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HomeMy WebLinkAbout2770 Chase Street" : City of Wheat Ridge Residential Demoliti PERMIT - 081281 PERMIT NO: 081281 ISSUED: 11/04/2008 JOB ADDRESS: 2770 CHASE ST EXPIRES: 05/03/2009 DESCRIPTION: Demo CONTACTS owner City of Wheat Ridge gc 303/991-1280 Michael Mitchell 08-0087 ESA PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ **FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,000.00 FEES No Fees .00 Total Valuation .00 TOTAL .00 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 applicatio and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I. B.C) and all other applicab e v eat Ridge Ord', nc s, for work under this permit. Plans subject to field inspection. I)- V_b PN/rv:) Signature of contractor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is~st)p)jejEo field inspections. Signature of Chief INSPECTION RE REQUESTS MUST Official date IT LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. OFWHEgr~i City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 c ° Inspection Line: 303-234-5933 OCORP~ Building Permit Application Date: `t•~~' Plan Permit#: Property Address: 2,760 _ 70 e3~4c Property Owner (please print): Phone: Mailing Address: (if different than property address) Address: City, Contractor: FS (lil`f Contractor License M Phone: ~3O3 9~?( 12- 3() Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Construction Per the Value: Use of space (description): ~J Building valuation 5ao0.aluation Data sheet) Description of Work: (as calculated per t 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 Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field ins CIRLCEONE:: r(OWNER)a~( ,~n. PERSONAL REPRE TATIVE of(O(CONTRATOR) PRINT NAME: I~hJYow 4 SIGNATURE: Date: DEPARTMENT USE ONLY ZONINGCOMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: OCCUPANCY: DEMOLITION NOTIFICATION APPLICATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED (Notice will be mailed to the demolition contractor unless specified otherw ) d~ Fee: $50 + $5 per 1000 ft2 of area to be demolished $ (See instruction #1 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-Bt 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbestos@state.co. us Company Name: Building Name: to b demolished f f cilit i Street: on o a y Square footage oyfootprint ocf facility or port `7 G 0 C' S _ Zip Code: Street Zip e. Co Telephone0 Fax# city: + C ~ C O q D Z C 6't ~r ✓It' U ( ~ J 0 D t' Proposed Completion Da te U n er P o" Cell Phone a Proposed Start r a O certify that the Certified Asbestos Building Inspector has informed me E Method/Means of Demolition: 0 about an aini g oscontaming materials in the facility to be d t E dem ❑ Implosion ❑ Moving ❑ Other, specify: 1F.Wrecking ❑ Burning S" at P' ame: R Ni uil g Debris: 'Burning requires additional authorization -Please call (303) 692-3100 and ask to speak to the Open -Burning Permit Coordinator General atenWnt Contractor(GAC) Owners Name: 1 0 l ~r rN*1E 'e C ~ C ~ I f N u0+ CDH bestos Permit # Toy Quantity of Asbestos Removed 3 1 b O a d o v 3 Z s C Sta~q!f~ Zip Code: # h l - 4 C r ep one val Co listed Te Date Rem 'S ) ) t a V Cont.actse, Type(s) o As s -Con ining Material Re oved:/ L.~hu m Telephone # With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as ` an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed o in the Demolition Site block above, sampled ail suspect materials, had all samples analyzed for the presence of C asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the L facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any o asbestos-containing material allowed to stay in the facility must remain non-friable during demolition. Specify type(s) of ACM remaining, below: (check appropriate box(es)): dw j Vinyl asbestos floor tile (VAT) ] VAT mastic Tar/asphalt impregnated roofing- Asphaltic pipe coatings v S ra -appli tar tin s ❑ Caulking ❑ Glazing ❑ Other, specify: 0 Signature: On e I Printed Name: ( ;E d LARS MALMSTROM ✓ s U Date f F' Ins on c0 # Expiration Date Telephone # i Cell Phone # 282 09112/09 (303)1874533 (303874533 I ve that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. 15 ( or information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been 3 (for information on luminous exit sign requirements call 303-692-3320). 6 4 i CCR 1007-1 subpart 3 d 0) « C . . . ance w disposed of in accor C CD O O CHECK THE APPROPR X: 9 C. a+ m 0 Building Own ontractor El Other te: U Signature: Print Name: THIS USE ONLY: BOX IS FOR CDPHE Postmark or Hand Delivery Date I Approved By: C~ Code: ra-rnftial-310 ❑ transfer-380 Form of Payment & p7 O Permit Record # Date Issued: ' Regulated asbestos-containing materials means (a) friable asbestos-containing material, (b) Category I nonfriable ACM that has become friable, (P, Category I nonfriable ACM that will be or has been subjected to s no probability of becoming or has become crumbled, pulverized, or demolition or renovation operations regulated by this regulation. Note abated/removed prior to demolition. DATE Foem: DNA08 I away v, \u/ w.ow,v .p-. . r expected to act on the material in the cowl sbeetos-contaming