HomeMy WebLinkAbout3890 Eaton StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Date: Monday, September 27, 2021 1:20:38 PM
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
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 a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 3890 Eaton Street, Wheat Ridge, CO 80212
Property Owner Name Pete & Nila Jean Croonquist
Property Owner Phone 303-421-8198
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email permits@applewoodfixit.com
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic Form (2021).Ddf
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Applewood P H & E
Name
Contractor's License 18236
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 Tracey L Johnson
Permit
Email not displaying correctly? View it in your browser.
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
Number of gallons
19I8191E,W- IS61-I:
permits@applewoodfixit.com
permits@applewoodfixit.com
1.9181
Is the water heater GAS
GAS or ELECTRIC?
If GAS, enter # of 40
BTUs. If electric, enter
n/a
Where is the water Basement
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 4606.00
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
i CITY OF WHEAT RIDGE
Building Inspectibb Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:t1�rr `37�
Permit Number:
❑ No one available for inspection me 0 ' 45 AM?PM
e
Re -Inspection required: Yes LNo,
When corrections have been made, call for re -inspection at 303-234-
Date:-C---,
03-234-
Date:� ' l `r Inspector:,e`z-�___.__m_.�__
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201900910
PERMIT NO: 201900910 ISSUED: 05/07/2019
JOB ADDRESS: 3890 Eaton St EXPIRES: 05/06/2020
JOB DESCRIPTION: Replace 80 ft sewer line, in yard only, install dual sweep clean -outs,
using SDR -35 and strong back ferncos
*** CONTACTS ***
OWNER (303)210-1289 CROONQUIST PETER C
SUB (303)210-8207 BRANDON WESTON 110115 PREMIER EXCAVATION SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00
FEES
Total Valuation 0.00
Use Tax 94.50
Permit Fee 125.05
** TOTAL ** 219.55
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201900910
PERMIT NO: 201900910 ISSUED: 05/07/2019
JOB ADDRESS: 3890 Eaton St EXPIRES: 05/06/2020
JOB DESCRIPTION: Replace 80 ft sewer line, in yard only, install dual sweep clean -outs,
using SDR -35 and strong back ferncos
11 by in 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 ermrt. 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.
l �4 ) ICI
Signature of OWl�ER or CONTRACTOR (Circle one) Date
I . 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 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 Offcial 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 permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation 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
W heat Image
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: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 5/ ?/1 q
Plan/Permit # A �
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: 389b c--O+oy\ �T
Owner (please print):e_ �c C, f(ojo wo k Phone(zj j IZ 10
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: 3a�0 Ct 5
City, State, Zip: C0 sb Z l'L.
ki
Architect/Engineer E-mail:
Phone:
Contractor Name: vie -M,44 &C-ONOI O h
City of Wheat Ridge License #: I 1 Phone:(M3)
Contractor E-mail Address: � � YDS �ES�re►� � �' - (_0WX
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Tfe0 6 C Wfol-6Y\ Phone:(�03) 710 -q 14S
CONTACT EMAIL(p/ease print): �4 0Nv 0K S %-kWS \-8 n (4
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
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 #
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.
4Vl [[ ' 1' Mg 014
auet. sv��ep
:Sq w j
Sq. Ft./LF
�'�J��J,
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
I Project Value: (Contract value or the cost of all materials and labor included in the entire project) I
Gj c—r\7\ , 0d)
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.
CIRCLEONE: (OWNER�i( ONTRACTOR _ (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): ,(�4cx Pr : Cye DATE:,
II
Printed Name:,5
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201900910
PERMIT NO: 201900910 ISSUED: 05/07/2019
JOB ADDRESS: 3890 Eaton St EXPIRES: 05/06/2020
JOB DESCRIPTION: Replace 80 ft sewer line, in yard only, install dual sweep clean -outs,
using SDR -35 and strong back ferncos
*** CONTACTS ***
OWNER (303)210-1289 CROONQUIST PETER C
SUB (303)210-8207 BRANDON WESTON 110115 PREMIER EXCAVATION SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00
FEES
Total Valuation 0.00
Use Tax 94.50
Permit Fee 125.05
** TOTAL ** 219.55
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201900910
PERMIT NO: 201900910 ISSUED: 05/07/2019
JOB ADDRESS: 3890 Eaton St EXPIRES: 05/06/2020
JOB DESCRIPTION: Replace 80 ft sewer line, in yard only, install dual sweep clean -outs,
using SDR -35 and strong back ferncos
11 by in 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 ermrt. 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.
l �4 ) ICI
Signature of OWl�ER or CONTRACTOR (Circle one) Date
I . 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 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 Offcial 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 permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation 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
W heat Image
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: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 5/ ?/1 q
Plan/Permit # A �
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: 389b c--O+oy\ �T
Owner (please print):e_ �c C, f(ojo wo k Phone(zj j IZ 10
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: 3a�0 Ct 5
City, State, Zip: C0 sb Z l'L.
ki
Architect/Engineer E-mail:
Phone:
Contractor Name: vie -M,44 &C-ONOI O h
City of Wheat Ridge License #: I 1 Phone:(M3)
Contractor E-mail Address: � � YDS �ES�re►� � �' - (_0WX
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Tfe0 6 C Wfol-6Y\ Phone:(�03) 710 -q 14S
CONTACT EMAIL(p/ease print): �4 0Nv 0K S %-kWS \-8 n (4
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
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 #
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.
4Vl [[ ' 1' Mg 014
auet. sv��ep
:Sq w j
Sq. Ft./LF
�'�J��J,
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
I Project Value: (Contract value or the cost of all materials and labor included in the entire project) I
Gj c—r\7\ , 0d)
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.
CIRCLEONE: (OWNER�i( ONTRACTOR _ (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): ,(�4cx Pr : Cye DATE:,
II
Printed Name:,5
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
04 /10/2012 05:30 3033226137 KRIS NSEN
0
City of
Wh6ait R *gg
-� Prclrm' ,,y
OMMUN17Y DEVELOPMENT
# ►
s •
P MOWt Y t ..
j 7171`77
Address:
City, State, Zip:
7
Phone:
Electrical: Plumbing: and l:
C y Limnos # City Limnos # City License #
D':s - 0 approv vW mmments 0 a.: sa •:.. W 0 no teview ro4ulrw ♦t: a