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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. A 11 .1ty atf �, �COMOMVNmy oPMEN ° Dow Flag Perm _fn��� Address: 3 IR 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