HomeMy WebLinkAbout3845 Upham StreetCity of Wheat Ridge
Commercial Demolitio PERMIT - 201801465
PERMIT NO: 201801465 ISSUED: 05/21/2018
JOB ADDRESS: 3845 Upham ST EXPIRES: 05/21/2019
JOB DESCRIPTION: Commercial Demolition of Old Blue Metal NAPA Building 4500 sq ft. including
all concrete and asphalt. Disposal to Recycle Centers.
State Permit #18JE2792D for demo approval from CDPHE.
*** CONTACTS ***
OWNER (303)596-0845 OLIVE STREET DEVELOPMENT CO LL
SUB (720)352-4510 Wayne Gomez 180124 Wayne's Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 420 / Storage Warehouse; 0 BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,000.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
** TOTAL ** 50.00
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 within this document as parties to the work to be
performed and-th�t all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of V1V,�R or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit 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 originalppermit 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 gran 'ng of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
appble code ora rdmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
It A
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
CMMUN1Ty DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: M n , ' z-/, W I
Plan/Permit # 20 1066 ! q &
Plan Review Fee: '50.00
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address:
Property Owner (please print): (� ` - =,� 38 LLC, Phone: p,
Property Owner Email: 'I—►Dat, P S Co Uj A 2 &E P,40r NaA-c , eA&w
Tenant (Commercial Projects Only) ()A, eye ,-T—
Property Owner Mailing Address: (if different than property address)
Address: (Ssp 2..
City, State, Zip: �3�y 3 , C 2 oz—
Architect/Engineer:
L
Architect/Engineer: S�2
Architect/Engineer E-mail: 26o N t32 G 9*aAo_r_+% , co, Phone:3 - t/� 4. - /
1
Contractor Name: Wy`l t-�' c C-6 -^1�aw�
City of Wheat Ridge License #: j I;li , I Phone: V_<��1 oo
Contractor E-mail Address Q
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):—��}�Q- RAA i�a K� Phone: ? La - Z.;
CONTACT EMAIL(p/ease print): S"i$S G (DyAwl1... co•-�
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical: 1
W.R. City License # /U %4 W.R. City License # 0l4\ W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Please complete all applicable fields. This is required information.
,COMMERCIAL ❑ RESIDENTIAL
4'
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.
+tiro t�l otiir VV\_ST A l- � �-� I �- 6 (►->I �1.,�� •-� �9 mon► z''I�S
.- tS PAA -Cr- (f-'y"Il) \t;SQuSff I -,o
Sq. Ft./LF qSbCs BTUs�/ Gallons
Amps P/ A Squares MA
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
l�
Lie:)
v�
OWNEWCONTRACTOR 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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZEDREPENTATIVE) of (OWNER) (CONTRACTOR)
SiEnature (first and last name): �f'^N:�• %TE: 5 Z I 1
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
107-L
I
Colorado Department of Public Health and Environment
Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air 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
DEMOLITION APPROVAL NOTICE
This approval notice is granted subject to Colorado Air Quality Control Commission Regulation
No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air
Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies
that the structure was inspected for asbestos, luminous exit signs (containing radioactive material),
and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the
Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B.
As a contractor, you may be subject to other demolition licenses and permits, depending on the
requirements of the 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.
Please note that certain asbestos -containing materials (ACM) may remain in the structure
during demolition. Therefore, any demolition debris left behind after the completion of post -
demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at
the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR
1007-2, Part 1).
THE ORIGINAL APPROVAL NOTICE 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 demolition approval notice is valid beginning 5/17/2018.
The actual scheduled work dates are from 5/17/2018 through 5/30/2018.
