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Home My WebLink About13401 W. 43rd Drive Unit 1Side View ,1301�W.'43rd Dr. Unitl Golden, C 880403. r dg, +�4l�NIT. L) LLnfattM APPROVED Rb:•iewid rar_caca ca(nai'+n e kirkmoney 04/20/2021 Plans ExarrWwt Date ShSIBaa!iasrml:7rie iaue+rrNeM�•a' ahtv.�NiWa wxA�� eota�gebn�udw.wf efape�7py a^,�,waer.ra{ +r wyUr�k "x��P°�"'��?Y ra•a,�s.�.�d.dd�r•aa oa.wu. w.se. p.�Wrwq'W,q�s.u.M'sk�•i� � 4'mOi �v.¢wYa�� i{ f1o' Mliwy vol%W00" wed:If Ow or a*#,* &MA& .13401,). 43rd Drhre�L�:i This permit does include work being performed to the electrical, plumbing or mechanical systems. If work needs to be performed to these system additional construction documents and permits will need to be obtained. The scope of this work is to demo the existing mezzanine. Property Information Bob Monzel 13401 W 43rd Dr Unit 1 Golden CO 80403 Property Type Commercial Date of Construction 2002 PH 303-550-4024 Prepared By EnvioCore LLC Asbestos Consulting Firm No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoEnvio (463) 6846 www.aoEnvioCore.com info@aoenviocore.com Conducted By John Peralta Asbestos Building Inspector Cert. No. 24339 Inspection Information Inspection Date 12-30-2020 Arrival Time 09:30 AM Report Date 01-04-2021 Inspection # 1220-49 Monzel, Bob Protocols Followed Asbestos Lab Information PWtt t°6 A,%.e v� CAA 1%0 5voie Limited Commercial Asbestos Renovation Inspection Report 13401 W 43rd Dr Unit 1 AHERA envi,�Core ENVIRONMENTAINSPECTIONS CEI Labs 730 SE Maynard Road Carly, NC 919-481-1413 Asbestos NVLAP Cert # 107168-0 envkCore PAGE 1 OF 17 ENviao Nrn ENrn� iNsaE Brio Ns Ppb00gs._ pe �OC OC Table of Contents °g Definitions.................................................................................................................................................... 3 KeyTerms.................................................................................................................................................... 3 LimitedInspection Summary .....................................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Purpose and Scope of Inspection.............................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Background................................................................................................................................................5 Sampling.....................................................................................................................................................5 AsbestosResults Reporting........................................................................................................................6 Asbestos Inspection Conclusion...............................................................................................................6 Closing......................................................................................................................................................... 7 InspectionPhotos.......................................................................................................................................8 LabResults.................................................................................................................................................10 InspectionCertifications..........................................................................................................................16 envi ., Core PAGE 2 OF 17 ENVIRONMENTAL INSPECTIONS spnoon,y_ m '°c Definitions �9o�s'°c 1. The term "Certified Inspector" shall mean individual who is identified on the first page of this Limited Inspection Report as conducting the Inspection. 2. The term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the Client. 3. The term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to the Property. 4. The term "Owner" shall mean the owner of the Property. 5. The term "Property" shall mean the building(s) or structure(s) at the address listed under Property Information on the first page of this Limited Inspection Report. 6. The terms "Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or other work. Key Terms Asbestos 1. Asbestos is a naturally occuring mineral. Asbestiform varieties include chrysotile, amosite, crocidolite, anthophyllite, tremolite and actinolite. 