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HomeMy WebLinkAbout4000 Upham StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Asbestos Abatement Date: Monday, February 21, 2022 12:00:51 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Asbestos Abatement This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes residential asbestos abatement? Provide copy of CDPHE State Permit or Stamped Approved CDPHE State Permit Application 4000 4042 4062 4066 Upham St- aooroved SEK. odf PROPERTY INFORMATION Property Address 4000 Upham St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Upham Development LLC Ki�xa:�xacr`z� Property Owner Email matt@epiphanydenver.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A uoham City ovmt.Ddf CREDIT CARD" CONTRACTOR INFORMATION Contractor Business D&K WORKS Name Wheat Ridge 180403 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 7202026948 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email admin@dnkworksasbestos.com Address Retype Contractor admin@dnkworksasbestos.com Email Address DESCRIPTION OF WORK State Permit No. or 2/16/22 SEK Application Approval Date with Initials of CDPHE Employee approving application. Location of Abatement windows Square Footage Area 60SF of Abatement Has the abatement No been completed If abatement has been Field not completed. completed, upload the clearance report. Project Value (contract 4800 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Keila Lopez Pe rm it I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. INSPECTION RECORD Occuuancv/T e INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. r INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic y` 7 iI KC Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) ROUGHS Lath /Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Insulation Drywall Screw INSPECTIONS TO BE BEEN FINALS Electrical Plumbing Mechanical Roof y` 7 iI KC Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER. .. . CITY OF WHEAT RIDGE Building Inspection Division l (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type AmAl a, Job Address 1&aep uR ,#Aw ri Permit Number P✓a3o5 ae�s.dF13 ❑ No one available for inspection: Time AM4EM Re- Inspection required: Yes City of Wheat Ridge � Residential Roofing PERMIT - 110305 PERMIT NO: 110305 ISSUED: 03/28/2011 JOB ADDRESS: 4000 Upham St EXPIRES: 03/27/2012 DESCRIPTION: Reroof 18 sqs with 30 yr GAF shingles * ** CONTACTS * ** owner 303/695 -5455 Susan Jacobson sub 303/761 -2255 William White 02 -1749 White Roofing Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0801 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,626.00 FEES Permit Fee 125.05 -, Total Valuation .00 Use Tax 83.27 VJ7'j�'7G1 ** TOTAL ** 208.32 Conditions: 6 nails per shingle is required. Ice dam membrane is required from save edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named with is document as arties to the work to be performed and that all work to be performed is disclosed in this document and /o its' accompan ng a ro d plans and specifications. Si na ure of OWN 4R r ONT ircle one) Da e 1. This permit was issueA_Lts on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 5. The issuance r ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any prow i ny f applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fie ion. Building Offical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Building Division Date: ° m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303- 235- 2855' Fax: 303- 235 -2857 Plan #: CO(ORPOO inspection Line: 303 - 234 -5933 Permit #: t'� Building Permit Application Property Address: '/G® Ph l V)1 S f q Property Owner (please print): (A Phone: 30, S S' �/ S"S' Mailing Address: (if l different than property address) Address: 7 ! L• . f-0 a dl. _ City, State, Zip: ,l/-P4t2V �, I 1? /2 Contractor: /,l) h I Ie- /J i Contractor License #: D � /9 7 9 Phone: 303 - - 261- 2,2- $ S Sub Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Y Description of work: �/ (as calculated per the Buildinv valuation Data sheen Te � c) P P - e X i S k/ n v r �� Plan Review (due at time of submittal): b ( shin�L C,/3 -P3t U y2 Sq. FL /L.Ft added: Squares I' BTU's Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date ZONING COMMENTS: Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY FIRE DEPARTMENT:: 0 approved w/ comments ❑ disapproved 13 no review required OCCUPANCY: aluation: $