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3021 Chase Street
Property Address Permit Number Permit Issued Date The City of Wheat Ridge Third Party Form Check List .3 C: --r C21t�. sT Owner l<nforrnation Property Owner Information ,?° _12bltl-5- 1 Property Owner Address mo l C "e, Inspector inf®rmation Inspection Company �//+'r / "qr Inspector Dame Inspector Contact info. /-7k O _6iO - 9SI� Inspector Statement and Acknowiedgernent I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendati ns andpecificatio inspector. j��cn�'� Date: Property Owner Statement of Acknowieclqtment *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -parry inspection company to perform my roof inspection in lieu of the City of Wheat Rige ildi i n ins pe tion. Propery O� ner/Agent: �, ..�, Bate: l /0 f� This original document and permit card, as well as the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection. Drop off in persona Permit counter 2nd floor 7500 W. 29th Ave Wheat midge CO 80033 Draft Date: 7/26/17 V Ploase add note to reverse side I he Ulty of wheat Ridge Inspection Check List notes Mid -Roof Roof 11nspeetion 171 N/A ❑ Pass ❑ Fail ❑ N/A ❑ Pass ❑ Fail Structural roof components ❑ N/A ❑ Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A ❑ Pass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail if new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) ❑ N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) ❑ N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A ❑ Pass ❑i Fail Verify B vent must have boot same gauge as pipe ❑ N/A ❑ Pass ❑ Fail Verify vent caps ❑ N/A ❑ Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A ❑ Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A L]Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A ❑ Pass ❑ Fail Underlayments must follow 2092 IRC 12012 IBC ❑ N/A ❑ Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A ❑ Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A ❑ Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A ❑ Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC ❑ N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 ❑ N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope ❑ N/A ❑ Pass ❑ Fail Above roof insulation R-25 ❑ N/A ❑ Pass ❑ Fail Below roof residential R-38 ❑ N/A ❑ Pass ❑ Fail Below roof commercial R-32 ❑ N/A ❑ Pass ❑1 Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shin Requirements ❑ N/A ❑ Pass [} Fail Metal roof shingles shall not be installed on slope Im 3:12 ❑ NIA ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof FJJ N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow fine with sections overlapping a a min. of 4" Nile hoofs Reguirements F-1 N/A ❑ Pass ❑ Fail Clay and concrete file shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underfayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name. Inspector signature: Data Of inspection: ? 11K b c 4 N/A ❑ Pass ❑ Fail ❑ N/A Pass ❑ Fail N/A ❑ Pass ❑ Fail LN N/A ❑ Pass ❑ Fail ❑ Pass ❑ Fail N/A ❑ Pass ❑ Fail N/A Q Pass Q Fail ❑ N/A It Pass ❑ Fail ❑ N/A l� Pass ❑ Fail ❑ N/A Pass Q Fail ❑ N/A `N° Pass Q Fail N/A ❑ Pass ❑ Fail ❑ N/A Pass ❑ Fail ❑ N/A Pass ❑ Fail Q N/A [� Pass ❑ Fail Q N/A Pass Q Fail Q NIA Pass Q Fail ❑ N/A [ Pass Q Fail N/A ❑ Pass ❑ Fail NIA ❑ Pass ❑ Fail N/A ❑ Pass ❑ Fail N/A ❑ Pass Q Fail N/A ❑ Pass ❑ Fail N/A ❑ Pass ❑ Fail The City of Wheat Ridge Inspection Check List notes Final Roof Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify sheathing nail pattern} (See Policy & Procedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings are damaged or rusted Step flashing shall be rain. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2' in heated wall spaces Underlayments must follow 2012 IRC / 2012 IBC Verify roof slope for proper drainage Dripedge shall have min of 2" overlap Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" CC 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, ,patios, carports, open on three sides with min. slope of 1:92 Modified Bitumen, EPDM, TPQ min slope 1/4:12 slope Above roof insulation R-25 Below roof residential R-38 Below roof commercial R-32 Modified Bitumen, EPDM, TPQ min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Regui>rements N/A ❑ Pass Q Fa Metal roof shingles shall not be installed on slope less 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof [ N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the j centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tine Roofs Requirements [ N/A ED Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope '� Slopes 412 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof UFST M-- Company Name: Inspector signature: Date of Inspection: i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -, Job Address: ` Ck Permit Number: (j � LlNo one available for inspection: Time l;�M%PM Re -Inspection required: Yes No' When corrections have been made, call for re -inspection at 303-234-5933 Date: I`'1 17- Inspector:,' V" /�I�/ A/11 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Build ng� Inspectiori ision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE r---.. Inspection Type: �% 1`� - o +, 1� 1 re 1 n C l Job Address: 7_z)9) C L n5�e + Permit Number: 2 0 1 a 0 C y 9 CR ❑ No one available for inspection: Time 10:: 13 M Re -Inspection required: Yes't.J✓ When corrections have been made, call for re -inspection at 303-234- Date:- 9 1/13 //9 Inspector: _71) 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: Lt��J r !�. Job Address:_ a 7 - Permit Number: 7 C ❑ No one available for inspection- ime 1 C1 i �AM/PM Re -Inspection required: Yes oN When corrections have been made, call for re -inspection at 303-234-5933 ? r � C Date: fi r 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: 3 1 Job Address: 66a.4 C Permit Number: X7/8 016q_3 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes o *Whencorrec 771 have been made, callfor re -inspection at 303-234-Date:� � Inspector: DO NOT REMOVE THIS NOTICE City of Wh at�idge CCIMMUNiTY DEVELOPMENT City of Wheat Ridge. Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 84033-8001 P: 303,235.2846 F: 303-235.285-, FOUNDATION SETBACK AND ELEVATION CERTIFICATION This form, including the Exhibit on the reverse side, must be fully completed by a Professional Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review and approval prior to the placement of concrete and before proceeding with any further construction. DATE: PER --%IIT# Zal`b 0O'6r°?S ADDRESS: SO -;-'t C6 -c4 -44.C) LOT t5 .BLOCK 4 �A.RbCrS- SUBDIVISION I hereby certify that the elevation and location of the structural foundation for the above property described above has been measured by me or directly under my supervision. The foundation setbacks and elevations for all building corners as stated herein have been found by me to be in compliance with all municipal setback and elevation requirements, and all civil engineering and Building Permit construction plans as approved by the City of Wheat Ridge. The MINIMUM SETBACK DISTANCES from the property lines have been determined to be: FRONT:tn1.g REAR: 10,) Si)F_.: S.f,5 SIDE: t8,3� The MINIMUM ELEVATION has been determined to be: ivplr The above measurements have been determined on the following location: Check only one): "Fop of foundation prior to placement of concrete The setback ai Signed.& Print !i2slbekt (NAVD88). of proposed foundation subsequent to placement of concrete locations are identified on the attached exhibit. v Prot 'Wonal Survevor Date FOR OMCE USE ONLY Approved thy: Inspector Dace www.ci.whestridee.co.us EXHIBIT i l � g r pia, QQ d i l r#6e.! iK t I f NOTICE TO SURVEYOR: 1. Elevations shall be shown for ALL foundation comers. 2- Foundation corners with minimum elevation and setback distance shall be identified. 3. Drawing must be properly oriented (North = top of page). 4- Shaw the roadway in front of the property. S. If drawing is to-scale, provide the scale. If not to-scale show as N.T.S. Rev 1 Z06 S I* � 4 o CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIQ VI IQTICE /03- c ac�- Lr c, Inspection Type: 3 0 '7 - !11 L S Job Address: 3 0� t C S A se S -{- Permit Number: a ® ) 53 © o L -I 9 S 0 -9 ❑ No one available for inspection: Time 9 = !o (QPM Re -Inspection required: Yes Flo When corrections have been made, call for re -inspection at 303-234-5933 Date: -7/31 / Inspector: --T-b DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: C CAa 5:k_ Sf` Permit Number: Gl�,0e1w N at C a S I ti When corrections have been made, call for re -inspection at 303-234-5933 Date: `7 ' O��/' /r Inspector: )nA) 61, 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: -301- c l (^ Job Address: -3 0 a ) C A a Te g) - Permit Number: -Doi S 0 0 Lill ❑ No one available for inspection: Time / 0 = aOPM Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234-5933 Date: _7 I IR il 8 Inspector: 'Tib DO NOT REMOVE THIS NOTICE Z V� I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0a - 6�_10 y!�2 A 0',-c 1pe5 Job Address: 3 o a J 0 R se S' -)L Permit Number: PC 1 S o/ 1 9 -79 ❑ No one available for inspection: Time M/PM Re -Inspection required: Yes ('No_1\ When corrections have been made, call#per re -inspection at4u:1234-5933 Da . Inspector: DO NOT REMO1/E THIS NOTICE /0 i CITY OF WHEAT RIDGE PBuilding InspecfIbn Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -06 /V ij�do-� Job Address: 30' J 1_HoS6 -st,VP Permit Number: 201000qq0 r) -r 41YD 1-U of d ❑ No one available for inspection: Time AM/6w Re -Inspection required: Yes (9N When corrections have been made, call folr�re-inspection at 303-234-5933 Date: 6/ 1 7/ t�; Inspector:.Jlah,e Loyr4� DO NOT REMOVE THIS NOTICE City of Wheat Ridge 4 00"A ?0,00, IV, Residential Electric PERMIT - 201801693 PERMIT NO: 201801693 ISSUED: 06/11/2018 JOB ADDRESS: 3021 Chase ST EXPIRES: 06/11/2019 JOB DESCRIPTION: Install a 200 AMP breaker box in the new detached garage and run underground conduit and feeders to feed existing house from the garage, wiring per code. Install a ceiling fan and lights in the new porch outside of existing house. *** CONTACTS *** OWNER (720)280-5894 MENDOZA VICTORIA E SUB (720)732-2178 Jose Lara Soto 090307 New Age Electric, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,800.00 FEES Total Valuation 0.00 Use Tax 100.80 Permit Fee 125.05 ** TOTAL ** 225.85 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signat e, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable buil n odes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal ow r f the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I fu h ttest that I am legally authorized to include all entities named within this document as parties to the work to be performed and t 1 k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. -/I -/ IF Signature of R or CONTRACTOR (Circle one) Date I . This permit 4as issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-cial 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 n t proceed or conceal work without written approval of such work from the Building and Inspection Services Divis' 6. The ss nce r grant' of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap le c or e 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. Litt Of �W heatI,idge MUNITY 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(ci.wheatridge.co.us FOR OFFICE USE ONLY Date:, Planl//l /*� / & qJ an Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: So -a) C,\Xas e. S w Owner Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Phone:17_o - 2-30'Y? ? L/ Contractor: 010lW (� q -e e � // rt c (""C- City ^LCity of Wheat Ridge License #: l�� 1 C 30- Phone: Contractor E-mail Address: r,.,,etJ eke c�-yn.L.—D.Q Y1 wLA 0 c -o r" For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # (:9 9 030�+ W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL RESIDENTIAL 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. 