HomeMy WebLinkAbout3009 Ames Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: f�o� r,' 1 fn-� c_, -
Job Address: 3(._�(�`^�
Permit Number: u, \ ,7�6 L t `�
Yt0 P rl�)
❑ No one available for inspection: � Time _ �' AM/PM
Re -Inspection required: Yes 44N
When corrections have been made, call for re -inspection at 303-234-5933
Date: 11` iC Inspector: �O
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Remodel PERMIT - 201803143
PERMIT NO: 201803143 ISSUED: 01/15/2019
JOB ADDRESS: 3009 Ames St EXPIRES: 01/15/2020
JOB DESCRIPTION: Remove load bearing wall between kitchen & living room - 350 sq ft
*** CONTACTS ***
OWNER (414)467-4173 PULITO MICHAEL D
GC (720)212-7168 Ian Blandthorn & Hayley Taylor 180379 Blandthorn Builders
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,800.00
FEES
Total Valuation 0.00
Plan Review Fee 112.19
Use Tax 163.80
Permit Fee 172.60
** TOTAL ** 448.59
*** 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 specificationst
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 perforin the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed arrdhat all work to be erformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signatur� WNER 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 to 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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.
r.
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 die
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Pennit._ �
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:
Owner
Property Owner Email:
Tenant Name (Commercial Projects Only)
4
S/L
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Phone:
Architect/Engineer E-mail: C H Phone: -5, I —�lf
Contractor Name:
City of Wheat Ridge License #: 17Q-3 7a 'Phone: 7-.�=Q/
Contractor E-mail Address: 11Z
For Plan Review Questions & Comments (please print):
CONTACT NAME (p/ease print):
CONTACT EMAIL(p/ease print):
ne:��C��%�1.��/G�
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.
Sq. FULF
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)
C -D
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last naj>/ DATE:—/-? �-6
Printed Nam' �:'4�
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer: 1 I
PUBLIC WORKS COMMENTS:
Reviewer.
CONSTRUCTION TYPE--- t`>
Building Division Valuation: f '7;i t V
M
Y
Colorado Department
}
of Public Health
'
and Environment
ASBESTOS
CERTIFICATION*
zs
This certifies that
Andre G. Gonzalez
Certification No.: 3199
has met the requirements of 25-7-507, C.R.S. and Air Quality Control
Commission Regulation No. 8, Part B, and is hereby certified by the
state of Colorado in the following discipline:
Inspector/Management Planner*
Issued: August 21, 2018
Expires: August 21, 2019
* This certificate is valid only with the possession of a
current Division -approved training course certification
in the discipline specified above.
Representatrre
SEAL
Foothills
Environmental, Inc.
Industrial UMjiene. Safety & Environmental Services
LIMITED ASBESTOS INSPECTION FOR RENOVATION
Residential Housing
3009 Ames Street
Wheat Ridge, CO 80214
Prepared for:
Blandthorn Builders, Inc.
14212 Glenayre Circle
Parker, CO 80134
Prepared by:
Foothills Environmental, Inc.