Approval issued on: 5/9/2018
Record number: 137376
Notice Number: 18JE2792D
For the location specified below:
NAPA
3845 Upham St.
Wheatridge
Jefferson County
This notice has been issued to:
Waynes Construction Service
7110 Alaska Dr. Unit D
Lakewood, CO 80226
Fee Paid: $75.00
Check number: 1811
Asbestos Building Inspector:
Angelea Johnson
Cerification No.: 16263
Inspection Date: 05/02/2018
Issued by: CA
-C _O C_O
DEMOLITION NOTIFICATION APPLICATION FORM
APPLICATION FEE MUST ACCOMPANY THIS FORM
*1876 INCOMPLETE APPLICATIONS WILL BE RETURNED
Colorado Dep6 will be mailed to the demolition contractor unless specified otherwise)
of Public �alth '
and Environment �' fGQFee: $50 + $5 per 1000 ft2 of area to be demolished = $ �S
(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
* Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become triable (c)
Category I nonfriable ACM that will be or has been subjected to sanding,rig nding cuttingor abrading or (d) Category II nonfriable ACM that has a high
probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of
demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly
abated/removed prior to demolition.
Copany Name:
on
Building Name:
AWA
L
Street
(0 �' /� ' ';,
1Square footage of footprint of facility or portion of facility to be demolished
_1 V U -
City:
State:
Zip Code:
Street .�
+O+
V
Telephone #
Fax #
Ci
Co ty:Code:
W
VProject
C
=
Manager:
Cell Phone #
roposed Start Date
Proposed CornplefioDate
c
_
1 LCZjL—'fes `t
o
ZZ3c�
_.
TcerbN that the Certified' Asbestos Building Inspector has informed me
Method/Means of Demolition:
p
about any remaining asbestos -containing materials in the facility to be
ry
a
g
CD
demolished.
Wrecking [IBurning' ❑ Implosion ElMoving ElOther, specify:
Sig ure: Print Name:
jo
JLa
fill Receiving Building Debris:
%)
I h
t
Burning requires additional authorization — Please call (303) 692-3100 and ask
}'�� r ,=- P� l°+
to speak to the Open Burning Permit Coordinator
General Abatement ContractorAG );
`
Owner's Name:
� yj
�
CDPHE Asbestos ermit #
Total u nti of sbestos Removed
Street:
k
N tCr
N 'o a
3
� L
E C
Q0
Date Remova Completed
Telephonejt
j/
City
°.i t� t.J'57f_
State:
[j
Zip Code:
j ' i
Type(s) of A estos-Cont inin Material Removed:
m
Contaas Name:
Telephone #
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as
c
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
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
N o
asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s)
NM
of ACM remaining, below: (check appropriate box(es)):
a �
F-1 Vinyl asbestos floor the (VAT) ❑VAT mastic ❑ Tar/asphalt impregnated roofing F1 Asphaltic pipe coatings
❑ Spray -applied tar coatings ❑ Caulkin ❑ Glazin ❑ Other, specify:
d
Signature: (In Blue Ink) ,
\-
Printed Name:
� Ae ,
l' �`i Vim.
•�,� L.il.�1-L,�i
U
Date of Final In ction
r
CO Cert
Expi, ti Dat
c t )Y�
Telephone # CI Ph ne # t
_ �3 -7�v-c)3�'�"-�
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 radioactive material) have been
C 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).
CHECK THE APPROPRIATE BOX:
m3 C
El Owner
Contractor
❑ Other
Date: 3
V Print
nature: Name:
THIS BOX IS FOR CDPHE USE ONLY:
Postmark or Hand Delivery Date:L' c Approved By: Code: initial -310 ❑ transfer -380
Form of Payment & #:�/" J % p
ate Issued:
Pe RecordL�l
* Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become triable (c)
Category I nonfriable ACM that will be or has been subjected to sanding,rig nding cuttingor abrading or (d) Category II nonfriable ACM that has a high
probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of
demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly
abated/removed prior to demolition.