1 rt SA '4""P breecx lie r bd� tvti �t l,,e e�J die bac o►na� 9arpt y 7ver God' �►�$�a�l a Ce►t►h, -Ca►n Sq. FULF Amps a14 �\3v0rj 1v, nttse J —Focl' Ovl .T\;'— o BTUs Gallons Squares Commercial Projects Only: Occupancy Type: Construction Type: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ �i2o0 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) ONTRA OR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE:y — 1 r Printed Name: ��6'se Lir ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: 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: Job Address: 30Z 1 14A S6 ST Permit Number: 201 �?C)1693 ❑ No one available for inspection: Time Re -Inspection required: Yes lo) When corrections have been made, call for r -inspection at 303-234-5933 ff Dates' 4 IZ` �� Inspector: DO NOT REMO THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOT - ' Inspection Type: - Job Address: .7�,�-/ t^ 6,,94P Permit Number: ❑ No one available for inspection: Time/� AM/PM Re -Inspection required: Yes (No When corrections hav been made, call for re -inspection at 303-234-5933 Date: Inspector: O NOT REMOVE THIS NOTICE A 4' CITY OF WHEAT RIDGE .A Building Inspection Division (303) 234-5933 Inspection line (30 235-2855 Office o (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 30,/�/ Permit Number: PINK7e, U No one available for inspection: Time _-,OAIVYPIVI Re -Inspection required: Ye§," Nr) When corrections have been made, c-�_ferre-inspection at 303-234-5933 IK Inspector: �c��7�1b}— DO NOT REMOVE THIS NOTICE En/pecr= IyOVSU�i1- 5160 Parfet Street, Suite A-3 Wheat Ridge, Colorado 80033 www.enviro-spec.com Pr -Demo Asbestos Bulk Sampling Report 3021 Chase Street Wheat Ridge, Colorado 80214 Report Date: March 14, 2018 Prepared for:. Victoria Mendoza 3021 Chase Street O1 goo � o(/I f Wheat Ridge, Colorado 80214 r-GEIVED A/rop�j MAR 2 2 2018 Page 1 of 10 'Ibl' ----_ EnNr pec caNsuL--r,rvG Table of Contents ExecutiveSummary....................................................................................................................................................3 Introduction..................................................................................................................................................................4 AsbestosInspection...................................................................................................................................................5 Suspect Asbestos Containing Materials..................................................................................................................7 AsbestosContaining Materials.................................................................................................................................8 Recommendations......................................................................................................................................................8 GeneralComments.....................................................................................................................................................9 Appendices Appendix A Summary of Samples and Results Appendix B Laboratory Results and Chain of Custody Appendix C Certifications Appendix D Photos Page 2 of 10 t Ir 15 » EnN pec Executive Summary ➢ EnviroSpec, LLC (EVS) Mr. Michael Ciccotti, conducted a pre -demolition asbestos inspection of the unattached garage at the residence of 3021 Chase Street in Wheat Ridge, Colorado. ➢ This inspection was conducted due planned demolition causing damage to suspect asbestos containing materials (ACM). ➢ Two (2) bulk samples were collected and submitted for analyses on a five-day turnaround. ➢ Samples were collected of roof shingle, and caulking. ➢ Through laboratory analysis of bulk samples, EVS confirmed there was no asbestos detected and no further action is necessary. Page 3 of 10 En�/ir = ec Introduction EVS's Mr. Michael Ciccotti, conducted a pre -demolition asbestos inspection of the unattached garage at the residence of 3021 Chase Street in Wheat Ridge, Colorado. The inspection was conducted due to planned demolition of the unattached garage. The Environmental Protection Agency (EPA) and Colorado Department of Public Health and Environment (CDPHE) Colorado Regulation No. 8 requires that suspect Asbestos - Containing Materials (ACM) be properly sampled and analyzed prior to any demolition activities that may disturb these materials. The purpose of this inspection was to identify and sample suspect ACM that would be impacted by demolition of the structure. And to determine what materials are required to be removed prior to demolition, or that is allowed by EPA and CDPHE regulation and policy to remain under normal demolition and may be disposed of as construction and demolition debris. This asbestos inspection was conducted on March 5, 2018 by Colorado State Certified Asbestos Building Inspector Mr. Michael Ciccotti, Certificate #15072. Page 4 of 10 E !kj�= COtVSL Asbestos Inspection This pre -demolition asbestos inspection was conducted in general accordance with the United States EPA procedures published in 40 Code of Federal Regulations (CFR) Part 763, Subpart E — Asbestos -containing Materials in Schools and Colorado Reg. 