11099 West 8th Avenue
Lakewood, CO 80215
December 17, 2018
Project No. AS 18244
3009Ames Street
Limited Asbestos Inspection for Renovation
AS18244 —December 17, 2018
ACRONYMS
ACM Asbestos Containing Material
ACBM Asbestos Containing Building Material
AIHA American Industrial Hygiene Association
CDPHE Colorado Department of Public Health and Environment
EPA United States Environmental Protection Agency
OSHA Occupational Safety and Health Administration
NVLP National Voluntary Laboratory Accreditation Program
PLM Polarized Light Microscopy
PACM Presumed Asbestos Containing Material
RACM Regulated Asbestos Containing Material
SVF Sheet Vinyl Flooring
TEM Transmission Electron Microscopy
TSI Thermal System Insulation
3009Ames Street
Limited Asbestos Inspection for Renovation
AS18244 — December 17, 2018
TABLE OF CONTENTS
1.0 EXECUTIVE SUMMARY................................................................................................ 1
1.1
MATERIALS REQUIRING REMOVAL PRIOR TO RENOVATION .......................................... 1
1.2
INTRODUCTION................................................................................................................ 2
1.3
SCOPE OF WORK............................................................................................................ 2
1.4
STANDARD BULK SAMPLING AND ANALYTICAL PROCEDURES ....................................... 2
1.5
BUILDING DESCRIPTION.................................................................................................. 4
1.6
STATEMENT OF INACCESSIBILITY.................................................................................... 4
2.0
ASBESTOS -CONTAINING MATERIAL (ACM) LOCATION SUMMARY.............5
2.1
3009 AMES STREET BULK SAMPLE INSPECTION SUMMARY ......................................... 5
2.2.1
Suspect Surfacing Materials...............................................................................................5
2.2.2
Suspect Thermal System Insulation Materials.................................................................5
2.2.3
Suspect Miscellaneous Materials.......................................................................................5
3
SAMPLE RESULTS TABLE.......................................................................................... 5
4
ASBESTOS RECOMMENDED ACTIONS.................................................................. 7
4.1
FRIABLE ACM................................................................................................................. 7
4.2
NON -FRIABLE ACM........................................................................................................ 7
4.3
MATERIALS CONTAINING 1 % OR LESS ASBESTOS (TRACE) ......................................... 7
5
LIMITATIONS...................................................................................................................8
Appendix A — Sample and Material Location Drawings
Appendix B — Laboratory Results and Data Sheets
Appendix C — Photographs
Appendix D — Certifications
3009Ames Street
Limited Asbestos Inspection for Renovation
AS18244 —December 17, 2018
1.0 EXECUTIVE SUMMARY
Bulk sampling of suspect building materials was conducted to identify Asbestos -Containing Materials
(ACM) of limited areas of the residence located at 3009 Ames Street, in Wheat Ridge, CO. The scope of
work included sampling the plaster wall separating the kitchen from the living room and the attic insulation.
The intent is to remove the wall to open the space between the kitchen and living room.
Random bulk samples were collected of suspect building materials that may be impacted by a scheduled
renovation. This asbestos inspection was conducted in general accordance to the guidelines published as
the Environmental Protection Agency's Final Rule: Title H of the Toxic Substances Control Act (TSCA),
15 USC, Sections 2641 through 2654 or in compliance with 40 CFR, Part 763 and the Colorado Department
of Public Health and Environment (CDPHE) Regulation #8.
Mr. Andre Gonzalez, EPA and Colorado Department of Public Health and Environment (CDPHE) certified
asbestos inspectors, conducted the assessment on December 51, 2018. A total of nine (9) samples were
collected for this investigation. Certifications are provided in Appendix D.
No Asbestos -Containing Materials were identified, assumed, or confirmed in samples collected during this
assessment.
1.1 Materials Requiring Removal Prior to Renovation
Regulated Asbestos -Containing Material (RACM) means (a) friable asbestos -containing material, (b)
Category I non -friable ACM that has become friable, (c) Category I non -friable ACM that will be or has
been subjected to sanding, grinding, cutting, or abrading or (d) Category II non -friable ACM that has a high
probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected
to act on the material in the course of demolition or renovation operations.
Non-RACMs are those non -friable materials not likely to be rendered friable during the normal demolition
process, therefore are less likely to release airborne asbestos. Under normal demolition activities, non-
RACMs that are non -friable Category I materials (gaskets, resilient flooring, adhesives, and asphalt roofing)
and similar non -friable Category H are allowed by EPA and CDPHE regulations to remain during normal
building demolition, and can be disposed of as normal demolition debris, provided these materials remain
non -friable during demolition activities and the landfill will accept the waste as solid waste.
Table 1— RACM
ACM Description/Homogeneous
Condition
Type / Friable or
Analytical
Approx.
Locations
Areas
Non -Friable ResultQuantityMaterial
Non -Friable
ResultQuantityMaterial
None
None
Table 2 — Non-RACM >1%
ACM Description/Homogeneous
Type / Friable or Analytical
IApprox.
