor Name: 'g(u Ck r- t �f_�D
City of Wheat Ridge License #: TGO t� , Phone:._1 &P
Contractor E-mail Address: _T 9j 0
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): C Mee aV)oM f_ Phone: LA01 -I IQS '`300_)
CONTACT EMAIL(p/ease print): CAL ktJ Q tio-4'�) a^ At L • c.o .4.,
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.
VOQ\k\n� cakt tn5$ \Vn 1\Vly\yooM and d%h,n� foJM �r4, V.�kC✓Ae,v\
Sq. Ft./LF ` -ICC k 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)
$ G,Ccc�
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.
CIRCLEONE: EWN R) (CONTRACTORGTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): C-'� '- DATE: 2 /
Printed Name: � A I -CA/ tZ 1+04A4A _
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPENT C MMENT
Reviewer:
-771 14t
PUBLIC WORKS COMMENTS:
Reviewer:
CONSTRUCTION TYPE:
Building Division Valuation: 61 000
BRIAN SEYFERTH & ASSOCIATES, INC.
PROFESSIONAL ENGINEER
June 17, 2019
Brock Miera
Miera & Son Construction
7948 Eagle Feather Way
Lone Tree, Colorado 80124
Re: Residential Remodel
3870 Allison Street
Wheat Ridge, Colorado
Dear Brock:
tiaa`.FV
�
tU1 t i
Pe .
At your request our firm visited the single-family residence at the above-mentioned
address. The purpose of our site visit was to determine the work required to vault the
existing living room/kitchen area.
The new ridge beam is to be (3) 13/4 x 18" LVL's. The maximum span is 25'-3" clear.
The beam is to bear on a (4) 2x4 stud pack on each end. Connect the LVL beam to the
stud pack with Simpson LCE4 post caps. See detail for LVL screw requirements.
The studpack on the south end shall bear on a new (2) 13/4" x 9'/4 LVL header over the
existing kitchen window. The new LVL header shall bear on (2) 2x4 trimmers on each
end. Verify the trimmers do not bear over the existing south basement window.
The studpack on the north end shall bear on the existing wall sill plate at the first floor.
Verify there is solid blocking between the bottom of the studpack and the new column in
the basement. Install a new 3" x 11 gage adjustable pipe column in the basement
directly below the column above. Install a new 32" x 32" x 8" concrete footing beneath
the new pipe column. Reinforce with (3) #5 rebar each way. See enclosed detail.
Sister the existing 2x6 roof rafters with 2x8's. The new sistered roof rafters will need to
have a birds mouth cut to provide a level bearing seat on the LVL beam. Attach each
existing roof rafter to the new beam with a Simpson H2.5 hurricane clip. See closed
detail. fl
`/ HE ti
If you have any questions, please feel free to contact us.
�= 26326
?Sincery,ALpher D. Caleyy�. 5583 South Prince Street • Littleton, Colorado 80120.
///Office (303) 797-7772 - Fax (303) 797-7773 • E-mail bsa@seyferth.com
C
L
F
L
C
L
C
c
c
I
PROJECT:
RIDGE
BEAM
DETAIL
3870 ALLISON ST.
WHEAT RIDGE, CO
BRIAN SEYFERTH & ASSOCIATES, INC.
PROFESSIONAL ENGINEER
5583 South Prince Street
Littleton, Colorado 80120
Phone: (303) 797-7772
Fax: (303) 797-7773
e—mail: bsa®seyferth.com
PROJECT NO: 19293
DRAWN: CDC
CHECKED:
DATE: 6/17/19
REVISED:
TI TLE:
SHEET:
1
POST IN
BASEMENT TO
ALIGN WITH POST
AT MAIN FLOOR
EXISTING
NON-BEARING
STUD WALL
SAWCUT EXISTING SLAB
FOR INSTALLATION OF I
NEW CONCRETE FOOTING
(4) 2x4 STUD PACK
EXISTING SILL PLATE
SOLID BLOCKING
EXISTING FLOOR JOIST
BASEMENT
3" x 11 GA. ADJ. PIPE COLUMN
(3) #5 EACH WAY
a as
W 14
2'-8" SQUARE
SECTION
SCALE: 3/4" = 1'-0"
PROJECT:
RIDGE
BEAM
DETAIL
3870 ALLISON ST.
WHEAT RIDGE, CO
BRIAN SEYFERTH do ASSOCIATES, INC.
