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HomeMy WebLinkAbout4341-4371 Everett CourtFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Friday, August 27, 20215:47:48 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4743 Everett Ct Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Heather Hamilton P11-1801 VA Property Owner Email hnhamil@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Sewer Lines Only Name Contractor's License 180100 Number (This is a 5 or 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 Lisa Miller Permit Email not displaying correctly? View it in your browser. 6 digit number for the City of Wheat Ridge) Contractor Phone 720-527-0580 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email lisa@sewerlinesonly.com Address Retype Contractor lisa@sewerlinesonly.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 5 Location of repair front yard (backyard, frontyard, etc) Provide additional Clean-outs will be installed details including installation of clean- o uts. Project Value (contract 2500 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 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95- 710 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :417195 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 property Owner: Property Address: 4341-71 EVERETT CT phone: 457-8246 Contractor License No.: 18181 Company: Eagle Roofing Phone: 421 3627 Construction Value: Permit Fee: Use Tax: (OWNER)(CONTRACTOR) SIGNED DATE Lf-7-15 Total: $7,900.00 $99.00 $11850 $217.50 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 Of regulations of the City of Wheat Ridge or covenants, easements Of 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 responsibi "ty for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe dge or' ce, for work under this permit. Description: REROOF BUILDING DEPARTMENT USE ONLY 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 p .' t forth' .... Re.9ulatiorys and Buildin~ Code of Wheat Ridge, rc~~~~joS;r any o~~~i~pur I~PP~\catl~p and IS SUfbject t~ the laws of the State of Colorado and to the Zoning ThiS permit shall expire If (A) the work authorized is not . . pl<::a eo mances 0 .the City, abendoned.'or apenod of 120 days, commenced within Sixty (60) days from Issue date or (B) the building authorized is suspended or If ~h!S permit expires, a new permit may be acquired for a fee of one half th ~~~:SkP~f~: (~)~:~0~ff:~~~~~ ;en~~~~~~~s~~~O~r~rdonm;nt has ~~~~~~d~~m:~~ ifJ't'::rd ~r'OJ,i~~ge~oa;~a~~~: ~~ires~~n~;;'6~~~~~~;:n~;t o war 0 any manner shall be done that "II h . Contractor shall notify the Building Inspect~1 ~ an9; the natural flow of water causing a drainage problem ~~oceediing with successive phases of the job enly- our (24) hours in advance for all inspeelions and shall receive written a I' . e Issuan a permit or the approval of drawin s .. pplOva on inspection card before of the bUill des any other o~ina:;;j law, ~1"~~r~~~T~~;';,tlons shall not be construed to be a permit for, nor an approval of any violat'lon of the . . . L d~' ,provIsions ilding Inspector THIS PERMIT VALID ONLY WHEN CALL: 234-5933 24 ~'8~~~ ~~J~~g~~~p~g!hg~G INSPECTOR (1) (2) (3) 1Ji~~ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 'Y-7 -7'5- 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: 4{A"'5 tJ1tn~1 ;/tAIIIt hw1/'f;,It,Pl PropertyAddress: 137/- t/5'L/( CV("ti! d. Contractor License No. : Company L::tlj I[ tzoal'1 CO" I"j Ar50H ; c,~-d'1f K/;;'tf(f? Phone: Y5?-IlZyb c Phone: '1;;..1- 3C/ A r OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Use Tax: 7,400 '32 9"9 - o--el I (!f s"2l Total :,,2 (7 _ :::,?7 I hereby certify that the setback distances proposed by this permit application are accurate. imd do not violate applicable ordinances. rules or regulations of the City of Wheat Ridge or ::avenants. easements or restridions of record; that all measurements shown, and allegations rnade are accurate: that I have read and agree to abide by all conditions printed on this ilpplicatlon, and that I assume full responsibili for compliance with the Wheat Ridge Building Gode (U.B.C.) and all other applicable Whea{Rtge ord~~nces for work under this permit. :OWNER)(CONTRACTOR) SIGNED Iu ///;, DATE Lf-7-1-s- Permit Fee: Description: ? /1{-J11.{JtM. 3/a a., &::04" A"))llf. ~1J!JJ., i.'" Approval: Zoning: ;'" . I '!l"!f:l1 1)...:.41 ~ Approval : pwIfll:WOlklS~eomnmi1s:: Approval: Occupancy: Walls: Roof: Stories: Residential Units: E:lectrlcal License No : Company: Plumbing License No : Company: Mechanical License No : Company: I=xpiration Date: ,~pproval : -'~s-Rfqulrecra ]I_..r. .-, .", '. Expiration Date: Approval: II- P.J~'nsRjiql!lf8li;r ..:1 Expiration Date: Approval: II (1) (2) (3) This permit was issued In accordance Wltn the provisions set forth In yopur applicabon and is Subject to the laws of tM State of Colorado and to the Zoning Regulations and Building Code of lNtIeat Ridge. Colorado or any other apphcable orcllnances of the City. This permit shall expire If (A) the work authonzed 15 not commencea Within SIXty (60) days from Issue date or (8) the building authorized is suspended or abandoned for a panod of 120 days. If this permit expires. a new permit may be acquired for a fee of one-hatt 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 penntt. NO work of any manner shall be done thai will change the natural now of water causing a drainage problem. Contractor shaH notify the Building Inspector twenty-four (24) hOurs In advance for all Inspections and shali 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 of the building codes or any other ordinance. law. rule or regulation. (4) (5) (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