HomeMy WebLinkAbout2635 Pierce StreetFon OFFsce use ONLY
neR.x..dny_ .
txsPmror omR
Building 75M W.20 Ave. Whom Ridge,CO 80033-8001 P:303235.2846 F:303.235M57
FOUNDATION SETBACK AND ELEVATION CERTIFICATION
For Single Family Developments
This form, including the Exhibit on the reverse side, must be fully completed by a Professional
Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review
and approval prim to proceeding with any further construction.
DATE:12 Z3-2(
PERMIT# 2 e)
ADDRESS: 2. (S i'L P1 Ell C J 7—, W #&AT (Z r D G. /r
LOT I BLOCK � M IAJF.%JMOAIr SUBDIVISION
I hereby certify that the elevation and location of the recently constructed structural foundation
for the above property described above has been measured by me or directly under my
supervision. For the recently formed or constructed building foundation comers, the setback
distances have been found by me to be in compliance with City of Wheat Ridge required limits
and the elevations as stated herein have been found by me to be in compliance with the Building
Permit construction plans as approved by the City of Wheat Ridge.
The MINIMUM SETBACK DISTANCES from the property lines have been determined to be:
FRONT: ZS -AO REAR: /O,O SIDE: %1 S- m SIDE: % < /
If in the floodplain, the MINIMUM ELEVATION is determined to be:' -S ) r4(NAVDRS)..
The above measurements have been determined on the following location:
(Check only one): X\ Top of proposed foundation prior to placement of concrete
Top of foundation subsequent to placement of concrete
The setback and eleva .on measurement locations are identified on the attached exhibit.
Signed 411
Print MACf<e'1V1M Date
Px mem®m sur.eaar
xwx.n.x'M1eursitlRnox.us
Elevations shall be shown for ALL foundation cornem.
Foundation comers with minimum elevation and sethaa distance shall be identified.
Drawing must he properly oriented (NOM —top of page).
Show the roadway in font of the property.
If Mwing is ta-scale, provide the scale. If not to -scale show as N.T.S.
From: no-reolv(alci.wheatridae.co. us
To: CommDev Perm is
Subject: Online Form Submittal: New Residential Construction
Date: Monday, September 20, 20218:16:08 AM
New Residential Construction
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 2635 Pierce Street
Property Owner Name Rick Reeves
Property Owner Phone 303-431-4767
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email championconstructioninc@hotmail.com
Address
Attach City of Wheat Electronic Payment Form Wheatridae.Odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name chip Pace
What is your role in the
Architect
project?
Contact Phone Number
303-523-5217
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
cparchitecture@comcast.net
for Plan Review
Comments
Retype Contact Email
cparchitecture@comcast.net
Address
DESCRIPTION OF WORK
Detailed Scope of
Work - Example: New
single family home with
2 car attached garage
Square Footage of
New Construction
Upload Proof of
Submission to Water
Department
Upload Proof of
Submission to
Sanitation Department
Upload Soils Report
Engineering Letters
and Other Letter Size
Attachments
Energy Calcs
New Single family home with attached 3 car garage
[c➢b%
2635 Pierce St Sanitation Proof of submission.odf
2635 Pierce St Soils.odf
Construction Plans Field not completed.
scanned on 11'x17" or
larger
Project Value (contract
value or cost of ALL
materials and labor)
06YA1i8]
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
Valuation Okay
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 chip Pace
Permit
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.
Cityof,Wh6 ait I c
COMMUNi-ty DrvL.ioi,mr-NT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: �ara�its(cu��i.vvheatridce c� us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: c'C
Owner (please print): ( ' h x rn V))�rj y)
Property Owner Email:_ r1 l41-
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: 50 W -Or�—
City, State, Zip: NJqVe,Y- L k,
Architect/Enaineer:
Arch itectlEngineer E-mail:
Phone:
Contractor Name: �1� m -10, Qs-:��,
City of Wheat Ridge License #:
Phone: &L-�) q Z % l zc)
Contractor E-mail Address: _ ffieXAC't0-Z-' V� C5/p i'Y1a . �&M
�Z—a7
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): I PA Z C� Phone: L � �! - 560C1
CONTACT EMAIL(p/ease print):-M(?.K1 'SeY VL, cs)us e (10'ry?
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Gd", ���(Ad"-? a•
❑COMMERCIAL✓[RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Cv
Sq. Ft./LFA BTUs
Gallons
Amps Squares For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER)
Signature (first
`and
�last name):
Printed Name: L /%�
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
or
TIDE) of (OWNER) (CONTRACTOR)
DATE:
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
OF CO��
Aw `
DEMOLITION NOTIFICATION APPLICATION FORM
lg�67r * APPLICATION FEE MUST ACCOMPANY THIS FORM
Colorado Department INCOMPLETE APPLICATIONS WILL BE RETURNED
P (Notice will be mailed to the demolition contractor unless specified otherwise)
of Public Health
and Environment Fee- $50 +$6 per 1000 ftz of area to be demolished = $
(see instruction 91 on reverse side)
Submit form to:
Permit Coordinator
Colorado Dept. of Public
Health and Environment
APCD-IE-B1
4300 Cherry Creek Drive
South
Denver, CO 80246-1530
Phone: 303-692-3100
Fax: 303-782-0278
Asbestos@state.co.us
ClompariV Name: t .
ild
Buing Name:
i
SFRD
'Street: 70 n
d -i
Square footage of footprint of facili or portion of facility to be demolished
O
29
C Staten t) Zip Cade:
Street
+�
=
T p., a #. ,.. Fax #
r Fax
rA
2635 Pierce Street
City: County: Zip Code:
Wheat Ride Jefferson 80214
Proposed S to Pron�asC
Carnal t, n Date
_
_
�1 t t�
1Preject Manager Phone
a
;�
0
IP.�G,,Cell
I certify that the Certified Asbestos Building Inspector
�/
�—
O
has informed meMeth
about any remaining asbestos -containing materials in the facility to be
C
ow iel or vernulition: —
E
demolished.