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). This asbestos inspection involved identification and sampling of suspect ACM on and/or within the structure. Suspect ACM includes nearly all building materials except concrete, glass, metal, wood, plastic and ceramic. A physical assessment of each homogeneous area of suspect ACM was conducted to assess the general condition of the material and determine the friability of the material. Under the National Emissions Standards for Hazardous Air Pollutants (NESHAP), asbestos -containing building materials are classified as either friable, Category I non - friable or Category II non -friable ACM as described below: ➢ Non -friable ACM when dry, cannot be crumbled, pulverized or reduced to powder by hand pressure. ➢ Friable ACM when dry, can be crumbled, pulverized or reduced to powder by hand pressure. ➢ Category I non -friable ACM includes packings, gaskets, resilient floor coverings, and asphalt roofing products containing more than 1 % asbestos. ➢ Category II non -friable ACM are materials excluding Category I non -friable ACM materials that contain more than 1 % asbestos. Bulk samples of suspect ACM were collected in general accordance with the Asbestos Hazard Emergency Response Act (AHERA) protocols as outlined in Colorado Reg. 8 and Asbestos in Buildings: Simplified Sampling for Friable Surfacing Materials as referenced in the Pink Book. Random samples of suspect building materials were collected for the specific areas and materials identified in this report. Page 5 of 10 Eng/ vec �iP Title 40 CFR Part 61 regulates asbestos fiber emissions and asbestos waste disposal practices and requires the identification and classification of existing building materials prior to demolition or renovation activity. Page 6 of 10 En U�/i� = pec CONSLTING /.. Suspect Asbestos Containing Materials Building materials are historically known to contain asbestos and therefore suspected to contain asbestos. OSHA maintains comprehensive lists of suspect ACMs frequently encountered during inspections. The following suspect ACMs were observed during the inspection and determined based on review of demolition activities, to be potentially impacted and subject to inspection and bulk sampling: • (CK01) White pliable caulking on doors and trim of garage • (RS01) Multiple layers of three -tab, brown roofing shingle on garage roof Two (2) samples were submitted under chain of custody procedures to Aerobiology Laboratory Associates, Inc., of Golden, Colorado, for analysis by Polarized Light Microscopy (PLM) with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Microscopic visual estimation was used in obtaining the percentage of asbestos in bulk samples. Aerobiology is an accredited laboratory under the National Voluntary Laboratory Accreditation Program (NVLAP 200860-0). Page 7 of 10 En er Asbestos Containing Materials No ACM was identified in the samples collected. Recommendations EVS's Mr. Michael Ciccotti, conducted a pre -demolition asbestos inspection of the unattached garage at the residence of 3021 Chase Street in Wheat Ridge, Colorado. Through laboratory analysis of bulk samples, EVS confirmed there was no asbestos detected and no further action is necessary. Page 8 of 10 �' En�/i� = pec CONSULTING __� General Comments EVS assumes no liability for any loss, injury, claim, or damages arising directly or indirectly from any use or reliance on this inspection report or the opinions expressed herein. EVS makes no risk assessment, warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the area(s) inspected. There are no risk assessments, warranties, guarantees, or insurance available or provided by EVS. Please work safely and if you encounter any suspect building materials that are not listed in this report, please contact EVS for additional sampling. As per AHERA, a suspect material is to be considered as asbestos -containing unless it is proven otherwise by appropriate sampling. Reasonable effort was made by EVS to locate and sample accessible suspect building materials. However, for any structure, the existence of unique or concealed ACM is a strong possibility. This report was prepared pursuant to the contract EVS has with the client, including an exchange of information about the subject property that was unique and between EVS and its client. No guarantees are made arising from any service rendered and liabilities hereunder shall not exceed the total fee paid by the client to EVS. This report does not serve as a scope of work or bidding document. EVS greatly appreciates the opportunity to be your environmental consulting company. Please feel free to call with any questions, comments, or concerns regarding this report. Page 9 of 10 En!kj� ec Regards, Michael Ciccotti, Senior Environmental Scientist ( Michael(a)-enviro-spec.com Cell: 303.880.5716 Serina Schenker, Managing Partner ( Seri naCa).envi ro-spec.com Cell: 303.242.0711 EnviroSpec, LLC 5160 Parfet Street, Unit A-3 Wheat Ridge, Colorado 80033 Page 10 of 10 En i/A pec CC7NSLJLTIIVG Appendix A Summary of Samples and Results 4 $ a) ƒ41 m 0 2 q 2 2 � u 2k 0) 0) ao �0 \2 / \ 20 U CL .-§_— _—� .[ \ _ - .§ 0 C: - G322ag/ $LL � zc) ■r zU.@ s■Q 2 75 2 2:1 ± M ' $ 2 mC LO 0 @E y �o /\ « CL \ / \ E n \ m R _ § 2 § § 0 E U) o o% k� �§ o go R= 2d k / §: 2 �3 �/7 c O 0 J G1 E CO) R E x O CLCLQ C O G1 7 Z G1 L O E L c 0 O O N (n F - Q) O 0 N O 0 C L O 0 U) 0 0 0 Y 0 CO U 0 - O c o cz a) Q) m O L 6. =3U O o C:V 0 N L L T Q Z 0) (B y_ Cc .� w, W Q 0 _Q) r Y `0 r Co 0 U0 .,-0 ry �� En-15pec Appendix B Laboratory Results and Chain of Custody IN bf� c� a� U U Q.� O N U U 4-1 r'1 r'1 O U N � U 4-1 ct o O O a� CA O bJJ cr v CC3 ct `.J --i ct � O � 4-4 O N ct U ct ct 9 9 U U U cn w N � U s" ct O ct O O v U U tip v] ct C/) O w 4-1 ct o N cz ,� U 4-1 v� Ct w O p O C'3 U M' ct ct 7� 03 °' � ° cn cn C'3 o cn c U R U N U �—) cn cn 4� O U Q, ct C� 4-4> M O .,-qa u c UO cn 4 cn m 42) CIS C,3 4-J ct cd M cn cn v� ap cn U p ' M cn3 U �, cn cn a, ° • cn a '�°,ct ct ct cn U cnN N cn cn U w cn cn cncn c� . • ct cn O c� Ct "d 4-JcnO un cn ^; 5 �'\AERobiology LABORATORY —\ ASSOCIATES, INCORPORATED \_ Expertise Since 1997 Lab Use: ` Q fti�Ct I ti? 11 I Page �VL�� ELITE NVUiP tab Code 2008600 (CO) NVW Lab Code 200829.0 (VA) NVIAP Lab Code 5000970 (AZ) AZ, CA, GO, GA. VA, NJ NVIAPIab Code201096-1(CA) � � of l , tA6.161063 (CO) u.8.163063 ;Ga) u8.10297?;VA) uB.210229 (AZ) 1A6 R0R{7 iZ ue .21e9e1)CA) Aerobiology Client EnviroSpec Field Contact Reporting Address Michael CICCOttI 5160 Parfet Street Unit A3 Co 1 etedlByMme: r f' Retinquished ByMate. AN Relinquished By/Date. RegAved /Date: . �J / `� Billing Address Sampler TVpe I Andersen_M Sam leAir I other Aero I rap to(;u ure Phone/Fax 303-880-5716 PO#/Job#. r Reporting Email s michael@enviro-spec.com Project Name: __— N. Ci