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HomeMy WebLinkAbout3900 Independence StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement Date: Thursday, April 21, 2022 3:06:53 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 3900 Independence Ct Property Owner Name DDRC Property Owner Phone 303-233-3363 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed Address (Leave blank if not known) Attach City of Wheat electronICTOmn CUT Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Grand Bison Contracting LLC Name Contractor's License 210358 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-375-1022 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email grandbisoncontracting@gmail.com Address Retype Contractor grandbisoncontracting@gmail.com Email Address DESCRIPTION OF WORK Number of gallons 98 Is the water heater Gas GAS or ELECTRIC? If GAS, enter # of 76000 BTUs. If electric, enter n/a Where is the water Laundry Room heater located (for example, basement, crawlspace, etc)? Project Value (contract 4759 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 Robert J Malunat Pe rm it Email not displaying correctly? View it in your browser. BUILDING DEPARTMENT i I I ! , I I I I i I I , i (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice ; j 1 I j I 1 J I j I j 1 I I i 1 I f , Job Located at -::r; '?/ ,--( 1.._ ,I -/ /"/ ,/,'~ It',''' (,,';'- 1"-" /"," " ,/ / . 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: " ,I ~ .I :.. " 7?'C'J!.~"'/'" : ,. /1,.' .'J/"9"r'C' , /. }I- / {,,,r (~'/I""/'-"''' ;~".//"" , I I , I, f I r t I l r I i -<,....-.) / J.. I l.r ii.,,' ,', .,;;;". / ~/ . .--- /' , ] I ~ j , I 1 1 I ~ You are hereby notified to correct the foregoing violations.' j When corrections have been made, call for inspection. J 1 , :; J Date /I /' if . " . .,^ (".- J Inspector lor Building Dept. DO NOT REMOVE THIS TAG FORM WR6-22 ~1f*-~~'!'~';?~::f:,'f':'~'<I;.""'8~.. .,.",.".,"~ ./'i' OEPARTMENT OF PLANNING AND DEVELOPMENT .,.. BUILDING INSPECTION DIVISION. 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Nu ber: D te: 5571 8/1/97 Property Owner : Property AddresS: 3900 INDEPENDENCE ST Contractor License No.: 17569 Company: Brothers Plumbing & Heatilng Phone: 423-7256 Phone: 451-5057 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Vatu Permit F Plan Review F UseT $600.00 $24.75 $0.00 $7.20 $31.95 I hereby certIfY that the $elback~istances proposed by this pennn application are accurate, and do not violate alll>llcable ordinances, rules or regulalionsof the City of Wheat Ridge or covenanls, .a"menlt or _on. of record; that all messu nls shown, and allegallons made are a<:cUraie;that I have (lllld and ree to' II nditions rinted on this application, and thllllassurne f1lU respon. ilJll!. with the Ridge Building Code (U.B.C.) ""d another appllceble Wh al Ridge s, for nder th~ r (QWNER)(CONTRACTOR) SIGNED DATE /I; . Description: OUTSIDE GAS LINE BUILDING DEI'ARTMENT USE ONLY SIC: q. Ft.: Approval: Occupancy.: Walls: Roof: Stories: Residential nits: Electrical Licenise No : Company: Plumbing License No : Company: Mechanical Lie se No : Company: Expiration Date : Approval: . Expiration Date : Approval : . Expiration Date Approval: . ond to the Zoning ed Is suspended or orwill be mode In the lion or abandonment (1) This parmll waS i~1n lIOClIJrlIance with the provisions set fol1l1ln yopur sppllcallon ond is _ID the _ of the _ of R~"",, BulIdInC COde of WIleS! RJda8, Colorado or sny ~ applical>le ordinances of the Clly. (2) This pennIl_.xpInl if (Al the work ._Is not commenced within sIxly (80) days from Issue date or (S) the bUilding abandOned Ibr a period of=t20 d s. (3) n this pennIl""""', . n8W may be acqUired Ibr aleo of _tho amount nonnolly requlrod, orovIded no changes have original plaI'!t ond spodll s and any suspension or abandonment has not _ one (1) yoar. 11 changes are made or W __ (t)_, full__ bepoldlbranow_ (~) No _ of ~...MOt sh8II ba dcn8 thS! win change tho natural tIow ofwalerceU8inp a dlainage problem. () ~~':~~::orJ""nly.- (24) hours In edvanco for alIl1lSpocUona ond 8haII rocoivewriltan a (6) _""" pi a parmR or dIoapproval of drawlnga and spocifIcationa shall not be construed ID be a penn~ for, nor an approval of the . COCIesorotheF . . ance, ,ruleorregulatlon. on ~ card boIonI any _ of tho provisions uUding Inspector IS PE~MIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION NDMAYOR 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 Property Owner: Property Address: Contractor License No. : Company: Yh."'F", .~'iOO 17'561 Pto+/...t<"> LviI-tV H<>>--{J) .r.lo.defch&i;o-ce fr.p i- J-f6. . j7l'"'.....~:/ <l-l-le"Ji..; Phone: t;2"3 - 72:5'6 Phone: '11/ - 50 ~7 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: t CO . "0 Permit Fee: Plan Review Fee: Use Tax: 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 complia e with the Wheat Ridge Building Code (U,B.C.) and all other applicable Wheat Ri 0 ina es, for work under this pennit. (OWNER)(CONTRACTOR) SIGNEO- DATE~ Description: (,,, 5" jnt - wj51 de Total: BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: Z6lfiii1f'&.omm.en:cs:J Approval: Zoning: Bm((L~omm.e:n~ Approval: ~DliI~KS"~omm~l)~ 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: II ~llifrM~!lgl!~l!M Expiration Date: Approval: .El~~f.iJI__ (ll (2l (3) This permit was issued in accordance with the provisions set forth in yopor application and is subiect to the laws of the State of CoIoc'ado and to the Zoning Regulations and Building Code of Wheat Rid~e. Colorado or any other applicable ordinances of the City. This permit shall expire If (A) the wor1<. authonzed is not commenced within sixty (60) days from issue date Q( (9) 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 Of if suspension or abandonment exceeds one (1) year. full fees shall be paid for a new permit. No woO( of any manner shall be done thai WIll change the nalural now or 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 00 inspection card before proceediing with successive phases ot 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 or the building codes or any other ordinance. law. rule or regulatlon. l'l S) (61 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