O
(�
g
lA Wrecking ❑ Bumingt ❑ Implosion ❑ Moving ❑ Other, specify:
Si re: '
..
P ' t Name: g
ndfill Receiving uilding Debri
��
tBurning requires additional authorization - Please call (303) 692-3100 and ask
to s eak to the O an Burnin Permit Coordinator
General Abatement Contractor (GAC)
Owner's Name:
ti
p its
Eco Tech Environmental Inc.
Champion Construction
Street:
.�
CDPHE Asbestos Permit #
Total Quantity of Asbestos Removed
7+
y o
s £ w
Not Yet Assigned
340 SF
5000 W 29thAve
Date Removal Completed
3/1/21
Telephone #
303-997-5175
City:
State:
Zip Code:
N d =
Q v
=
Denver
CO
80212
Type(s) of Asbestos -Containing Material Removed:
Duct, sheet vinyl, 8r VAT
m
Contacts Name: Rick Reeves
Telephone
303 478-0237
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as
o
FP.7
an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed
in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of
a
asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the
=facility.*
I also certify that I have informed the owner/operator of the facility or the demolition contractor that any
u) c
'am
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)):
a m
❑Vinyl asbestos floor the (VAT) ❑VAT mastic ]Tar/asphalt impregnated roofing ❑ Asphaltic
pipe coatings
Spr2y-applied tar coatings &I Caulking Glazing ❑ Other, specify:
Ot
Signat : (In Blue Ink)
Printed Name.
vi
Chris Maron
Date of Fi spec on
3/2/21
CO Cert #
615
Expiration Date
9/28/21
Telephone # ; Cell Phone #
(303 )449-1175 i 303817-8243
I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered In accordance with AQCC Regulation No.
15 (for information on CFC requirements call 692-3100).1 further verify that all luminous exit signs (containing
mop
radioactive material) have been
disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320).
a d i
CHECK THE APPROPRIATE BOX:
mEl Building Owner Contractor ❑ Other Date: t
Sig ure: Print Name:
,
REtEiIIEQ IS BOX is FOR CD "A n" Y - r-
etcoaya Al"I 10.48 M,, APPROVEC)
Postmark or Hand Delivery Date: Approved By: `, co�rAKh�ktaa+a:aF M .23�202f� Code: X initial -310 ❑transfer -380
Form of Payment & #: 162583996 / $60 Permit #: Record # Date Issued:
* Re-mdaterl ashectne__
Caiegory I nonfriable ACM that will be or has been subjected to sanding,
probability of becoming or has become crumbled, pulverized, or reduced
delvlolition or renovation operations regulated by this regulation. Note:
abated/removed prior to demolition.
tu)
f JP i. 0. �`..
that has become friable, (c)
Form: DNA08
By Cody Archuleta at 10:48 am, Mar 23, 2021
'
OF'CO�
rra \ p
* DEMOLITION NOTIFICATION APPLICATION FORM
*x1876* APPLICATION FEE MUST ACCOMPANY THIS FORM
Colorado Department INCOMPLETE APPLICATIONS WILL BE RETURNED
P (Notice will be mailed to the demolition contractor unless specified otherwise)
Of Public Health
and Environment Fee: $50 + $5 per 1000 ft" of area to be demolished
(See instruction #1 on reverse side)
Company dame: 7 Zn A , n
Su mitformto
Permit Coordinator
Colorado Dept. of Public
Health and Environment
APCD-IE-B1
4300 Cherry Creek Drive
South
Denver, CO 8 0246-1 53 0
Phone: 303-692-3100
Fax: 303-782-0278
Asbestos@state.co.us
L�Mu=
O
iuurwge er roocpnncngraciliry or portion of facility to be demolished
City: Stat Zi Coda;
�
Street:
Tele one # F #-���
=
2635 Pierce Street
city: Wheat Ride County: Zip Code:
Pr000snri St Jefferson 80214
art ate
ce
) 7_ �L/ 3) ,�" _ ��
act �a.`nager: Cell Phone #.. -9
-
-..
c
=
l' �-� r�j60 %
1 certify that the Certified Asbestos Building
Propase C°j"nlP. Date
p
�`t--- �<i
O
Inspector has informed ma
about any remaining asbestos -containing materials in the facility to be
0
Methdd a o� Demolition:
E
demolished.
O
wrecking ❑ Burningt 13 Implosion [I Moving ❑Other, specify:
S re: " ,,
P " t Name: �i
A/ f L3
Landfill Receiving B ilding Debris: ►
(
tBurning requires additional authorization — Please call (303) 692-3100 and ask
to s eak to the Open Burning Permit Coordinator
General Abatement Contractor (GAC)
Owner's Name:
U) _ ,,
N/A
=
Champion Construction
CDPHE Asbestos Permit #
Total Quantity of Asbestos Removed
O td o
O
Street:
o L
N/A
N/A
5000 W 29thAve
Date Removal Completed
Telephone #
H d
__
City:
Q �j
N/A
N/A
'9
Denver
State:
CO
Zip Code:
80212
Type(s) of Asbestos -Containing Material Removed:
AT J A
=
M
Contact's Name: Rick Reeves
Tele ho
p ne #
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as
$ an Asbestos Building Inspector. 1 also certify that I have thoroughly inspected the facility to be demolished, as listed
in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of
CL asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the
c facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any
rn c 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)):
a d ❑ Vinyl asbestos floor the (VAT) ❑ VAT mastic ®Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings
dv ❑ Spray -applied tar coatin s W Caulkin Glazing ❑ Other, specify:
Signat (In Blue In Printed Name:
d
Chris Maron
V Date o inal Inspection CO Cert # Expiration Date Telephone #
3/2/21 615 9/28/21 Cell Phone #
( 303)449-1175 ( 303 ) 817-8243
15 (for information on CFC requirements call 692-3100). I further verify that all luminous exit signs (containing radioactive material) haulave tbeen o
0 p disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320).
