HomeMy WebLinkAbout5890 W. 37th Placei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ! e- ,7 c�
Job Address: c
Permit Number: !ZCt ?�
❑ No one available for inspection: Time: "� AM/PM
Re -Inspection required: Yes;•`�~Nc�
When corrections have been made,.,sckedule for re -inspection online at:
http.-Iwww.ci.wheatridge.co.uslinspectioh — "^
Date: P, 1a• Inspec l _
City of Wheat Ridge
Residential Electric PERMIT - 201902053
PERMIT NO: 201902053 ISSUED: 09/30/2019
JOB ADDRESS: 5890 W 37th P1 EXPIRES: 09/29/2020
JOB DESCRIPTION: Replacing an over head 100 AMP, 240 V temp power.
*** CONTACTS ***
OWNER (563)542-5068 METZ BRENT
SUB (303)659-3143 ALEJANDRO GUERRERO 021696 RAYO ELECTRIC, INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,250.00
FEES
Total Valuation 0.00
Use Tax 26.25
Permit Fee 53.70
** TOTAL ** 79.95
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection.
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 partes to the work to be
per�ormeddaa�nd thataaall work to be performed 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, po icies 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 da s 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 of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
b �Y
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat R,.jge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)-ci.wheatridge.co.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: 5 0 9 0 14/ 3 7 Cit, P i; V e cJ Gce_ Co Kot
Property Owner (please print): 13 (c VJ J M CJ z V Phone: -5 63 5/2 00
Property Owner Email: Yei/1T VIAJ-2 e-C,t3�M-
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: `r ) 3 `l 1 -Co I n 11 s�
City, State, Zip: 0(_ ✓t IC4 L 0 �fU Z 1 Z
Arch itect/Eng1neer E-mail:
Contractor Name:
Phone:
City of Wheat Ridge License #: o k 16 g 6 Phone: ?_20 7�2 09W)
Contractor E-mail Address: Y Cn v 0 e ill CJ 1 `L i VIG
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(please print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # - 02 i i� Q 6' W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑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.
0 VC 1\ CCAA
Sq. Ft./LF
) U Cl Ga 2,--/0V
BTUs
A-CM)9 Po„ve/
Gallons
Amps Squares For Solar: KW # 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) (CONTRACTOR) or 4UTHORIZEDREPRESENTATIVE of (OWNER) (CONTRACTOR)
Signature (first and last name): /i' �l� DATE: > U (Z C1
Printed Name: Alop-1'5(p lel rC2S C�l'dC 6G
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
K
1* � i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 11-f A 4, j
Job Address: -S-13 9 o k/ '? ` A j
Permit Number: -a C I-9 Q 3 J3 C)
❑ No one available for inspection: Time = AM M
Re -Inspection required: Yes (1kDo
When corrections have been made, call for re -inspection at 303-234-5933
Date: ! Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Demolition PERMIT - 201803130
PERMIT NO: 201803130 ISSUED: 12/03/2018
JOB ADDRESS: 5890 W 37th P1 EXPIRES: 12/03/2019
JOB DESCRIPTION: Demo one with one half story stucture - 7,842 sq ft total with detached
garage - 1,740 sq ft; 9,582 sq ft total; State approved permit apps
provided
*** CONTACTS ***
OWNER (303)908-8607 SPALLONE RICHARD F
SUB (303)421-3366 James Gochis 020761 Alpine Demolition
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,500.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
** TOTAL ** 50.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 ali entities named within this document as partes to the work to be
perforryfed and that all�rk to be performed 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 thepermit application and accompanying Flans 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 originalpermit 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 changeof 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 of a penni s all not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or�ordinance o /gulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
heat R d -
COMMUNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: l
PlawPermit # to 1 &0
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property•wner (please pa/. •l • II. ..r
Property Owner E
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Arch itect/Eng 1 neer E-mail:
City of Wheat Ridge License M
re rar, Mo
For Plan Review Questions & Comments (please print):
Phone:
Phone: 5oz • 43al • 2,31An
CONTACT NAME (please print): 't,)(1� �(��Yi[] Phone: �?, • 4� t • �3t_
CONTACT EMAIL(p/ease print): ojan k (3) o 6tyvirkAiW.. C OM
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
[A 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.
�j'emp��tio�n, �rcc�nspo��a'r�r1, ve�.v1C�i , � d�v��� o�ari e.xis'ri
D01L 4- 001L -Y�atb s�cx ices c�cr��;a� �e„ ;►
eta a
�p�rbx�v�0�
Commercial Projects Only: Occupancy Type:
Sq. FULF
Amps
BTUs
Squares
Construction Type:
Gallons
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) (C NTRACTOR r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: -(,;gi9-
nn
Printed Name: �-kvwvi\-\,/ fA
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
cpl
0
x`1876
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 = $ 90.00
(See instruction #1 on reverse side)
Submit Form to:
Permit Coordinator
Colorado Dept of Public
Health and Environment
APCD-IE-Bt
4300 Cherry Creek Drive
South
Denver, CO 80246-1530
Phone: 303.692-3100
Fax. 303-782-0278
Asbestos@stote.co.us
�cyuiaau as 65105-Cuntanaiig ivarenam means tat rriame asaesros-containing material, (D) 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 11 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.