2. Asbestos abatement is the wrecking or removal of builiding materails that contain friable and non -friable asbestos fibers. 3. Asbestos abatement contractor is any person hired to conduct asbestos abatement. 4. Friable material can be crumbled, pulverized, or rendered to powder by hand pressure when dry. 5. A homogenous area is an area of surfacing material, thermal system insulation material, or miscellaneous material this is uniform in color, texture, construction, application date, and general appearance. 6. Miscellaneous material is 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. 7. Non -friable material cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. 8. Point counting is a secondary analytical technique to verify the presences of asbestos in samples with 10% or lower asbestos. 9. Surfacing material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 10. Thermal system insulation (TSI) is material tha tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss, heat gain, or water condesation, or for other purposes. 11. The terms "Asbestos Containing Material' or "ACM" shall mean surfacing, thermal system insulation, or miscellaneous materials that contain I% or more of asbestos. 12. The terms "Asbestos Containing Building Material' or "ACBM" shall mean Asbestos Containnig Materials that has been used for construction or improvement of a building or other structure. envWCore PAGE 3 OF 17 ENVIRONMENTAL INSPEETIONs 13. The term "Certified Asbestos Consulting Firm" shall mean any person licensed with the State of Colorado and the EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Part B, in the State of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plans; air monitoring for asbestos fibers; development of asbestos project designs; and , project management, as specified in Section II.J. 14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the National Voluntary Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy (PLM). 15. The terms "Damaged ACM" and "Significantly Damaged ACM" shall mean friable or non -friable ACM that has deteriorated or delaminated to the point that it has lost its bond to the substratre or has otherwise suffered crumbling, blistering, nonadhesiveness, gouging, water staining, or marring. The term "Damaged ACM" applies when 1 /10 of the entire surface has suffer damage (1 /4 if the damage is localized). The terms "Significantly Damaged ACM" shall apply when more than 1 /10 of the surface has suffered damage. 16. The term "Limited Asbestos Inspection" shall mean an abbreviated inspection by the Inspector of the components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence of ACBM and shall comply with all state and federal laws, rules, and regulations. G Limited Inspection Summary G4� General The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of inspecting the Property and all of its building materials and components. The Inspector only inspected specific areas that may be subject to Work Activity and that are visually and physically accessible. The Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of the Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other than the Client is not authorized without the written mutual consent of the Client and envioCore LLC. Asbestos The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity. The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and federal laws at the time of inspection. Purpose and Scope of Inspection General The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject property for visible suspect ACBM and/or Lead Based Paint. This does not include any materials that were covered or hidden by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing, etc. However, the Certified Inspector made every reasonable effort to access and identify all suspect ACM and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is solely a record of activities, observations, analytical results, and recommendations performed to date. Asbestos Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified Inspector. If the color, texture, construction, application date, or general appearance differs between materials or if for any reason the Certified Inspector suspects that the materials might differ in any respect, the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took envkCore PAGE 4 OF 17 