City of Wheat Ridge
Commercial Mechanica PERMIT - 201801461
PERMIT NO: 201801461 ISSUED: 05/21/2018
JOB ADDRESS: 7835 W 38th AVE EXPIRES: 05/21/2019
JOB DESCRIPTION: Remove and reinstallall RTUs on building for roof replacement;
units and reinstall lJ �Furnace combos
*** CONTACTS ***
OWNER (720)320-2713 MCCOY CHARLES D
SUB (303)733-2813 Todd Terry
*** PARCEL INFO ***
ZONE CODE: UA j Unassigned
SUBDIVISION CODE: 590 / Office Condo
replace 2
022239 Todd Terry Ltd DBA Apple Aire
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00
FEES
Total Valuation 0.00
Use Tax 420.00
Permit Fee 362.80
** TOTAL ** 782.80
*** COMMENTS ***
*** CONDITIONS *** '
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 within this document as parties to the work to be
performed and that all work to.be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
.A
i i A - -.�1y f! ie .. __._ �e1 . i G e
Signature of OWNER or CONTICTOR (Circle one) Date k
1. This permit was issued based on t e 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 androcedures 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 granting permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab de or any or ance or regulation of this jurisdiction. Approval of work is subject to field inspection.
- - -1" 4*401 .
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Litt of
O;/- Wheat I�dge
MUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE TN Y
Date:
Plan/Permit # ao 1
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
__7 bz S G
Property Address: - 1,o o
Property Owner (please print): Phone:
Property Owner Email:
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Phone:
City of Wheat Ridge License #: Phone:
Contractor E-mail
For Plan Review Questions & Comm enter? please print):
CONTACT NAME (please print)-�r AIIA _ Phone: s; -7 �o
CONTACT EMAIL(please print):
Sub Contractors (Must provide Wheat Ridge License No.):
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 #
COMMERCIAL
RESIDENTIAL
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.
Sq. FULF
Amps
BTUs Gallons
Squares
Commercial Projects Only: Occupancy Type: Construction Type:
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) (CONTRACTOR) or (UTHORIZED REPRESENTATIVE) of (OWNER) l 1 TOR)
Signature (first and last name):V DATE: V L
Printed Name: C-"C� C- j
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
INSPECTION RECORD OccupancyfTVpe
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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS DATE
INSPECTOR INITIALS
COMMENTS:
Footings /Caissons
- ..
Stemwall / (CEG) Concrete
Encased Ground
Roof
Reinforcing or Monolithic
Fire Department
Weatherproof/ French Drain
R.O.W & Drainage
INSPECTIONS FOR PLANNING H, ZONING, FIRE AND PUBLICE WORK
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Sewer Service Lines
"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.
Water Service Lines
VUUR NO UONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical(
Heating (Und erground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
®Roug hMechanicaf S
ing
all tie
f
l Service
lectric
lumbing
ng
echanical
Framing
Insulation
Drywall Screw
TO BE SIGNED P RIOR
FINALS
Electrical
Plumbing
Mechanical -
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING H, ZONING, FIRE AND PUBLICE WORK
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
P Rr1TGCT TW IC r`A0n ColUlll TUC VVC A-r =M
n
d a CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: �XCW
Job Address: :7
Permit Number:
1
I
I
i
❑ No one available for inspection: Time ti AM PM
Re- Inspection required: Yes No '
When corrections have been made, call for re- inspection at 303 -234 -5933
Date: /l) Inspector: I! It
DO NOT REMOVE THIS NOTICE
~UF""E?rR City of Wheat Ridge Building Division Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929 Plan
Inspection Line: 303-234-5933
Permit /UQ~~!