Form: DNA08' I {� wt �� ',l . . ,. tl Rev 01/30/08
Company Name:
Building Name
_ Alpine Demolition
Residential Home
Street:
Square footage of footprint of facility or portion of facility to be demolished
`0
5990 Kipling Pkwy #200
� 7 842
V
City
State:
Zip Code:
Street:
Arvada
—�
CO
80004
:r
5890 W 37th PI
0
0
Telephone # Fax #
i City:
County:
Zip Code:
� 1
303-421-3366 303-940-0868 � �
CWheat
0
Ridge
Jefferson
80212
Project Manager. Cell Phone #
Proposed Start Date
---
Proposed Completion Date
C
, ,
o
Annah Fairchild ._ (303) 901-9830
_.. . _....
"
o
- �_
r
I certify that the Certified Asbestos Building Inspector has informed me
E
Method/ ea sof Demolition:
about any remaining asbestos -containing materials in the facility to be
d
demolished.
® Wrecking [:1Burningt ❑ Implosion ❑ Moving ❑ Other, specify:
ignature:
Print Name:
t
Landfill Receiving Building Debris:
c
tBurning requires additional authorization — Please call (303) 692-3100 and ask
to speak to the Open Burninq Permit Coordinator
General Abatement Contractor (GAC)
Owner's Name:
PG Abatement & Demolition LLC
Spallone Richard F
p !0 r0
O
CDPHE Asbestos Permit #
Total Quantity of Asbestos Removed
Street:
o tma
EG
18JE6598A
2040
0
5890 W 37th PI
Date Removal Completed
Telephone #
City:
State:
Zip Code:
W
=
6
Q v
_ 11-7-18
720 585-4567
Wheat Ride
CO
80212
Type(s) of Asbestos -Containing Material Removed:
Contact's Name:
Telephone #
m
1380 Text walls/Ceilings- 600 sf Lino- 60% if TSI pipe
Steve Fleer
303 908-8607
With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as
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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
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asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the
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facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any
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asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s)
H m"
of ACM remaining, below: (check appropriate box(es)):
a
❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings
.o v
❑ Spray -applied tar coatings ❑ Caulking ❑ Glazin ❑ Other, specify:
Signature: Blue Ink)
Printed Name:
Dai Final Inspection C Cert # _
Cf�r7
Expiration D�fp (")
—lt
Telephone #,. ��`T��,� Celt Phone #
tof
I
i (
lJ
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
IT 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).
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CHECK THE APPROPRIATE BOX:
3 : =
m O p
U
❑ Building Owner
Contractor
❑ Other
Date: C fij
Si nature: Print Name:
1, l
THIS Box Is FOR CDPHE USE ONLY:
Postmark or Hand Delivery Date: fa'� / Approved By: Code: Qr initial -310 ❑ transfer -380
Form of Payment & #: I� Q , �� /
Permit #:
Record #
Date Issued:
�cyuiaau as 65105-Cuntanaiig ivarenam means tat rriame asaesros-containing material, (D) 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 11 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.
Form: DNA08' I {� wt �� ',l . . ,. tl Rev 01/30/08
OF COQ
C4 0
LQ %' Cj
*� °)� 1195MOLITION NOTIFICATION APPLICATION FORM
APPLICATION FEE MUST ACCOMPANY THIS FORM
1876 INCOMPLETE APPLICATIONS WILL BE RETURNED
Colorado Department (Notice will be mailed to the demolition contractor unless specified otherwise)
of Public Health
and Environment Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ 60.00
(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.c,o.us
Regulated asbestos -containing materials means (a) friable asbestos -containing 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 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
abatedfremoved prior to demolition.
Form: DNA08't
�� ��/� r � f ""- Rev. 01/30108
Company Name:
Building Name:
Alpine Demolition _
_
Detached Gara ae
Street:
Square footage of footprint of facility or portion of facility to be demolished
c
5990 Kipling Pkw #200
1,740
City:
State
Zip Code:
Street:
v
`
Arvada
CO
80004
«
5890 W 37th P1
0
t/!
Telephone #
Fax #
_
City: v
County:
Zip Code:
V
303-421-3366
303-940-0868
=
Wheat Ride
Jefferson
80212
Project Manager: Cell Phone #
Annah Fairchild 303 901-9830
Proposed Start Date
Proposed Completion Date
/
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_.---------.... _---._. _._ __. _ L-. -).._ __1 _ .-. _.
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I certify that the Certified Asbestos Building Inspector has informed me
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Method/Means of Demolition:
p
about any remaining asbestos -containing materials in the facility to be
d
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Q_
demolished.
