HomeMy WebLinkAbout3171 Chase StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement
Date: Thursday, April 14, 2022 2:18:43 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Furnace/Boiler Replacement
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 3171 Chase St Wheat Ridge, CO 80214
Property Owner Name Jan Lahlum
Property Owner Phone 720-227-4703
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email janl1@comcast.net
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Wheat Ridae Payment Form 2022.Odf
CONTRACTOR INFORMATION
Contractor Business
Blue Sky Plumbing & Heating
Name
Contractor's License
017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-407-7967
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
randyp@blueskyplumbing.com
Address
Retype Contractor
randyp@blueskyplumbing.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
80,000
What is the efficiency
96%
(%) 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
6746.00
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 randyp@blueskyplumbing.com
Pe rm it
Email not displaying correctly? View it in your browser.
From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement
Date: Wednesday, March 9, 2022 1:58:47 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Water Heater Replacement
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.
Do Not use this form if the Water Heater is changing locations or if this is a
conversion to a Tankless Water Heater. Please use the General Permit
Application for a more comprehensive review.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 3171 Chase Street Wheat Ridge, CO 80214
Property Owner Name Jan Lahlum
Property Owner Phone 303-237-2750
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email janl1@comcast.net
Address (Leave blank if
not known)
Attach City of Wheat Wheat Ridge Payment Form 2022 Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Blue Sky Plumbing & Heating
Name
Contractor's License
017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-407-7967
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
randyp@blueskyplumbing.com
Address
Retype Contractor
randyp@blueskyplumbing.com
Email Address
DESCRIPTION OF WORK
Number of gallons
40
Is the water heater
GAS
GAS or ELECTRIC?
If GAS, enter # of
40,000
BTUs. If electric, enter
n/a
Where is the water basement
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 3982.00
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 Randy Palato
Pe rm it
Email not displaying correctly? View it in your browser.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number: 15288
Date : 4/1/03
Property Owner: JAN CAHLUN
Property Address: 3171 CHASE ST
Contractor License No. : 20227
Company: Nationwide Healing & Air Conditioning
Phone: 237-2750
Phone: 232-3939
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whea tl ordinances, for work under this ~;~; __
(OWNER)(CONTRACTOR) SIGNED DATE~
Total:
$2,700,00
$108.30
$0.00
$32.40
$140.70
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
INSTALL 80K FURNACE & 2 TON AlC
BUILDING DEPARTMENT USE ONLY
Zoning Comments:
Approval:
Zoning:
Buiiding C<iirilnents:'
Approval:
"\F. ......'4*.."T
Public Works Comments:
Approvai :
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No : 19585
Company :Over-all Electric
Expiration Date: 2/28/05
Approval: OK/KS
Plumbing License No :
Company:
Mechanical License No : 20227
Company: Nationwide Heating &
Air Conditioning
Expiration Date: 10/25/03
Approval: OK/KS
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (50) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem
(5) Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing successive hases of the job.
(6) The i a e.t e approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisio of e b des or any other ordinance, law, rule or regulation.
, (2".'- ,
Chief Building InsVector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
APPUC.KflD N
Property Owner:
Property Address:
Contractor License No. :
Jh'tV
3(7/
,(:,##.....00.,/
?~ffSC- 5--'
Phone: 7'" ~- z:; -r- "Z c;rc.J
Zo;!-z7-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Company: ,,;1/.# 7iD..v --;l~
Phone : ~?I-2~2- ~7.T?
Construction Value: Z 1-<<>0
Permit Fee: ~? .~-
Use Tax: 5 Z. "t!'
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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whea . e ordinances, for work under this pennit.
DATE fl{/h
Total: I~tfli. ~
(OWNER)(CONTRACTOR) SIGNED
Use:
Description: /"'!>T4~'
Bt!J/<C ,h-,U"",/.r;- 7/"'''''''' h"A
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning:
SIC:
Sq. Fl.:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No: J '7 (Z-
Company : t!)t/p-,ei?~"-
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permIt may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year, If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem,
Contractor shall notify the Building Inspector twenty-four (24) hours In advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the/'ob. , ,
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provIsions
of the building codes or any other ordinance, law. rule or regulation,
(4)
(5)
(6)
Chief Building Inspector
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at .-:71 7/ (" !JCi?/
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
e ~~~o~ cloJtk ';;c :: ~e't;r
r.' i/-.;>"--, /-..".-. ~I 'r J;' . ." <.J::. r7ufs
/. r /""1eHr ('un CO/'l~" {, ci-?'([J-..
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
DO NOT REMO THIS TAG
Inspector lor Building Dept.
