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4095 Cody Street
41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office o (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: is F t Job Address: '-IC}d, Permit Number: 'Irl 10j 7,,,7 <__ Ll No one available for inspection: Time AM/PM Re -inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-593 Date: inspector: DO NOT REMOVE THIS NOTICE � ► � i City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 03/15/2021 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 sq ft total **REVISION: Adding 150 amp service upgrade; Additional Valuation: $1,750.00 *** CONTACTS *** OWNER ( 7 2 0) 5 3 0- 4 8 3 8 KELLEY BRETT A SUB (303)421-3390 THOMAS N. EDLUND 019555 VIKING ELECTRIC, INC. SUB (303)523-2394 MIKE MARES 090060 MNM PLUMBING *** 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: 53,129.00 FEES Total Valuation 0.00 Plan Review Fee 484.67 Use Tax 11115.71 Permit Fee 761.75 Investigative Fees 745.65 ** TOTAL ** 31107.78 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 1* � � i City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 03/15/2021 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 sq ft total **REVISION: Adding 150 amp service upgrade; Additional Valuation: $1,750.00 I, by my situildin nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable gcodes, 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 alI 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 �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 08/20/2019 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 RjgIe COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29°i 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(d,)ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Permit #Z019 c> q-a�- Property Address: �11 5 Phone 447o 5,% q , Email Address: t7t�zl 4l ��4 91Y12ti • 41r^ Reason for extension request: Number of days requested: 0 Printed Name: r 111 Signature: Date: 2- For For office use only This request has been: XXXApproved Denied Extended until: 03/15/21 Approved by: 7 e';_'W� Z�) www.ci.wheatridge.co.us 1/12/21 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 70 17 ❑ No one available for inspection: Time - PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. usdnspection Date:l ?Oi,` Vlnspector: 5/' DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 02/18/2021 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 sq ft total *** CONTACTS *** OWNER (720)530-4838 SUB (303)421-3390 SUB (303)523-2394 **REVISION: Adding 150 amp service upgrade; Additional Valuation: $1,750.00 KELLEY BRETT A THOMAS N. EDLUND MIKE MARES 019555 VIKING ELECTRIC, INC. 090060 MNM PLUMBING *** 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: 53,129.00 FEES Total Valuation 0.00 Plan Review Fee 484.67 Use Tax 1,115.71 Permit Fee 761.75 Investigative Fees 745.65 ** TOTAL ** 3,107.78 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 02/18/2021 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 sq ft total **REVISION: Adding 150 amp service upgrade; Additional Valuation: $1,750.00 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, anew 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 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 ordinar�e or regulationjof this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official / bate REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City C)f Wheat dge ��:��,ti,t_,v► l)tvt t.<>i,n�ti ti i 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(&ci.wheatridge.co.us co.us or fax to 303-237-8929. Party requesting permit extension: Permit #_ r> Cj t -a _ Property Address: Phone # c� h c) - , 't Email Address:0— Reason for extension request: ZLt C&' Number of days requested: Printed Name:Br'�-Ji 'Ur Signatur .-- '�^ _ Date:_ N0 fee required For office use only This request has been: XApproved I Denied Extended until: 2/18/2021 Approved by: Date: 8/18/2020 www.ei.wheatridge.caus �. CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, sc le for re -inspection online at: http✓/www.ci.wheatridge.co.uslinspeolion �` l C` �. CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, sc le for re -inspection online at: http✓/www.ci.wheatridge.co.uslinspeolion �` l C` i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 32,91)46b -4c S 32 Job Address: -5(crl,1' Ce4qc-, 5r, Permit Number: 20l-7 of 707 4C 1- �1 ❑ No one available for inspection: Time ?"Sty (AM/ M Re -Inspection required: Yes (No � When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: _ 3- /U' 2 U Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 30 < Job Address: Permit Number: ❑ No one available for inspectio Time It=�'� A M Re -Inspection required: Yeses No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. us4nspection Date: Inspector: `—�------4 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 30 < Job Address: Permit Number: ❑ No one available for inspectio Time It=�'� A M Re -Inspection required: Yeses No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. us4nspection Date: Inspector: `—�------4 DO NOT REMOVE THIS NOTICE 4-0 q_s C RERVICES, NSTRUCTION UPPORT INC. Page 1 of 3 August 13, 2019 Addendum 2-13-20 To address the roof framing and bearing conditions for the new beam. Mr. Brett Kelley 4095 Cody St Wheat Ridge, CO 80033 RE: New header sizing for remodel 4095 Cody St, Wheat Ridge, Colorado Dear Mr. Kelley: You are remodeling the house at 4095 Cody Street in Wheat Ridge, Colorado. As a part of that remodel you asked Construction Support Services, Inc to size those headers. This letter shall serve as the outcome of that request. The longer of the two headers is carrying a combination of loads. For the design of this beam the loading was taken as 10 psf for ceiling load, 40 psf total roof load broken down as 10 psf dead load and 30 psf live load. Insulation is a part of the ceiling load. The model for the longer beam has loads that are coming in from other beams. These can be seen as the additional arrows on the model. The beam is shown modeled as a triple 2x 12. The model above shows the deflection. The model below shows the bending moment normalized. This means any value under 100% is acceptable. This beam shall be a minimum of a triple 2x12. An 11-7/8" microlam can be substituted. Both beams can be built up on site in the attic with no more than 3 sections each. The joints shall be offset by a minimum of 24". The layers of the beams shall be adhered to each other using Locktite® PL -400, PL -375, PL -Premium or OSI SF450+ applied according to the glue manufacturer's instructions. The layers shall be nailed using 3 rows of minimum 12d nails from each side staggered 9" on -center. 