HomeMy WebLinkAbout4925 Independence StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Revision to Permit Application
Date: Monday, October 25, 20218:36:35 AM
Revision to Permit Application
Permit Number
202102211
assigned to project
720-648-2296
PROPERTY INFORMATION
Permit Number
202102211
Property Address
4925 Indpendence Street
Property Owner Name
Sessions Group
Property Owner Phone
303-875-2995
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
chrisH@sessionsgroup.com
Address
Contact Name
Davetta Giron
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
720-648-2296
Contact Email Address
davettag@turnermorris.com
Retype Contact Email
Address
davettag@turnermorris.com
DESCRIPTION OF WORK
Detailed Revised Tearoff all roofing to metal deck, install poly -iso per code, adhere
Scope of Work - fleeceback epdm in foam adhesive extend membrane up and
Provide a detailed over parapet install new termin-edge coping
description of the
change in scope of
work including
mechanical, electrical,
plumbing work
occurring,
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 Submitting Davetta Giron
Revision
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adding/removing walls,
etc
Engineer Letter (if Field not completed.
applicable)
Additional Documents Field not completed.
on Letter Size
Are plans or No plans needed
documents locked for
editing?
Construction Plans
scanned on 11'x17" or
larger
Additional Project
Value Only add what
the revised scope of
work is valued at.
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Field not completed.
HE
Wheat Ridae CC Authorization.odf
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
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