2 Building Permit Application
Property Address: y y S bi phart,,
Property Owner (please print)_ A A Phone: 303-V2.2-02L,3
Mailing Address: (if different than property address)
Address: Syq S Opha rll St
City, State, Zip: r 'V\/ L149d-'&4 42, tom,//
Contractor: Pron+tl r - ~es-t x-bT n
Contractor License Phone: 3pS-- (r - Sd'
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): A`1-i-&oJ1'✓e 5-A,,f Construction Value: $ IoZay
Description of work- (as calculated per the Building Valuation Data sheet)
12oor/ ro-,i els V- 2 S: s o r 1y[Q, f~,( Plan Review (due at time of submittal): $
Sr6~lrAaj ~Cd/-9Z~S
Sq. Ft./L.Ft added: Squares 31S-
S BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 1 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:: ER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) LCONTBAT~
PRINT NAME" ~'y/ r''IS l a SIGNATURE: Date: 2- -16 4e)
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. ME94#5894
234-5933 P.o.BOX638 CITV OF WHEAT RIDGE,COLO.
THIS PERMIT VALID ONI.Y WHEN SIfiNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW.
APPLICATION FOR MISCELLANEOUS PERMtT
JOB ADDRESS I OWNER
CONTRACTOR ~,(O• i~~6
ADDRESS ~✓'y
CITY ZIP CODE ~so„yj
PHONE LICENSE NO.
ADDfiESS
PHONE -
ZIP CODE
CONTRACT PRICE $
DATE
L
TVPE Ground❑
Woll❑
Proiettiny❑
Ofhsr
SaDFau
2.
MATERIAL
Tolal Squon FeN
SiGNS
3.
ILLUMINATION Yes❑ No❑
TyDe
ElKt. Pormit No.
4. SET BACK FROM PROPERTY LINE N
(SOecifywhith iefront)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
ApproveE,Zone Incpettor
DisaDWOVod
1.
TYPE Solido Mme 7hon BO% ODen❑
Lus Than 80
% Opm
MATERIAL
HeiQM
FENCES
3.
SET BACK FROM PROPERTY LINE N
(Specify whieh ie tronf )
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
ApprwW,2om Inspeeta
Disa07rovad
I.
OTH
R
2
E
3.
DRAW SKETCH Oit SHOW BELOW, TME FENCE,516N,OR OTHER STFUCTURE, GlVlliv DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
z ~
~
r
~
¢
SPECIFY NORTM
STREET NAME
SHOW DISTANCES FROM THE MAIN BUIIDING TOADJOINING MOUSES, STREETS, AND PROPERTV LINES; ON IRREGUTAR LATS, SHOW LFAST
DISTANCE TO PROPERTY IINES,NOT MAXIMUM OR AVERAGE D15T4NCE.
APPIICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILOING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERSI2EBILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
NQ
Fl1El:CiiclsOrnCw{qlPropar EleeSola
N0.
WATER ClASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
IIGHTING
SINK
OTMER
HEATING
GARBAGE OISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER NEATER
Rafri eront Gra
UTILITY(RANGE,DISPOSER,ETC)
AUTO.WASHER
poundf CMr •
FI%TURES
DISH WASHER
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTOFtS d CONTROLS
FLO(K7 DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS ~,.s.
PERMIT FEE
NOT VALID UNLESS RECEIPTI
I hereby ocknowledqe thot this oD0lica-
tion it correct ond underetond thot I
USE TAX
onnof simt thie projecf until thie appli-
c
m
eotion it avProvee. i sholl comply witn
TOTAL FEE
~j0
and to
d
t th
St
t
f C
l
ora
a
e o
o
o
e
fha lows o
the ZoninQ Repulations ond Buildinp
AppROVE a c
~
"
<
Code of th e City o! Wheaf Ridqe. Any
DI
*
-
violotion of tne above ~erme win couse
CHIEF BUILDI~J WSPECTOR,City of Wat Ridqe
immediate revocotion ot tnie permit
CALL2345933
24 HOURS IN ADVANCE
% -
POR INSPECTIONS
Date Issued
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N
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19107
234-5933 P.O. Box638 CITY OF WHEAT RIDGE, COLO.