7901 S ADAMS WAY CENTENNIAL, CO 80122 303-221-1559 CONSUPSER@MAC.COM 4095 Cody St Page 2 of 3 The shorter of the two beams shall be a double 2x8. The loads are much lower and the span shorter so deflection on a single 2x8 is acceptable. For stability I am recommending a double 2x8 with the layers glued and nailed using 2 rows of minimum 12d nails 9" on -center from each direction. The ends of the longer beam shall be solidly packed down to the top of the foundation wall at each end. A 3" schedule 40 post can be used in place of solid wood packing. ADDENDUM: February 13, 2020 The roof framing is not being changed on this house. As such the code does not require a load analysis. You asked that we run the analysis. The loading with the asphalt shingles is as follows: Roof Framing Loads: Live and Dead Loads K 1)44" % 7901 S ADAMS WAY CENTENNIAL, CO 80122 303-221-1559 CONSUPSERGMAC.COM 4095 Cody St Page 3 of 3 1. The 2x6 rafters that are longer than 144" with an unsupported rafter shall be sistered with one 8 -ft section and one 10 -ft section of 2x8. 2. The first section is to have a seat cut. 3. The second sister is to have a plumb cut. 4. The first sister is to be placed sitting on the top plate of the wall. 5. The second sister is to be placed on the opposite side of the same rafter placed tightly against the ridge. 6. The top of the sisters shall be flush with the roof deck. 7. The wood is to be glued using Locktite® PL -400, PL -375, PL -Premium or OSI SF450+ applied according to the glue manufacturer's instructions. 8. The sisters are to be attached using minimum 12d nails. 9. The nails can be pneumatically driven. 10. Install nails 6" on -center into the existing rafters. The concern about the addition of a post. As long as the ends of the beam are solidly blocked down to the foundation that beam is adequately supported. Where it goes over walls the walls are not a part of eh required bearing for the beam. Therefore the does not need to be any posts under the beam except for the end condition. If there are any questions, please contact us. Sincerely, Signed and Sealed Digitally 2-13-20 Richard A. Boon, P.E. 7901 S ADAMS WAY CENTENNIAL, CO 80122 303-221-1559 CONSUPSERO"MAC.COM i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE 3 173 t --o Inspection Type: 1li� Job Address: Permit Number:1'� )�1 m C:n17 t ❑ No one available for inspection: Time i t�� M Re -Inspection required: Yes, o When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge, co, usfinspection Date 7Z-`�"� `� 0 Inspector: If DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 08/19/2020 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 sq ft total **REVISION: Adding 150 amp service upgrade; Additional Valuation: $1,750.00 *** CONTACTS *** OWNER (720)530-4838 KELLEY BRETT A SUB (303)421-3390 THOMAS N. EDLUND 019555 VIKING ELECTRIC, INC. SUB (303)523-2394 MIKE MARES 090060 MNM PLUMBING *** 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: 53,129.00 FEES Total Valuation 0.00 Plan Review Fee 484.67 Use Tax 1,115.71 Permit Fee 761.75 Investigative Fees 745.65 ** TOTAL ** 3,107.78 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge fl, ` Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 08/19/2020 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 sq ft total **REVISION: Adding 150 amp service upgrade; Additional Valuation: $1,750.00 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 pro rty an authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I furtheq attest t at eggally authorized to include all entities named within this document as parties to the work to be performed andth tall work to b erformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatdre of -0 1 of i)NTRACTOR ( e one) Date 1. This permit was issued based on the info ion provided in the permit application and accompanying plans and specifications and is subject to the compliance with those do ents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days aftpKtVe date of issuance regardless of activity. Requests for extension must be made in writing and ' received prior to the date of expira An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fe qual to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permithall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or gayVrdinance 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 VAI h6 at P-j-dge- comm UNiT-y DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aki.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # V vl , Ij Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ 4-� Prooertv Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Com ag_ny: Contact Person: Contractor: Contractors City License #: Contractor E-mail Address: Phone: Phone: Phone: 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: 41 -til I Sq. Ft./LF 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) S OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) /(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SIGNAT[ RE DATE: (' ra Q DEPARTMENT USE ONLY 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 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 1 �5r—o i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:c''� Permit Number: -- % C..VI I . v " ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co.usli'nspection Date: i Y•. Inspector: -- DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-%2855 Office • (303) 237-8929 Fax d a J INSPECTION NOTICE Inspection Type: _� Job Address: q<P 1 Permit Number: 6 CP 20 7 CZE ❑ No one available for inspection: T6 -e/ AM/PM Re -Inspection required: Ye��i When corrections have been made, ca "Lf re -inspection at 303-234-5933 Datel- 7 G�Inspector,_ or �,_, DO NOT REMOVE THIS NOTICE ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you: ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 6(r* k yrs (� W 