d a CHECK THE APPROPRIATE BOX:
�3=
❑ Building Owner Contractor
to ❑ Other Date:
O V Sign e: Print Name: �
HIS Box Is FOR CD E1 LRF nNl v>•_ _—
RECEIVED APPROVED
Postmark or Hand Delivery Date: SYQ,dYa.�„�,e,,,„e:.,,„,M,,,,�:, Approved By: Ry C1dy„MP,ukM.,,,o_,.Cal, Me2z,2001 Code: X initial -310 0transfer-380
Form of Payment & #: 162583996/$55 Permit #: c Record # Date Issued:
*Regulated asbestos- riable asbestos-containin
Catenory I nonfriable ACM that will be or has been subjected to sanding, grind
probability of becoming or has become crumbled, pulverized, or reduced to poAPPROVED
demolition or renovation operations regulated by this regulation. Note: Asb
abated/removed prior to demolition. By Cody Archuleta at 10:48 am, Mar 23, 202”
Form: DNA09
Rev. 01/30/08
Submit form to:
Permit Coordinator
Colorado Dept. of Public
Health and Environment
APCD-IE-B1
4300 Cherry Creek Drive
South
Denver, CO 80246-1530
Phone: 303-692-3100
Fax: 303-782-0278
Asbestos@state.co.us
C
AA (OT (y t
1
yp 10
*
* *
DEMOLITION NOTIFICATION APPLICATION FORM
*;876 �`
APPLICATION FEE MUST ACCOMPANY THIS FORM
Colorado De artment
P
INCOMPLETE APPLICATIONS WILL BE RETURNED
(Notice will be mailed to the demolition contractor
of Public Health
unless specified otherwise)
andEnvironment
Fee: $50 + $5 per 1000 ft2 of area to be demolished = $
City: County: 2ipCode:
(See instruction #1 on reverse side)
Submit form to:
Permit Coordinator
Colorado Dept. of Public
Health and Environment
APCD-IE-B1
4300 Cherry Creek Drive
South
Denver, CO 80246-1530
Phone: 303-692-3100
Fax: 303-782-0278
Asbestos@state.co.us
C
AA (OT (y t
1
square rootage of footprint of facility or portion of facility to be demolished
v
City: State,: Zi Code:
Street: r�
,
Te hQ�pje # Fax # t'/r�ry�
2635 Pierce Street
City: County: 2ipCode:
C
/ 7
L �l Lt:�rc.� ! "�c81 S
_
C
Project Manager: Cell Phone #
Yl)�c-L
Proposed
O
.Jefferson
I certify that the Certfied Asbestos Building Inspector has informed me
to
E
about any remaining asbestos -containing materials in the facility to be
demoli
__ _
hed.
0
Si rra ifire: �9 / Prt Name: -
Ill wrecking ❑ Burning' ❑ Implosion ❑ Moving ElOther, specify:
Land ill Receiving Building Debris:
r
tBurning requires additional authorization — Please call (303) 692-3100 and ask
General Abatement Contractor (GAC)
to speak to the Open Burnin Permit Coordinator
fn — `o
N/A
=
Owners Name:
Champion Construction
CDPHE Asbels`jt�sAPermit #
Total QuanTbet-soved
NC
O
Street:
E
5000 W 29thAve
Date Removal Completed
To
City:
Q a, O
t
N/A
N/A
Denver
State:
CO
Zip Code:
80212
Type(s) of Asbestos -Containing Material Removed:
Contact's Name: Rick Reeves
Telephone
p ne #
*Tr A
m
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
in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of
asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the
facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any
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)):
Vinyl asbestos floor tile (VAT) ❑ VAT mastic
Blue
1
roofing ❑ Asphaltic pipe coatings
Chris Maron
449-1175 (303 )817-8243
15 {for information on CFC
'e'r",.,,,,,,,, ""- N,ONa„y'auovereu in accoraanee with AQCC Regulation t
requirements call 692-3100). I further verify that all luminous exit signs (containing radioactive material) have been
G 0 disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320).
d i CHECK THE APPROPRIATE BOX:
.3 3 = ❑ Building Owner r 7�
m O O t=I Contractor ❑ Other Date: °�
U gtgn ��� L�
P�rin(t/N(Ja�me'; �o � ')
RECEIVED is BOX Is FOR CD
Postmark or Hand Delivery Date: Approved 13 : APPROVED
eyCatlyArch�letaaf10:46am,Mar37,1011 1111 y i&;antlyArc„�le,aa:98:40 ,ffla,-13,11,2 Code: -..initial-310 ❑transfer -380
Form of Payment & #: 162583996 _/$_5_5Permit #:
Cateoory i nonfriable ACM that will be or has been subjected to sanding,
probability of becoming or has become crumbled, pulverized, or reduced
demolition or renovation operations regulated by this regulation. Note:
abated/removed prior to demolition.
Fonn: DNA08
Record # ( Date Issued:
(b)
APPROVED
By Cody Archuleta am, Mar 23, 2021
°F Colo
�! DEMOLITION NOTIFICATION APPLICATION FORM
X876 APPLICATION FEE MUST ACCOMPANY THIS FORM
Colorado De artment INCOMPLETE APPLICATIONS WILL BE RETURNED
of Public Health (Notice will be mailed to the demolition contractor unless specified otherwise)
and Environment Fee: $50 + $5 per 1000 ftz of area to be demolished = $ v
(see instruction #1 on reverse side)
Submit form to'
Permit Coordinator
Colorado Dept. of Public
Health and Environment
APCD-IE-B1
4300 Cherry Creek Drive
South
Denver, CO 80246-1530
Phone: 303-692-3100
Fax: 303-782-0278
Mbvsttxi@st3te.co.us
-
nonfriable ----- A------•••••— •••-'e—' --•-. •„vc„u �o� �uu.� aauGatVa-t:V11la1nlf It fil
Cateaory I CM that will be or has been subjected to sanding, rindin , c
probability of becoming or has become crumbled, pulverized, or reduced to powder
demolition or renovation operations regulated by this regulation. Note: Asbestos.
abated/removed prior to demolition.
