HomeMy WebLinkAbout5910 W. 37th Placei CITY OF WHEAT RIDGE
Buildig Inspection vision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: "l l am- v E I. 4',n 0
Job Address: 5-9/c 3 I
Permit Number: 1 -Ig- 0 3) 0
L,0177D 1,
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❑ No one available for inspection: Time e Z%PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
1
Date: 0 )IC7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
,
Residential Demolition PERMIT - 201803129
PERMIT NO: 201803129 ISSUED: 12/03/2018
JOB ADDRESS: 5910 W 37th P1 EXPIRES: 12/03/2019
JOB DESCRIPTION: Demo two story structure - 4,773 sq ft total; State Permit No. 18AD6850D
*** CONTACTS ***
OWNER (303)908-8607 TINA M HUGHES IRREVOCABLE TRUS
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: 12,500.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
** TOTAL ** S0.00
*** 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. l further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perforr'`ed and that
to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
'7iI'l r 1aeh't Y r Nie - o % 102 h,7 ( 2
Si*fiature of OWNER or CONTRACTOR (Circle one) Date
1, 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 pennit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new pen -nit 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 anrdinance or r lation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Offfcial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
heatid,�e
comm NI7Y DEVEIOPMENI
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: permitsCcDci.wheatrid4e.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address:
Owner
Property Owner Email:
Tenant (Commercial Projects Only)
one:
Property Owner Mailing Address: (if different than property address)
Address: (L(J1CI
Architect/Engineer:
Arch itect/Eng 1 neer E-mail:
City of Wheat Ridge License #:
Phone:
Phone: ?�C)?• 1-1 1. 3-FR,"n
Contractor E-mail Address: C ky-i
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print): f )a)cay3_ (1) Q n)03
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
14 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.
�eY`n0\��'IOYl , �rYOx�SpO`(�0. pY�. YeCyC�\V� C��S SCS\ p� 0. NkKDO- S�tyk)
peso\ ' S�cv�C,�v.�ce_ pYaxe LA.T+
p� s�
Ck-
COYw►S�S �� Y 0.YV�. UO` C�-4�1.L�. , �v�C.Cb , iS�'pYLA.
Commercial Projects Only: Occupancy Type:
Sq. Ft./LF
Amps
BTUs
Squares
Construction Type:
Gallons
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
EMI •E
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 (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: 150511?
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
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 AsbestoslMQ 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 11/1/2018.
The actual scheduled work dates are from 11/1/2018 through 11/15/2018.
Approval issued on: 10/10/2018
Record number: 142347
Notice Number: 18AD6850D
For the location specified below:
5910 W. 37th Pl.
5910 W. 37th Pl.
Wheatridge
Adams County
This notice has been issued to:
Alpine Demolition
5990 Kipling St. #200
Arvada, CO 80003
Fee Paid: $60.00
Check number: 8960
Asbestos Building Inspector:
Sharon L. Major
Cerification No.: 4658
Inspection Date: 09/01/2018
Issued by:
L V I V J. I V I I11
Colorado Deparpmf nt
of Public Health
and Fovimnment
n I I I V I I u L I V n V V I
". �Y�v r,
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 90erwise)
Fee: $50 + $5 per 1000 ft" of area to be demolished
(See instruction #1 on reverse side)
Submit form 10,
Permit Coordinator
Colorado Dept, of Public
Heallh And Environment
APCO-M-B1
43M Chony Creek Drive
South
Denver, CO 30246-1$30
Phone; 3034692.3100
Fax: 303-782-0278
Asbeslos@Wale.co.us
- ...�
Company Name:
build[ Name:
Street: �r
•7
Squareloofa a �rint of facility or portion of lacilfty to ba demdished
U may= SIM: zi Goda:
r
B W U� L-
::
Street;
'Y
C relaphone 4 y p p Fax /
1n
City:
C
County: X! Code:
ProManager Cell Phone i
Loy"'371
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Pr SlamNDaOteG
J'PrOpasetl Completion Dal
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E
I certify [hat the Cedifrpd Asbestos Building Inspector hes inronned me
dbo'A any r thaining edmaterials in the facility to be
ethocWeans of DeMolit
YYr ng Burning [IImplosion ❑►Moving ❑ CJlher, specify:
4]
D
Signature'
Print Name:
US ,
tBurning
Lartdrih Recolvirrg Building Debris:
requires addhlom authodzation - Please call (303) 692-3100 and ask
to speak to the Open Buminq Perth Coordinator
General Abatement Contractor (GAC) Vovm
es. Name;
0
d7
�
CDPHE Asbosfoe Per it I
Total Quanliry�Ag�tos Removed
Street: `0 W-31.0
S �'
CJ
C
Date Removal Corn eeed Telephone 0
City; nye
state:ZI
Gotta;
Types) of Asheslos-Cwlaini Material Removed:
m
004WAIS Name: sro�G
Telephones
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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 fisted
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in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of
2,
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
to o
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)):
Lo
❑ Vinyl asbestos floor file (VAT) ❑ VAT mastic
Tartar halt impregnated roofing Asphaltic
pipe coatings❑
-ao v
Spray -applied tar coatin Other, specify
s Caulkin Glazin uk i .:
Signature: (In Blue Ink) Pooled Name;
vGn
1`�iL L4
Rafe of F b I� p n
20 6
CO Cenci
klrahon pa
Telephme>r =Call Phone •
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I verity that all refrigerants from air conditioning/refrigeratlon appliance$ have been property recovered In accordance with AQCC Regulation No.