1111IIII01III 111III 9590 9403 0655 5183 5980 86 7018 3090 0000 3615 5349 PS Form 3811, April 2015 PSN 7530-02-000-9053 A. Signa t e - p Agent X 0 Addre B. eived by anted N C. Date of Del r. D. Is delivery address i from item 17 0 Yes If YES, enter delivery a dress below: p No 3. Service Type ❑ Priority Mail Express® MaiIT1 0 Adult Signature duit Signature RestrictedVelivery ❑ Registered ❑ Registered Mail Restricted ertified Mail® Delivery Receipt ❑Return for certified Mail Restricted Delivery Merchandise ❑ Collect on Delivery p Signature Confirmation" Delivery ❑ Collect on Delivery Restricted O Signature Confirmation n IncarcPd Mail ,d Mail Restricted Delivery Restricted Delivery $500) Domestic Return Receipt First -Class Mail UNITED STATES POSTAL SERVICE Postage & Fees Paid USPS Permit No. G-10 ® Sender: Please print your name, address, and ZIP+41 i, this box* C t4loh tact 13VI 7 w. Z°tt"t A W6o& Co 5<00-za USPS TRXCKING# 111111111111111111 1E111111 RECEIVED City of DEC 't t anis W heatI�Ciccl COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: !ZO 6)�r,62LV SrPermit 0 r General Contractor: Electrical Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor 1 Phone #: Master #: (required field) Date Company Name: MA) IN (4 P/U(�� phone #: �3 - 5 I' 2—)9 State License #: `�C 002 2/ y ? Master #: AP on/n,5/Z Wheat ge License required field) Signat re of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date r� A i CITY OF WHEAT RIDGE �• ': �� Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office . (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �D Job Address:=�-- Permit Number:.'') 4:1 --tom tom CT VE) ❑ No one available for inspection: Timed /``AM/P Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:_ ' r' 7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 08/19/2020 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 sq ft total *** CONTACTS *** OWNER (720)530-4838 KELLEY BRETT A SUB (303)421-3390 THOMAS N. EDLUND 019555 VIKING ELECTRIC, INC. *** 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: 51,379.79 FEES Total Valuation 0.00 Plan Review Fee 484.67 Use Tax 1,078.98 Permit Fee 745.65 Investigative Fees 745.65 ** TOTAL ** 3,054.95 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. A . City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901707 PERMIT NO: 201901707 ISSUED: 08/20/2019 JOB ADDRESS: 4095 Cody St EXPIRES: 08/19/2020 JOB DESCRIPTION: SWO Interior remodel - remove asbestos, attic insulation, all drywall in kitchen, hallway, bath and dining/family room; remove on kitchen wall; rewire house and install new lighting, circuits and outlets - 2,100 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 le ally authorized to include all entities named within this document as parties to the work to be per and that 1 work a pe ormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of(/ER or Z_76NTRAC(Circle one) Date 1. This permit was issued based on the i fo ation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those ments, and all applicable statutes, ordinances, regulations, po Flans 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 orany ordinance)ol regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildini Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Pjd COMMUNITY DEV[LOPMENT Building & Inspection Services 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 swo Email: permits(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: (%J Plan/Permit # ao, RO I 1 0 Plan Review Fee: 4 3V v03 Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: (� �1 I J Owner (please print): �C�T1 ke t on Phone: Property Owner Email:rt��lr. Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Arch 1 i E^r �?' Architect/!Fhg_ leer E-mail: Contractor Name: City of Wheat Ridge License #: Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(please print): 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. 4 f -,II ,, s e" Sq. Ft./LF - C c) at klelie e wJ , y ubl�j�hC 81 clew t'1,• `�ci1� r1c;{` 9j it G: I F;c ih l;rf}4;y ho�.se w(�t1�w r`lrJii 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) s 45 ONA'NER/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) (CONT C or UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: J4. Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: ? Reviewer: ]'j / S l a� ✓ C-1 �, �0-�1=St�3l5�Gt BUILDING DEPARTMENT COMMENTS: Reviewer: y `CA ' -1 q PUBLIC WORKS COMMENTS: E C. Reviewer Building Division Valuation: ONSTRUCTION UPPORT ERVICES, INC. August 13, 2019 Mr. Brett Kelley 4095 Cody St Wheat Ridge, CO 80033 RE: New header sizing for remodel 4095 Cody St, Wheat Ridge, Colorado Dear Mr. Kelley: Page 1 of 2 You are remodeling the house at 4095 Cody Street in Wheat Ridge, Colorado. As a part of that remodel you asked Construction Support Services, Inc to size those headers. This letter shall serve as the outcome of that request. The longer of the two headers is carrying a combination of loads. For the design of this beam the loading was taken as 10 psf for ceiling load, 40 psf total roof load broken down as 10 psf dead load and 30 psf live load. Insulation is a part of the ceiling load. The model for the longer beam has loads that are coming in from other beams. These can be seen as the additional arrows on the model. The beam is shown modeled as a triple 2x12. Rob I�J�L�lilll� �I�II mfil-lLlillll' 111i11111Z1'13111M11H1E The model above shows the deflection. The model below shows the bending moment normalized. This means any value under 100% is acceptable. This beam shall be a minimum of a triple 2x12. An 11-7/8" microlam can be substituted. Both beams can be built up on site in the attic with no more than 3 sections each. The joints shall be offset by a minimum of 24". The layers of the beams shall be adhered to each other using 7901 S ADAMS WAY CENTENNIAL, CO 80122 303-221-1559 CONSUPSER@MAC.COM 4095 Cody St Page 2of2 Locktite® PL -400, PL -375, PL -Premium or OSI SF450+ applied according to the glue manufacturer's instructions. The layers shall be nailed using 3 rows of minimum 12d nails from each side staggered 9" on - center. The shorter of the two beams shall be a double 2x8. The loads are much lower and the span shorter so deflection on a single 2x8 is acceptable. For stability I am recommending a double 2x8 with the layers glued and nailed using 2 rows of minimum 12d nails 9" on -center from each direction. The ends of the longer beam shall be solidly packed down to the top of the foundation wall at each end. A 3" schedule 40 post can be used in place of solid wood packing. If there are any questions, please contact us. 7901 S ADAMS WAY CENTENNIAL, CO 80122 303-221-1559 CONSUPSER@MAC.COM City of -y6qr'Wh6atfi e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. 