Foran: DNA08
(o) category I nonfriable ACM that has become friable, (c)
or abrading or (d) Catecory 11 nonfriahle Arran th2t hoc . hi
APPROVED
��huleta at 10:46 am. Mar 23. 2x
1
C mpany ame: p r �
%/i ,,/ ,` �,
v �l �`J� • ` Building Name:
�.2
o
Street: `
Square footage of footprint of facility or portion of faciliiy to be demolished
:a
City.-, Ste : Zi'� ��C77ode:.. Street:
r
=
°
Telephone #, Fax #��Lv " 2635 Pierce Street
—Io2G( Ci County: Zip code:
:Proposed
c
Wheat R'd a Jefferson
Ce11 phone qt
Co m 80214
�(/ k. aletior Date
_....... _..._..............-��-:�._..+18.7.--51,�C✓.../...... Pro osed
t�✓Z.
ceRify that the Certified C
O
Asbestos Building Inspector has informed me .1 pg (j
about any remaining �`
d Method/M a of Demolition: ° u
E
1
asbestos -containing materials in the facility to be
demolished.
0
S e e: t Name: �/ _ lel Wrecking 0 Surningt ❑ Implosion ❑ Moving ❑ Other, specify:
Landfill R ceiving uilding Debri .
692-3100 and ask
to s eak to the O en Bumin Permit Coordin
tBurning requires additional authorization — Pi2l
General Abatement Contractor (GAC) Owner's Name:
rJE
N/A=Champion ConCDPHE AsbN/sApermit# Total Quantity of Asbestos Removed O St
N/A 5000 W 29tDate Removal Completed Telephone #
Q �j
_�
N/A City: ip Code:
/A ,� Denver
80212Type(s) of Asbestos -Containing Material Removed:
N/A mContact's Name: Rick Reeves
0237
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
in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of
CL
c
asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the
e
facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any
U, -
N
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)):
J2
Q m
V
❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings
❑ Spray
0
-applied tar coatings Caulking❑
Glazing Other, specify:
Signatu In swe ink) Printed Name:
Chris Maron
Date of Final Inspection I CO Cert # Expiration Date Telephone # I Ce)i Phone #
-3 1 615 9/28/21
303 449-1175 303 )817-8243
1 verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance
y >v
C p
with AQCC Regulation No.
15 (for information on CFC requirements call 692-3100).1 further verify that all luminous exit signs (containing radioactive material) have been
disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information
on luminous exit sign requirements call 303-692-3320).
'= d N
CHECK THE APPROPRIATE BOX:
M 3 0 ❑ Building Owner
gp � � 9 Contractor [� '
Other Date:
Sig e: - Print Name
'
i'a�v3-c�L2 ?'12C/'L
RECEIVED Box is FOR CDPt4F---
Postmark or Hand Delivery Date: APPROVED
ry By Coay A-.1e:a e1 M45 am, rna: 23, 2021 Approved By: Qy Catly A.¢ u(e1e e110rks a M 27 2027 i Code: X initial -310 ❑ transfer -380
Form of Payment & #:
162583996 / $55 Permit #:
n --�--
alnlrin m� c�1e ..-e-..� .., a.;.,u1_.--
Record #
Date Issued:
* Reoulated ashest-en
os
-
nonfriable ----- A------•••••— •••-'e—' --•-. •„vc„u �o� �uu.� aauGatVa-t:V11la1nlf It fil
Cateaory I CM that will be or has been subjected to sanding, rindin , c
probability of becoming or has become crumbled, pulverized, or reduced to powder
demolition or renovation operations regulated by this regulation. Note: Asbestos.
abated/removed prior to demolition.
Foran: DNA08
(o) category I nonfriable ACM that has become friable, (c)
or abrading or (d) Catecory 11 nonfriahle Arran th2t hoc . hi
APPROVED
��huleta at 10:46 am. Mar 23. 2x
♦��4_
��Wh6atf d� e
MUNITY DEVELOPMENT "
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P:303.235.2846 F:303.235.2857
March 17, 2021
OFFICIAL ADDRESS NOTIFICATION
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 2625 Pierce Street (Lot 15)_
CURRENT ADDRESS: 2635 Pierce Street
• Ritchie Subdivision, Lot 14 & 15, Section 26, Parcel 4: 39-264-17-028
NOTES: This is a courtesv notification. Lot 14 will remain 2635 Pierce Street.
AUTHORIZED BY: �. ��e� DATE:
DISTRIBUTION:
3/17/21
1. Property Owner
2. Applicant
3. Addressing(Ljeffco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections:
Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel
4. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
5. U.S. Post Office (Edgewater), 1990 Depew St., Lakewood, CO 80214
6. Email to arlene.a.vickreykusps. og_v; man* arm. carmen.s.suarezkusps. og_v;
there sa.a.kraftkusps.gov; Jennifer.m.sanchezkusps.gov
7. Xcel Energy, jacob.van.laerekxcelenergy.com
8. Century Link, Aaron. KellerACenturylink.com
9. Comcast, scott moorekcable.comcast.com
10. Consolidated Mutual Water Company: engineering_kcmwc.net
11. WR Sanitation District: bwilliskmartinmartin.com; infokwheatridgesanitation.com;
mbakarichkmorainco.com; nelsonmsewerkgmail.com
12. Fire Dept: planreviewkwestmetrofire.org
13. Wheat Ridge Planning Division
14. Wheat Ridge Building Division
15. GIS Specialist
16. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.wheatridge.co.us
DATE:
Vicinitv Map
IMPROVEMENT SURVEY PLAT
A PARCELOFLANO ST ATEO IN TIO: SOUTHEAST 114 OF SECTION 26,
TOWNSII[P 3 SOUTH, RANGE W WEST OF THE 6TH PM,
QTY OF WHEAT RO)GE, COUNTY OFIEPFERSON, STATE OF COLORADO
I
Eta
LI ,.
