HomeMy WebLinkAbout4490 Teller Street� ► � i City of Wheat Ridge
Homeowner Porch PERMIT - 202002060
PERMIT NO: 202002060 ISSUED: 11/10/2020
JOB ADDRESS: 4490 Teller St EXPIRES: 11/10/2021
JOB DESCRIPTION: Installing porch in the back of the home with wood and metal roof.
Sq ft: 192
*** CONTACTS ***
OWNER (303)359-9292 CARRON DANIELLE
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31000.00
FEES
Total Valuation 0.00
Plan Review Fee 60.68
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 217.03
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
Owner/Contractor is responsible for locating property lines and constructing improvements
according to the approved plan and required development standards. The City is not
responsible for inaccurate information submitted within the plan set and any construction
errors resulting from inaccurate information.
Landscaping removed or damaged during construction must be replaced prior to final
inspection.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Porch PERMIT - 202002060
202002060 ISSUED: 11/10/2020
4490 Teller St EXPIRES: 11/10/2021
Installing porch in the back of the home with wood and metal roof.
Sq ft : 192
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Accessory Structure (Garage, Shed over 120 sq ft, Gazebo)
Date: Monday, October 12, 2020 3:16:21 PM
Residential Accessory Structure (Garage, Shed over 120 sq ft,
Gazebo)
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 4490 Teller St, Wheat Ridge, CO 80033
Property Owner Name Danielle Carron
Property Owner Phone 303-359-9292
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
dpcarron@gmail.com
Carron Electronic Pavment.odf
CONTRACTOR INFORMATION
Contractor Business N/A
Name
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
8I I8II
Contact Email Address dpcarron@gmail.com
for
Questions/Comments
Retype Contractor dpcarron@gmail.com
Email Address
01:K161ZI19IN0KelMyLelN21
Detailed Scope of Porch
Work - Example:
Detached Garage with
Electrical;
Unconditioned shed
Square Footage of 192
Accessory Structure
Engineering Letters Carron Project 1.odf
and Other Letter Size
Attachments
Construction Plans Carron Project 3.odf
scanned on 11 N17" or
larger
Project Value (contract 3,000 $3,000 Valuation is
value or cost of ALL OK
materials and labor)
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.
Person Applying for Danielle Carron
Permit
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.
Email not displaying correctly? View it in your browser.
City of
W heat idge
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property. Property must be in individuals' name, not a company.
PropertyOwner(s): PAr,Eu< (",ennJ
Project Property: `N00 rELLC (Z 5r LvH4)q-/ ✓,a4x, t'o qv 1,33
Project Type: i7A ri o
Notarized signature of,Applicant
State of Colorado }
County of ss
The foregoing instrument was acknowledged by me this _ day of D&+Qbcr , 20,Lu by
04✓1A4
Notary Public
My Commission Expires LVa- ( /20. —Z
BRETT D MOORE
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20184032987
MV COMMISSION 6xPIRES AUGUST 27 2022
Reviewed for Zoning Compliance by the ,(., Owner/Contractor is responsible for locating property lines Landscaping removed or damaged during
City of Wheat Ridge Planning Division and constructingimprovements according to the roved
APPROVED � p g PP construction must be replaced prior to final
plan and required development standards. The City is not inspection.
responsible for inaccurate information submitted within the
BY:
DATE: November 10, 2020
COMMENTS: inaccurate information.
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ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
ALL Projects are
Subiect to Field Inspections
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APPROVED
Reviewed for Code Compliance
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Randy Slusser 10/26/2020
Plans Examiner Date
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All work shall comply with
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i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 1 k =
Job Address:
Permit Number: AZ f ?
❑ No one available for inspection: Tin M7 M
Re -Inspection required: Yesa,
When corrections have been made, the ule for re -ins action online at:
httpYAvww.ci.wheatridge.co.ualrinspe t on r
Date Insp ctor
r n
City of Wheat Ridge
Homeowner Electrical PERMIT - 202001713
PERMIT NO: 202001713 ISSUED: 08/27/2020
JOB ADDRESS: 4490 Teller St EXPIRES: 08/27/2021
JOB DESCRIPTION: Digging trench to run a pipe for future electrical between house and
garage, 50 feet.