Areas
Condition
Non -Friable ResultQuantityMaterial
Locations
None
3009Ames Street
Limited Asbestos Inspection for Renovation
AS18244 — December 17, 2018
1.2 Introduction
At your request, on December 5', 2018, Foothills Environmental Inc. (FEI) conducted a limited asbestos
inspection of the wall separating the kitchen and living room as well as the attic insulation. The limited
sampling occurred at 3009 Ames Street in Wheat Ridge, CO. Mr. Andre Gonzalez (Cert 43199), an asbestos
inspector certified by the EPA and the Colorado Department of Public Health & Environment (CDPHE),
conducted the asbestos inspection. Aerobiology Laboratory, an independent laboratory accredited by the
National Voluntary Accreditation Program (NVLAP) and the American Industrial Hygiene Association
(ARIA), analyzed the samples utilizing Polarized Light Microscopy (PLM).
1.3 Scope of Work
The combined goals of sampling and visual assessments were to:
1. Identify and sample suspect asbestos -containing material (ACM) on the wall separating the kitchen
and living room. In addition, we sampled the attic insulation.
2. Make appropriate recommendations on how to approach each material identified as an ACM prior
to demolition or renovation.
3. Compile sample data information, observations obtained from the site visits, conclusions and
recommendations into a report form.
1.4 Standard Bulk Sampling and Analytical Procedures
This asbestos inspection was completed in general accordance with the Environmental Protection Agency
(EPA) National Emission Standards for Hazardous Air Pollutants (NESHAP) regulation using bulk
sampling techniques referenced in OSHA 29 CFR 1910.1001, which in turn, references U.S. EPA Asbestos
Hazard Emergency Response Act (AHERA) protocol, which is incorporated by reference in Colorado,
Regulation No. 8.
The inspection was completed by separating materials into Homogeneous Areas. A homogeneous area
(material) is defined as an area containing a material that appears similar throughout with regard to color,
texture, and date of application. Individual systems that were inspected, but not suspected to contain
asbestos, are not included in this report. Such systems include concrete, carpet, fiberglass, plastic, and
wood products. From the list of suspect homogeneous areas, a physical assessment was performed for each
material on the list. A physical assessment includes evaluating the condition, friability, and amount of
damage of each material. By definition, "friable" materials are those that can be crumbled or reduced to
powder by hand pressure when dry. Each material on the list was further classified into one of three
categories, which have specific sampling requirements for each category.
Surfacing Materials: Refers to spray or troweled applied surfaces such as plaster ceilings and
walls, fireproofing, textured paints, textured plasters, and spray -applied
acoustical surfaces.
Thermal System Insulation: Refers to insulation used to inhibit heat gain or loss on pipes, boilers,
tanks, ducts, and various other building components.
3009Ames Street
Limited Asbestoslnspection for Renovation
AS18244 — December 17, 2018
Miscellaneous Materials: Refers to friable and non -friable products and materials that do not fit in
any of the above two (2) categories such as resilient floor covering,
baseboards, mastics, adhesives, roofing material, caulking, glazing, and
siding. This category also contains wallboard, joint compound, and ceiling
tiles.
The condition of suspect materials was evaluated as "good", "damaged", or "significantly damaged" using
the following parameters:
Good - material with no visible damage or deterioration or showing only very limited damage or
deterioration.
Damaged - material which has deteriorated or sustained physical injury such that the internal
structure (cohesion) of the material is inadequate or, if applicable, which has delaminated such that
the bond to the substrate (adhesion) is inadequate or which for any other reason lacks fiber cohesion
or adhesion qualities. Damaged material are those that are <10% scattered or <25% localized.
Significantly Damaged - material which has extensive and severe damage. Significantly damaged
materials are those that are >10% scattered or > 25% localized.
Each suspect material was also classified as friable (F), Category I non -friable (Cat. 1), or Category II non -
friable (Cat. In, according to the U.S. EPA National Emissions Standard for Hazardous Air Pollutants
(NESHAP) definitions.
