HomeMy WebLinkAbout3290 Depew StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Wednesday, November 24, 20219:33:11 AM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - 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 residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3290 Depew St
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Louis Leschnik
303-232-5779
pschmidt@coffmanco.com
CONTRACTOR INFORMATION
Contractor Business Coffman & Company Heating and AC LLC
Name
Contractor's License 18464
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-366-1112
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
pschmidt@coffmanco.com
Address
Retype Contractor
pschmidt@coffmanco.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
80,000
What is the efficiency
95%
(%) of the unit?
Is the unit GAS or
GAS
ELECTRIC?
Where is the furnace or
basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
5472
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 Patricia J Schmidt
Permit
Email not displaying correctly? View it in your browser.
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Mgr �. BTU's
OW SIGN ATURE OF UNDERSTANDING AND AGREEMEN
' ;, ONE: (OWNE (CON ., ` OR) gr ('41.THORI D $
COMMUNITY DEVELOPMENT DEPARTMENT
. BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033-(303-235-2855)
Building Permit Number: 18314
Date: 1/31/2005
Property Owner: LOUIS LESCHNIK
Property Address: 3290 DEPEW ST
Contractor License No.: 17152
Company: Precise Plumbing
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 232-5779
Phone: 534 0881
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$495.00
$30.55
$0.00
$0.00
$30.55
I hereby certify thatthesetback distances proposed by this permit application are accurate, and
do not violat~applicable ordinances, rules orregulation~ 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 ahd agree to abide by all conditions printedon'this
application,andthat I Assume full, responsibility for complianc~withthE! WheatRidge Building
Code'(U.B.C.) and aU other applicable Wheat Ridge o-rdinances, for work under this permit.
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
REPLACE WATER HEATER
Ir~~~JJ
BUILDING DEPARTMENT USE ONLY
~&'tfl'a'glG,c:liWIfi~
Approval:
Zoning:
m!i]IIh?~
Approval :
~
Approval:
Occupancy:
SIC:
Sq.Ft. :
Walls
Rbof:
Slbries
Residential Units.
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
Thispermit was issued in accordance ""ith the provisions set forth inyopur appliCation a,nd is subject tothe lawsofthe State Of Colorado and lathe Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permitshall,expir13if(A) the workauthorized is notcommenc(3d within sixty (60)days from issue dateor(B) thebuildin_g,authOrized is suspended or
abandoned fora period of 120days.-:_' ,,", ,", '," ,,',' .',.' ' ", ' ' ",'
If this permit expires, a new permit may be acquired forafee of oQe~half-the amount normally required, providedn-ochanges have been or will be made in the
original plans~ndspecifications and any suspension or abandonmenthas not excee.ded OIJEl (1) year. If changes are made or if suspension, or abandonment
exceedsone (1) year,full fees shall be paid fora newpermiL,
No ""ark of any manner shall be done that will change the natural f1owof.,."atercausiilg adrainage problem.
Cortractorshall notify the Building,lnspettortwenty~four (24)hours in advanc,e,for all inspections and shalli'e'ceivewrittenapproval on inspection card,before
proceediing with successive phases of the job.
The issuance.. 9t~ermit or th, ,I of drawings and specificatio.ns shall not be construed ,to bea permit for, nor an approval of; any violation of the
provisiqns of.-tb'$"'build. odes or any ot rdinance, law, rule or regulation.
./'... rP'" · . ..
(4)
(5)
(6)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPLtCtTION
Building Permit Number:
Date:
Property Owner:
Property Address:
Contractor License No.:
Company:
Le>v/5 L-pscf",x..
3 ;;c 7"0 tlr,PRc-r/ 5 r
1?lr4..
p,..,clsr pI",*, &>4 9' :T~c-
Phone :
;< 3 J. - ??'l ?
,]y-~g-;;-I
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I heatby oertify that the setback. distances proposed by this pmnit application are
accurate, and do not violate applicable ordinances, rulClll or regulations of tho City
of Wheat Ridge or covma.nts, cascmml1s or rostricti01l3 of record; that aU
measurem.onts shown, and allegations made are accurate; that I have read and
agree to abide by all conditions printed on this applications and that I assume full
rosponsibility for complianco with tho Whoa; Ridge Building Code (U,B,C) snd
all other applicable Whoat Ridge Ordinances. for work UJJ.der this ponnit
(OWNERXCONlRAcroR)SIGNIID~?- ~/,~:-aTP_
Construction Value:
Permit Fee:
Plan Review Fee:
TTQp T::ty' s..,.4"~
'(fr
.--
3C>. .,,,
...0<>:1,. ('/ <(
Total: J 0 $- '>
Description:
r~;o"~e. """A {....,... A...,.. (-#Or
BUILDING DEPARTMENT USE ONLY
tll1i!il~lii_ll
Approval:
Zoning:
SIC:
Sq,Ft:
him~Mii;t'~iili_'
~~~:~,:.,.........:....'
Approval:
.lI!W:'.iliill~fI:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval: ,
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) 'I'hi3 peonit was isluod in accordance with the provisions set forth in your appliCltion wi is subject to the laws of the State of Colorado and to the Zoning
RegulatiOlUl and Buildini Code of\\'heat Ridp. Colorado or any othct applicable ordinances of tho City.
(2) This permit shall expire if (A) the wod:: authorized. is not C0111lMl1Ced within sixty (60) days from issue date or (B) the buildina: authorized is suspended or
abandoned for a period of 120 days.
(3) If this pennit expires, I new peanit may be acquired for a foe of on&-haJf tho amount noanally required, provided no changes have been or will be made in
the origin&]. plms and specificatiorw and any suspClDSion or abandonment has not exceeded one (l) year. If cl1aoae.s hive blKm or if suspension or abandonment
exceeds one (1) year, fUll fees shall bo paid for a now pennil
(4) No wotk. of any mam'llll" shall be done that will chqe the natural flow ofwatec causing a drainaie problem.
(5) Contractor shallnotifJ tIw Building lnIpector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceeding with successive phases of 1M job,
(6) The issuance of a pmnit or the approval of drawings and specifi.catiorw shall not be cClnltNed to be a peonit for, nor an approval of, IIrj violation of the
provisicm of the building codes or any othct ordinance, law, role or regulation.
Chief Building Inspector