ENviao Nrn ENrn� iNsaE Brio Ns representative bulk samples were similar materials, but this does not guarantee that materials of similar appearance are of the same composition. Even similar materials are subject to uneven mixing and distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its professional judgment consistent with industry standards in order to identify all suspect ACBM. Bulk samples were analyzed by Certified Asbestos Laboratory. Background The inspector was called to the subject property by Bob Monzel, Owner. Mr. Monzel was concerned about asbestos containing building materials in the affected areas of the building. Per Mr. Monzel, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: - Drywall - Texture - Joint Compound The affected areas include: - Main Shop The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall include only the above -referenced potentially affected areas. If the Work Activity later includes other areas or materials that may contain ACBM, the Client understands that the Certified Inspector will only perform a Limited Asbestos Inspection of these areas upon a subsequent engagement. Sampling Using methods that are generally accepted in the industry, the Certified Inspector determined that it was necessary to collect 5 bulk samples from the various homogenous areas (see the Asbestos Sampling below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results are incorporated into this report. Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable in any manner for erroneous laboratory results or other errors with the laboratory testing process. See Data Table (Table 1) Below for Tabulated Results along with Attached Photos (Figure 1. etc.) envkCore PAGE 5 OF 17 .N11..NrnsNrn� iNsaE Brio Ns Asbestos Results Reporting Sample NILeiling,, RoomU ocation s o D2EL mJID 0C,D) V9 '^ 3Results by Layer(Sidel, ®Joint 'r r Compound Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the .rlability can change from Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection Conclusion Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. envkCore PAGE 6 OF 17 srvviao NrnsNTn� iNsaE ETio Ns Closing �pnoon,y�_ 0 D� c EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use or reliance on this report or the opinions expressed herein. EnvioCore makes no risk assessment, warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken and locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or provided by EnvioCore. Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas inside the subject property. This report was prepared pursuant to the contract EnvioCore has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between EnvioCore and its client, reliance or any use of this report by anyone other than the client, for whom it was prepared, is prohibited and therefore not foreseeable to EnvioCore. No warranty is made. EnvioCore's liability and that of contractors and subcontractors arising from any service rendered here under shall not exceed the total fee paid by the client to EnvioCore. Thank you for the opportunity to work with you on this project. Please call at (303) GoEnvio (463) 6846 with any questions or concerns. Thank you. Sincerely, John Peralta Certified Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert. No. 24339 envkCore PAGE 7 OF 17 .N11..NrnsNrn� iNsaE Brio Ns Inspection Photos Figure 1 - Overview of Unit #1 al, Figure 2 - Overview of Main Shop Wall Figure 3 -Sample location #1 Figure 4 -Sample location A' Figure 5 -Sample location #3 envkCore PAGE 8 OF 17 srvviao NrnsNrn� iNsaE Brio Ns Figure 6 -Sample location #1 Figure 7 -Sample location #2 env) Core PAGE 9 OF 17 Lab Results tiff eurofins January 4, 2021 EnvioCore 1685 S. Colorado Blvd. Ste. S151 Denver. CO 80222 CLIENT PROJECT: 1220-49 13401 W 43rd Dr Unit 1 CEI LAB CODE: A2010922 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on December 31, 2020. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos -containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1% asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. Kind Regards, Tianbao Bai, Ph.D., CIH Laboratory Director NVLAll TESTING N APLABCODE1017684 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 env) Core PAGE 10 OF 17 6PpOOtl e��dnn DMS`oc ti•® eurofins ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for EnvioCore CLIENT PROJECT: 1220-49 13401 W 43rd Dr Unit 1 LABCODE: A2010922 TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORT DATE: 01/04/21 TOTAL SAMPLES ANALYZED: 5 # SAMPLES >1 % ASBESTOS: env) Core PAGE 11 OF 17 0 eurofins CEI PROJECT: 1220-49 13401 W 43rd Dr Unit 1 Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 LAB CODE: A2010922 ASBESTOS Client ID Layer Lab ID Color Sample Description 13401-SM1-01 Layer 1 A159988 White Smooth Texture None Detected Layer2 A159988 Gray Drywall None Detected 13401 -SMI -02 Layerl A159989 White Smooth Texture None Detected Layer 2 A159989 Gray Drywall None Detected 13401 -SMI -03 A159990 White Smooth Texture None Detected 13401-JC1-01 A159991 White Joint Compound None Detected 13401 -JCI -02 A159992 White Joint Compound None Detected Pagel of 1 env) Core PAGE 12 OF 17 tiff eurofins CEI Client: EnvioCore 1685 S. Colorado Blvd. Ste. S151 Denver, CO 80222 Project: 1220-49 13401 W 43rd Dr Unit 1 ASBESTOS BULK PLM, EPA 600 METHOD ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY Lab Code: A2010922 Date Received: 12-31-20 Date Analyzed: 01-04-21 Date Reported: 01-04-21 Cliern ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non -Fibrous A 13401-SMJ Smooth Texture Heterogeneous 75% Calc Carb None Detected -01 White 20% Binder Layer 1 Nan -fibrous 5% Paint A159988 Bound ------------------------------------------------------------------ Layer2 Drywall Heterogeneous 25% Cellulose 75% Gypsum None Detected A159988 Gray Fibrous Bound 13401-SMJ Smooth Texture Heterogeneous 75% Calc Carb None Detected -02 White 20% Binder Layer 1 Nan -fibrous 5% Paint A159989 Bound --_______________________________________________________________. Layer2 Drywall Heterogeneous 25% Cellulose 75% Gypsum None Detected A159989 Gray Fibrous Bound 13401-SMJ Smooth Texture Heterogeneous 75% Calc Carb None Detected -03 White 20% Binder A159990 Non-fibrous 5% Paint Bound Lab Notes: No drywall present. 13401 -JCI Joint Compound Heterogeneous 75% Calc Carb None Detected -01 White 20% Binder A159991 Non-fibrous 5% Paint Bound 13401 -ICI Joint Compound Heterogeneous 75% Calc Carb None Detected -02 White 20% Binder A159992 Non-fibrous 5% Paint Bound Page 1 of 2 envi Core PAGE 13 OF 17 0 eurofins CEI LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORTING LIMIT: <1% byvisual estimation REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1% by 1,000 Points REGULATORY LIMIT: >1% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBS) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government. Information provided by customer includes customer sample ID and sample deslcription. ANALYST: l "-ems`- APPROVED BY:G'�--- Yvette Nkunde-Bose Tianbao Bai, Ph.D., CIH Laboratory Director NVLA�R TESTING INUP UB CODE 101]6&0 Page 2 of 2 enyi Core PAGE 14 OF 17 jam' cef.es Cr'® p9E YwNg M.Gry.N3 Stt ` Samples Chain Of Custody (COC) Phnm: eawe+-Ntz F— Ptwef-wx pmp.nv: E"A0cv1°LLc 6 9 0 Z 3 4 6 e 9 20 Pmp=e Nem.iwme.=rzxna3+Not waxen D,wel sti.w: +ems. calammeve. Pm•Ir R..nlu wn: rmw C: oem.r Sn' IeRoemJbn tn: CO 41rtIx Nam: NM Zi : BO$TI P lul AddreTa: • nTo: Jahn PeTFIY location Phone: WA Tele bona fk. ]m-.x6.Y 16 Shl In Priori F esr Mn+M1 p=mYa-IOm.w bmre.mn hi n Catw iinle u tA: Da]NTme ETG' m WI: tempo Tomlec�l awb mh.e john Pnmkn fv4o'xo4 RMbeO a R•mlwe dlnRin.: " Bampl. Number 6mPle lanNenle.uApllm =.�nPle Pnely]Ie Typ✓TAT VnlnmelYee GerTm. 01WnPM T.lnn t.TWYSm11-01 Nab Scop-Wi OSM-SnoMh TmNn6 PWNXRTAT tyApi0,930mn x ree,T IR TAT +LAPxO. B']mm� 1]W1JCl-01 MYn Snp �Wi OA+irc-beI ntl PIM-NRRTAT 1NJWx0.8:]Pmn 2 Ht TAT +L]YlO. f i 3 3 i 3 f S r 9 a 0 t x J 4 5 0 l 8 9 0 3 4 5 6 } 9 It tt D env) Core PAGE 15 OF 17 AZbicc4Zz A � 50tqss — A 0 EURCr-MS CEI, INC SAMPLES ACCEPTED Inspection Certifications oN-r�':o Y 14��n Colorado Dcp3nmcnt of Public I Will and Fmv mnment ASBESTOS CONSULTING FIRM This certifies that EnvinCure, LLC Reghlralion No.: ACh • 11660 has mer the rcgistration r quirentcnts of 25-1.501, C.R.S. and the Air Quality Control Commission Regulation No. R. 1111d 11, and is hereby ma orired to perfomt asbestos consulting activities as required under l4gulation No R, Parr B. in the state of Colorado. Issued. February 14,:020 Expires: Fehmary 14, 2021 / _ _ .: . 