15 (for information on CFC requirements call 692-3100), 1 further verify that all luminous exit signs
L
O p
(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 3a692-3320),
�p d
CHECK 111E APPROPRIATE BOX:
Building Owner ❑ Contractor Q Other Date:
Signature: Print Name;
"'THIS Box IS FOR G P U3E ONLY:
Postmark or Hand Delivery bate: ()
Approved By: Code: inflia1-310 ❑ transfer -380
Form of Payment 8 #:
" tomo
Permit #:
Record#
Date Issued:
Regulated aahacfrxe.rnnlalninn
........... •••�••••� ta�tr y�.a >,.a;cnru;uilnLt,iii<recrroir, l01 ;' i iti111fij4.i11;, AC,1%j that has become fci;�W.q, (o)
rli&;gOfy I,nonfriable ACM that will be or has been subjected to sanding, ruj,tclinct, iluiiii t!, or abrading or (d) ('.Ifo. y< ry j! nonfliable ACM that ha$ a high
probabitity of becoming or has become Crumbled, pulverized, or reduced to powder by the forces ekpected to act on the material In the hour a of
Ji000filk;il or r;,y.; tiinrl operations regulated by this regulation. Not sb t cant S •J
abatedlremoved riot to demolition. r �q . yhlr?e ¢7~pltinyl and linoleum must be properly
Prior 'S
a
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
PARCEL A:
LOT 18, BLOCK 2, FRED L. SPALLONE. SUBDIVISION, COUNTY OF JEFFERSON, STATE OF COLORADO.
PARCEL B:
THE NORTH THIRTY FEET (N. 30') OF THE WEST THIRTY FEET (W. 30') AND THE NORTH FIFTY—FIVE
FEET (N. 55) OF THE WEST TWENTY FEET (W. 20') OF THE EAST THRTY FEET (E. 30'), FRED L.
SPALLONE SUBDIVISION, COUNTY OF JEFFERSON, STATE OF COLORADO.
NOTE: PARCEL 8 ASSUMED TO BE PORTIONS OF LOT 10, BLOCK2,
FRED L. SPALLONE SUBDIVISION, COUNTY OF JEFFERSON, STATE OF COLORADO.
NOTE: NO PROPERTY MONUMENTS FOUND, A BOUNDARY SURVEY IS RECOMMENDED.
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
FIRST AMERICAN TITLE INSURANCE COMPANY
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
FIRST AMERICAN TITLE INSURANCE COMPANY
and describes the parcels appearance on 2018-02-02. 1 further certify that the improvements on the
above described parcel on this date, 2018-02-02, 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 indcated, 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 an action
based upon any defect in this
improvement location certificate'
be commenced more than ten;;
�,
years from the date of the -5, n Co.
certificate shown hereon.,
Address 5910 WEST 37TH PLACE
Order 40280001
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.
V Lawrence G Chambers PLS 16099
Professional Land Surveyor
Date
NOTE: NO PROPERTY MONUMENTS FOUND A BOUNDARY SURVEY IS RECOMMENDED.
#5040
NO TH
Original Scale 1" = 20'
0� 10^ 20
LEGEND
= Concrete
L _ •J
—x—x— = Fence
— Ou - = Overhead Utility Line
COLUMBINE SURVEYING, INC.
7573 South Ames Way
Littleton, CO 80128
303-972-8000 fax 303-972-8001
Address 5910 WEST 37TH PLACE
Order 40280001
SHEET 2 OF 2
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