The sampled materials were wetted with an amended water solution to minimize the release of airborne
fibers during sample collection. A sample collection hand tool, cleaned after the collection of each sample,
was used to remove a small sample of suspect material. Each suspect material was placed into a small
plastic bag, labeled, and sealed. Upon completion of sampling activities, samples were placed into a sealed
container along with chain of custody forms and delivered for analysis to Reservoirs Environmental, Inc.
in Denver, Colorado. Reservoirs Environmental, Inc. is accredited by the National Voluntary Laboratory
Accreditation Program (NVLAP) for conducting bulk and air sample analyses for asbestos.
As specified in 40 CFR Part 763, Subpart F, Appendix A, each sample was analyzed using Polarized Light
Microscopy (PLM) in accordance with U.S. EPA Method 600/R-93/116, June, 1993. Some samples will
contain numerous "layers". The laboratory will classify and report each layer found with a corresponding
asbestos content. In some instances, bulk samples of similar materials (HAs) are reported as having a
different number of layers. Percent asbestos for separate layers and total for the sample are delineated in
the laboratory report. Unused portions of samples are archived for six months unless the client requests
special handling.
The Environmental Protection Agency (EPA) defines ACM as a material containing greater than 1.0 percent
(%) asbestos. Both friable and non -friable materials were sampled. A friable material is a material that
when dry may be crumbled, pulverized, or reduced to powder by hand pressure. Because friable materials
are more easily damaged and more likely to release fibers into the air, they are of greater concern than non -
friable ACM.
3009Ames Street
Limited Asbestoslnspection forRenovation
AS18244—December 17, 2018
Materials containing 1% or less asbestos are considered Trace by EPA and CDPHE. The Occupational
Safety and Health Administration (OSHA) Construction Asbestos Standard 29 CFR 1926.1101 contains
work practice and engineering control requirements and prohibitions that must be observed regardless of
the percentage of asbestos in installed construction materials. Even though these materials are not regulated
under the NESHAP for demolition, consideration must be given for worker exposure during any activities
that may disturb them.
1.5 Building Description
The residence at 3009 Ames Street is a split level structure built in 1945 with approximately 1,128 square
feet. The wall system between the kitchen and living room is plaster and wood lathe. The attic consists of
wood framing with blown -in insulation.
1.6 Statement of Inaccessibility
Accessible areas of the structures were inspected for ACM. Underground conduit, electrical panels, fire
rated doors, instruments or other appurtenances were not inspected. Attempts were made to identify and
access suspect materials; however, the potential for additional unidentified materials may exist within
inaccessible areas. The blown -in attic insulation was more than two (2) feet deep and efforts were made to
inspect the insulation to the attic floor, but it's possible other insulation including vermiculite could be
present. Any suspect materials located in these areas should be assumed asbestos -containing until sample
collection can be performed and subsequent analyses prove otherwise.
Conclusions of the report are professional opinions based solely upon site observations and interpretations
of analyses as described in our report. The opinions presented herein apply to site conditions at the time of
our investigation, and interpretation of current regulations pertaining to regulated materials. Therefore, our
opinions and recommendations may not apply to future conditions that may exist at the residence, which
we have not had the opportunity to evaluate. The regulations should always be verified prior to any work
involving regulated materials.
Within the limitations of scope, schedule, and budget, our services have been executed in accordance with
generally accepted practices in this area at the time this report was prepared. No other hazardous
materials/wastes were investigated. No other conditions, expressed or implied, should be assumed.
3009 Ames Street
Limited Asbestos Inspection for Renovation
AS18244 — December 17, 2018
2.0 ASBESTOS -CONTAINING MATERIAL (ACM) LOCATION SUMMARY
The following sections summarize the survey findings and analytical results for suspect ACM sampled at
the subject site. ACM summary tables shown have been prepared for each general sample location: floors,
walls, ceilings, etc. These tables are organized to show each material analyzed, its asbestos content, and
sample location. Representative samples of suspect materials were sent to an accredited laboratory for
analysis.