Routine 24 Hour Same Day 4 Hour 2 Hour 5 Day - (Aaw.p. oro,) Notes: SAMPLING LOCATION ZIP CODE Sample No. Test Code Sample Location Total Volume/Area I ISE MI V A: �llt Notes: 10 4 Direct, Non-viable pore rap Culture - Legionella 1051 Direct, ua )tative- wab ape 1017 Culture - SWAB Legionella 1050 t Qualitative- Bulk 1010 WATER - Potable - E. coli1total coliforms 10 Culture - Bacterial Count w D's 1012 SWAB - E. coli/total coliforms 1030 Culture - Fungal Count w/ ID's 1028 SWAB - Sewacle Screen E. colt/Enterolfecai coliforms) 1006 SWAB Culture - Bacterial Count wl ID's 2056 11WATER - Heterotrophic Plate Count 1031 SWAB Culture - Fungal Count w/ ID's 3001 ASBESTOS - Point count 1008 BULK Culture - Bacterial Count w/ ID's 3002 ASBESTOS - PLM Analysis 1033 BULK Culture - Fungal Count w/ ID's 3003 ASBESTOS - Particle characterization ]ASBESTOS 1007 WATER Culture - Bacterial Count w1lD's 3004 - PCM Analysis Washington, D.C. Atlanta, GA Denver, CO Phoenix, AZ Cherry Hill, NJ Los Angeles, CA (877) 648-9150 (770) 647-2828 (303) 232-3746 (602) 441-3700 (856) 486-1177 (714) 895-8401 Revision 11 13 En�/ir pec coNsuLTir�� Appendix C Certifications (It "IR -\I III" Z N, A ANl X Wl RWAI K k, .0M -4 ti 0 -4 colEn!/ir ec Appendix D Photos 1--0NStJLTiN F-77 \CM Inspection 3021 Chase S r.kO I CK01 RS01 I N R m = a' JLP09i LAND SURVEYING 5460 WARD ROAD - Su ITE 160 ARVADA, COLORADO 80002 (303) 4204788 IMPROVEMENT LOCATION CERTIFICATE NOTES: 1. Certificate is based on control as shown, an Improvement Survey Plat is recommended for precise location of improvements. 2. Location of fence lines, if shown, are approximate. DATE 01/03/2018FeE 5250.00 ice# 17-579 CUENT VICTORIA MENDOZA ADDRESS 3021 CHASE STREET NAME MENDOZA LEGAL DESCRIPTION FL(PER CtJEhrY) OT 15, BLOCK { OLINGER GARDENS,, COUNTY OF JEFFERSON, STATE OF CoLoR)Wlewed for Zoning Compliance by the �► City of Wheat Ridge Planning Division f% APPROVED I Scale: 1-20' 0 20 ® Note: BY: Z Portion of adjacent concrete may extend over property line as shown. DATE: � LOT 16 COMMENTS: a L.6CATlcv^/ Y ilvs�,2a�E�(Nt� I � k33.0 Adjacent Concrete flb.l 18.2 N Frame Garage 5.1 I r 8. LOT >:x15TI NG Ca�kR�� 22q- �F NEIN Q ;4o 95r- '1 27o el&P- I rim ry off -o-- Fence Line Concrete Asphalt Wood Deck (Q) Fouad Rebar/Cap $ Found Washer/Nail in Concrete ►-IOI.� g2� � 130 . qj�l8 12 4.3 -,--f { or 9-- LOT 14 /' SI -1 I.OT 13 1 1 WEST 30TH AVENUE ri Ll G:1 > f 3 On the basis of my knowiedge, information and belief. I hereby certify that this improvement location certificate was prepared for VICTORIA MENDOZA that it is not a Land Survey Plat or Improvement Survey Plat, and that it is not to be relied -aeon` for the establishment of fence, building, or other future improvement lines. I further certify that the imp ants on the above described parcel on this date, except utility connections, are entirely within the boundaries the parcele�k+ewrs st] t�there are no encroachments upon the described premises by improvements on any joining pre except as indicated, an tare is no apparent evidence or sign of any easement crossing or burdening y part of parcel, except as noted. NOTICE ?les rnpro"wort[ location cartilicm is pee red Me soda on use by peCa a+ated t>erwn It estabw prOwty a property ices. A eras preme �onstdp of Me �prorernerea to Me boundw Innes wI oae�mY,ea by m surrey Flag. TTne I Bili tiLatsa s and a* epperent and ertcoarlmertss are noted. R.E. FORT d ASSOCIATES and Robert E ria rat hs table tar tae ttl�ltj .' Location . atl Mer only to the pedes spec>fical ;� storm hereon Acceptance s++5a ust of tNs Location la arY Fap�. "i60 MWeeffient to tans stated hereon. aMrse er DRAM van«; �ANIN.10100 eaMarm roof traatltlrolli i L- 0 Provide truss manufacturer's profile drawings at time of frame inspection. Uplift connections and bearing shall comply with drawings. 2 2 2 2 2 2 2 2 2 2 26-00-00 MAR 2 2018 Pe(I- —L city or , Wheat Rage Z401 g _" THIS IS A TRUSS PLACEMENT DIAGRAM ONLY. Thins basses» desigrsd ffi iM�l buWag b be C porabd Cb Cn bddnp desgn M Cie spaCAc of the b.d1Yg der+ffisr. See iAividual d.vgn shaeC For ease tress g iderbfied on Cie -00-00 Customer. -00 IFRAIN RODRIGUEZ -0 -00 3021 CHASE STREET -00-00 LUMBER WHEATRIDGE, CO -00-00 riot Kean�.r straw h -0 -00 � CD C C C 0 -00 00-00 00-00 00-00 .0 08 1 MAR 2 2018 Pe(I- —L city or , Wheat Rage Z401 g _" THIS IS A TRUSS PLACEMENT DIAGRAM ONLY. Thins basses» desigrsd ffi iM�l buWag b be C porabd Cb Cn bddnp desgn M Cie spaCAc of the b.d1Yg der+ffisr. See iAividual d.vgn shaeC For ease tress g iderbfied on Cie ph—ml d, g The buldinp dasprm a FeWr fte br tempwary m pmrrerme bm-g.f Ce roof eM Com system end for Ce wame stru n -TCB design of ft toss support strudue "etlu&q havders, balms. L. erd coeamc s Ysd des®nm. Far gmreml gAd regartlug bmmg, Crsrdt'B—M of wood &—W —m b from Cre Tori PIM. U.MAP , 583 DD W— Dd. Madison. W 53179 respor 6W ul Cie budding Customer. Loading: 30-10-10 IFRAIN RODRIGUEZ Date: 3782018 3021 CHASE STREET Building Code: IRC2015 LUMBER WHEATRIDGE, CO Drawn By: riot Kean�.r straw GARAGE C-Cky, Co 8= Phone: 303,2ffi30W Feer: 303-28s:554 Job Number. Q180215 0180215 I Al I common Supported Gable 12 I 1 I Job F 12 v.n„ana••vr yr vNgNucyvccaclo-tw rnnaL,-.x4stYgsh'LUCr,&UICayplblg22/hyl -1-CPo ' 13-0-0 26-0-0 7.0- 1-0-0 13-0-0 13-0-0 1.0-0 C71-ja Scale = 1:47.1 3x6 II 41 40 39 38 37 36 35 34 33 32 31 3029 28 27 26 25 24 3x6 II 3x4 = 9-1-2 26-0-0 26-0-o LOADING (psf) TCLL 30.0 SPACING- 2-" CSI. DEFL in (loc) Well Ud PLATES GRIP (Roof Snow=30.0) Plate Grip DOL 1.15 TC 0.15 Vert(LL) -0.00 22 n/r 120 MT20 185/144 TCDL 10.0 Lumber DOL 1.15 BC 0.07 Vert(CT) 0.00 22 n/r 120 BCLL 0.0 * Rep Stress Incr YES WB 0.18 Horz(CT) 0.01 22 n/a n/a BCDL 10.0 Code IRC2015fTP12014 Matrix -R Weight: 147 Ib FT = 20% 9 LUMBER- BRACING - TOP CHORD 2x4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins. BOT CHORD 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. OTHERS 2x4 HF Stud SLIDER Left 2x4 HF Stud 1-7-8, Right 2x4 HF Stud 