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Home My WebLink About2833 Sheridan BoulevardCity of Wheat Ridge r4000r- Residential Demoliti PERMIT - 100996 PERMIT NO: 100996° ISSUED 04/20/2010 JOB'ADDRESS: . 2833 SHERIDAN BLVD -.EXPIRES: 10/17/2010 DESCRIPTION:' Demolition of existing home :CONTACTS owner 303/628-6614 Denver Water sub 303/456-6056 James Dirkmaat .02-0566 Colorado Excavating & Demoliti PARCEL ` INFO ZONE CODE: UA 'FUSE: UA SUBDIVISION:. 0527 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,000.00 FEES Demolition Fee 50.00 Total Valuation . 00 MM TOTAL 50.00 :Conditions: Subject to field inspections. 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 applicabl eat Ridge Ord' ance for work under this permit. Plans subject: to field. inspection. 'Sign ure ofco for n 'date L This permi 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 maybe granted. at the discretion of the Building 'Official. 3. If this permit expires, :a new permit may be acquired for a fee ofone-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 i s 'act to field inspections. Signature of Chi ding Official ' date INSPECTION EQUEST LINE: (303)234-5933 :BUILDING OFFICE: (303)235-2855 : REQUESTS MUST BE MADE BY 3PM ANY 13USINESS`DAY FOR INSPECTION THE 'FOLLOWING BUSINESS DAY.:: p A a City of WheOtt COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29t" Ave., Wheat Ridge, CO 80033 Date: Plan # Permit# (C/Ccjcf ~ Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Properky Addressa t/ / X 833 ~'//~~C~' o 1~ Property Owner (please print): 7e N (~j b,41- PhonO~5 Mailing Address: (if differentt than property address) 1) Address: 6 D D ICY , 7 /7„ City, State, Zip vzr SO0/0[,P Contractor: &0 / l D ra d 0 rile' oa Vii l2~ License Q Phone: Plumbing: Mechanical: City License # City License # City License # Descrlptlonof W?orJc ` ~n 1) iI _ Contract Valuer t/-/ Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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 fall 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. CIRCLEONE: (OWNER) (CONTRACCTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) EONTRACTOR) yry PRINT NAME: ! /)-/V l~ A- t 67 FU" IYj SIGNATURE: DATE: Bldg Valuation: °F•CO~o 'iF+ O ~ w ~O * re76 Colorado Department of public Health and Environment 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 otherwise) 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-B1 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303482-0278 Asbestos@state.co.us Com y ame: Building Name: O Site et~~ / r~ r y t Square footage of footgfint^cility or portion of facility to be demolished YJ ✓ le! city ke R R~ S tate: Co Zi Cade: ~o0 33 Street PG ~r~ o~~t h 2 01!~S'3 _3 it 0 ielephone# Faz# c 03) q 0 03 -1~pa W r ~ty ~vkcA-124- Zip Code : c~ P oject Manager: Cell Pnone # I tif th A o Proposed tart to n Dat O cer y t tRa Cenifed sbestos Built m d ns ector has informed me 9 P about an remaining asbestos-containing matenals in the facility to be E Method/Me ns of De lition: d E _ 'demolished : O ~ t O Signa Print ame: a Wrecking C Burning Q Implosion ❑ Moving ~ Otnar,-specify: U Landfill Receiving Building Deb>is: J/T ry//"br'm/ ~S Burning requires additional authorization -Please call (303) 692.3100 and ask to s eak to the Open Bunting Permit Coordinator General A tement Co/q raclor (G C) Owners ame: p N O CDPH . . V>O 0 EASbe~stos Pennit# Total anu 0f Asbestos Removed 3 Street //nO /pj 01 o :a 6 at/ /V J42) I Q U i - Date Remo I Co etetl 0 TeZ L # r 5 Olty: v State:. _ Zip Cod O •l ~ G Typ s) ofAsb