*** CONTACTS ***
OWNER (303)359-9292 CARRON DANIELLE
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 300.00
FEES
Total Valuation 0.00
Use Tax 6.30
Permit Fee 26.50
** TOTAL ** 32.80
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Homeowner Electrical PERMIT - 202001713
PERMIT NO: 202001713 ISSUED: 08/27/2020
JOB ADDRESS: 4490 Teller St EXPIRES: 08/27/2021
JOB DESCRIPTION: Digging trench to run a pipe for future electrical between house and
garage, 50 feet.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include al[ entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermrt fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or y ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Qhief Building Official Date
REQUESTS MU T BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
09/01/2020 09:24 CDBA
C/A0116 AMOU�
Uy5p 449O Tcl1or St 32.8O
APPL/pERMIT NO/ 202001713
PAYMENT RECEIVED
AMOUNT
Ap / 9117
330.10
AUTH CODE! 80546198
pp / 911?
330.10,
AUTH CODE; 8O546198
pp / 9117
32.80
AUTH CUE: 80546940
TOTAL
32,80
Online Form Submittal: General Permit Application https://wnnail.ci.wheatridge.co.us/owa/projection.aspx
Reply all I Delete Junk
Online Form Submittal: General Permit Application
• no-reply@ci.wheatridge.co.us
fto Thu 8/27,10-.40 AM
CommDev Permits
2018
QTO PRINT Dina
General Permit Application
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property Residential or Residential
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat Ridge
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD"
CONTACT INFORMATION
4490 Teller St
Danielle Carron
303-359-9292
dpcarron@gmail.com
d.pdf
Reply all
1 of 3 09/01/2020, 9:13 AM
Online Form Submittal: General Permit Application
Reply all I Delete Junk
Contractor's License 00000
Number (This is a 5 or 6 digit
number for the City of Wheat
Ridge)
Contract Phone Number 303-359-9292
(enter WITH dashes, eg
303-123-4567)
Contact Email Address dpcarron@gmail.com
Retype Contact Email dpcarron@gmail.com
Address
DESCRIPTION OF WORK
https://wnnail.ci.wheatridge.co.us/owa/projection.aspx
Detailed Scope of Work - Digging trench to run a pipe for future electrical between house
Provide a detailed and garage.
description of work including *Notary attached - in section below under Engineer Letter
mechanical, electrical,
plumbing work occurring,
adding/removing walls, etc.
Square footage of scope of 50
work
Location of work (backyard, backyard
on roof, etc)
Project Value (contract value 300
or cost of ALL materials and
labor)
Upload Engineer letter, other DC Notary 1.pdf
documents on 8 1/2" x 11"
Upload Asbestos Report if Field not completed.
triggler level is met per
CDPHE regulation.
Upload Drawings 11" x 17" Field not completed.
or larger
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
2 of 3 09/01/2020, 9:13 AM
Online Form Submittal: General Permit Application
Reply all I Delete Junk
application.
I understand that work may
not begin on this property
until a permit has been
issued and posted on the
property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application and
to perform the work
described above.
attest that everything 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.
Yes
Yes
Yes
Person Applying for Permit Danielle Carron
https://wrTnail.ci.wheatridge.co.us/owa/projection.aspx
Email not displaying correctly? View it in your browser.
3 of 3 09/01/2020, 9:13 AM
City of
W
h6a. Logie,
COMMUN ITy DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that 1 currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property. Property must be in individuals' name, not a company.
Property Owners): Dank tLLC C yle a0rl
Project Property: 4410 57 . wFt4A-r w►og(. Co 90o3S
Project Type:-rf,,vc.4 Fayx ELU14%tRL P+Pr,
Notarized signature of Applicant
State of Colorado }
County of J eVe� ss
The foregoing instrument was acknowledged by me this 'Z 7 day of 202.0 by
�-1
Notary Public
KARL EDWARD YARRISH JR.