'L Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property: Project Type: i�,��%,�.� tl'_ &,;.' J= I Not-arlized signature of Ao`pl�'icant State of Colorado �% } County of ss The foregoing instrument was acknowledged by me this day of �, 20_ft by re e TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires _�_(/ a�,20_-2� Notary Public •' City of Wheat Psj,,dge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 1_1_0q 0q General Contractor: Permit #: I Electrical Sub -Contractor I Company Name:. r ' Phone State License #: �' Master Wheal -'R' a License #: jC (required field) Sig ature o uthorized Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date BUILD ENVIRONMENTAL CONSULTING V01 LIMITED ASBESTOS INSPECTION REPORT 4095 Cody St Wheat Ridge, CO 80033 7/5/2019 Prepared for: New Customer Brett Kelley 4095 Cody St Wheat Ridge, CO 80033 720-530-4838 brettakelley@gmaii.com Prepared by: BuildSafe Environmental, LTD CDPHE Asbestos Consulting Firm # ACF - 19059 303 S Broadway, Unit 200-239 Denver, CO 80209 Contact@BuildSafeEnviro.com (720)598-0600 303 S BROADWAY, 200-239, DENVER CO B0209 WWW.eUILDSAFEENVIR❑.COM Table of Contents Section 1 Inspection Project Summary 1.1 Homogenous Areas in Work Scope Table 1.2 Summary of Asbestos Samples & Laboratory Results 1.3 Sample Location Photo Mapping (optional) Section 2 Results and Recommendations 2.1 Post -Renovation Asbestos Containing Materials Notice (if identified) 2.2 Photo Log of Asbestos Containing Materials (if identified) Section 3 Project Overview Section 4 Asbestos Inspection Procedure 4.1 Suspect Asbestos Containing Building Materials 4.2 Sampling and Laboratory Analysis Section 5 Conclusion 5.1 Limitations Appendix A - Laboratory Report and Chain of Custody Form List of Acronyms ACM Asbestos Containing Materials G Good D Damaged SD Significantly Damaged F Friable NFI Non -Friable Category I NFII Non -Friable Category II NA Not Analyzed ND None Detected EA Each LF Linear Feet SF Square Feet Trace 51% by Point Count or Composite ACM ACM (>10/o asbestos) ID Homogenous Material Identifier TAT Turnaround Time for Lab Results Homogenous Material Tvaes - Reference List Surfacing Material TS Textured Surfacing PL Plaster CMS CMU Sealant SOF Spray -on Fire Proofing Thermal System Insulation DT Duct Tape/Wrap PI Pipe Insulation Miscellaneous BBA Baseboard Adhesive CA Carpet Adhesive CDW Composite Drywall CT Ceiling Tile DW Drywall FTM Floor Tile Mastic MA Miscellaneous Adhesive MS Miscellaneous Sealant OT Other Material RSG Roof Shingle RSH Roof Sheeting RSL Roofing Sealant SVF Sheet Vinyl Flooring WG Window Glazing Section 1 Inspection Project Summary Job ID: 190624-11 Date: 06/24/19 Client: New Customer Name: Brett Kelley PROPERTY DETAILS Site Address: 4095 Cody St Wheat Ridge, CO 80033 Property Type: SFRD Inspector: Kevin Lovato CO. Cert #: 24949 Build Date: 1949 Reno. Dates: N/A INSPECTION DETAILS Service Type: Limited/Renovation ACM AHERA/Reg 8 Reason: Remodel Service Scope: Affected Areas: Throughout Potential Spill Identified? Yes Damaged Suspect ACMs Quantity: Scope Notes: Gutting home interior to stud, possible electrical renovation SAMPLE NOTES Laboratory: Aerobiology Lab TAT: 5 Day NVLAP #: 200-860-0 # Samples: 29 1.1 Homoaenous Areas in Work Scone Table Complete Renovation 408 SF ID Material Code* # of Samples Material Description Functional Space(s) Quantity in Scope 1 PL 3 Heavy orange peel texture Kitchen 408 SF 2 PL 3 Light orange peel texture Living, hall, bath, W bed, E bed 759 SF 3 PL 3 Trowel applied texture Hall, W bed, E bed 728 SF 4 PL 3 Swirl pattern texture Living room 432 SF 5 PL 3 Splatter texture Stairwell 275 SF 6 OT 2 Wall paper Closet 64 SF 7 OT 2 Blown -in insulation Attic 990 SF 8 MA 2 Grout Bathroom 90 SF 9 MA 2 Brown mastic Kitchen 12 SF 10 SVF 2 White sheet vinyl Stairwell 48 SF 11 FTM 2 Floor tiles Basement 168 SF 12 CT 2 Ceiling tiles Basement 511 SF 13 14 15 16 17 18 19 20 1.2 Summary of Asbestos Samples and Laboratory Results Sample Code ID Bulk Sample Locations Material Condition Friability Category Analytical Results PL 1-1 1 Kitchen, ceiling, 2' from N, 2' from E SD F ND PL 1-2 1 Kitchen N wall, V from E, 4' up SD F ND PL 1-3 1 Kitchen, N wall, 4' from W, 5' up SD F ND PL 2-1 2 Bath, ceiling, 1' from W, V from S G F ND PL 2-2 2 W bed, N wall, 2' from E, 4' up G F ND PL 2-3 2 E bed, W wall, 2' from N, 4' up G F ND PL 3-1 3 W bed, W wall, T from N, 1' up G F ND PL 3-2 3 E bed, W wall, 1' from W, 2' up G F ND PL 3-3 3 Hall, N wall, NW corner, 6" up G F ND PL 4-1 4 Living, E wall, 4' from N, 5' up G F ND PL 4-2 4 Living, E wall, 2" from W, 3' up G F ND PL 4-3 4 Living, E wall, 2" from w, 6' up G F ND PL 5-1 5 Stairwell, W wall, 2' from S, 4' up G F ND PL 5-2 5 Stairwell, S wall, V from E, 7' up G F ND PL 5-3 5 Stairwell, E wall, 2' from S, 2' up G F ND OT 1-1 6 Closet, S wall, V from W, 1' up D F ND OT 1-2 6 Closet, W wall, T from S, 5' up D F ND OT 2-1 7 Taken from S hole in ceiling G F ND OT 2-2 7 Taken from N hole in ceiling G F ND MA 1-1 8 Bath, W wall, 2' from N, 5' up G NFI ND MA 1-2 8 Bath, W wall, T from N, 5' up G NFI ND MA 2-1 9 Kitchen, N wall, 4' from W, 3' up G F ND MA 2-2 9 Kitchen, N wall, 4' from E, 3' up G F ND SVF 1-1 10 Stairwell, 1st step, 1' from W G F 75% Chrysotile SVF 1-2 10 Stairwell, 1st step, 1' from E G F 75% Chrysotile FTM 1-1 11 Basement, floor, 1' from S, 1' from W G NFI 10% Chrysotile FTM 1-2 11 Basement, floor, 1' from N, 1' from E G NFI 10% Chrysotile CT 1-1 12 Basement, ceiling, 1' from N, 1' from W G F 4% Chrysotile CT 1-2 12 Basement, ceiling, 1' from S, 1' from W G F ND Section 2 Results and Recommendations Asbestos -containing building materials have been identified within the affected area(s) of the Site Address. Any repair, removal or other activities that will disturb asbestos -containing materials must be performed by a certified and licensed asbestos abatement contractor in accordance with applicable federal, state, and local regulations. Any friable suspect asbestos -containing materials identified as having trace (:51%) asbestos through laboratory visual estimation must be considered to be an asbestos -containing building material. Further analysis may be performed on friable materials having a visual estimate of :51% by point counting, which is a more quantitative analysis of the material. Any work performed on asbestos -containing building materials and/or trace asbestos -containing building materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos construction industry, general construction industry, and respiratory protection standards. Worker exposure assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional engineering or administrative controls to properly protect workers engaged in activities that may damage or disturb materials which contain asbestos. 2.1 Post -Renovation Asbestos Containing Materials Notice Plans for renovation were not known at time of inspection. Please assume ACBM(s) identified in this report are accessible with the potential for disturbance and/or damage from material contact, vibration and/or air erosion. CDPHE requests that the Client notify the current property owner and all site contractors of the ACBM(s) present at the property. 2.2 Photo Log of Asbestos Containing Materials The sheet vinyl in the stairwell is asbestos containing. The ceiling tiles in the basement are asbestos containing. The floor tiles in the basement are asbestos containing. Section 3 Project Overview BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a limited repair/renovation specific asbestos inspection (inspection) at the above referenced "Site Address". The inspection was conducted by an Environmental Protection Agency (EPA) accredited and Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Building Inspector. The inspection was performed at the direction of the client and only includes those materials, locations, and quantities specified in the "Homogenous Areas in Work Scope Table". The client is planning repair/renovation activities that will disturb suspect Asbestos Containing Building Materials (ACBM) within the repair/renovation affected areas at the Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos (Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified personnel prior to conducting any repair/renovation activities that will disturb the suspect ACBMs. All samples were analyzed by a laboratory accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the following trigger levels for different types of properties, which specify how suspect and confirmed ACBMs are inspected and subsequently abated: With regard to single-family residential dwellings (SFRD), the trigger levels are 50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon drum With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes, 160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum The purpose of the inspection was to identify, visually inspect, and sample all suspect ACBMs, at the direction of the client, which may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection Procedure The inspection procedure was conducted in accordance with EPA Asbestos Hazard and Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable Occupational Safety and Health Administration (OSHA) guidelines and regulations. These regulations specify requirements and protocols for conducting asbestos inspections, sample analysis, and asbestos abatement. 4.1 Suspect Asbestos Containing Building Materials Homogenous Material Types The inspection involved identification and sampling of suspect ACBMs in the areas established by the client that would be part of the scope of work. Suspect ACBMs were grouped into homogenous materials based on color, texture, and date of application. Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on the type sequence of the homogenous material. Details about the size, color, condition, friability, quantity, location within each functional space and other important details for each homogenous material were reported as part of the inspection. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material — material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation — material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous Materials — interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. Homogenous Material Friability Each homogenous material was given one of the three following friability categories defined by the EPA and CDPHE: 1. Friable Material — materials that can be crumbled or reduced to powder by hand pressure. 2. Category I Non -friable Material — materials that cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing materials and asphalt impregnated roofing materials. 3. Category II Non -friable Materials — all other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -friable materials. Homogenous Material Condition Each homogenous material was given one of three condition categories based on visual observation defined by the EPA and CDPHE: 1. Good Condition — No visible signs of damage were observed during the inspection. 2. Damaged Condition — Visible signs of damage less than ten percent spread over the entire material or twenty five percent localized. 3. Significantly Damaged Condition — Severe damage greater than ten percent spread over the entire material or twenty five percent localized. 