Existino lot line
s
1* ► � i City of Wheat Ridge
'/� Residential Asbestos Abatement PERMIT - 202100344
PERMIT NO: 202100344 ISSUED: 02/23/2021
JOB ADDRESS: 2635 Pierce St EXPIRES: 02/23/2022
JOB DESCRIPTION: Residential abatement of duct work in boiler room, mud room and the in
kitchen.
Sq ft: 340
*** CONTACTS ***
OWNER (303) 478-0237 REEVES RICK
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51000.00
FEES
Asbestos Abatement 50.00
Total Valuation 0.00
** TOTAL ** 50.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
I by m si nature do hereby attest that the work to be performed shall comply with all accompanyin approved plans and specifications
applica le uilding codes, and all applicable municipal codes, policies and procedures, and that I am t e legal owner or have been authorized
by the legal owner of theproperty and am authorize to obtain this ermit and perform the work described and approved in conjunction with
this,permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
per ormed and that all work to be per ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (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 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 requ�ired
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 granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
02/23/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Asbestos Abatement
Date: Tuesday, February 23, 2021 10:46:03 AM
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
residential asbestos
abatement?
Provide copy of
CDPHE State Permit or
Stamped Approved
CDPHE State Permit
Application
Yes
PROPERTY INFORMATION
Property Address 2635 Pierce Street
Property Owner Name Rick Reeves
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
303-478-0237
Property Owner Email championconstructioninc@hotmail.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
WheatRidae EPF.Odf
CONTRACTOR INFORMATION
Contractor Business
Eco Tech Environmental Inc
Name
Wheat Ridge
190186
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-997-5175
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
brisa@etechenviro.com
Address
Retype Contractor
brisa@etechenviro.com
Email Address
DESCRIPTION OF WORK
State Permit No. or
02/11/2021
Application Approval
Date with Initials of
CDPHE Employee
approving application.
Location of Abatement
Asbestos abatement of duct work in boiler room, vinyl in mud
room and tile in kitchen.
Square Footage Area
340 SF total
of Abatement
Has the abatement
No
been completed
If abatement has been
Field not completed.
completed, upload the
clearance report.
Project Value (contract
5000.00
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 Brisa Tapia
Permit
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.
D''cPA^TMENT OF PLANNING AND DEVELOPMENT
' BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-666
Date :4/3/95
Property Owner : KRENEK ALAN L
Property Address : 2635 PIERCE ST Phone : 237-3676
Contractor License No. :
Company : Phone :
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby ce rtify that the setback dislances proposed by this permit application are accurete,
and do not violate applicable ordinances, rules or regulations of the Cdy of Wheat Ridge or
covenants, easements or restridions of record; that all measurements shown, and allegations
made are accurate; that 1 have readand aQree to abide by all conddions printed on this
appliwtion, and that I assume full responsibil~'ly for compliance wfth the Wheat Ridga Building
Code (U.B.C J and ali other applicable Wheat Ridge ordmances, for work under this pertnR.
(OWNER)(CONTRACTOR)
TE
Construction Value :
$450.00
Permit Fee :
$15.00
Plan Review Fee :
$0.00
Use Tax :
$11.25
Total:
$26.25
Descriptian : EXTENSION OF GARAGE 10' X 30' PROVIDING EXISTING SHEDS ARE REMOVED
BUILDING DEPARTMENT USE ONLY
Approval: MR03H5195
Zoning :
Approval : JE 03I30195
Approval :
Occupancy : Walls
COMBINED SHED 8 GARAGE SPACE ON PROPERTY CANNOT
EXCEED 1,400 SQ. FT. TOTAL. 8' ADDITION APPROVED
BUILDING TO BE FIELD VERIFIED FOR CODE COMPLIANCE
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Expiration Date :
Approval:
~
Company :
Expiration Date :
Approval :
0 ~
Company :
Expiration Date :
Approval :
0
(1) This permit was isaued in accptlance with the provisbns set MM In yopur epplicafion enE is wbjeG to the lawa of the Stale of Cobiado and Oc the 7aninp
Regula~ions antl Bwldinp Cotle M Whea[ Ridge, ColaaCO a any other applicable wdinances M Ux City.
(2) Ttiis pemtlt shall expire d(A) the work auMOnzed is not commanceE w'Min suQy (60) days from issue date a(B) the builtlirg aultarizeC Is wspen0etl a
anandonea ra e period a 120 aays.
(3) If this permit expires, a new pemxt may be acquired for a fee of one-half Me amount rwimaly requireE, provitletl no Uanges have Ceen a will be made in the
original plans and spedfications arW arry suspension a aDandonment has nM ezceetletl one (1) year. If charges are matle or R suspension a abandonment
exceeds one (1) year, NII lees ahail be paitl Tor a new pemdL
4 No xrork of any manner shall be done Nat vnll change the natural Max of waler causirp a drainape problem.
5 ConUactor sha11 rrotiy the Buildirp Inspecta twenry-four (24) hours in edvence for all i spections and shall ive wriden approval on inspeation car0 before
p g with successive Vhasea of Me1'ob.
(8) The i, u nce M a pemut w the appioval of drawings and specifications ahall no[ be sWetl to be a , r n proval W, anry vidafion of the provisbns
of b ~Itlin es or any other oMinance, law, nile or regulation.
\
C ief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
1:3
, DEPARTMENT OF PLANNING AND DEVELOPMENT
B{JILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
t WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
6 1
Properly Owner : F/LAN
Property Address 4- 3 3~~~
Contractor License No. :
Company :
Phone : Z 39 JC ?'4
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : 45-
I hereby certiy that the setback distances proposed by this permit application are accurate,
and do not violate appliwble ordinances, rules or regulations ot the City of Wheat Ridge or
covenants, easements or restrictions of record: that all measurements shown, and allegations
made are accurete: that I have read and agree to abide by all conditions printed on this
applicalion, and that I assume tull responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRApCTOR) SIGNED DATE
i~/i$c.G~~rri~~L v{u.Lili~`l ~'~Psri% /pFlf✓MS/ ' s+.f i7 E.1'iF.a7i'c., nf i'/~,.}'T fcRl,~c..