sheet vinyl and linoleum must be properly 10 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number: 17435 Date: 7/24/2004 Property Owner: CITY OF WHEAT RIDGE HOUSING Property Address: 2770 CHASE ST Contractor License No.: 17835 Company: Blue Sky Plumbing Phone: (303) 235-2846 Phone: 421 2161 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDiNG AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: $700.00 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 fe and agree to abide by all conditions printed on this application, and that I assume full r onsibility for compliance with the Wheat Ridge ilding Code (U.B.C.) and all other applicab Wheat e ordin ces, for work under this p rmit. ~ Description: DATE Total: $0.00 $0.00 $0.00 (OWNER)(CONTRACTOR) SIGNED Use: BUILDING DEPARTMENT USE ONLY I -.Iii''- IIIM'.. g,~.- Approval: Zoning: I!mjJ~ SIC: <?~ if O~f/JV J f a '7,p$"J Approval: ~~l~ Approval: Occupancy: Walls: Roof: Stories: Residential Units: Eiectrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approvai : Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City, (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one.half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year, If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive ph ses of the job. (6) The issuance of a pe approval of drawin specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisionst es or a 0 nee, law, rule or regulation. ctor Please sign Terms and Conditions on reverse side of page. ~7/23/2004 13:46 3034240495 BLUE SKY PLUMBING AD BUILDING INSPECTION DIVISION. 235-2855 - CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PAGE 02 Date: 11~d--\olt Property ~n~r: W jt-*,^-~ j Property Addr~ss:~ ,,10 Q-. Contras~or .license No. : \1 Bjl €> . - - Company: B l u...t - S " OWNER/CONTRACTOR SIGNATURE OF UNDERSTA Phone: ~35 - ~~46 Phone: 303 -Lf-:ll- J-I (., I Construction Value: , 00 Permit Fee: I hereby c.er1ify that the. Se1bilck ~isliilnce$ proposed by this permit appllcclllon are a,c;.urate, iin,d do nol vlol.Glte applicable Drth,nanres. rules or regulations of the City or Wheat Rid9t!! at covenants. easements or reslncbons cf record; thai all melSlIn!lmenls $hQwn. and aUegalians mad~ a~ accurale; thai I have read ii1nd a~~,B to abide by 111 ~ndjlions printed on this appllcallon. and fhall assume f"!U responsl~hty for comphance wtllllhe Wheal Ridge Building Code (V. B.C.) and all other applrcable eat Ridge i nces, for work uoder lhis permit. (OWNER)(CONTRACTOR) SIGNED . ATE~ Description: Of) ola..c-e ~D~ ~ wakR-~ Use Tax: Total: $0.00 ~ BUILDING DEPARTMENT USE ONLY ~1,1fjJ,-~ SIC: Sq. Fl: Approval: - Zoning: ~~I"IIlUOmments':3 Approval: CaDtlm'Vo(~SIP.PJQIJ]~n~ Approvai : Occupancy: Walls: Roof: Stories: Residential Units : Electrical License No : Company: Plumbin9 License No; Company: Mechanical license No : Company: Expiration Dale: Approval: Expiration Dale: Approval : Expiration Date: Approval: m This permit Wi.!! Issued 1n ac;c:r;mlence: '<<fU1the provl!Ion.!l !el fonh In yopur appliearJon .nd Is subjed.lCllhe......" 01 \he Slale of Caklf"ilClo llInd '0 the Zonlng R"9ulll~ClI"lS lInd 8uitdi"'i! Coda ClfWhlllijll Rldg., ColQl'ilda or <lny (ltl'ler ilppllcel:l1e Ol'OINnces oJ ~ City. '1l11! peMllt .!IMn e:w:pire II (A) lhe \fIrOf1( e.l.rl.horitl!d l!. nol eomme"'=ed within sixty (ISO) d<lVs fFQm IssU4!l dlllle or (Bllhe buildIng aUV'1ortzed Is ,u,pcflded or ..bat1done1j tor a period or 120 days. . If this permit "rpirC5,' n~ permllmttY be lJCClutred fOf I ree efont-"'lfU18 amount nOf'TT\lTly r$Clui~. provided I1Od1Emge, ha"" been orWlII be made In V'11!1 origmal plan.! and spec::ific:aLions and Bny suspensIon or abandonment has not eJeceeded one ('1 year. If change$. altl rT\adfl Of if suspensb'l or abandonment B:ll:~S one (') year, full fM!$ shall be. pakl ror a new pEfTTlil No 'f\Iorl( of arrt manner shall be dona lhal will change Itle nawral fbot 01 waler eau$ing II t:lrainag' problem. Cc.lntrador .!Ihall noUry the Building 'l"I~redl;lr twer1ty.four (2') houf'& III ;ldv:llt'le.t for pit inspel;l.1ol"1S and 5"311 reGl!ive written eppl"OV31 on InspedJc)n e3~ btfOI'@ pl'OCZtdllng wi1J1 sutGl!!sSlvtl pM!e! 01 the lob. The i,uu:mc:e ot I permi1 or It'Ie .ppro....1 of O'l1Iwlng!l Bnd !pedl'ic:atlons Shan f"(lt be COr1$IJ\Jed 10 be a permil (OC'. I"IOr 31\ apprQv.1lI or. Iny 'tfoIauon of lrltt provtsJOl\l. ollhe buildinv mde.! Of any olher ord'il'\llnce, law. n.l1t or regulation. I') (2) (3) (6) ChieF Building Inspector For Mayor THIS PERMlTVALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-593324 HOURS PRIOR TO INSPECTION FORM tM) 414-02-1123 PUBLIC SERVICE COMPANY OF COLORADO 27 61 FLOOR "PT. NO .. ACTION TAKEN D NO SHUT OFF 1]0. APPLIANCE OFF o BOTH APPL. & METER OFF o METER SHUT OFF _ HAZARD - c..."... /lJ f7~27 COl<DlTlON TO BE CORRECTEe AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD:llIIS EQU~ENT MUST NOT BE pUT BACK IN SERVICE UNTIL REPAIRS ANO A TliOROUGH INSPECTION HAVE BEEN MAOE BY A QUAUFlED CONTllACTOR. CONTACT YOUR LOCAL BUILDING DEPARTMENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK. ?G.. I FOR FURTHER INFORMATION. PHO ~ME TIME 1J"