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
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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
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(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
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Job Located at
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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:
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You are hereby notified to correct the foregoing violations.' j
When corrections have been made, call for inspection. J
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Date /I /' if . " . .,^ (".- J
Inspector lor Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6-22
~1f*-~~'!'~';?~::f:,'f':'~'<I;.""'8~.. .,.",.".,"~
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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. .
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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.
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(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