HomeMy WebLinkAbout4785 Dudley StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work
Date: Thursday, April 14, 2022 4:55:57 PM
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PERMIT APPLICATION Electrical Service
Change/Upgrade/Electrical Work
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 4785 Dudley Street
Property Owner Name Donald Robb
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
720-252-3546
Wheat Ridae Permit Payment Form Bryson.Ddf
CONTRACTOR INFORMATION
Contractor Business LEI Companies
Name
Contractor's License 60006
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-865-5229
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Ipatterson@leicompanies.com
Address
Retype Contractor
Ipatterson@leicompanies.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Change
service upgrade or
change?
Number of Amps
200A
Location of work
outside garage area
(garage, house, etc)
Provide additional
n/a
details, if needed.
Project Value (contract
1500.00
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.
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.
Person Applying for Lisa M Patterson
Pe rm it
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Egress Window Pennit Application
Date: Monday, October 25, 2021 11:34:05 AM
Residential Egress Window Permit Application
This application is exclusively for RESIDENTIAL EGRESS WINDOWS ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORMAN D
ENGINEER LETTER STAMPED DETAIL SHOWING THE U -VALUE OF THE
WINDOWCUT 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 Yes
existing EGRESS
window(s) needing
vertical cuts only?
PROPERTY INFORMATION
Property Address 4190 Dudley St, Wheat Ridge, CO 80033
Property Owner Name Larry O'Hayre
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address - Do not enter
a contractor email
address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
191819m, PA I016YE!
Field not completed.
WR EPF- 10-25-21.Ddf
CONTRACTOR INFORMATION
Contractor Business Brighter Basements Inc.
Name
Contractor's License
120254
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-777-7130
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@brighterbasements.com
Address
Retype Contractor
permits@brighterbasements.com
Email Address
01 :K161 Ci 191 [*] 0 N] avOLe] N :/
Number of EGRESS 1
windows being
replaced
Location of EGRESS Bedroom
window(s) being
replaced (for example,
master bedroom,
kitchen, bathroom, etc):
What is the u -value of .28
the EGRESS
window(s)? City of
Wheat Ridge requires
the u -value to be .30 or
better on windows.
Attach copy of 4190 Dudley St WR 80033 ndf
Engineer stamped
letter showing vertical
cuts detail and u -value
Project Value (contract 3850.00
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.
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.
Person Applying for Lisa Wilkie
Permit
Email not displaying correctly? View it in your browser.
mmomm
FOR OFFICE USE ONLY
City of Date:
?�?7Wh6at le
dg
COMMUNITYDEVELOPM!�NT�j plan1pormit #
Building &rin tion Services Division 2, � � `. l
7500 .2 IAVe., Wheat Ridge, CO 80033 Plan Review Office: 303-235-2855 * Fax, 303-237-8929 a
Inspection Line: 303-234-5933
Building rit Application
Please complete all highlighted areas on both sides Of this form. 10Flute applications May not be processed.
Property resa.-
Property Owner, wner''(please print). � . Phoney
Property Owner Small. C'I 1 ",) ;
Mailing ddreaa (if different than property address
Address:
Cit ,tate,'gZi
---------
Architect/Engineer E-mail: Phont:
1
Contractor: ,C-1 I
Contractors Cit ► License Phone: '-r 7-0 9'z,/ r
ContractorE-mailAddress.
Sub Contra ora.
Electrical, Plumbing: mechanical:
W.R. City License # W.R. City License # W.k City License #
Other City Licensed Slab: Other City Licensed Sub*
City License # City License #
Complete all information on BOTH sides of this form
x x x �• x +• rpr � s... r A
w: � xwr x. •.. wA si r.• x
•
Amps Squares Other
CITY OF WHEAT RIDGE
01/18112 1: edbb
Carlos A Espimn
EP T N0:CDB@#785fi
AMOUNT
f,' Replace 66.0ge btu f
68..81
128846
Persit Fee
48..08_
Use pax
28.86
PAYMENT RECEIVED
AMOUNT
KC 9164
68.80
Auth Codes
2
TOTAL