Description : of"~jAP•G jK ~1~ /G' X JG•/"ri OfN.Tf y4en.n 7 5''v
B/UlILDING DEPARTMENT USE ONLY
^"¢sc. q~
~ APProval
Zoning
/-o d-
Approval: CUI.xG- C(rw~
~ G /0ti c G.
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
Is 3 ww;'=~ ~lll
(1) This permrt was issued in aaor0ance wiU the Orovisions set forth in yopur application antl is subject to the laws of the State of Colo2tlo antl lo the Zoning
Regulatlons antl Building Cotle of Wheat Ridge, Colorado or any other applicable ordinances ot the City.
(2) This pertnit shall expire if (A) the work authonzed is not commencetl within sixry (60) tlays from issue date or (B) the building authonzetl is suspentletl or
abandOned for a penotl W 120 tlays.
(3) If this permit ezpires, a new permit may be acquired for a(ee of one-half the amount normaly required Drovitled no changes have been or will be made in the
oNginal plans and spe[ifiwtlans antl any suspension or a6antlonment has not exceeAed one (1) year. If changes are made or if susDension or abarWOnment
exceetls one (1) year, /ull fees shall De paitl for a new pertnd.
(4) Na work of any manner shall 6e Cone that will change the natural flow of water causing a dreinage proElem.
(5) Conitador shall notify the BuilGing Inspector hvenry-four (24) houB in advance for all inspections antl shall receive wntlen approval on inspeclion wrtl before
proceetlii ith successive pha5es of the job.
(6) The is n e of a permit or the approval of tlrawings antl speciflcations shall not be wnstruetl to be a permit for, nor an approval ot, any violation of the provisions
of the,6ui1 ng cotl s or any oNer or0inance, law, rule or regulation.
Chi uilding Inspector For Mayor
HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DATE 72/6/94 FEE 80.00 108#94 -6763
R.E.PORr MoRTCncE co.KRENEK
L A N D B U R V E Y I N G nooness 2635 PIERCE ST.
3460 WARD ROAD • SUITE 160 BORROWERS NAME KRENEK
ARVADA, COIORAOO 80002
(308) 420-4788
IMPROVEMENT LOGATION CERTIFICATE LEGAI DESGRIPTION
Attn: AL IPER<IIENTI ~
LOTS 14 AND 15 RITCHIE SUB.
COUNTY OF JEFFIIRSON, STATE 0l~
COLORADO
5 ea 1¢; I- 30
.q z Y 3~' ~o ri.+
A.~aC.fL Itr+cLns.~O
0
oN
tn
V ,
. ' W
~
~21 y,~ ~
~
133gb
~
Ln
un
rc)
~Q\\
, o
l4
f rrn ~
garagc rn
~2N 24
'r° X 8
s h eJ
tn~
u~
133 06
~
~
pI xp a I 0t
Sf1 FC
14
(.C4 f1C.
I o
F ~ 4 8~
l4 " 8 .
~ ,i
b
~O 'D ~
c1 - ~
~ •
~ ~V
~
zI .
13~
4 4 I•.
M~-I
~
~.:c_ 4•i
i '
lo!
I$
I
0
N
r
n
r
~
3
w
V
~
~
w
~
a
~
o
p
o
~
Lh
Ln
Ln
r7
L9
N
0
up)
~
~
fnd corn¢r
in
range box
-
On the basis ot my knowledge, information and beliet, 11>
or Improvement SunA-95NIE15 and that it is to be
improvement lines. I further certify tha he improvconnections, are entirely within the bou aries of the
describad premises by improvements o any adjoining p
sign of any easement crossing or burde ing any part of e
°NOTICE: According [o Colorado /aw you ust commence
lirst diSCOVeI SuCh dBfBCt. In n0 Bvent, mey an Ctlon basetl up
Me certM/cetiOn shown hereon."
% is my interpretation that the above described
propertyIpcatedwithina700
year flootl hazarcf boundary pased on Federai
Emergency ManagemernP~7encyF1~i I9surance
Rate Maos Dated / 9 S S iC.L. G. J ROk:
F-H . A VE ,`y ce at this improvement location certtficate was prepared for
,that k is nof BLand Survey Plat
upon for the establishmentof fence, building, other future
~nts on the above described p rcei on this date, e cept ut~hty
:el, except as shown, that therere no encroachment upon the
dence or
ises, except as indicated, and thflt there is no apparen;.tt
parcel, except a \\\\~`~~p~C~~~^~~~,
legel action bas~~((yjhis survey within three a/ter you
ny defect in th~. QQ' ~byjnore then ten yeers e defe
ol
27268 Z: o
or
2_ $
RXJ4DW onrE 12/6/94 FEe80.00 ~oex94-G763
MoRrcnce co.KRENEK
L A N D S U R V E Y I N G ADDRHlB 2635 PIERCE ST.
0460 WAno 110A0 . WiTe Ia0 mOMOW[11S NAMR KRENEk
ARVADA. COLORADO 80002
(309) 420-4788
IMPROVEMENT LOCATION CERTIFICATE IEOALDESCRIPTION
Attn: AL ~
'LOTS 14 AND 15 RITCHIE SUB. ~
COUNTY OF JEFFlIRSON, STATE
COLORADO
L ~
s ca 1 e: I _ 30
13306
~
Ln
~
ao u)
z~Y3~~r,.w X~ a 1 ot ~
¢
v+ 5
`,.na ;r r~rR,.f,.',. 14
4,0 i""A /7NcLn]i10 ~M 14 31 r -
. ~ r¢an,r.•_ -i-----~~
f rrh ~ _ -
yaraye n - F•I' 485
• a
0 ?b 24
I
00 _ J.