2.1 3009 Ames Street Bulk Sample Inspection Summary
The following suspect materials were identified and sampled in limited areas of the kitchen/living room
and the attic at 3009 Ames Street. The material identification is listed by Homogeneous Area designation
and description following:
2.2.1 Suspect Surfacing Materials
A — Textured off-white plaster with white rough finishing coat
B — Textured off-white plaster with white smooth finishing coat
2.2.2 Suspect Thermal System Insulation Materials
• None
2.2.3 Suspect Miscellaneous Materials
• C — Tan/Beige attic insulation
3 SAMPLE RESULTS TABLE
The following table summarizes sample results collected for this project. A copy of analytical results is
attached in Appendix B to this report for your reference. Room numbers (where indicated) are as described
on Figure 1 in Appendix A.
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3009Ames Street
Limited Asbestos Inspection for Renovation
AS18244 — December 17. 2018
4 ASBESTOS RECOMMENDED ACTIONS
Asbestos -Containing Materials — General
Removal, in accordance with the Colorado Department of Public Health and Environment's (CDPHE)
Regulation No. 8, is required of materials with an asbestos content greater than one percent (1%) that are
friable or will be made friable during renovation or demolition activities. Friable means that the material,
when dry may be crumbled, pulverized, or reduced to powder by hand pressure.
The National Emission Standard for Hazardous Air Pollutants (NESHAP) regulations set forth by the U.S.
Environmental Protection Agency control asbestos emissions from renovation and demolition activities.
The Occupational Safety and Health Administration (OSHA) Construction Asbestos Standard 29 CFR
1926.1101 contains work practice and engineering control requirements and prohibitions that must be
observed regardless of the percentage of asbestos in the installed construction materials. The standard also
has exposure -based requirements consisting of a 0.1 fiber/ cc 8 hour Time Weighted Average (TWA)
Personal Exposure Limit (PEL) and a 1 fiber/ cc 30 -minute excursion limit.
The following sections describe materials that were identified during this inspection and
recommended actions prior to renovation or demolition.
4.1 Friable ACM
Friable ACM must be removed prior to renovation.
No materials were identified as friable ACM during this investigation.
4.2 Non -Friable ACM
No materials were identified as non -friable ACM during this investigation.
4.3 Materials Containing 1% or Less Asbestos (Trace)
No materials were identified as Trace (1% or less asbestos) during this investigation.
3009Ames Street
Limited Asbestoslnspection forRenovation
AS18244 —December 17, 2018
5 LIMITATIONS
This report describes the installed locations and conditions of ACM identified in the facility during the
inspection. FEI represents that our services are performed within the limits prescribed by applicable
regulations and in a manner consistent with the level of care and skill ordinarily exercised by other
professional consultants under similar circumstances. No other representation is made to the client,
expressed or implied, and no warranty or guarantee is included or intended.
This document is not intended to be used as a bid document for the removal, repair, encapsulation,
enclosure, or Operations and Maintenance (O&M) of asbestos containing materials. Foothills
Environmental, Inc. can prepare asbestos abatement specifications, scope of work, project design, and bid
documents for this project at the clients' request. This document describes the locations and conditions of
ACM identified in the facility during the inspection. This report is limited to the scope of work identified
in this report and should not be construed to represent anything outside the scope of work.
Prepared by:
Andre Gonzalez, CIH
Industrial Hygienist
CDPHE Asbestos Inspector #3199
3009 Ames Street
Limited Asbestos Inspection for Renovation
AS18244 —December 17, 2018
Appendix A
Sample Location Drawings
3009 Ames Street
Sample Locations
Attic Hatch
C-2 C-3
-1
C-1
FE Project #AS 18244
Approved by: AGG
Date: 12/17/18 Figure
Drawn By: AGG 1
Foothills Environmental, Inc.
11099 West 8h Avenue
Lakewood, CO 80215
N
3009 Ames Street
Limited Asbestos Inspection for Renovation
AS18244 — December 17, 2018
Appendix B
Laboratory Results and Data Sheets
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INSPECTION RECOKu
Inspection online form: http://www.cl.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
PERMIT] ADDRESS: �1��/ , � � JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
a
PERMIT:; <? "ADDRESS: JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
j l
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
j l
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
"For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTI `E
Inspection Type: q03 ✓
Job Address: 3409 %7t'0
PermitNumber:
❑ No one available for inspection.:_Time(�AM/PM
Re -Inspection required: Yes( No
t.