4.2 Sampling and Laboratory Analysis Sample Collection Bulk samples of each suspect homogenous material were collected randomly throughout the homogenous material area within the scope of work. Bulk samples were sampled all of the way through the material so that all associated layers within each homogenous material are represented. Bulk samples were placed in closeable sample bags and then labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1, MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the homogenous materials were also collected at this time during the inspection. Sample quantities of each homogenous material were collected based on material type and quantity detailed in the following table as required by regulation: Homogenous Material Minimum Number of Quantity Type Samples 0 to < 1,000 SF 3 Surfacing material 1,000 to 5,000 SF 5 >5,000 SF 7 Each Material 3 Thermal System Insulation Patch < 6 LF, SF 1 Miscellaneous Material Each Material 2 Laboratory Sample Analysis Bulk samples were submitted to the laboratory along with a completed chain of custody form to the above listed NVLAP accredited laboratory for analysis by polarized light microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982). Microscopic visual estimation was used in obtaining the percentage of asbestos within each layer of the bulk samples. Asbestos Containing Building Materials EPA and CDPHE both define an asbestos containing building material (ACBM) as a material which has an asbestos content of greater than one percent. In the event that a friable material is estimated to contain "trace" or between zero -to -one percent, that material must undergo a point -count analysis by the laboratory to confirm that the material is trace asbestos -containing. Further, if a point count analysis is performed on a bulk sample, the point count result takes precedence over the visual estimation result. See appendix A for laboratory report and chain of custody documents. Section 5 Conclusion BuildSafe has performed a limited repair/renovation specific asbestos inspection of the home/facility located at the Site Address. Through visual inspection and laboratory analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a certified general asbestos abatement contractor to remove any ACBMs that may have been identified within the scope of work. All inspection activities were conducted at the direction of the client and only include those materials, quantities and locations detailed in sections 1 and 2 of this report. See sections 1 and 2 of this report for information regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample information and laboratory analysis results. 5.1 Limitations General Comments and Limitations Reasonable effort was made by BuildSafe to locate and sample accessible suspect ACBMs within the scope of work. However, for any structure, the existence of unique or concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected suspect ACBM bulk samples in the repair/renovation areas at the direction of the client. This limited repair/renovation asbestos inspection report is not considered a comprehensive asbestos inspection report and is only valid for the materials and locations detailed in sections 1 and 2 of this report. Should further repair/renovation work expand outside of materials and locations listed in sections 1 and 2 of this report, those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement of ACBMs must be performed in accordance with all federal, state and local regulations pertaining to abatement, transport, and disposal of ACBMs. The asbestos inspection was conducted in a manner consistent with the level of care and skill exercised by professionals of the asbestos inspection profession. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the repair/renovation areas. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or other third -parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Sincerely, ;10000, Kevin Lovato BuildSafe Environmental, LTD 303 S Broadway, Suite 200-239 Denver, CO 80209 720.519.7283 Kevin@buildsafeenviro.com Appendix A Laboratory Report and Chain Of Custody Form 0 ��•o cy a a a 7 � 'J. O y � N � aw c � 0 U 0�. 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O N LD e 1 g V>> — '� N N y 7 7 16 l9 yy�� ifJ N 2N 0 C E— gl eo W e N e p c f6 E !O E �' t .2N z a z c Ur U 3 a H °o V Cc LL #-x( (no D m U C $' Lo N m cc E ♦Z� V " 1 � O CL je E d C U) C Cl O C m o W LU Q) mr �, M m N 4 17 N fn r N N N r !' N r N N Ncis r N fV r N LO Ui Ui �= N a a a a a0 O OLL m u morn ° U u � v — m .a c mat ° A ri .n (A C/) E N U c W j O` Q1 W r N t7 1[f co h m cn O r N P9 of f'i7 ID h CD CI O r N P'f N t0 h 00 d1 s5 r 0_' I,] a o U �- r r r r .•• r r r N N N N N N N N N N Mf M 1'1 P9 it r� rti m 1.) 1.1 � � City of Wheat Ridge Residential Interior Remodel Description of Work Property Address: 4095 Cody Street, Wheat Ridge, CO 80033 General Contractor/Owner: Brett Kelley (720-530-4838) brettakellev@gmail.com August 14, 2019 1. Removal of all asbestos per BuildSafe report (attached). $8,000.00. 2. Removal of all attic insulation. $1,000.00. 3. Removal of all drywall (walls & ceilings) $1,000.00. a. Kitchen (126sgft), b. Hallway (91sgft), c. Bathroom (56sgft), d. Dining & Family Rooms (270sgft). 4. Removal/Replacement of electric in entire house w/new circuit breaker including new lights & outlets. $12,500.00. 5. Removal/Reinforcement of one kitchen wall (per attached engineering report). 6. Reframe for drywall & drywall. $5,000.00. 7. New shower (existing plumbing to be used where it is ... drain & water supply to remain for shower & sink). $5,000.00. 8. New kitchen (existing plumbing to be used where it is ... sink & dishwasher to remain where they are). $12,500.00. TOTAL PROJECT VALUE: $45,000.00 (all materials & labor). 4095 Cody St. Scope of Work — Residential Remodel August 14, 2019 MAIN FLOOR Z�! L��c:��n�, P`�^^� coc�� Living Room (177 sqft) CURRENT _ (CURRENT) A Kitchen (250 sqft) Family Room (231 sqft) 00 c0 00 Bath (50 sqft) 11 Mstr Bdrm (168 sqft) 0M ' oftj �� `"'M Bdrm (125 sqft) LO 6s City of � Stair (231 sqft) n 'f W heatde COMMUNITY DEVELOPMENT +or • ov1 �e� �sW:�c APPROVED Reviewed for Code Compliance • 0 t Ol- M p ep stl,V. X wall �0 6e t wwm O 'N! 6` f U .". .faue 3wrN �� �ff�d Vali_d_gY 7 N n r ,. c /u t rrn-.t c upt vor of plom speu(rotionsLu IL Kiii�� © C nnd� r f tl-a(tr Code u � City ordhonces V�O(OUOn to �� �• ) Q Presu ling to q -� authority bo vF010 ,ode or o/l the City ordinnnces. PermNs `+� _ � / • presuminy he or outhonry to vblote o cancel the • . r� r l�c,.�e: (� r lr 4 •• 1 Owvisions of the Building codes or abler ardinonces of the City shall not 6e valid. L �,4•'uj VAN W4• Ld LLI n • , Ltrdw � Z� �►� c -v _..._. N F ppa�tRY U LO O itM, ® �.