9AI env) Core PAGE 16 OF 17 Dina Let a just use his valuation for now and let him know the valuation will be adjusted by the Plan Reviewer or myself and additional fees will be assessed based on the updatevaluatlon. Thank you Mike Theisen 303-2352803 MTheirmir ci wM1pvtllep cc us www.ci.wheatridze.co.us ]500 W. nth Ave. Wheat Ridge, CO M033-8001 Wtft�dbe onlfor ,heUSE OLn.m,Mandor or use Of w, mmore ismu a :�y;v`�;I hiatushe sional recover and JEELE he maps I massive from your Inamphad End any naves, LO which your ornmer is conneftedThank you From: Commoev Permits <Permits@ci wheaNidgeto ii Date: Thursday, March 18, 2021 at 32 AM To: Mike Theisen <MTheisen@ci wheathdgeto m Subject: FW Online Form Submitral. Commercial Interior Remodel/Tenant Finish Hello, This Is the one In quertlon and be has such, said $7.95 and clearly does not understand the reasoning behind setting avaluation. Thank you Dina O. Kemp Permit Technician 7500 W. nth Avenue Meat Ridge, Colorado 80033 Office Phone: 303 235 2873 TO Chan Do, Part E happen: R. ChIN.FymSuI AS in in . Sol uacm pence Push Cap.: Thursday, harbor 18, 2021 12 12 25 Ph Dina Let a just use his valuation for now and let him know the valuation will be adjusted by the Plan Reviewer or myself and additional fees will be assessed based on the updatevaluatlon. Thank you Mike Theisen 303-2352803 MTheirmir ci wM1pvtllep cc us www.ci.wheatridze.co.us ]500 W. nth Ave. Wheat Ridge, CO M033-8001 Wtft�dbe onlfor ,heUSE OLn.m,Mandor or use Of w, mmore ismu a :�y;v`�;I hiatushe sional recover and JEELE he maps I massive from your Inamphad End any naves, LO which your ornmer is conneftedThank you From: Commoev Permits <Permits@ci wheaNidgeto ii Date: Thursday, March 18, 2021 at 32 AM To: Mike Theisen <MTheisen@ci wheathdgeto m Subject: FW Online Form Submitral. Commercial Interior Remodel/Tenant Finish Hello, This Is the one In quertlon and be has such, said $7.95 and clearly does not understand the reasoning behind setting avaluation. Thank you Dina O. Kemp Permit Technician 7500 W. nth Avenue Meat Ridge, Colorado 80033 Office Phone: 303 235 2873 Fax 303 23743929 w.wi n wbealritloe co us �Whtcdgi age CONFIDENTIALITY NOTICE Thu. neduarnmeboadvarammidennal mini I OmLanded only farina USE ofnedemand or ei named above am or use Of rEconomic onmm mmmum nm eNyby US sional message and TIELE US sional message from your 'Empudd End anymnsiork LO which your Immmer is conneftedTh. no you From: noieply@tl whea[tltlge to us End r ply@ci whea[tltlge on un Sent Monday, March 15 2021114 PM To: Commoev Permits 6 mmfts@a wheamage on un Subject: Online Form Submittal Commercial Interior Remotlel/tenant Finish Commercial Interior Remodel/Tenant Finish Application for Commercial Rem odel/Tenant Finish This application Is for CommeroaI Remodels and Tenant Finishes. Do not being work until the permit has been hued to the General Contractor. Required to Submit Proof of Submission to Fire Department Proof of Submission to Fire 2220020 Farm Denver tactics body department Begin Application PROPERTY INFORMATION Property Address 13401 W 43 of Ory e, Golden C000403, U nit Property Owner Name KmonzLLC Property Onscrom Phone 3035504024 N umber lamer WITH dashes, Its 303 123-4567) Property Onscrom Final bob monze Randall sem Address Attach City of Wheat Ridge Electronic Payment Form - Word.docx Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** APPLICANT INFORMATION Contact Name of Person Bob monzel Submitting Application What is your role in the Property Owner project? Contact Phone Number 3035504024 (enter WITH dashes, eg 303-123-4567) Contact Email Address for bobmonzel(2amaiI com Plan Review Questions Retype Contact Email bobmonzel(aQamaiI com Address DESCRIPTION OF WORK Is this for a new tenant? No Business Name of Tenant Denver Pergola Systems Detailed Scope of Work- Removing an interior wall Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Location of Work near front entrance of shop Square Footage Area of N/A Work Being Performed Asbestos Report - if 1220-49 Monzel. Bob Environmental Renort - Asbestos applicable Renovation Ddf Construction Plans scanned 13401 W 43rd drive side view.ioa on 11"x17" or larger Project Value (contract $5 Adjusted valuation $500.00 K.M. 4/20/21 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may Yes not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Permit Bob Monzel Email not displaying correctly? View it in your browser.