stos-Contamin Mated I R &J pno m Co ct's•.Nam . ele ne# t~ii7 clr9 P (n/`~ Am b c 3a~ 628-626 At& With my signature below, I certify that f possess current AHERA accreditation and state of Colorado certification as g 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 aNVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the to facility.' I also certify that I have informed the owner/operator of the facility or the demolition contractor that any y o asbestos-containing material,allowed to stay in the facility must remain non-friable during demolition: Specify type(s) a M , of ACM remaining, below: (check appropriate box(ii d a ❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing Asphaltic pipe coatings v ❑ S ra -a lied t tins aulkin ❑ Glazing ❑ Other, specify: A! 'C Signature: (In Blue In - s Printetl:Neme; r ~KSTry( ~nSjgyt v V Date Fi Ilnspectmn GOrt# Expua6on Telephone #(3 )fag 6~3~i Cell Phone y~ iVD Lll Y / I v rift' hat all refrigerank from air condftioning/refrigeretio 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 ezd signs (containing radioactive material) have be C « en disposed of in accordance with fi CCR 1007-1 subpart 3.6.4:3 (for information on luminous exit signrequirements call 303.692-3320). `C m ` CHECK THE APPROPRIATE BOX: - - - In. G tJ F~~ uilding Owner Contractor ❑ Other - Date: Q y- 9y~n na tureJ~ Print Name' T Is Box Is FOR-CDPHE ONLY: ?ostmark or Hand Delivery Date: K-14_,-0 Approved By: - Code:. B in@ial-310 ❑ transfer-380 :orm of Payment & 6e'1 r/9 Permit Record # Date Issued: - Regulated a>ties[vs-cgn[almng materials means (a) triable asbestos-eontaining material, (b) Category I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grinding , cutting, or 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 Bay igf~f of demolition or renovation operations regulated by this regulation. Note: Asbestos-containing sheet vinyl an ~eFr r> abated/removed prior to demolition. )ATE: y 0-10 CDPHE: 7500 W EST 29th AVENUE 234-5933 P.O. BOX 638 THIS PERMIT VALID ONLY WHEN SiGNEO BY JOB ADDRESS CITY • PHONE DEPARTMENT OF GOMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. THE CHIEF BUiLDING INSPELTOR ANC RECEIPTED BEL'JW. 0 ZIPCODE LICENSE NO. Iund❑ Wall❑ Proietfinp❑ Olhar SaDFoee Total Squen Fast Yun_ Nn❑ . -Tvoa E4ct. Pnmit No. _ W Zons_ ApprovM. Zme Inspeetoi INSPECTION TICKET INSPECTION TICKET ~ JOB FENCE qDDRESS 2 ❑ JOB ADDRESS OTHEF DATE: BLDG. PERMIT# - DATE: BLDG. PERMITN SZ~ PERMITq DRAN JRE, C PERM ITN (SE BLDG. CONTR. INE BLDG. CONTR. SUBCONTRACTOR SUBCONTRACTOR DATE INSP. REQ. DATE INSP. RE0. TYPE OF INSP. ~ TYPE OF INSP. INSPECTION MADE INSPECTION MADE REMARKS ~ _iNE REMARKS EETS SHON yy,R.FORM &19 VCE. DI: W.R. FORM 6-19 iR1( TH ELECTRICAL PERMIT STATE LICENSE NO. iMINUM WIRE UNDER SIZE B ILIEG TEMPOR=METER NEW SECHANGE LIGMTINHEATIN6 pOWER SUB-CIFCUITS UTILITY (RANGE, DISPOSER, E FIXTURES WIRING MOTOitS 9 CONTROlS ) WOfl IUANC PLUMBING PEF-, STATE UCENSE N0. WASH GARBAGE pRAIN RMERS 6 RECTFIERS I SEWERS TO OLD WORK OTHER I Se.e.. Q Iv4 (J ! I MreDy ocknowledpe thot this aDOlica- fion it correct ond understand ihat I tannot start this Drojett until this op011- cotion is oDProved. I shall comply wiih tha laws oi the Stote of Colorodo and to the Zoninp Repulotions ond Buildin0 Code ofthe City of Wheoi Rid9e. Any violation of the above terme will couse immediote revocatioof it+isR!Vmit _LANEOUS P~.iMZi AA,f~ OWNER ag3:~~ ADDRESS PHONE C_~t33 - S3 1 - G CONTRACT PRIz~ DATE / "7 PERMIT N0. M93#5243 ZIP CODE 8P~ CALL 2345933 24 HOURS IN ADVANCE FOR INSPECTIONS