�... r BpQ� �¢M � 9� 9=::-) w t wtri •-1 Spm. � WIN J SOW W 4S, J ZwiN Y -- q'w�N 42' wn+j carr d w \n c"r'r t e m G rN C) Wheat Ridge m Z pi10►00 1 1. vildln9 Scale 3/16" = 1' t4A—e MAIN FLOOR (FUTURE) 3�K . U v �' ��MtLY aooM d � 14� 0. wtitt L VM4 R1D� M 0 0 4 1 wnv ILP Scale 3/16" = 1' --le— — C.0 9, . U n ` C1 • traw 0 0 " Sgata • 5 C°� O b�fq Ktfc�t�t • d d V O ��i► _ C"W rANTRV 1141 Cis W wig 31 Living Room (177 sqft) Kitchen (250 sqft) Family Room (231 sqft) 00 Bath (50 sqft) 11 Mstr Bdrm (168 sqft) 6 Bdrm (125 sqft) T 0 Stair (231 sqft) n •��/SySIR"e�1 to 0 w t7 a w 2 Smoke alarms shall be required in W w each sleeping room and outside each sleeping area per 2012 IRC, Section in Carbon monoxide detector(s) 0 required within 15 ft of all sleeping areas. ju T W J J W 0M w 0d9g reotR � ,N O`41 S\0 0 ' wJ60iL 11111 1. N BASEMENT (CURRENT) zo'J Scale 3/16" = V `: 'SlkgL UALZ, • d 0 . 'SreRdGe' t � U 0 e . bw S %tY 0 WA -5141 SINI,I PRY pt� GAS.. - Rec Room (216 sqft) Storage (153 sqft) Laundry/Bath (206 sqft) °D CO Darkroom (46 sqft) 11 Closet (14 sqft) 0m Hallway (27 sqft) LO 1 O Crawlspace (232 sqft) N I Q Jlrj�i 0 M 0 U Li c� 0 H Q w W W U) d U 0) I W J J W Y H °% W GCI a' re°tR`ag0 0° m � O`,`�` '111. N BASEMENT (FUTURE) Scale 3/16" = 1' 6f U W94 ItEc It 0 U W,W 2 1N U v U VKL 5roaa�& O 0 v U v c- w, o a uiw ' fl%ak C:, w#4wlStNk/ mew - "t "fTj WI . CUs +- 3f' 1— .1 Rec Room (216 sqft) Storage (153 sqft) Laundry/Bath (206 sqft) m Darkroom (46 sqft) I Closet (14 sqft) m Hallway (27 sqft) I O Crawlspace (232 sqft) Cq M O W W U) 0 U rn O W J J W F- H W 01 �, a' V`OIII I I 1 �i City of � R , �WheatOMMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. 07/17/2019 KELLEY BRETT A 4095 CODY ST WHEAT RIDGE, CO 80033 Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 On 06/17/2019 the City of Wheat Ridge Building Division posted a Stop Work Notice or Notice of Violation on your property at 4095 Cody St. for interior remodel without permit. As of this date, no permits have been issued to clear the Stop Work Notice or Notice of Violation. You must contact the Building Division at 303-235-2855 and take necessary action to correct the violation by 07/27/2019 (10 business days of this notice). No permits, licenses, or other entitlements may be issued by any City Department until this violation has been cleared. Please contact the Building Division at 303-235-2855. This letter also serves as notice that the Building Division intends to invoke certain administrative procedures as granted by Chapter 5 of the Municipal Code of laws of the City of Wheat Ridge. These possible procedures include, but are not limited to, the following: 1. The Recording of a Notice of City of Wheat Ridge Code Violation on your property with the County Recorder. 2. The issuance of a citation. 3. Formal enforcement action. 4. Administrative fees associated with the investigation and processing of the violation(s). In order to abate the violation, you must obtain a permit, pay any associated fees and have the permit finaled. Sincerely, U.S. Postal CERTIFIED o RECEIPT Ir Domestic M Ln Ln Randy Slusse , CBO Certified Mail Fee .A $ Chief Building Official rr) Extra Services & Fees (checkbm, addfeeas appropriate) ❑ Return Receipt (hardcopy) $ O ❑ Return Receipt (electronic) $ Postmark O El Certified Mail Restricted Delivery $ C3 ❑Adult Signature Required $ Here By: Brandon Fresquez, Building Inspector E:3 ❑Adult Signature Restricted Delivery $ U Postage Er 7500 W. 29th Avenue O Total Postage and Fees Wheat Ridge, Colorado 80033 M $ ent To S Office Phone: 303-235-2882 a _ Fax: 303-237-8929 p Street andAp------------ r soXiv6." www.ci.wheatridge.co.us cry, s:ere, zip+ --- -- 11. 0 City of l Wheatl),' COMMUNITY DEVELOPMENT www.ci.w heatridge.co.0 s INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ADDRESS: �C? l� 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 ),� _,' > L 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 ),� _,' > L 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: 'b -0e&Y 6, ADDRESS: �� �� �� JOB CODE: Are Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 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.** ing Final Inspection* Fding 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 NOTICE Inspection Type: L/ Cgi - "I, I Job Address: LI o S _ n Permit Number: ';:) o I R Coo ❑ No one available for inspection: Time = D 1 gypm Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: I 03-234-Date:I Inspector: T?N 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: L/ o r ".)C J Job Address: 17 S C b S Permit Number: a n IF c: C C 1-1 1.0 G o r1 C! U C o fl ❑ No one available for inspection: Time 'K-- 4CMIPM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: I &I lI 8 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: 10 ✓i e Job Address: 40 5- Permit Number: 20&O00 ❑ No one available for inspection: Time AM/& Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: /-10Inspector: h L DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201800046 PERMIT NO: 201800046 ISSUED: 01/04/2018 JOB ADDRESS: 4095 Cody ST EXPIRES: 01/04/2019 JOB DESCRIPTION: Residential re -roof and re -deck on house and detached garage with GAF Grand Sequoia IR asphalt shingles. Pitch is 5/12 with 26 squares. * * *CONTACTS * * * OWNER (720)530-4838 KELLEY BRETT A SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC *** 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: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** 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 - 201800046 PERMIT NO: 201800046 ISSUED: 01/04/2018 JOB ADDRESS: 4095 Cody ST EXPIRES: 01/04/2019 JOB DESCRIPTION: Residential re -roof and re -deck on house and detached garage with GAF Grand Sequoia IR asphalt shingles. Pitch is 5/12 with 26 squares. 