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9195 W. 44th Avenue
City of Wheat Ridge V_ ' '" E -Res. Boiler Replacement PERMIT - 201803255 PERMIT NO: 201803255 ISSUED: 12/18/2018 JOB ADDRESS: 7955 W 42nd Ave EXPIRES: 12/18/2019 JOB DESCRIPTION: Replace gas boiler, 175K BTUs; 83% efficiency *** CONTACTS *** OWNER (970)319-1997 LAVERTY SARAH SUB (303)962-9532 Steve Brandt 021365 The Cooler Company *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 210.00 ** TOTAL ** 250.00 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 legally authorized to include all entities named within this document as partes 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 orizinalpermit 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 Budding Offcial and is not guaranteed. 4. No work of an manner shall be performed that shall results in a changeof 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 a}1 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 o a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable,9@4e or any or.yynce 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. Kimberly Cook Q 10 (60��65 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, December 18, 2018 12:40 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Kim Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 7955 West 42nd Avenue Sarah Laverty 970-319-1997 slaverty@efg-bp.com Wheat Ridge CC.Pdf CONTRACTOR INFORMATION Contractor Business The cooler Company Name 1 Contractor's License 021365 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-422-5308 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address coolerco@aol.com Retype Contractor Email coolerco@aol.com Address DESCRIPTION OF WORK What type of unit is being Boiler installed? Number of BTUs 175,00 What is the efficiency 83 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or Main level of the house boiler located (for example, basement, crawlspace, etc)? Project Value (contract 10000 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 z has been issued and posted on the property. I certify that I have been Yes 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 Alexa Alcon Permit Email not displaying correctly? View it in your browser. Cit of g 16at c Date: COMMUNITY DEVELOPMENT Plan # Building &Inspection Services Division Permit # 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address: Gf / 9r 04 ��Mf AV25. allVe W 2! a E , (fe F41 O 3 3 Property Owner (please print): j�r)ew/a lg/ 4W,4c.YS7 Phone: 3 ©3, 423.0 1 2 L`Ke 121 Mailing Address: (if different than property address) Address: 93 06 AI(5:S7 S 7 ?77/ AV6 . .City, State, Zip: )9210Y Da, Co Q®ooa Con�racto�: � tl7A -�� fL � 6J G. Contractors City License #: Phone: vuuruuu4r,Wla[1P.i3 Electrical: Plumbing: Mechanical: City License # City License # City License # i5 o&owork j4&t?t.Ac,5 ?Wo moo-F Tae ( ktftS wt" strYt�.A2 OrJ�S. 3`raus E-tsc0 - -SA14L •Q - Contract Value: Lo cf6' - 2 APtPAC tTY Review Fee (due at time of submittal): Square BTU's 344AO Gallons _ Amps Sq Ft. $ 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 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 compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that i am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity this application. CIRCLE ONE: (OWNER) (CONTRACTOR). or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: AftyrCr O~P— dee AIAAW,? &GNATURE: 4 Ab _ DATE: 71.4116 ININININoffimm, "n r Bldg Valuation: $