. N •
~x8
s h eJ
~"~►~1 0
N
n
Cf r
IL-
N
w 3
~
o
~
w
Q~
o
a
°p
N
Ln
M
t9
N
N
1 ~ O ~
k(
I5
49
13
On the basis of my knowledga, IMormaUOn and belief, I
or Improvement SunA915IN§K antl that it is to be
improvement Iines. I further certify tha he improv
connections, are entirely wRhin the bou aries of the
described prem;
.es by improvements o any adjoining F
sign ot any easement crossing or burde ing any part of :
"NOTICE: According to Colorado law you ust commence
0r5( dlsco.erguch del~ct. In no event, may en cNon based uF
tha certificetion Shp~ hereon."
It Is my interpretation that the ebove describad
PropertyIocetedwipilnal0p
year Aood hazard boundary based on Federal
EmergencY MenaJe"~ntAg encyF~1 I9surynce
Rate MapDated / 9 8 S /LL, Rob
Y61
fnd corner
rn
range box
. ~i
- ---ts
_._W;_2G-T-H...... A VE f'ce at this iinprovement Iocation certlfieate was prepared for
that it is nof9-.Lentl Survey Plat
upon for the estabiishmeniof fance, building, other future
ants on the above described p rcel on this date, e cept utility
:el, except as shown, that therere no encroachment upon the
~ises, except as indicated, and that there is no apparent e'dence or
parcel, except a s\\
legai acnon ba94W n
fhis survey wRhin thrae ye aRer yov
~y de/ec[ in ~Q' ore Man ten ears r norl5 me aere of
27268
or I
2
~`~;j
L`ERAh'TWiEiJT Oh COMMUNITY DEVELOPMENT
75u. vvES729fnnvENUF BUILDING INSPECTION DIVISION PERM1SIT N0 MIWy# 1110-77
237-6944 EXT. 255 P.O. BOX 638 CITY OF vVHEAT RiDGE, COLO,
THIS PERMIT VALiD ON(_v WHEN SIGNED BY THE CN;EF gUll_DING MSPECTOR ANC RECEIOTEDBEI:'W
APPUCATION FOR MISGELLANEOUS PERMIT /JOB ADDRESS ~ ( OWNER _AIIIl4 KK
CONTRACTOR SaL JI~ ADDFESS ?z > t_E1t` C";
ADDRESS -2 G 3.S- /tofC1Z PHONE 23 91L '74/ ZIPCODE ~~!7/4
CITY /Z/'ir u Jl e ZIP CODE --r-0-21yCUNTRACT PRICE $ ~'dn. -or
PHONE 2'3' 734~7,1 L I C E N S E NO. DATE 3 a 7-~ ~
I
TYPE Ground❑
Woll❑
ProieCtinO❑
01hsr
SorDFOte
SIGNS
.
2.
3
MA7ERIAL ~-1
ILLUMINATION Yee❑ NoU
7yDe
Tofal SQuars Faet
Elxt Permit No
.
4
SE7 BACK FROM PROPERTY LME N
(SVecifywnich iafront)
_~-7
L1
S_ E
❑
_
_ W__
❑ ❑
Zone_
.
Apprwed,Zonelnspector
DisapDroveE
I
7YPE ~Solid❑ More Tnon BQ% Open❑
Lw Than 80% Open
.
?
MATERIAL
HoiQM
FENCES
.
3.
SET BACK FROM PROPERTY LINE N
(SDecity which is iront)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
ADCrwed,2one Impocta
Dieo00roved
2
41ta14Tw-i,'1iJtc, al4'.Y
OTHER
3
-
DRAW SKETCH OF2 SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVfh3 DISTANCESfROM PP.CPER fy(. INES.
(SETBACKS OR PROJECTiON5 INCLUDED)
J
Y
r
rc
~
SPECIFV NORTM
iq
65
GR(1M DR(10FRTV
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, S7REE75, AND PROPERTV UNES; ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTV LWES, NOi MA%IMUM OR AVEFAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTHICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION 9V THE BUILDING INSPECTION DNISION.
PERMIT WILL EXPIRE /80 DAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUA1VnREUNOERSIZEBILLEGAL
PI.UMBING PERMIT
STATE LICENSE N0.
Fl,ppR BSM IST 2ND 3R0 4TF1
MECHANICAL PERMIT
N0. FUELCircleOnaGo$dlROparrCoolEleeSolw
Np.
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW 9ERVICE - QMPS
BATH TIJB
STEAM - BTU
CNANGE SERVICE-AMPS
SHOWER
AIR LONDITIONING-8N
LIGHTING
SINK
OTHER
HEATING
GARBAGE D157
REFRIGERATION SYSTEM
POWER $UB-CIFCUITS
WATER NEATER
Refri eranf Group
UTILITY (RANGE, DISPOSER, ETC )
AUTO WASNER
PounE~ C~ar e
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SVSTEM
WIRING MOTOftS 9 CON7ROLS
FI.DOR DRAM
ELEVATOR
SIGNS
URINGL
TRQNSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
70TAL FI%TURES
I hereDy ocknowledQe thot thn oDDII<a-
tion is correct and understond fnof I
connot sfort fhi] projbct unlil tMe ap01i-
cotion is aDOroved, t shall comply with
the lowa of the Slnte ol Colorodo and to
the Zoninq ReQulohone ond Buildina
Code of tne Cily of Wheat Ridpe. Any
viololion of ihe obove terme will couse
immEdiote revocotron of 1his pelmit
PERMIT FEE OZ'
usE rax
TOTAL FEE $
DISAPPC R~
CMEF BUILDIN NSPECTOR,Cityof Wheat Ridqe
Date
~vo~ieanl. 9lpnnmr.
~
I;sued 6-
NOT VALIO UNLESS
X3~~-~s2I
CALL 297-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
?-,r7-69 a<S [!3
,,,oc,
1 ~ L'~~.R/ . LP'lCCri+Y 1 1
, • .