PROFESSIONAL ENGINEER
5583 South Prince Street
Littleton, Colorado 80120
Phone: (303) 797-7772
Fax: (303) 797-7773
e—mail: bsa®seyferth.com
PROJECT NO: 19293
DRAWN: CDC
CHECKED:
DATE: 6/17/19
REVISED:
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SHEET:
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City of Wheat Ridge
Homeowner Demolition PERMIT - 201901451
PERMIT NO: 201901451 ISSUED: 07/16/2019
JOB ADDRESS: 3870 Allison St EXPIRES: 07/15/2020
JOB DESCRIPTION: Remove sheetrock, attic insulation and carpet - 1,018 sq ft total
*** CONTACTS ***
OWNER (407)765-8008 RHOME CALEN & KRISTINE
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
** TOTAL ** 50.00
*** 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.
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.
' City of Wheat Ridge
Homeowner Demolition PERMIT - 201901451
PERMIT NO: 201901451 ISSUED: 07/16/2019
JOB ADDRESS: 3870 Allison St EXPIRES: 07/15/2020
JOB DESCRIPTION: Remove sheetrock, attic insulation and carpet - 1,018 sq ft total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am leggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to bSper�o �sclosed in this document and/or its' accompanying approved plans and specifications.
Signature or OWNER>r CONTRACTOR (Circle one) Date
I. This perrn`iT`W5FiiSued based on the information provided in the permit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permitishall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or ordinance or, ulation 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]-idge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(aki.wheatridge.co.us
I FOR OFFICE USE ONLY
Date: _7' 1 � I l
t
Plan/Permit # ao R 0
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 't)gj%Q
Property Owner (please print): C�a1e_'v) Phone: H01. W5 '&dR
Property Owner Email: Cn b,M e Q�Y� ', 1 • C ��`'t
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
Citv. State
Architect/Engineer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address:
Phone:
Phone:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): 0'a\e'y1 P_hofn-e Phone:
CONTACT EMAIL(p/ease print): 1Z"')'rn'e LAO-) 1 (P's ' So 0-1
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.
ty�5v1 on
Q504 � & V -Y\ rnl--�'\ 0 �'
Sq. FULF 5 4 BTUs
S�rv�1 ��Ck (Cek\,A51 a
Gallons
b\a-"Jn a-44 , C
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)
$
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:F E ) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): �� '--7r DATE: —U -`/ I -Z c, 4'
Printed Name: 6'/tL4-1'1 4
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City of
`7Vheat
j.wolge
COMMUN iTY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property owner(s): C k -w
Project Property: 3 Z i 0 A-u!:J 5 o -,,J S`T W goo 3 3
Project Type: 5 H -(,I T p_ a C K 2 q� z v t -t,
Notarized signature of Applicant
State of Colorado }
County of Te Siem } ss
The foregoin instrument was acknowledged by me this day of _ .201? by
C c, I e koc'-,v
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
6^--�d -- My Commission Expires q1 Ra/20aC
Notary Public
Reservoirs Environmental, Inc. Effective April 2, 2018
Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
RE�
T
Reservoirs Environmental, Inc.
June 26, 2019
Tera Major
Risk Management Services
17560 S. Golden Rd. Suite 200
Golden CO 80401
Dear Customer,
Subcontract Number:
Laboratory Report:
Project # / P.O. #
Project Description:
NA
RES 438215-1
3870 Allison Ct. Lkwd, CO
Plaster Walls/Ceiling Testing
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 438215-1 is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs
Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any
questions about this report, please feel free to call 303-964-1986.
Sincerely,
Jeanne Spencer
President
P:303-964-1986
F: 3034774275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
ewiw.reilab.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:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
RES 438215.1
Risk Management Services
3870 Allison Ct. Lkwd, CO
Plaster Walls/Ceiling Testing
June 24 2019
Effective April 2, 2018
Q'.\QAQCIAB\Reservoirs Environmental QA Manual.doc
Method: EPA 600/R-93/116 - Short Report, Bulk
ND=None Detected
Turnaround: Priority
TR=Trace, <1 % Visual Estimate
Tre m /Act=Tremolite/Actinolite
Date Samples Analyzed: June 25, 2019
Client
L
Asbestos Content
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R (%)
("M
(%)
(%)
3870 -062419 -PW -01
A Tan paint 3
ND
0
100
B Off white texture 8
Chrysotile 4
0
96
C Off white/tan drywall 89
ND
12
88
3870 -062419 -PW -02
Not Analyzed per Client Request.