When corre io /S;ve been made, call for
re-inspection at 303-234-5933
Date: t�Inspector: Tk
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: *- F
Job Address: 00 ry►P S T
Permit Number:
❑ No one available for inspec ' : Time AM/PM
Re -Inspection required: es o
When corrections have been e, call for re -inspection at 303-234-5933
Date: Inspector: %_
_M7#7___
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
v
Residential Electric PERMIT - 201709566
PERMIT NO: 201709566 ISSUED: 12/13/2017
JOB ADDRESS: 3009 Ames ST EXPIRES: 12/13/2018
JOB DESCRIPTION: Residential electrical service upgrade to 200 amps.
*** CONTACTS ***
OWNER (414)467-4173 MICHAEL PULITO
SUB (303)416-6506 Brailey Plaisance 170696 Mile High Electric LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** COMMENTS ***
*** CONDITIONS ***
.Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I f a at I am legally authorized to include all entities named within this document as parties to the work to be
performed d t 11 wo to be performed is disclosed in this document and/or 'ts' accompanying approved plans and specifications.
�i7l 3l
Signature of 6W IERr CONTRACTOR (Circle one) Date
1. This permit was iss d 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
-.�-.
Signature of Chie uildmg Officia 111ADate
REQUESTS MUST BE MADE BY 11:59PM ANY BUS SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
W h6at 1 IC
�2C
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: Permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #&I 7Z)
Plan Review Fee: 1
Ak; - 4�--)
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner
1�_
ul( to
U/(To Z V, -,A oa-
Mailing Address: (if different than property address)
Address: LZt
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor: IV l l
Phone:
Phone: (`(%4) W%"' Tl 75
J
Contractors City License #: f li lD Phone: `12-o . YZ-57 7 3 Z
Contractor E-mail Address:_ brotc 2 til % /e-Gt c . Coh^
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): fri� 34V41 ne, _ Phone: Zv • f Z-�, 7 3'�j
CONTACT EMAIL(p/ease print): bt-'r,4) hal( ��( .
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
(ffELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please 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.) , J
/V�tv S�JI�- nei S'r�Yl�`
Sq. Ft./LF
Amps ",700
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
2-5-o
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 vrovided an the avvlication.
CIRCLE ONE: (O
Signature (first and last name):
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
DEPARTMENT USE ONLY
DATE: /2-/,J3; 17
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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: �2-00i--
Job Address:�a_'
Permit Number: • () b (j�> 1 -
❑ No one available for inspection: Time I 11 AM/
Re -Inspection required: Yes No
When corrections have been made, call fo -inspection at 303-234-5933
Date:3 �3 Inspector: C
DO NOT REMOVE THIS NOTICE
► A s City of Wheat Ridge
Residential Roofing PERMIT - 201708817
PERMIT NO: 201708817 ISSUED: 11/02/2017
JOB ADDRESS: 3009 Ames ST EXPIRES: 11/02/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 15 sq Pitch =
7/12 (3rd party inspector required)
*** CONTACTS ***
OWNER (740)526-1261 SBROCKEY KAREN
SUB (720)402-8039 Tracy Schram 170242 Arvada Roofing & Home Improvmn
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,299.00
FEES
Total Valuation 0.00
Use Tax 111.28
Permit Fee 140.90
** TOTAL ** 252.18
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
► ' < City of Wheat Ridge
Residential Roofing PERMIT - 201708817
PERMIT NO: 201708817 ISSUED: 11/02/2017
JOB ADDRESS: 3009 Ames ST EXPIRES: 11/02/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 15 sq Pitch =
7/12 (3rd party inspector required)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to b
_9ppertormed is disclosed in this document and/or its' accompanying approved plans and specifications.
nature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
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 Offcial and is not guaranteed.
