HomeMy WebLinkAbout4042 Upham StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Asbestos Abatement
Date: Monday, February 21, 2022 12:06:26 PM
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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 4042 Upham St
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Upham Development LLC
918191-WOMP181
Property Owner Email admin@dnkworksasbestos.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
NE Bathroom
Square Footage Area
3SF
of Abatement
Has the abatement
No
been completed
If abatement has been
Field not completed.
completed, upload the
clearance report.
Project Value (contract
9200
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.
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INSPECTION RECORD Occupancygype
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.
- '�1' 1 I��� YR ht ;'� - = I J f a -ti I�h #ri n�• .: -
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
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
Framing
Insulation
Drywall Screw
NGUVE HAS MEEN WGNED
PRIOR TO PROCEEDING
FINALS
Electrical
-
Plumbing
Mechanical
Roof
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
o�uiu
L.
�� • "" as-� f :Yi
11 ! { w
s• a i
Address:
City, State, i
Ar1
R pity t,.' e
Complete all information on BOTH sides of this form
■
r
u = #1 Pil 9 1011
$q. Fowls 0,0 Gait -
.. 4r
+� CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type Al "--Z
Job Address
Permit Number Il 4�
available for inspection: Time , say AM/
:tion "required: Yes E
woe Inspector:
DO NOT REMOVE THIS NOTICE
r 4000 or-
City
of Wheat Ridge
Residential Roofing PERMIT - 110306
PERMIT NO: .110306
-
ISSUED:
03/28/2011
JOB ADDRESS: 4042 UPHAM
ST
EXPIRES:
03/27/2012
DESCRIPTION: Reroof 15
sqs wioth 30 yr
GAF shingles
* ** CONTACTS * **
owner 303/695 -5455
Susan Jackson
sub 303/761 -2255
William White
02 -1749
White Roofing Inc.
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0801
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 3,855.00
FEES
Permit Fee
109.20
Total Valuation
.00
Use Tax
69.39
`1(
** TOTAL **
178.59
ll�'1L
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave 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 describe approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named ithin t 's document as parties to the work to be performed and that all work to be performed is disclosed in
this document d /or i accog g ap owed plans and specifications.
I - -. ( (
ignature of � DWNEJ CONT CTOR (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 160 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.
6. The issuance or Utah ing of a permit shall not be construed to be permit for, or an approval of, any violation of
any provisio o applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fie: ron.
SignatureHf Chief 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.
p `NRE,tr
m
CO CORPO O
City of Wheat Ridge Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 ' Fax: 303 - 235 -2857
Inspection Line: 303 - 234 -5933
Building Permit Application
Date:
Plan #:
Permit #:
Property Address: 7 O y A lA IQh a&�l S /-- q
Property Owner (please print): - ? C4 -U� I � r 0-b s a Phone:
Mailing Address: (if different than property address)
Address: QS 8 J C . -LO (() C( ��• --
City, State, Zip:
Contractor:
/'
Contractor License #: D � / 9 7 9 i Phone: 30,3 - - 2&1 - 2 2 5
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: S .:?
Description of work: ^ fas calculated oer the Buildinq Valuation Data sheet)
-re aA Yf Y n e X 1 s /-/ n� foe -7
- Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR 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 Wheal Ridge Building Code (I.B.C) and all other applibable 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 r- CnIMEN7-.
Re•ne
BUILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT:: 0 approved wl comments ❑ disapproved ❑ no review required