NO% Ei 16&4iNI 37VA1-L BE
L- zXG:~
Z- Zxga
Z- 2x/~s
.c~ 4X4 )Jo57,S ARrAMAX.o~
,U X4 " „ 0, „ g
q Xq .t _ .4 lU~ ~ ~
~
~
~
~
\
~
r~
`
•A
~
n
O{
-
F
i
'h
•
ln
o
`s
~ i _
~ C
C u C'
~t ~
V`N)
1
ff+ N ~
t
4
N~
ro. L
F
o ~
O
Z T h
^ \i
N ' ~p
C ~
j t i
;I
I
t
1
' i
: ~ .
.
4
.c
..q
.
.e
?
`'1
-
y
_ r
~
_
~
L
i
~
t
.
.
Z . . .
~
: .
.
.
.
X
. . :
_
.
.
~
.
s
.
~
p
~
. . . .
. .
_
.
.
.
. o _ . .
.
_
_
.
.
.
_
:
c
. . .
. .
~..J
~
~ . _
.
.
.
.
. .
<
~
.
. .
~h
~
. . .
.
.
.
. .
. .
. _ .
.
.
.
.
. .
f
_
n
~f
~Q
• -
.
. .
.
_
. .
_ .
-
-
.
_
_ .
. .
2,J
.
„
+
_ 's . ~ _ . .
`
'
_
_
. - . .
_ . _
_ . . .
.
. .
.
. .
. .
. C5
C
.
,
.
. ~Q .
.
.
n :
v ~
V " b
' a. . .
7e..
~ _ PE~if ~h7 n'NC[
V _ . . .
. . .
n. y
~ i
n s. - . . . _ . . _ . . _ _ .
c ~
~
JS
~ -
~ C
. ~
O
1
i
R
2
/
. . / ~ . .
oN
~
.
oo
Rc
n 5
~ n ; ~o
M
. . N:•
e o 0
.
~ ~ .
a.
~
~ y
e 4~ ~
r ti
n
~
. . i
o
~ ~ Q v
a ~
V
; . . ._....__._~__..._..~.._.~i
4. I
0
6. ~ r--f
~ i . - .
j
VI I , R^
'
I ~
~ ~ Q O
.
f - J tz
t ~ ~ J
~C Q
4, C
NI r I ~
o~
QI I( ~
J J `
4 U4 J ~ ~C i U
(L' ~1 ~ i Il\ i~. C #
~Q I ` r
±`,~I 'I 4 a i ~ ~r 7
v
,
0 N ~ ` ~ ¢
W 'Y
4- ~ e
~ I Q e
Vl J ~t ~c u,
' ~ 0 T T v
~ Q o a n N
~
7
~ O e
I ~Y ~
oT
~
J
3
a c-t~
~
i
r
~
N
I J
~
~
J j
F
~rT- -
%
~
~
~
3
O
i~
p
0
3
s±
+u
c*~
4
4
v
.
n
0
J
I
~
t
k
=
±
(a
J
~
~
v.
V
N
O
.
k
~
~
`
1.
u
J
3
4
3
~
°
N
U
r
I
~
a
=
`
Q
~
a
0
<
o
\V
c
e-,
i.
t
~
a
c- : a
K
ci
F
I`
t
Q
o r
O
>
y
o
~
a
3
s
13~
e
c
~
r
\
s
Y
1,
K
S ?
1:t
~
-
t
~
~
r
ur
i
~
~
3
h
a
R
Y
~
~
~I
~
<
3
~I
U
C
3
AI
OI
~
N
~
t
~
ti
i
iJ =
k
~
~1n
~
N
I I
I t
i
~
I ~
tl
i
0
~ I I
J
3I
3
el
~
3
I `
~
z
I ~
~14
. ~
~
v
z
~
Q
0
1Y
0
U
~y
~
~
i
i
u
Y
0 1°
o°.
~
J i nA
J
Q ~
~
~ N
Y l t.
v p
~
•\O J:
0 ;
h I
` 1H
i
N T v
6~ J ~ r
Z t
3 ~
~ \ =
1 C
I . O
I
I
~
~
1
a
h ~
~
, -
4~J( r
s ~
wr y ~F^
Y 1
r
a
~
~
~
U-L
~
X
Y
a-
~ •
W
C
J
;o
V
S
h
N
C ❑ \
~
~
o~ a=
~ n]
T ,
s
N
Y
s
y~o°J c
v
~
~
~
a
4
O ~
S
~
v~ ~V
S
p~
\
J ~
~
N ~ ^a
~ J \
O J
o
o-
o ~
~
r ~
4- ~
m ~
r
J
4 ~
\ x
4 X~e
~ 0 3
O 4 J
~ s ~
. . . ~ . . . ~ .
v I
~
~
. __z. . . .
; . . _ . .
v
~
-e '
~ N
. . . ~l yC. . . . . . . . .
9
e~ t
r o
Z 0
. ,
fi a
C
. . . ^
'Y j
Q N ~ ~
?
k
. . .
~
X ,
L 3 - i
~
j
i i
c
I i
J
j
)
J
o
Y
~
z
t;
~
~
~ +c
C
~
L
tC
~
i
r
r
'o
a
~
Q
'4-
a
9c
Y
T
qDi
<
o
G
O
J
U
N
q
dt
_r.:p
a
Q
~
' I
w
~
n
K
>
~
~
cw~
e,8
~ 4 -
0 e
~
4 ~
)a
Q
~
~ I
a
Jy
\
=a
~
n
O
l
i
~
..y
's
~a'ry
t
r o
o
•
i
°
ti~
tn~
Z
~
~ ,
m
I
~
5
f-
,O
N
~ ~I
O
~l[ J
A'
p
0
~
~
a
~ f.
Q
O ~
1
~
~r
o
t
~ rr o
~
J
G _
J
4
C
~a
S
°
C
V
~
4
y
r
~
c
«
r
~
~
~
rt
~
t t
a
-f
's
~
e
~
U
t
4
f
~
T
C~
a
4
t
~
O
~
y~~, ~o~.. lSi~/ n✓J~~%,..~.r,~Nw l~'d
,
K
~
~
.
7
O
:
~
- ~.~y