0
0 Wrecking D Burningt D Implosion I] Moving 171 Other, specify:
ignature: -
} -
Print Name:
1t
y k.
andfill Receiving Building Debris:
tBurning
o r r
requires additional authorization - Please call (303) 692-3100 and ask
to speak to the Open Burning Permit Coordinator
General Abatement Contractor (GAC)
Owner's Name:
`
PG Abatement & Demolition LLC
116.
Spallone Richard F
pc0 .�
3
CDPHE Asbestos Permit #
Total Quantity of Asbestos Removed
Street:
v o W
E
18JE6598A
2040
O v>
5890 W 37th PI
Date Removal Completed
11-7-18
Telephone #
720 585-4567
City: State:
Wheat Ride CO
Zip Code:
80212
MW
N d C
Q tY 0
__
Type(s) of Asbestos -Containing Material Removed:
Contact's Name: Telephone #
m
1380 Text walls/Ceilings- 600 sf Lino- 60If TSIi e
Steve Fleet' 303 908-8607
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
facility.* 1 also certify that I have informed the owner/operator of the facility or the demolition contractor that any
o
asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s)
NM
of ACM remaining, below-, (check appropriate box(es)):
.a
a v
❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings
❑ Spray -applied tar coatings ❑ Caulking ❑ Glazin ❑ Other,
.a
specify:
Ct
Signature: (In Blue Ink)
Printed Name/:
V
Date( of Final InspectionCo-cert
#� 1
Expir 'o to
Telephone # Cell Phone #
t
C
tfJ
�i
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 r
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 `
CHECK THE APPROPRIATE BOX:
O ❑ Building Owner Contractor E] Other Date: ` Q
- --- -- —
Si nature: __ Print Name:
BOX is FOR CDPHE USE ONLY:
LTHIS
Postmark or Hand Delivery Date: Ilk ( ! Approved By: Code: initial -310 ❑ transfer -360
Form of Payment & #: t^k9 157 }
Permit #:
Record #
Date Issued:
Regulated asbestos -containing materials means (a) friable asbestos -containing 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 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
abatedfremoved prior to demolition.
Form: DNA08't
�� ��/� r � f ""- Rev. 01/30108
IMPROVEMENT LOCATION CERTIFICATE
THIS IS NOT A PROPERTY SURVEY: BY STATE LAW,
PROPERTY CORNERS WILL NOT BE SET.
If this Improvement Location Certificate is used in the establishment of
fence, building or other future improvement lines, the user or users
assume all liability for any and all issues caused by such use.
Legal Description
Provided by Customer
LOT 19, BLOCK 2, FRED L SPALLONE,
COUNTY OF JEFFERSON, STATE OF COLORADO.
SEE SHEET 2
COLUMBINE SURVEYING, INC.
7573 South Ames Way
Littleton, CO 80128
303-972-8000 fax 303-972-8001
I hereby certify that this improvement location certificate was prepared for
VAL SPALLONE
that it is not a land survey plat or improvement survey plat, and that it is not to be relied upon for the
establishment of fence, building, or other future improvement lines. This certificate is valid only for use by
VAL SPALLONE
and describes the parcels appearance on 2018-10-17. 1 further certify that the improvements on the
above described parcel on this date, 2018-10-17, except utility connections, are entirely within the
boundaries of the parcel, except as shown, that there are no encroachments upon the described premises
by improvements on any adjoining premises, except as indicated, and that there is no apparent evidence
or sign of any easement crossing or burdening any part of said parcel, except as noted.
Notice: According to Colorado law you must commence
any legal action based upon any defect in this
improvement location certificate within three years
after you first discovered such defect.
In no event, may any action
based upon any defect in this
improvement location certificate ++"°
+� v 4° }�
be commenced more than ten � �,s � 7
years from the date of the C'3:4 •
certificate shown hereon. ' S -i V e
4
i
Address 5890 WEST 37TH PLACE %�ssi��.,p••••••.•�o``
Order 41080012 ,,,. t rq
SHEET 1 OF 2
Note: All platted and apparent easements
are shown. Record easements, if any, are
located by information provided by the
customer, unless otherwise noted.
La ireriet6-- G Chambers PLS 16099
Professional Land Surveyor
_-��-17 /fir' Z155:?
Date
NO PROPERTY CORNERS FOUND
A BOUNDARY SURVEY IS RECOMMENDED
WEST 37TH PLACE
140.0'
LOT 9
140.0'
COLUMBINE SURVEYING, INC.
7573 South Ames Way
Littleton, CO 80128
303-972-8000 fax 303-972-8001
Address 5890 WEST 37TH PLACE
Order 41080012
SHEET 2 OF 2
LOT 8
NORTH
Original Scale 1" = 30'
0 15 30
LEGEND
r 1 = Concrete And Stone
L. _ -_j
—x—x— = Fence
O
co
N
LOT 20
24.0'
0 FRAME o 9
g GARAGE C .1I
t0'
4.f
LO'
o STUCCO 4'
R GARAGE g.
26.0' x
q„
LOT 7
LOT 8
NORTH
Original Scale 1" = 30'
0 15 30
LEGEND
r 1 = Concrete And Stone
L. _ -_j
—x—x— = Fence