Date
FORM WR6-22
.,~;,~;"),,
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPl\Cf\TID N
Property Owner:
Property Address:
Contractor License No. :
Company:
.:faT} i < l' ,{cdJl u m
.3/7/ {lAUbt'.5t-. / /!I~(J4Irrc&e Cf)
~3 c201 u("
,Nt, Fler, C 0 rf JPrh' ?On
Phone: :237-,).7 ScJ
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone:
6lS6De.-
t hereby certify that the setback distances proposed by this permit application are accurate.
and do net 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 a9ree to abide by all conditions printed on this
application, and that I assume full responslbili for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable idge 0 . an s. for war!< under this pennit.
(OWNER)(CONTRACTOR) SIGNED ATE 0;/;;)5, Use:
Description: RrA{'fl. ,E/i't'IY'rca/ S&Y'V; LL ) /5' d /l
Permit Fee:
Use Tax:
Total:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
~sg!:ro:M.~
Approval :
Zoning:
: T lli1ltUl,,~,j::lDllLWU.
Approval :
~lkl;4~'"
Approval :
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No :~83
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date :
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the loning
Regulations and Buildi~ Code of \lVheat Ridge, COlorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within Sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes fteve been Of will be mlde in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or jf suspenSion or abandonment
exceeds one (1) year, full fees sl11U be paid fora new permit.
No work of any manner shill be done that will change the natural now of water causing a drainage problem.
Contractor shalt notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspectiOn card before
proceediing witn successive phases of U'le job.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permtt for, nor an approval of, any vicmltion of the provisions
of the building codes or any other ordinance. law, rule or regulation.
(4)
(5)
(6)
Chief Building Inspector
DEPARTMENT 0 'LANNING AND DEVELOPMENT Building Permit Number: 8614
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 3/11/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 3171 CHASE ST
Contractor License No, : 17174
Company: Bell Plumbing & Heating
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 237-2750
Phone: 757-5661
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$677.00
$26.55
$0.00
$10,16
$36.71
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this pennit application are accurate,
and do not violate applicable ordinances, rules or regulations ofthe 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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat R.idge ordinances, for work under this permit.
Use:
Description:
Water heater replacement
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft..
Approval:
Zoning:
Approval:
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 :
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge. Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
olth"2? codes or any other ordinance, law, rule or regulation.
~~
Chief Building I pector
(1)
(2)
(3)
DEPARTMENT OF.ANNING AND DEVELOPMENT
BUILDING INSr-ECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE, CO 80215
Application Number:
Date:
Property Owner:
Property Address:
Contractor License No. .
Company:
jANICE ANN LAHLUM
3171 CHASE STREET
1/174
BELL PLUMBING & HEATING'
Phone: 303/237-2750
Phone: ~01/7S7-S661
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 the Wheat Ridge Building
Code (U.B.C.) and all o"'e, applicable Whe., Ridge ~rdICZ"~7" for work under this ory:",/
(OWNER)(CONTRACTOR) SIGNED ~AM ~v.-fJ--DAT'3 A r
Description: WATFR HfATFR RFPI Ar.FMFNT .
Construction Value: 677.00
Permit Fee: '),- c-c--
0( ~I "0';-
UseTax: !/{).J~
Totai:~;7j
BUILDING DEPARTMENT USE ONLY
w n #i9nS17
~ll1g~lnlllents:
Approvall :
Zoning:
~g):glfm.men~"
Approval:
e.lIbllC'fWorkS:Comments:
. ',"",,"-~--~.,-~"
Approval:
Occupancy:
Walls.
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No I'
Company'
Expiration Date:
Approval:
.J ~!1f!iitlERelluille~.;::J
Expiration Date 8/11/1 '1
Approval.
Plans Required
Mechanical License No :
Company:
Expiration Date:
Approval.
.J fi?JlIIj$:11WlIInKIi!!IIIiilII
This permit was i~d in accordance WIth the prOVISIons set for:n In yopur applicatIon and is subject 10 the laws of ttle State at Colorado and to the Zoning
RegulatIons and Sl.Idd;ng Code of lM1eat Ridge, COloradO or any other applicable ordinances of the CIty.
This permit shall exore if (Al the work authonzed 1$ not commenced WIthin sixty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for a perIOd of 120 days.
If this permIt expires. a new permit may be acqUlrea for a fee of c:'le-half the amount normally reqUIred. provided no changes have been or will be made in the
angInal plans and specifications and any suspensIon or abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment
exceeds one (1) year. full fees shall be paid for a new oerrnlt.
No work of any manner shall be done lOat Wilt change the natural nOW of water causing a drainage problem.
Contractor shall notJIy the BUIlding Inspector twentv-four (24) ho;.;~s In advance for alllnSpeC!lons and shall receive written approval on inspection card before
proceediing With SIlDtItleSSlve phases of the Job.
The Issuance at a permIt or the approval of drawlnas and speclf:catlons shall not be construed to be a permit far, nor an approval of, any violation at the provisions
of the building coaes or any other orOlnance. law. r'i..;e or r~ulal;.Jn
(11
(21
(3)
(41
(51
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
w.o. #190517