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20204015817
MY COMMISSION EXPIRES MAY 05, 2024
My Commission Expires 661 / 05 /20t9
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: �/ -7-ke .St
Permit Number: 2-49Z�O O / O®
-
2-1:0 Qz
❑ No one available for inspection: Time•! r PM
Re -Inspection required: Yes o
When corrections have been made, sc ule for re -inspection online at:
h ttp ✓/www, ci//whea tridge. co, urns pection
Date: 1/% ZaZO Inspector: -S111-3
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: U w V /0
Job Address:
Permit Number: /00
❑ No one available for inspection: Time (AIV PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. uarinspection
Date: Inspector: 51 7-1
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Siding PERMIT - 202001004
PERMIT NO: 202001004 ISSUED: 06/02/2020
JOB ADDRESS: 4490 Teller St EXPIRES: 06/02/2021
JOB DESCRIPTION: Residential wood siding with Hardie lap siding. Squares: 135
*** CONTACTS ***
OWNER (303)359-9292 CARRON DANIELLE
SUB (303)961-8345 DANNY BENDER
160104 WOODCRAFTERS REMODELING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00
FEES
Total Valuation 0.00
Use Tax 315.00
Permit Fee 283.55
** TOTAL ** 598.55
*** COMMENTS ***
*** CONDITIONS ***
**A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION.
A final inspection is required at completion.
Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is
subject to field inspections. A mid -inspection is required for house wrap prior to siding
installation. A final inspection is required at completion.
I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Regbests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made e granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The '1Avance orU
ermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
ap . c ie de ce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CitX of Wheat Ridge
06/03/2020 14119 CHER
Rcsidential wood sid
C0B823U15
AMOUNT
SPSP 4490 Teller St
598,55
APPL/PERMIT NU; 202001004
PAYNENT RECEIVED
AMOUNT
PP / 9134
598.55
AUTH CODE: 76058651
TOTAL
_____________________
598.55
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 1, 2020 7:04 PM
To: CommDev Permits
Subject: Online Form Submittal: Siding Repair/Replacement Permit Application
Categories: Need Insurance, Dina
Siding Repair/Replacement Permit Application
This application is exclusively for RESIDENTIAL SIDING REPAIR OR
REPLACEMENT.
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 Yes
residential siding repair or
replacement?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
4490 Teller St
Danielle Carron
303-359-9292
Field not completed.
Scan0002.pdf
CONTRACTOR INFORMATION
Contractor Business Woodcrafters Remodeling
Name
1
Contractor's License 160104
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-961-8345
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address dnnybn@aol.com
Retype Contractor Email dnnybn@aol.com
Address
DESCRIPTION OF WORK
What type of material is Wood siding
being removed?
What type of material is Hardie lap siding
being installed?
How many squares of 135
siding is being installed?
Project Value (contract 15000.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
2
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 Danny Bender
Permit
Email not displaying correctly? View it in your browser.
Date: City J�KW`h6atl
f
COAAMUNiT"af DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge; CO 80033 Plan Review
Office: 303-235-2355 * a 393-237-3929
Inspection Line: 303-234-5933
Email. permits c .whe tr dco. s
Building Permit Application
please oomplete all highlighted areas on both sides of this form. Incomplete applications not be processed.
Property Address: �� x
Pronettv Owner (blease mint): _ - t , Phone:
Mailing Address,{if different than property address)
Address. .
City, State; Zi
Arch to tlEng ne+ r E-mail: Phone
Contractors City License phone;.....
Contractor Erni Address: ,.,
Sub Contractors:
Electrical: Plumbing: Mechanical:
I;
WR City License # W.R. City License # WR City License ##
Other City Licensed Sub: Other City Licensed Sub.
City License # City License ##
Complete all information on BOTH sides of this for
NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL
STRUCTURE
COMMERCIAL ROOFING
i COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL!!M •REPLACEMENT
COMMERCIAL ACCESSORYSTRUCTURE a*. deck,
ACCESSORYRESIDENTIAL g shed, deck,
MECHANICAL SYSTEM/APPLIANCESYSTEM/APPLIANCE REPAIR REPLACEMENT
PLUMBING ' «rr" REPAIR ♦ REPLACMENT
ELECTRICAL : 4 •NMi REPAIR
XR, it • o REPLACEMENT i A
OTHER (Describe)
amount of materials tb be'used, etc.}
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