THIS VERMIT VALID ONLY WHEN SiGNED BY ?HE CHVEf BUILDING INSPECTOR AND RECEIPTED BELOW.
r✓2, y pH •4-m ~T - APP ICATION FOR MISCELLANEOUS PERMIT
. , .i I I cnn 1
OB ADDRESS `~~ke"Q'ii"~'~-'~~~ _ .....~~-~-,M
OWNER -iri~.wlw~
' 4 p L/ C-,-
i
i
ADDRE
NTRACTOR
1 DRESS ~ Z3 a~~e-
PHONE ZYSZ= I~n ( ZIPCODE C
:I Y ZIP CODE SfO~¢~J!
CONTRACT PRICE $ % S OC?
311 LICENSENO
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DATE
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.
i
-
PH NE
nA❑ Woll❑ Prolectinp❑ 01her SaOFOOe
TYPE G
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rou
.
2. MATERIAL Tolol SQuan FeN
SIGNS
ElW
Pormif No
❑ N
❑ T
.
.
o
yVS
3 ILLUMINATION Yes
4. SET BACN FROM PROPERTY LINE N_ S_ E_ W Zone_ Approvod,2oro Inspoofor
(SOecifywhitniefront) ❑ ❑ ❑ ❑ DisapprOVSd
1. TYPE Solid[:] Mora Tnon 80% ODan❑ Less Than 80% Open
Heipht
MATERIA
FENCES
L
3. SE7 BACK FROM PROPER7Y LINE N_ 5_ E_ W Zons_ ApprwW,Zom Intpeefa
(SDSdfy whicA 4 tront) ❑ ❑ ❑ ❑ DisopOrovad
r.' c. - 2- 0~ L'-
I
.
t+~\~)~ti.,x~f
Z
OTHER
.
~ Z'~•Y- ~ c 'C~l t~ L4 i
3
c
.
f4~-f-y_ Cus~ f~.C~ BLd- h' 40 ji,'
1.1 :..r.-.,r~ hY 4a
W - "..W
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVING DISTANCES FROM PROPERTY UNES.
(SETBACKS OR PROJECTIONS INCIUDED)
O°,fv /I <<{k
Z ~
I•~,e_~~ ~
S~t
1SPECIFY NOR1N
~ 5 B s ~
~
STREET NAME
SF10W DISTANCES FROM THE MAIN BUILDING TPADJOINING HpUSES, STREETS,AND PROPERTY LINES{ON IRREGULAR LATS, SMOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR pVERAGE D15T4NCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLV UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUAIWIREUNDERSIZEBILIEGAL
FLOOR
BSM
IST
2ND
3R0
4TH
N0.
FI£LCirclsOrrGaidlRoporr ENeSdai
WATER GLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISF
REFRIGERATqN S'ISTEM
POWER SUB-CIFCUITS
UTILITY (RANGE, OISPOSER, ETC )
FIXTURES
WATER HEATER
AUTO. WASHER
DISH WGSHER
Refri aranl Grwp
PouMs Lhor s
AUTOMATIL SPRINKLER SYSTEM
WIRING MOTORS BiGONTROlS
FLObR DFAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTMER
MOTORS OVER I HP
TOTAI. FI%TURES
PERMIT FEE
a•~~
~ ~E~~S~~v ~
thot this opplico-
l
d
k
now
e
pe
I hereby oc
fion it corroat and understand tnot I
li'
USE TAX
tannot ffmt thie Orolect unlil this oPD
wtion ie apDroved. I snall comDlY with
TOTAL FEE
fM lows of the Stote oi Coiorodo and to
the ZoninQ Repulatwnn and Bwldinp
Code of the Llty of Wheoi Ridpe. Any
'Bt3APP
violotion of the abow rerme win couse
CHIEF BUILD G INSPECTO , y o ot Ridge
immediate revocation of 1 ie permit
CALL234-5933
24 HOURS IN ADVANCE
- `
Date Issued
FOR INSPECTIONS
~ooi+eem. a~a~~