1-7-8 REACTIONS. All bearings 26-". (lb) - Max Horz2=-1 96(LC 15) Max Uplift All uplift 100 Ib or less at joint(s) 2, 34, 35, 36, 37, 38, 39, 40, 32, 31, 29, 28, 27, 26, 25, 22 except 41=-185(LC 14), 24=-163(LC 15) Max Grav All reactions 250 Ib or less at joint(s) 2, 33, 34, 35, 36, 37, 38, 39, 40, 41, 32, 31, 29, 28, 27, 26, 25, 24, 22 FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown. TOP CHORD 9-43=-79/253, 9-44=-104/300, 10-44--93/306, 10-11=-124/365, 11-12=-135/395, 12-13= 135/395, 13-14=-124/365, 14-45=-93/306, 15-45=-104/300, 15-46= 79/253 NOTES - 1) Wind: ASCE 7-10; Vint=145mph (3 -second gust) Vasd=115mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. II; Exp C; enclosed; MWFRS (envelope) gable end zone and C -C Comer(3) -1-0-0 to 2-M, Exterior(2) 2-" to 13-", Comer(3) 13-0-0 to 16-0-0 zone; cantilever left and right exposed; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.33 plate grip DOL=1.33 2) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see Standard Industry Gable End Details as applicable, or oonsuft qualified building designer as per ANSUTPI 1. 3) TCLL: ASCE 7-10; Pf=30.0 psf (flat roof snow); Category 11; Exp C; Fully Exp.; Ct=1.1 4) Unbalanced snow loads have been considered for this design. 5) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs non -concurrent with other live loads. 6) All plates are 2x4 MT20 unless otherwise indicated. 7) Gable requires continuous bottom chord bearing. 8) Gable studs spaced at 1-4-0 oc. 9) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 10) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. 11) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) 2, 34, 35, 36, 37, 38, 39, 40, 32, 31, 29, 28, 27, 26, 25, 22 except (jt=1b) 41=185, 24=163. 12) This truss is designed in accordance with the 2015 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSUfPI 1. LOAD CASE(S) Standard City of Wheat Ridge Job I NSS I tiss Type CSI. DEFL. IFRAN RODRIGUEZ 0180215 A2 Comrrpn 10 1 1.15 TC 0.84 Vert(LL) -0.2410-12 >999 360 Job Reference (optional) I -9--1-2 - - - 6-44 4x6 = Scale: 1/4"=1' :3x9 11 3x5 = 3x4 = 3x5 = 3x9 I I 9-1-2 9-1-2 8-5-11 8-9-3 m 0 0 LOADING (psf) TCLL 30.0 SPACING- 2-0-0 CSI. DEFL. in (loc) Vdefl Ud PLATES GRIP (Roof Snow=30.0) Plate Grip DOL 1.15 TC 0.84 Vert(LL) -0.2410-12 >999 360 MT20 185/144 BCDL 10.0 Lumber DOL 1.15 BC 0.70 Vert(CT) -0.3410-12 >918 240 BCLL 0.0 ' Rep Stress Incr YES WB 0.36 Horz(CT) 0.07 8 Na n/a BCDL 10.0 Code IRC2015/TP12014 MatrixS Wind(LL) 0.0810-12 >999 240 Weight: 102 Ib FT = 20% LUMBER - TOP CHORD 2x4 SPF 1650F 1.5E BOT CHORD 2x4 SPF No.2 WEBS 2x4 SPF No.2 `Except' W1: 2x4 HF Stud SLIDER Left 2x4 HF Stud 3-8-10, Right 2x4 HF Stud 3-8-10 REACTIONS. (Ib/size) 2=1380/0-3-8 (min. 0-2-3),8=1380/0-3-8 (min. 0-2-3) Max Horz 2=-196(LC 19) Max Uplift2=-458(LC 14), 8=-458(LC 15) BRACING - TOP CHORD Structural wood sheathing directly applied or 2-2-0 oc purlins. BOT CHORD Rigid ceiling directly applied or 7-3-12 oc bracing. MiTek recommends that Stabilizers and required cross bracing be installed during truss erection, in accordance with Stabilizer Installation guide. FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown. TOP CHORD 2-13=-2086/643,3-13=-1974/644, 3-4=-1881/671, 4-14=-1832/656,14-15=-1715/671, 5-15=-1709/687, 5-16— 1709/687, 16-17=-1715/671, 6-17=-1832/656, 6-7— 1880/671, 7-18=-1974/644, 8-18=-2086/643 BOT CHORD 2 -12--628/1729,12-19=-261/1222,19-20=-261/1222,11-20=-261/1222, 10-11=-261/1222, 8-10=-459/1729 WEBS 5-10=-301/686, 6-10=-475/420, 5-12=-301/686, 4-12=-475/420 NOTES- 1) OTES1) Wind: ASCE 7-10; Vult=145mph (3 -second gust) Vasd=115mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. II; Exp C; enclosed; MW FRS (envelope) gable end zone and C -C Exterior(2) -1-0-0 to 2-", Interior(1) 2-0-0 to 13-0-0, Exterior(2) 13-" to 16-" zone; cantilever left and right exposed; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.33 plate grip DOL=1.33 2) TCLL: ASCD 7-10; Pf=30.0 psf (flat roof snow); Category II; Exp C; Fully Exp.; Ct=1.1 3) Unbalanced snow loads have been considered for this design. 4) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs non -concurrent with other live loads. 5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 6) ' This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members, with BCDL = 10.Opsf. 7) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except (jt=1b) 2=458, 8=458. 8) This truss is designed in accordance with the 2015 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSVTPI 1. LOAD CASE(S) Standard City of ` Wheat Ridge City of Wheat Ridge l HO Exterior Remodel PERMIT - 201800498 PERMIT NO: 201800498 ISSUED: 04/02/2018 JOB ADDRESS: 3021 Chase ST EXPIRES: 04/02/2019 JOB DESCRIPTION: Demolish existing detached garage; build new detach garage with a workshop, 546 sq ft; Building patio cover attached to back of house, 410 sq ft; house roof replacement, tear off existing roof and replace with 25 years conventional shingles - 14 squares total *** CONTACTS *** OWNER (720)280-5894 MENDOZA VICTORIA E *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41,500.00 FEES Total Valuation 0.00 Plan Review Fee 414.41 Use Tax 871.50 Permit Fee 637.55 ** TOTAL ** 1,923.46 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 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. Consultations and inspections will only be performed with the homeowner of record present. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. For one- or two-family dwellings, the first twenty-five feet (251) of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. Landscaping removed or damaged during construction must be replaced prior to final inspection. NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. City of Wheat Ridge ® p, HO HO Exterior Remodel PERMIT - 201800498 PERMIT NO: 201800498 ISSUED: JOB ADDRESS: 3021 Chase ST EXPIRES: JOB DESCRIPTION: Demolish existing detached garage; build new detach 546 sq ft; Building patio cover attached to back of roof replacement, tear off existing roof and replace conventional shingles - 14 squares total 04/02/2018 04/02/2019 garage with a workshop, house, 410 sq ft; house with 25 years I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-cial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance orgranti f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co a or an dinance 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 ,.,;�/' Wheat Ijdge COMMUNITY DevrlLOPMfNT 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: PermitsO)ci.wheatridae.co.us FOR OFFICE USE ONLY Date: �/ d Plan/Permit # w Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ouzo C hose_ Sf �5JJ 'I C-0 8021q Property Owner (please print): V 6or-)n �—Mey)J 020 Phone: _(20-760-S6q Property Owner Email: menu o Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: ) I corn Phone: Phone: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): VietOr')o �_. ) AendQZ l Phone: T20• ZOO. 51bq° 4 CONTACT EMAIL(p/ease print): ()ne 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 V 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 ❑ ELECTRICAL 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.) Garage - Dp-rmob5h ex6fie17t detl-achedaro e. &1 ld ci new de�c��ec� c rci with o wc(Vshop. s�f� -5W6 o T0Y)0 GbYer - &I Id pi- YV (bo&) 0 ftGc►�ed. �� y IO o I�O� repl cewen+- TeGr-0fre—Ais-hy)G roof l�G , i*� with yeor5 convenhonc� sl\In pny,repsy tqucares� Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 38, o0o + f,3,5o00-200�) =41,500 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) (CON RACTOR) or(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name):DATE:�'� 2z Z D) 8 DEPARTMENT USE ONLY j� ZONING COMMMENTS: '_�` ��u ^ I ti—IL J � � \ ^ OCCUPANCY CLASSIFICATION: —3 L4 Reviewer. C�cr 2 , \- I \�T BUILDING DEPARTMENT COMMENTS: AO GOVQ� ` L�'� x, L Z z b 0/ 62d Reviewer: c c e a -546SFx37.52s010-5— Building Division Valuation: $ PLAN CHECK HISTORY Address: a2 < <-�V 1LL'b� u� . PC# �> �d� �I ` u Date a aa- 18 - Description By VUZtJQW(l ( cr2uJA3LE , Wou Si 1�' t�`�c-SJf� �,rry�� ZtdA/N 6ulublW4, ARM90 RESIDENTIAL Building Permit - Plan Review Worksheet Address: : j0 2 � cv-�P f5 (^ Zoning: Rev. 09/2017 Lot Size: 15-0 sq. ft. Lot Width: SD ft. Property in the flood plain? If yes, notify PW Floodplain Admin' or and add surveying condition FLD Subdivision: ��i<✓lt�'/t C~ey-J Any conflict? (Y/N) Related Cases: -' Type of project (applicable survey conditions in parenthesis): _Accessory ISP, ILC or site plan none if in floodplain (FLD) Addition ILC and site plan if w/in 2' of setback or in floodplain (FND) if in floodplain (FLD) ❑ New ILC and site plan yes (FND) if Win 2' of setback (NRS) if in floodplain (FLD) Maximum Lot Coverage: q6 sq. ft. Existing Improvements (footprints): Proposed Improvements (footprints): House: �1' (� ( sq. ft. House/addition: 9 (a sq. ft. Shed: sq. ft. Shed: sq. ft Detached garage: 24 � sq ft. Detached Garage: 5LA sq. ft. Other: sq. ft. Other: 1-110 sq. ft. IPA-1lz�> Total Existing 12,9-S sq. ft Proposed+Existing 01-7 sq. ft Lot Coverage % Lot Coverage Zai' % Required Setbacks: FR S S S 6 R 5 Provided Setbacks: FR x- L3 S,:� S� r 5 R S For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition FND. Maximum Height: 35 ft. I�j �r Jc*'c^ Maximum Size: 211 (IQ U 00 sq. ft. Proposed Height: ft. \ 1 S Proposed Size: x°111 S `t b sq. ft. Does the bulk plane apply? (Y/N) If yes, does it meet on all sides (Y/"FR S S R (See 26-642 and 26-120.C.1 — applies to all single -fa ily structures ( ew, addition, ac essory) in R- C and R-3) Parkland Conditions Does the permit result in a new dwelling unit (new structure or conversion from non -res use)? If yes, have parkland dedication fees already been paid (eg with a previous land use approval)? If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG. Rev. 09/2017 Streetscape Conditions Does the permit result in any of the following conditions? ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase gross floor area (not just the footprint) by 60% or more (proposed floor area n Q — existing floor area ( Z4 existing floor area _ % increase If any box above is checked... For SF/DUPLEX—Is there existing ❑ Curb ❑ Gutter L]5 -ft+ sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Access onditions (apply to all new driveways, garages, additions, or new homes/units) °�FFor one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer -than 25' to any property line, except when used as joint access for two or more lots. –Ef In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. For all uses, one access point per property is permitted. Landscaping Conditions (apply to additions and new dwelling units) ❑ For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Frontage of lot - width of driveway ) / 70 = (round up for required trees) Street trees required: Street trees provided: 0100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. ` 1 In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Dwel ng Unit Not approved as an independent dwelling unit. City of Wh6atP.,j_dge OMM N ITY C U DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): V tctonol MeleidC_70 Project Property: 3,�Z Notarized signature of Applicant State of Colorado } County of J &Yaa�,o } ss I21(Joe , GU 0302)L p, q The foregoing instrument was acknowledged by me this � day of 20 /7 by 1 :elor:A L i lems, aze, TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires qJ2/20 2� Notary Public h k n City Of I Whcatjdgc COMMUNITY DEVELOPMCNl City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Sec. 26-208. Residential -One C District (RAC). Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 A. Intent and purpose: This district is established to provide high quality, safe, quiet and stable, medium -density single-family residential neighborhoods, and to prohibit activities of any nature which are incompatible with the medium -density residential character. B. Development standards: Notes: (a) Corner lots shall have a minimum lot width of eighty (80) feet for both street frontages. (b) Front setback reductions may be allowed in accordance with Section 26-611. (c) Any side or rear yard which abuts a public street shall have a minimum setback of twenty (20) feet for all structures, with the following exception: For corner lots that are sixty (60) feet or narrower in width, this requirement shall be reduced by half. (d) Front setbacks for structures on lots or portions of lots which abut cul-de-sacs may be reduced to ten (10) feet for those portions of lots which abut a cul-de-sac bulb. (See Figure 26-123.3 at the end of section 26-123) (e) See Section 26-625 for additional regulations pertaining to accessory buildings. (f) Bulk plane regulations shall apply in accordance with Section 26-641. (Ord. No. 2001-1215, § 1, 2-26-01; Ord. No. 1313, § 3, 10-27-03; Ord. No. 1448, § 2, 8-24-09; Ord. No. 1575, § 4.,7-13-15; Ord. No. 1613, 11-21-16) Maximum Height (f) Maximum BuildingMinimum Minimum Area Lot Width (a) Minimum t Yard Setback (b) 20' (d) Minimum Side SetbackCoverage 5' (f) Minimum Rear . .. 5' (f) Principal Buildings One-familyo dwelling 35' (f) 40% 5,000 sf 50' Group home 35' (f) 40% 5,000 sf 50' 20' (d) 5' (f) 5' (f) Churches, schools, government and quasi - government buildings, golf courses, small 35' (f) 40% 1 acre 200' 20' (d) 15' (f) 20' (f) day care center, and nursing, elderly and congregate care homes Accessory Major 15' (f) 600 sf N/A N/A 20' (d) 5' 5' Buildings e Minor 10' (f) 300 sf N/A N/A 20' (d) 5' 5' All Other Uses 35' (f) 40% 9,000 sf 60' 20' (d) 5' (e) 10' Notes: (a) Corner lots shall have a minimum lot width of eighty (80) feet for both street frontages. (b) Front setback reductions may be allowed in accordance with Section 26-611. (c) Any side or rear yard which abuts a public street shall have a minimum setback of twenty (20) feet for all structures, with the following exception: For corner lots that are sixty (60) feet or narrower in width, this requirement shall be reduced by half. (d) Front setbacks for structures on lots or portions of lots which abut cul-de-sacs may be reduced to ten (10) feet for those portions of lots which abut a cul-de-sac bulb. (See Figure 26-123.3 at the end of section 26-123) (e) See Section 26-625 for additional regulations pertaining to accessory buildings. (f) Bulk plane regulations shall apply in accordance with Section 26-641. (Ord. No. 2001-1215, § 1, 2-26-01; Ord. No. 1313, § 3, 10-27-03; Ord. No. 1448, § 2, 8-24-09; Ord. No. 1575, § 4.,7-13-15; Ord. No. 1613, 11-21-16) %44.f & `'heat iof oewuorywEnr joe:Ridge APPROVED Bode -wed for Code COMD11anCO )25 Foe P49,. 12 Mans Exmirker-mw Date ftftsf gem* "Oe issuance 010 mmir of dwova) of dans Wdfi"h*ft 9HdCW"rA0t*M ShO OW &I a PeMN101, or an qW9vWqt &V WoWim to AV Gift wowswns offt hw&,v co* or 06"Y CdY "i'wMes. ftmft w—ft to 0- -0-AW to —we of -two W p -,W— qr to* awft C"W or ~ "too"" of W cay 0" ow Im V&W To UIJ Cot F�ECEIVED MAR 2 2 2018 P4 ----/— 41 13 C, C;. jj I E. trTHE S"OPF The" YlT ,P 4-- -( L",Vyg rj C V\ 5 ".YUff Y"A.C(PI V ;' v'd Reviewed for Zoning Compliance by the �4, City of Wheat Ridge Planning Division yam/ i APPROVED BY., ZVJ � DATE: COMMENTS: --J Landscaping removed or damaged during construction must be replaced prior to final inspection. NOT APPROVED AS AN INDEPENDENT DWELLING UNIT The first 25' of a driveway from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick paver or similar material. Contact Dept of Public Works for ROW Permit 303-235-2861. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. -,-I- n A -3 'P'01141�c� covey - E -be ,= Ge -1 ion To UIJ Cot F�ECEIVED MAR 2 2 2018 P4 ----/— 41 13 C, C;. jj I E. trTHE S"OPF The" YlT ,P 4-- -( L",Vyg rj C V\ 5 ".YUff Y"A.C(PI V ;' v'd Reviewed for Zoning Compliance by the �4, City of Wheat Ridge Planning Division yam/ i APPROVED BY., ZVJ � DATE: COMMENTS: --J Landscaping removed or damaged during construction must be replaced prior to final inspection. NOT APPROVED AS AN INDEPENDENT DWELLING UNIT The first 25' of a driveway from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick paver or similar material. Contact Dept of Public Works for ROW Permit 303-235-2861. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. -,-I- 'the tirst 25' ot- a driveway trom the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick paver or similar material. Contact Dept of Public Works for ROW Permit 303-235-2861. 3 t r' I 7 i i NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. lr r i Landscaping removed or damaged during construction must be replaced prior to final inspection. / Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Reviewed for Zoning Compliance by the ► �, City of wheat Ridge Planning Division y �, APPROVED (� DATE:1'2� COMMENTS: City of Wheat Ridge .a„iidina Divisatl A , 3 t r' I 7 i i NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. lr r i Landscaping removed or damaged during construction must be replaced prior to final inspection. / Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Reviewed for Zoning Compliance by the ► �, City of wheat Ridge Planning Division y �, APPROVED (� DATE:1'2� COMMENTS: City of Wheat Ridge .a„iidina Divisatl VTA iz V) Ok \sem may. Ok ti 2B y ,k h Pte: Cover gz)or Frav,,�%t Pi t" i J iJti - I . 7 'P, Y fl IXD�- a d1 Base- 0 C) V3 kid - 4i 6-2, neopy To < Ca tl If t -T 0 C) s a- 'xe Reviewed for Zoning Compliance by the 6 +, City of Wheat Ridge Planning Division APPROVED BY: DATE: COMMENTS: 0'\X- lv� 0 35 CD G 40 7IL5 OJ I 011 eat ge SO —." So Reviewed for Zoning Compliance by the City of Wheat Ridge Planning Division APPROVED IA BY: Ci DATE. COMMENTS: C�z W C QL U.; Ci C�z -X Y r, a.k VA. tie dL- k� -7 r L—J C, r DY C�cl ( i quTA- o tv, no cjr\/W a(( clrp,'i4- Oki 0& NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. Reviewed for Zoning Compliance by the City of Wheat Ridge Planning Division APPROVED BY: V0 A Ve 0 0 CID C) �'j Lu CJ z