HomeMy WebLinkAbout4525 Kipling StreetCity of
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COMMUNiTy DEVELOPMENT
Electrical C ontracto r
Company Nam Phone
State License #. Master #:
Signature Date
Plum bing Contracto
Company e: :Phone
State License #: Vaster #:
Wheat Midge License #;
Mech anical Signature of Authorized Agent Date
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eat,Ridge ' en se #:
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City of Wheat Ridge
Commercial Demolitio PERMIT -
080428
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
080428
4525 Kipling Street {ftrfro't.J
Demolish.(2} barrack buildingsused as
ISSUED:
EXPIRES:
storage.
05/02/2008
10/29/2008
... CONTACTS ...
o~er 303/237-7704
gc 303/991-1280
Michael Mitchell
Jeffco Action Center
08-0087 ESA
.. PARCEL INFO
ZONE CODE:
SUBDIVISION:
..
UA
0236
USE:
BLOCK/LOT#:
UA
0/
Demolition Fee
Total Valuation
'f<* TOTAL **
ESTIMATED
FEES
50.00
.00
50.00
75,"0
fI,,;S'.oo
PROJECT VALUATION:
IP;~j)
c.-.P
4,500.00
.. FEE SUMMARY..
Comments:
conditions:
OK per Colorado Department of Public Health and Environment Asbestos abatement
permit.
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
~easurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
appli nand that I assume full responsibility for compliance with the Wheat Ridge Building Code (I;B.C) and all other
appli bI Wheat Ridge 'riances, for work under this permit. plans subject to field inspection.
...
Signature of
IYlIi
ODS
date
4;.
5:.
.
6'.
~ie permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
Sta.te of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
o;dinancesof the City;
This permit ahallexpire lsb 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.
tf this permit expires, anew 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 abandoriment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (I) year, full fees shall
be paid for a new permit.
No Work of any manner shall be done that will change the natural flow of water causing a drainage' problem.
Contractor shall not f the Building Inspector twenty-four (24) hours in advance tor all inspections and shall receive
written approva spection card before proceeding with successive phases of the job.
The issuanc rmit,pr the approval of drawings and specifications shall not be construed to be. a permit for, nor
an approval violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
~ll plan re subject to field inspections.
"
2.
3.
Signature of Chief Building Official
date
~NSPECT'tON ltltOUllS'1' LINlIt (303) 234-5933 BUILDING OFFICE: (303} 235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
\
3')-,;,7,:2. -C3o (\-)
City of Wheat Ridge Building Division
7500 W 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Date:
Plan #:
Permit #:
Building Permit Application
Property Address ~'5?C All'Y../ke:r S~A"
Property Owner (please print}: ::["~1Tlf) ACTI1)A) ;;Jlf7'EJL
Mailing Address: (if different than property address)
Address B;S-~ ;J15S7- /LJ71f A YENUE
City, State, Zip L?lJ:::Ek7fZJl'1, (;'0 P'x'')Z/C:::
I
Phone: 30.'5 - Z,37 - 7?lY7
Contractor E:..'S4, If.JC- ,
I
Contractor License #: )..3;;;' '-{ '-/2:>
Phone: ':""-0
Sub Contractors:
Electrical City License #:
Company'
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date:
Approval:
Exp. Date:
Approval:
Exp. Date:
Approval:
Construction Value: $ 4/ 1~<22
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Use of space (description):
Description of work:
7kNI0.4/SN Twu 'lY-Jt=RNJ:::- /Y..;/ UV N6S
!/6~ 745 ::57l:J/2fI6.E
Sq. FULFt added:
Squares
BTU's
Gallons
Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING ANO 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 W'heat 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' 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.
CfRLCE ONE:: ~NER) n~1'RACTOi\j or
PRINTNAME:Ctl13U~ SIGNATURE -7L7?/-C$3
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBUC WORKS COMMENTS
Reviewer:
BUILDING DEPARTMENT COMMENTS: OCCUPANCY
Reviewer:
FIRE DEPARTMENT:: 0 approved wi comments 0 disapproved 0 no review required Bldg Valuation: $
'":) 'i. G\ 1- \ () <;:'n
,I . '_ .Jr-
Colorado Department of Public Health and Environment
Air Pollution Control Division - Indoor Environment Program - AsbestosllAQ Unit
4300 Cherry Creek Drive South, APCD-IE-B1
Denver, Colorado 80246-1530
Phone: 303-692-3100 - Fax: 303-782-0278
E-mail: asbestos@state.co.us
ASBESTOS ABATEMENT PERMIT
This permit is granted subject to Colorado Air Quality Control Commission Regulation No.8, Part B, adopted December 21, 2007,
and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., CR.S.) and
the following provisions. It is only for the purpose of allowing asbestos abatement
ADDITIONAL PERMIT PROVISIONS:
By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit
should the Division find that the contractor:
. has violated or has aided and abetted in the violation of25-7-101 or 25-7-501 et seq., CRS. or Regulation No, 8, Part B, or
an order of the Division or Commission,
. has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any
inspection within a reasonable period of time, as may be determined by the Division,
. has used misrepresentation or fraud in obtaining this permit, or,
. has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement
As a contractor, you may be subject to other licenses and permits, depending on the requirements ofthe county and municipality
in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control
Division strongly suggests that you check with county and municipal authorities in order to determine any other local
building/permitting requirements that must be met
THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES.
Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and
the appropriate county health department by fax. Project modifications include changes in the scope of work or the
scheduled work dates, etc.
This asbestos abatement permit is valid beginning 5/5/2008 through II :59 PM on 6/3/2008.
The actual scheduled work dates are from 5/5/2008 through 5/9/2008.
Approval issued on: 4/25/2008 Fee paid: $400.00
Record number: 61659 Check number: 3758
Notice Number: 08JEI48IA
Variance:
Comments:
None
None
Project Supervisor:
Antonio V. Lujan
Cerification No.: 12561
For the location specified below:
Barrack Warehouse Bldg A
Exterior Siding- Storage Room
4525 Kipling St.
Wheat Ridge
Jefferson County
Project AMS:
Lauren K. York
Cerification No.: 3748
Project Manager:
This permit has been issued to:
ESA" Inc. of South Dakota
6710 East 47th Avenue Drive
Denver, CO 80216-3409
Issued bY:1#' M l;\)""" /) fl
"b LD( _~~.