4. No work of any mann ' shall be performed that shall results in a change. of the natural flow of water without prior and specific approval.
5. The permit holder shal "notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall t proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granti of a p ialll notbeconstrued to be a permit for, or an approval of, any violation of any provision of any
applicable code or an rdinanc� ula"'�" isdi tion pproval of work is subject to field inspection.
Signature of Chief Build Official Date
REQUESTS MUST BE MAD . 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 2 0100 J 7
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, November 2, 2017 12:20 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes —A
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3009 Ames St.
Property Owner Name Karen Sbrockey
Property Owner Phone 740-526-1261
Number (enter WITH
dashes, eg 303-123-4567)
33
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Sbrockey, Karen contract.pdf
CONTRACTOR INFORMATION
Contractor Business Arvada Roofing & Home Improvement
Name
Contractor's License 170242
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-918-5812
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 5255 Marshall St.
(Primary address of your
business)
Contractor Email Address tracy@arvadaroofing.com
Retype Contractor Email tracy@arvadaroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 15 /
the entire scope of work:
Project Value (contract 5299
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Pitched roof (2:12 pitch or greater)
34
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
7/12
15
Tamko Heritage
Asphalt
7/12 pitch with Tamko Heritage on a House
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
35
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Milton Dittbenner
Email not displaying correctly? View it in your browser.
36
Arvada Roofing
Home Improvement
7130 W. 61 st Ave
Arvada, CO 80003
720-248-7999
www.arvadarooting.co
Date:9R��
ARVADA ROOFING
AND HOME IMPROVEMENT
Roofing Experts
since 20/�04
Lr. -.;N) Old „tel E ,/p' rJiu(
Customer Insurance Co. Ph #
Address Claim # Fax #
City/State/Zip County Adjuster Cell #
0
Phone Cell
k
�6
P'MANUFACTURER LJint.
❑
L STYLE .G�� t �r d� /� �% int.
Ll
OLOR �,PJ,� 7t�i,�/� �/� ,010 o dD int.
TEAR OFF
WT RIDGE TYPE
"VALLEY TYPE
PIPE JACKS
PAINT ROOF STACKS a A
METAL EDGING
GYICE AND WATER SHIELD 0114
All FELT UNDERLAYMENT VaC 46)
CLEAN UP AND HAUL OFF ROOFING TRASH
RUN MAGNETIC NAIL RAKE THROUGH YARD
�CLEAN GUTTERS OF ROOF DEBRIS
PROTECTLANDSCAPE
Q' REPLACE ATTIC VENTS0'4ff2
INSTALL 6 NAILS PER SHINGLE
Aa INSTALL NEW GUTTERS P0_, --L7 "
Approximate Dates of Service:
These dates of service are subject to change due to unusual delays in
logistics of materials, ordinary weather delays, or by any other causes beyond
the reasonable control of Contractor.
The approximate costs of the services based on
dama es known at the time this contract is entered is
SArvada
Roofing Inc., however, wi perform the scope of work
approved by the insurance company for the amount of
the insurance approved proceeds, with no additional
costs to you except for your deductible. The final
scope and price agreed on between the insurance
company and Arvada Roofing Inc. shall become the
final contract price for the insurance approved scope.
You will be responsible to pay for any upgrades or
additional work authorized by you that the insurance
company determines is not covered within the scope
of coverage provided by your insurance policy.
Supplemental claims billed by Arvada Roofing Inc.
that are approved by the insurance company for addi-
tional work or increases in costs become a part of this
contract.
We propose to complete in accordance with the above
specification and subject to conditions found above on
this proposal. Payment to be made as follows
Insurance proceeds only:
Customer acknowledges Arvada Roofing Inc. as a
General Contractor and as such will be entitled to 1000
overhead and 10% profit, as allowed by insurance
industry standards where applicable.
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Arvada Roofing Inc. Agent Signatures —Ci---
Home Owner Signature
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7116
Arvada Roofing Inc. Office: 720-402-8039 Fax: 720-384-2758 www.arvadaroofing.com