11 by Int ire, 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 pe form the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities nad within this document as parties to the work to be pq oraed and that all work to be performed is disclosed in this docume tan /or its' accompanying approved plans and specifications. I U A i1� r. gna . e of QWNER r ONTRACTOR (Circle one) 4at I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalermit 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, an violation of any provision of any applicable code or any ordinance or red ation 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. ,-�o10 a Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Thursday, January 4, 2018 3:26 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 4095 Cody St Brett Kelley 720-530-4838 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Kelley Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Homeguard Roofing and Restoration Name Contractor's License 130138 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-708-4126 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 6850 W 52ND AVE SUITE 106 (Primary address of your business) Contractor Email Address fernl@homeguardroof.com Retype Contractor Email fernl@homeguardroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of 26 the entire scope of work: Project Value (contract 8000 value or cost of ALL materials and labor) Are you re -decking the Yes roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) 01 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) 5/12 ME GAF Grand Sequoia IR Asphalt Shingles Asphalt Replacing roof on main structure and detached garage. SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 3 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 Terry Marks Email not displaying correctly? View it in your browser. '14 HOMEGUARD ROOFING & RESTORATION HomeGuard Restoration 6850 W. 52nd Ave. Suite 101 Arvada, CO 80002 Phone: (720) 708-4126 Fax: (720) 921-8658 www.homeguardrestoration.com Lic. #:AEC588 Date: 12/08/17 Representative: Terry Marks (720)244-9708 Proposal #: PROLead-2 Custorner, Main Phone: Work Prone: Celt Phone: Brett Kelley Qty Unit (720) 530-4838 Customer/Project Address. City: State: Zip: 4095 Cody St Wheat Ridge Co 80033 Grand Sequoia Impact Resistant # Item Qty Unit 1 0.00 SQ 2 GAF Grand Sequoia IR - 31.33 SQ 3 GAF Seal -A -Ridge ArmorShield - - 15.00 BDL 4 GAF Pro -Start - - 19 full sheets (38 individual pieces) per bundle 3.00 BDL Approx. 120.33 linear ft (when split in half) 5 GAF StarterMatch (Sequoia/Canyon) - *** Two rowsof starter required with GAF 6.00 BDL Grand Canyon, Grand Sequoia and Grand Sequoia IR 6 ************.*********LABOR*************�*«*.*** 0.00 EA 7 Tear off wood shake 27.00 SQ 8 Chimney Flashing Step & Counter - 0.00 EA 9 No Access 22.00 SQ 10 Roof Load - Hand carry roofing materials onto roof 22.00 SQ 11 ************************UNDERLAYMENT************************ 0.00 RL 12 Cover Pro, #15 Synthetic - 3.00 RL 13 RoofLine Economy Ice & Water - 8.00 RL 14 *************************FLASHINGS************************* 0.00 EA 15 Drip Edge, painted - Rake metal 0.00 EA 16 Gutter Apron, painted 33.00 EA 17 Step Flashing 1.00 BDL 18 Head Wall Flashing, 4" x 5" x 10' 3.00 EA 19 Counter Flashing 3.00 EA 20 Valley Metal, W -formed 8.00 EA 21 *************************VENTILATION************************* 0.00 EA 22 Broan Broan 636, small - - 2.00 EA 23 Plumbing Stack Boot 10.00 EA 24 GAF Cobra Snow Country Advanced - Each Piece is 4'. 10.00 PC 25 Cut -In Ridge Vent - Item required when installing continuous ridge vent. 40.00 LF 26 **************************FASTENERS************************* 0.00 BX 27 Coil Nails - 1 Box of nails should cover 15 SQ 3.00 BX 28 Plastic Cap Nails - One box of Plastic Cap Nails should cover about 25 SQ. 1.00 BX 29 Hand Nails 1.00 EA 30 *************************ACCESSORIES************************ 0.00 EA 31 Spray Paint 4,00 CN 32 Geocel 2300 Tripolymer Sealant 8.00 TB 33 ** "***""' k** "****" *" *"*'"'WARRANTY'*"************' ** ****" - In addition to the 0.00 EA shingle manufacturer warranty, HomeGuard Restoration also provides a 5 year labor warranty. HomeGuard Restoration will register your shingle manufacturer and all warranty documents will be delivered directly from the shingle manufacturer. 34 GAF Lifetime Material Warranty, Systems Plus 1.00 EA 35 *******,***************, *FEES******«***************** 0.00 EA 36 Construction Permit - Price to be determined by municipality (not included in this 0.00 EA estimate) and included in final invoice to homeowner. 37 Delivery Charge 1.00 EA Sub Total: $18,571.88 _ Tax: $752.00 Sub Total: $18.571.88 L Tax: $752.00 Cit C, Grand Total: $19,323.88 Replacement Cost: Company will perform the above for the Sum of $ Grand Total listed Above Down Payment (if any) $50% of Grand Total. This Agreement is contingent upon acceptance by Company, Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the manufacturer's installation instructions & the local building codes. By signing this Agreement you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. This contract is subject to Company management review & approval. I accept the above terms of this contract and authorize Company to proceed. Approved and accepted (Customer) Date (Approved and Accepted (Company) Date Approved and Accepted (Customer) Date I have received the "Things to Remember" document RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT, SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property lr J .,rtlra.'itura 1'4 H©MEGUARD ROOFING B RESTORATION HomeGuard Restoration 6850 W. 52nd Ave. Suite 101 Arvada, CO 80002 Phone: (720) 708-4126 Fax: (720) 921-8658 www.homeguardrestoration.com Lic. #:AEC588 Date: 12/08/17 Representative: Terry Marks (720)244-9708 Proposal #: PROLead-5 Customer Main Phone: Work Phone: Cell Phone: Brett Kelley (720) 530-4838 CustomerrPro/ect Address. Ciiy: State: Zip. 4095 Cody St Wheat Ridge CO 80033 Re -Deck # Item Qty Unit 1 Install Approximately 3030 Sf. of 7/16" OSB. Includes house and garage. 1.00 EA Sub Total: $6,453.58 Sub Total: $6,453.58 Grand Total: $6,453.58 Replacement Cost: Company will perform the above for the Sum of $ Grand Total listed Above Down Payment (if any) $50% of Grand Total. This Agreement is contingent upon acceptance by Company. Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the manufacturer's installation instructions & the local building codes. By signing this Agreement you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. This contract is subject to Company management review & approval. I accept the above terms of this contract and authorize Company to proceed. Approved and accepted (Customer) Date Approved and Accepted (Customer) Date Approved and Accepted (Company) Date I have received the "Things to Remember" document RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property a Page 2 CaSlvmai `IC41701W(2 �`� �,. Ui 'T !)2.06 PM