3870 -062419 -PW -03
Not Analyzed per Client Request.
3870 -062419 -WP -04
A Tan wall paper w/ tan adhesive 12
ND
40
60
B Off white/tan drywall w/ yellow paint 88
ND
12
88
3870 -062419 -CP -05
A White multi -layered paint 3
ND
0
100
B Off white compound 5
Chrysotile 3
0
97
C Off white joint compound 5
Chrysotile 3
0
97
D White tape 5
ND
95
5
E Off white/tan drywall 82
ND
15
85
3870 -062419 -CP -06
Not Analyzed per Client Request.
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P'. 303-964-1986
F'. 303-077-4275
5801 Logan Street, Suite 100, Denver, CO 80216
Page 1 of 1
31rWory
Analyst
�Liu Wenlong�
Data QA
1-866-RESI-ENV
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"s City of Wheat Ridge
E -Res. Evaporative Cooler Repl PERMIT - 201901203
PERMIT NO: 201901203 ISSUED: 06/12/2019
JOB ADDRESS: 3870 Allison St EXPIRES: 06/11/2020
JOB DESCRIPTION: Replace rooftop evaporative cooler with rehook; 5500 SEER
*** CONTACTS ***
OWNER (303)422-5308 RHOME CALEN & KRISTINE
SUB (303)962-9532 STEVE BRANDT 021365 THE COOLER COMPANY
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,000.00
FEES
Evaporative Cooler 40.00
Total Valuation 0.00
Use Tax 84.00
** TOTAL ** 124.00
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
'b
y my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include al
I entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
Ufi
From: no-reply@ci.wheat ridge.co.us
Sent: Monday, June 10, 2019 2:59 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Categories: Dina
Residential Replacement Air Conditioner/Evaporative Cooler Permit
Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential replacement
AC or Evaporative Cooler
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
3870 ALLISON ST WHEAT RIDGE CO 80033
CALEN & KRISTINE RHOME
3034225308
coolerco@aol.com
3870 ALLISON ST.pdf
CONTRACTOR INFORMATION
1
Contractor Business Steven Brandt
Name
Contractor's License 021365
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3034225308
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address coolerco@aol.com
Retype Contractor Email coolerco@aol.com
Address
DESCRIPTION OF WORK
What type of replacement Replacement Evaporative Cooler
unit are you installing?
How many tons is the 0
unit?
For AC - what is the 5500
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located ROOFTOP
(for example, rooftop,
backyard on ground etc)?
Is electrical needed for re- Yes
hook?
If electrical work is being 5560 COOLER RECONNECT
performed, you must
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
Project Value (contract 4000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
z
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Steven Brandt
Permit
Email not displaying correctly? View it in your browser.
�2z)�7057�0 111011e 9,'c411�zrj:
-Wo INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Tyne
Inspections will not be performed unless this card is posted on the project site.
"Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date Inspector
Initials
Comments
1 Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
e t
Final Mechanical
JAIRPEC 9- /'f It19
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
-For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
1 D-1 ` 3
City of Wheat Ridg �_� _Ck
r
Residential Roofing PERMIT - 201705740
PERMIT NO: 201705740 ISSUED: 08/09/2017
JOB ADDRESS: 3870 Allison ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 28 sq
*** CONTACTS ***
DWNER (720)224-5651 RICCIARDI GLORIA M
SUB (303)424-7663 John R. Emrich 170179 Reroof America Contractors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Total Valuation 0.00
Use Tax 294.00
Permit Fee 267.70
** TOTAL ** 561.70
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
I i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: `10 q k F
JobAddress:.38%Q iSpY�
Permit Number: O
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
WhenTI;-
DO
s have been made, cali for re -inspection at 303-234-5933
Date:/7 Inspector: r'f
NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 201705740
PERMIT NO:
201705740
ISSUED:
08/09/2017
JOB ADDRESS:
3870 Allison ST
EXPIRES:
08/09/2018
JOB DESCRIPTION:
Residential Re -roof
to install Owens
Corning asphalt shingles - 28 sq
*** CONTACTS ***
OWNER (720)224-5651
RICCIARDI GLORIA M
SUB (303)424-7663
John R. Emrich
170179 Reroof America Contractors
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS, ME
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
14,000.00
FEES
Total Valuation
0.00
Use Tax
294.00
Permit Fee
26.70
** TOTAL **
5611.70
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A City of Wheat Ridge
Residential Roofing PERMIT - 201705740
PERMIT NO: 201705740 ISSUED: 08/09/2017
JOB ADDRESS: 3870 Allison ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 28 sq
qE!s"
ature, do hereby attest that the work to be performedMTW
with all accompanying approved plans and specifications,
ilding codes, and all applicable municipal codes, polcedures, and that I am the legal owner or have been authorized
I'll i
owner of the property and am authorized to obtain thiperform the work described and approved in conjunction with
further attest that I am legally authorized to include med within this document as parties to thework tobe
d that all work to be performe, 's disclosed in this d/or its' accompanying approved plans and specifications.
�-- - / o -
Signature o OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying pplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
400-4
•
Signature of Chief Building Officia Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 7,01105-2Ltc
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 2, 2017 4:12 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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
Residential Roofing Permit Application
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
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
s�
3870 Allison Street
Eugene Ricciardi
7202245651
Field not completed.
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 inj
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
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
s�
3870 Allison Street
Eugene Ricciardi
7202245651
Field not completed.
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Scan0004.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Reroof America Contractors
Name
Contractor's License
-4 —
Number (for the City of
Wheat Ridge)
� .�� � ��
Contractor Phone
3034247663
Number
Contractor Email Address
jpowell@reroofamerica.com
Retype Contractor Email
jpowell@reroofamerica.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No j
roof?
Description of Roofing
Owens Corning Sienna Blend
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
28 SQ j
material selected above?
/
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
28
(pitched + flat) of all
2
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
House roof 4/12 pitch
0000
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Brian Boake
Email not displaying correctly? View it in your browser.
3
/00qT
�REROOF
� AMERICA
CONTRACTORS
Insured:
(1(T6/,uc R/CC-1AR16t
Address: 3870 14111,so J (5l,
303-424-7663
303-456-4013 Fax
6820 North Broadway
Suite H&I
Denver, CO 80221
;Jl-t6V- L161,7c , �o e Co
Policy#: 00 q. Q 6 -Z a o -7
Insurance Co: 7'-ce m p,5T
CO Lic #: 232269
Claim#: 3008b`it6(�- H 4-j 2 -2Z
This agreement is for FULL SCOPE OF THE INSURANCE PROCEEDS and does not obligate
homeowners or REROOF AMERICA CONTRACTORS CO, LLC. unless the homeowners insurance company approves
repairs. By signing this agreement the homeowner authorizes REROOF AMERICA CONTRACTORS CO, LLC. to pursue all
repairs at a price agreeable to the insurance company and REROOF AMERICA CONTRACTORS CO, LLC. at NO COST
TO THE HOMEOWNER EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price agreed on between the insurance
company and REROOF AMERICA CONTRACTORS CO, LLC. shall become the final contract price of the full scope of the
insurance proceeds. Payment will be made separately after work is completed for roofing, siding, gutters, or other repairs.
Signature of Insured:
Date: -7/1 8 Service Consultant: &,�� CT
A&A-Arvada
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office s (3303) 218,929 Fax
INSPE ION O
Inspection Type:
Job Address:
Permit Number: L% % T7'./cs
/ LST v 10 f 1�
❑ No one available for inspection: Time �" . �9 AM/ 6
Re -Inspection required: Yes �No-
*When corrections have been made, calfor re -inspection at 303-234-5933
Date: cj / Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: `4q25 L` _C--�_=��
Job Address: at k ('
Permit Number:
❑ No one available for inspection: Tih
Re -Inspection required: Yes" No
When corrections have been made, s e ule for
http //www.ci.wheatridge.co.usdnspe ion
L"
DG.:
?? spec or: