HomeMy WebLinkAbout12181 W. 32nd DriveFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement
Date: Tuesday, January 25, 2022 12:56:06 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Furnace/Boiler Replacement
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
Is this Residential or
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Residential
WAR] IRpt 102MI1]ilR-
Karen Sabatka
303-233-8626
Property Owner Email karensabatka@aol.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Electron ic-Payment-Form. Cdf
CONTRACTOR INFORMATION
Contractor Business
Metro Heating and Cooling, Inc.
Name
Contractor's License
019912
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-366-7868
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
coolersonline@hotmail.com
Address
Retype Contractor
coolersonline@hotmail.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
80000
What is the efficiency
80%
(°%) of the unit?
Is the unit GAS or
gas
ELECTRIC?
Where is the furnace or
basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
4200
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 cindi Doss
Pe rm it
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From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, August 18, 20219:07:55 AM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 12181 W 32nd Dr
Property Owner Name Karen and Adrian Sabatka
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
303-233-8626
CONTRACTOR INFORMATION
Contractor Business Stanmark Electric CO
Name
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 Ben Stuckey
Permit
Email not displaying correctly? View it in your browser.
Contractor's License
019484
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-627-2714
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
se@stanmarkelectric.com
Address
Retype Contractor
se@stanmarkelectric.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Change
service upgrade or
change?
Number of Amps
200
Location of work
Exterior of garage
(garage, house, etc)
Provide additional
Install new 200 amp mater and panel with branch circuitry over
details, If needed.
current devices( breakers)
Project Value (contract
4000
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
City of Wheat Ridge
Residential Roofing PERMIT - 201701406
PERMIT NO: 201701406 ISSUED: 06/02/2017
JOB ADDRESS: 12181 W 32nd DR EXPIRES: 06/02/2018
JOB DESCRIPTION: Remove 27 squares of existing roof material to deck; REDECKING included;
install 7/16 OSB; ice and water shield on all eaves, valleys, petrations
and low slop 2/12 areas; CT Diamond deck synthetic underlayment and CT
landmark IR class 4 shingles
*** CONTACTS ***
OWNER (303)233-8626 ADRIAN A SABATKA AND KAREN L S
SUB (303)798-0111 Larry Johnson 150247 My Home Solution Co., LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE:
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: Op'// Unassigned
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 22,773.00
FEES
Total Valuation 0.00
Use Tax 478.23
Permit Fee 410.35
** TOTAL ** 888.58
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding KI/2-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site,
l�..11 ♦11 ;..c.rnntinn ranllPCt line before 11:59 a.m. to receive an inspection the following business day.
-
Inspector Must Sign ALL Spaces pertinent to this project s.
Foundation Inspections
Date
Inspector CommentsInitials
Pier
Inspector Comments
Initials
Electrical
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Sewer Service
Do Not Pour
Concrete
rrlor i o Approval .tel 111w r.uw.%-, �••�r-���•--••--
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Sewer Service
Rough Grading
Insulation
Plumbing
- _ _ ...r Tom_ A I-_.,_
Do Not Cover under round or
Rough Inspections
aeiow1iii—,au
Date
..W.M
Inspector
I ' 'als ,
• • - r• - -
Comments -
W Sheathing
Mid -Roof
I
% /
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW &Drainage /Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
al Plumbing
chanical
FipFinal
'
ndow/Doors
ilding
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
--1:--- — r niotart fmm the Fire District and electrical low voltage
*For low voltage permits - rivasc L)u dui c L11— uy" -t1'--
by
"'t1-'-. -by the Building Division.
**For Inspection Time Window - Please email insptimerequeSt@Ci.wheatridge.Co.US by 8.00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201701406
PERMIT NO: 201701406 ISSUED: 06/02/2017
JOB ADDRESS: 12181 W 32nd DR EXPIRES: 06/02/2018
JOB DESCRIPTION: Remove 27 squares of existing roof material to deck; REDECKING included;
install 7/16 OSB; ice and water shield on all eaves, valleys, petrations
and low slop 2/12 areas; CT Diamond deck synthetic underlayment and CT
landmark IR class 4 shingles
*** CONTACTS ***
OWNER (303)233-8626 ADRIAN A SABATKA AND KAREN L S
SUB (303)798-0111 Larry Johnson 150247 My Home Solution Co., LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 22,773.00
FEES
Total Valuation 0.00
Use Tax 478.23
Permit Fee 410.35
** TOTAL ** 888.58
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701406
PERMIT NO: 201701406 ISSUED: 06/02/2017
JOB ADDRESS: 12181 W 32nd DR EXPIRES: 06/02/2018
JOB DESCRIPTION: Remove 27 squares of existing roof material to deck; REDECKING included;
install 7/16 OSB; ice and water shield on all eaves, valleys, petrations
and low slop 2/12 areas; CT Diamond deck synthetic underlayment and CT
landmark IR class 4 shingles
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 t e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
thispermrt. I further attest that I am legal] authorized to include all entities named within this document as parties to the work to be
performed and that all work to be perfo a is disclosed in this document and/or its' accompanying approved plans and specifications.
(I I IAmt 72
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 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 any ordinance or regulation of the 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
Wheat jjc-Tc
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(_Zi_)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit#
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: kg-. 11 W. 3 Lam„ 2..t. d r
Property Owner (please print): ru« �► Sc_(0.1 kkL c Phone:303 -137- 5;fZ6
Property Owner Email: I -A I ✓}
Mailing Address: (if different than property address)
Address:
City, State,
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: 1"`, L4% � S Q (, C v . _v L_l_ C d,1 k, Ce, � Z:r 00 e.
Contractors City License #:
1!�D2.(4-7
Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliancesize and effigiency, type and
amount of materials to be used, etc.) u,. 2, S 1 az..-Gs CS- t s t -I N G p_,wf
'T 0 b tLte- % r „�`�c� << i t V O 5,6 GT X c e i i.J,"-�, e. ((
C 7- 4 b ti �� --J , k �� � N I I � , � ti ttt,,� 5 t 2t..r��,.o. � � .. � r -if,) S it
2 l C -T" ED Z) ee- � S � r.�%�tr t`� L P►t K d� �e /�y to
Sq. Ft./LF
Amps
Btu's
Gallons
Squares 2"-J Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
1 1-13
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 on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): Z • z DATE: C�. 7-17-0-f
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Buildina Division Valuation:
i CITY OF WHEAT RIDGE -
Building Inspection Division r+
(303) 234-5933 Inspection line_��9�
(303) 235-2855 Office • (303) 237-8929 Fax l �,
V
INSPECTION NOTICE
Inspection Type: �C
Job Address: c� 3
Permit Number: )(___17LLia0
❑ No one available for inspection: Timet: f PAM PM
Re -Inspection required: Yes" No,
t
When corrections have been made; -call for re -inspection at 303-234-5933
Date: b1l qL1 7 inspector: �wGd�w�-
DO
NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
]~9r(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: K.Il)t-
Job Address: ~ I q I (j), '2 i.
Permit Number: (AVqq
g M1 rne^'1~""
❑ No one available for inspection: Time P/0 AM/PM
Re-Inspection required: Yes I lNo
When corrections have been made, call for.-re-inspection at 303-234-5933
Date:Inspector:
DO NOT REMOVE THIS NOTICE
~y
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: t1A!A dm
Job Address: 1 ~ 14~1
Permit Number: t~CP
d"L
❑ No one available for inspection: Time I IW 6; AM PM
Re-Inspection required: Yes ecall When
corrections have been made, for re-inspection at 303-234-4593
Date: ~.r inspect
DO NOT REMOVE THIS NOTICE
f
' City of Wheat Ridge
Residential Roofing PERMIT - 093488
s- PERMIT NO: 093488: ;ISSUED:' 10/20/2009
JOB ADDRESS<. 12181 W 32ND DR EXPIRES: 04/18/2010
DESCRIPTION:. Reroof 27 sqs
CONTACTS
owner 303/233-8G26 Adrian Sabatka
sub ; 303./659-8241 Alfredo Ramos 06-0036 Ramos Rnnfinl On
t, PARCEL INFO
ZONE CODE: UA 1USE: UA
SUBDIVISION:'- 0697 .BLOCK/LOT#:. 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 12,800.00
FEES
c? Permit Fee 290.30
Total Valuation ,pp a
1F Use 'Tax 230.40
TOTAL 520.70
a:
- Conditions: r
6 nail installation & mid roof inspection required. Board sheathing spaced more
than `a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield'. required from eave edge to 2' inside exteriorwalls.
***Contractor/Property owner shall provide ladder(s) secured in place for
inpsections.
Subject to field inspection.'
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
K' 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 the Wheat Ridge Building Code (I.B.C) and all other
s.appl' 1-e) Wheat 'Ridge Ord for work under this permit. Plans subject to field inspection.
lz~~/ C
rgnature tractor/owner date
1. This permit was issued in accordance with the provisions. set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat. Ridge, Colorado or any. other. applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
BUILDING. OFFICE;. (303)235-2855
S DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
~oF"'"E9rp City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
C~<ORA~~ Inspection Line: 303-234-5933
Building Permit Application
Prop ertyAddress
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
State, Zip:
Contractor:Lu
Date:
Plan
Permit ~l
7 Phone:
Contractor License Phone: 1 ~
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ /
DBSCrlptlen Of Wgrk3 (as calculated per the Buildinv vaiuaG Data sheet)
Plan Review (due at time of submittal): $
Z~S~cr l/~/rac ?A"
Sq. Ft./L.Ft added: Squares 0 7 BTU's Gallons Amps
SIGNATURE OF UNDERSTANDING AND AGREEMENT
OWNER/hereby
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C)RLCE ONE:: (OWNER) ONTRACTOR) or PERSONAL REPRESS TIVE of (ER) (CONTRATOR)
PRINT NAME: 2 J c9t' SIGNATURE/ ---~z Bate: a d
DIF-,PARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-2198
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :11/7/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Properry Owner
Property Address
Contractor License No.
Company
SABATKA ADRIAN A
12181 32ND DR
17986
Phone :
The Gas Connection
Phone : 466 4206
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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : GAS INSERT
Construction Value :
$600.00
Permit Fee :
$17.00
Plan Review Fee :
$0.00
Use Tax :
$9.00
Total:
$26.00
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
MM
(1) This permit was issued in accordance with the provisions set forth in yopur applicalion and is subject to the laws.of the State of Coloretlo and to the Zoning
Re9ulations and Builtliny Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City.
(2) This pertnit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the builtling authorizetl is suspended or
abandoned for a period of 120 days.
(3) If this pertnit expires, a new pertnit may be acquiretl for a fee of one-half the amount normally requiretl, provided no changes have been or will be made in the
original plans and specifications and any suspension or abantlonment has no[ exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (i) year, full fees shall be paid for a new permit. -
(4) No work of any manner shall be done that will change the natural flow of water causing a tlrainage problem.
(5) Contrador hall notify the Builtling Inspec[or hventy-four (24) hours in advance for all inspeclions antl shall receive wriqen approval on inspeclion cartl before
proceedi ith successive phases of ihe job.
(6) The is a of a_pgrmit or the approval of drawings and specifications shall not be construed to be a permil for, nor an approval of, any viola[ion of the provisions
of ih ui ing coqqs or any otheprdingce, law, rule or regulaUOn.
Buiiding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
mi
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDtNG 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 : Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : ('PD
I hereby certify that the setbadc distances proposed by this pertnrt appllwtion are aceurete.
antl do not vlolate app6caGle ortlinanees. rules or regulations of the City of Wheat Ridge or PgrmIY F@E: /7-OY/
covenants, easements or restnctions of reeortl: that all measurements shown. ano allegations
made are accu2ie: that I have read and agree to abide by all contlitions printetl on this USE T8X :
application, ana that 1 assume PoII responsbility for comphanee wrth the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheat Ridge ortli ance . or wark untler thls permit.
Total:
(OWNER)(CONTRACTOR) SIGNED pq~
Description ~ o%i~~~~~
BUILDING DEPARTMENT USE ONLY
Z~nrr~06Yntstil~J
Approval:
Zoning :
Approval :
POhiI(VNB[fir--Cfflmman39y
Approvel:
Occupancy : Walis : Roof : Stories : Residential Units :
Eiectrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company ;
Expiration Date : Expiration Date : Ecpiration Date :
Approval:
._3 gPiSIIS: ReQ.
Approval : Approvat :
~ :.P18hsReguiretl~_~
(1) This pertnrt was issueC m accoNance wiN the provrsions set tortn m yopur apphwhon antl rs suC7ec[ to the laws of the Sfate of Coloratlo antl to the Zaning
Regulauons antl 8uiltling CoCe of VJheat Ridge, Coloretlo or any oNer applicable ominances of the City.
(2) This permrt snall euprte if (A) Ne worx authonzee is not commencea wimin sixry (60) tlays hom issue date or (B) the builtling authonzed is suspentletl or
a6antloneo for a penoa of 720 Cays.
(3) If this pertnn expires. a new pe'mit may De acquireC kr a!ee of one-harf the amount nortnalty reqmred, pmvitletl no changes have been or will be matle in the
onginal plan5 and speafieafions antl any suspenson or abantlonment has not excee0etl one (1) year. If Uanges are matle or if SuSpension or ebantlonment
exC8e0s one (1) yeaL full fees sNall he paitl far a new permd.
(4) No wotlc of any manner shall be tlone Natwill change Ne natural flow of water causng a tlrainage problem. (5) ConUactor snall noBy the 8uiltling Inspector hvenry-four (24) hours m atlvance tor ail mspections antl shall receive wntten appmval on inspection cartl before
proceetlnng wnh wccessrve phases of the job.
(6) The issuance of a permrt or the approval of tl2wmgs antl specifimuons shall not be construed to be a pertnit for, nor an approval of. any violation o(Ne provisions
of the Cmlamg cotles or any other ortlmance, law. rme or re9ulaaon.
Chief Building Inspector
For Mayor
THIS PERM9T VALID ONLY WHEN SIGNED BY THE CHIEF BUILDMIG INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
5460
7/16/97
Property Owner :
Property Address : 12181 32ND DRIVE
Contractor License No. : 18527
Company : KNERL SHEETMETAL INC
Phone: 233-8626
Phone: 427-3801
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry 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 fo compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat 'I~je ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Construction Value :
$3,600.00
Permit Fee :
$$$.00
Plan Review Fee :
$0.00
Use Tax :
$43.20
Total:
$13120
Description : INSTALL EVAPORATVf~COOLER AND REPLACE EXIXTING FURNACE WITH 125K BTU
FURNACE
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval :
lm IN ffl~ Wd mo
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subjectto the laws of the State of Coloratlo antl to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of ihe Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorizetl is suspended or
abandonetl for a period of 720 days.
(3) If this permit expires, a new permit may be arquired for a fee of one-half Ihe amount normally required, provided no changes have been or wiil be made in the
original plans and speciFlCa[ions and any suspension or abandonmen[ has not exceedetl one (7) yeac If changes are matle or if suspension or abandonmeni
exceeds one (t) year, full fees shalt be paid for a new permi[.
(4) No work of any manner shall be done thatwill chan9e the natural flow of water causing a draina9e pro6lem.
(5) Contractor shall notiry ihe Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspeciion card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall no[ be construed to be a permit for, nor an approval of, any violation of the provisions
of the building I es7 an/her ordinance, law, rule or regulation.
Chief Building Inspoor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
i
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 : ( 32 J 'Jv . Phone : 2 3 > - ~G 2
Contractor License No. : 1,8 32 7 /
Company : K",.1 S~ Pe~ /~q g~" 1 Phone 2 7- "3 c~U/
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pemit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of VJheat Ridge or
covenants, easements or resfrictions of record; thal all measurements shown, and allegations
made are accurate; lhat I have read and agree to abide by all conditions printed on this
appliwiion, and Ihat I assume full responsibility for compliance with the Wheat Ridge Building
Code (U,B.C.) and all other applicable Wheat Ri5ge ordinan ~wfor ~work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED ~ DATE.
~lACrrintinn' I~. PIA ~~i.uAVU I `6(~,Qr dl.~.
Construction Value : 3 6 vU . 0 0
Permit Fee : ~
Plan Review Fee :
Use Tax :
71 Total:
w'~ a~ ~PW ~Z~ U U`~ (3 I G~ UvhqCQ
BUILDING DEPARTMENT USE ONLY
Z3~ftn~fs 1 SIC : Sq. Ft. :
Approval:
Zoning :
Bulftl ni g Co men
Approval :
PQtilic7WbP ~ o_ e_.~1
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Eiectrical License No : Plumbing License No : Mechanical License No :J 5 2'7
Company :~G41~twe Pfi li~z~ ~•,Z Company : CompanY ~(1/H er( AW McW
Expiration Date : Expiration Date : Expiration Date : 12
/
Approval: Approval: ' Approvai:
is RMINIM-0MERAM IN K:i-~R~qnte~l~9 IN ~la~SsR~qm~Bn~
(1) This pemit was luued in acwrdance with the provisions set forth in yopur appliotion and Is sub'ecl to Ihe laws ol lhe Slate of Cobratlo and PoNe Zoning
Requlations and Buildiny Code of Wheat Rid9e, Colo2do or any other appliwble ordinances ol ~e Ciry.
(2) This pemit shall expire A(A) Ue work authonzed is nol commencM wilhin sixry (60) tlays Irom issue tlale tt(e) Ihe building aulhaized is suspendeE or
a0andone0lor a period o1720 Eays.
(J) II this pemit ezpires, a new pemit may be acquired for a fee o( one-hal( Ne amount nomialty required, provided no changes have been or will6e matle in Ihe
original plans anE specJfi`ations and any suspension at aban0onment tws nol e:ceeded one (7) year. If thanges are made or il suspension ot abantlonment
exceeds one (1) year, full fees shall be paid for a new pefmiL (a) No wone of any manner shall be done lha(will change the natural 9ow of water causing a drainage problem.
(5) ConVador sAatl noliy Ihe Buiiding Inspector lwenry-four (24) hours in advance for all inspeclions anE shall receive wntlen approvai on inspection card before
proceediing with successive phases of the 7~ob.
(6) 71ie issuance of a pemit or the approval o( drawings antl specifirations shall nol be consWetl lo be a pemit lor, nor an approvai ol, any violation of the Orovisiorts
of the Ouildinq coCes or any other ortlinance, law, rule or regulatian. 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
DEPARTMENT OF PLANNING AND DEVELOPMENT
" BUILDING WSPECTION DIVISION - 235 2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
5553
7/30/97
Property Owner :
Property Address : 12181 32ND AV
Contractor License No. : 19608
Company : Northwest Electrical Co., Inc.
Phone: 233-8626
Phone: 452 4740
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 the Wheat Ridge Building
Code (U.B.C.) and all other applice Wheat Ridge ordinances, forwork underthis permit.
(OWNER)(CONTRACTOR)
Description : wire evap
Construction Value :
$150.00
Permit Fee :
$25.00
Plan Review Fee :
$0.00
Use Tax :
$1.80
Total:
$26.80
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Occupancy : Walls
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company:
Company :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
.__a,.,.. .......m.~
m
(7) This permit was issued in accordance with the provisions set Forth in yopur application and is subjectto the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) ihe work authorized is not commenced within sixry (60) days from issue date or (B) the building au[horized is suspended or abandoned for a perwd of 120 tlays. -
(3) If this permit expires, a new permit may he acquired for a fee of one-half the amouni normally required, provitled no changes have been or wiil be matle 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
exceetls one (1) year, full fees shall be paitl for a new permit.
(4) No work of any manner shali be done that will change Ihe na[urel flow of water causing a drainage problem.
.(5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successrve phases of the job.
(6) The issuance of a permi[ orthe approval of drawings and specifcations shall not be construed to be a pertnit for, nor an approval of, any violation of the pmvisions
of the building codes or any other ordinance, law, mle or regulahon. ,
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
(1)t__Ie~
Property Owner :qoP2J FqV~ S~ PA'J C✓i
Property Address : 1'0l I g/ 3a^~p ~'E Vm
Contractor License No. :
Company : (~~f{Kt,5`r z-Le'c-TR,kC 6 .-Lit-'C
BUILDING DEPARTMENT USE ONLY
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this pertnit appiication are accurate,
and do not violate appliwble ordinances, rules or regulations of the City ot Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegalions
made are accurate; that 1 have read and agree to abide by all conditions printed on this
application, and that I assume f II responsibility tor compliance with the Wheaf Ridge Building
Code (U,B.C.) and all other app le Wheat Ridge ordinances, for work under this pertnit.
(OWNER)(CONTR4CTOR)SIGNED O - DATEa~-~~ ~
\ , \ `
Description : ~l
Zonin.Cb~irt ine~Ffts-1
Approval:
Zoning :
Approval:
P,Ulipcio
Approvai:
Occupancy : Walls
Electrical License No :
Company :
Building Permit Number :
Date : 07'3c),77
Phone: '~33
Phone :
Construction Value : jsb
Permit Fee :
Pian Review Fee :
Use Tax :
Total :
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Plumbing License No : Mechanicai License No :
Company: Company:
Expiration Date : Expiretion Date : Expiration Date :
Approval : Approval : Approval :
11 GP,Ian,.~sFteQUi~edXW IN ~PI~RB~i~~49 IN WIMR8QU(~fftl~
(7) This pertnil was issued in accordance with the pmvisioas sel lorth in yopur aOPliw6an an015 su61'ecl to the laws ol the SWte of Cob2do and to the Zoninq Regulations antl Building Code ol Wheat Ridge, Colorado or any other aOPlicable oMinances ol the Ciry.
(2) This pertnit shall expire d(A) Uework authonzed is not tommenced wilhin suty (60) days liom issue Aale or (B) the Ouilding aulhorized is suspentled or
abandone0 for a periotl of 120 Eays.
(3) If tnis pertnit expires, a new pertnd may be acquired for a fee of one-half the artrount noimalty required, pmviEed no changes have been or will be made in the
original plans and speafiwtions and any suspensioa or abandonment has noFezcee0ed one (1) year. If chanqes are made or il suspension or abandonment
exceeds one (7) year, full fees shall be paid lor a new pefmil.
(a) No work of any manner shall be done Ihat will change the natural ilow ot waler wusing a dreinage prohlem.
(5) Coniractor shall notiry the Builtling Inspeclor twenty-four (24) hours in aCvance (or all inspections and shall receive written approval on inspection wrd before
procee0iing wiN successive phases of the'ob.
(6) The issuance of a permit or Ihe approval o~d2wings and specifiwtions shall nol be wnsUued lo be a pertnit for, nar an approval ol, any violation of the provisions
of the Euiltling codes or any oNer oidmance, law, rule or regulaUon. 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
Inspections will not be made unless this card is posted on the building site i
Call by 3:00 PM to receive inspection the following business day.
rwrc ry
CONCRETE SLAB FLOOR
Electrica (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BE SIGNED ,
Framing
Insulation
Drywall Screw
I
r: L'.
FService
__ 5 2"U"
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS: '
Footings /Caissons
_
Stemwall / (CEG) Concrete
Encased Ground
— - -- ---
Rough Electric
Reinforcing or Monolithic
3
—
Rough Plumb
Weatherproof / French Drain
Gas Piping
Sewer Service Lines
INSPECT! ^JS FOR r„ ANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULC,fE CALLED Ac.- LEAST ONE WEEK PRIOR TO FINAL INSPECTI
--
Rough Mecha nical
Water Service Lines
' °"MOTE: " LL ITEMS MUST BE CO Mt' -
' CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY TIE BUILDING DIVISION DOES Nu -` - CONSTITUTEAUTHORIZ� '.
OF A CFRTIFACa ra nG C]crunnni�c nlnR PERMISSION FOR _OC CUPANCY.
rwrc ry
CONCRETE SLAB FLOOR
Electrica (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BE SIGNED ,
Framing
Insulation
Drywall Screw
FINALS
Electrical
FService
_ _-
Mechanical
Mechanical
! 'lV
— - -- ---
Rough Electric
3
—
Rough Plumb
Gas Piping
INSPECT! ^JS FOR r„ ANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULC,fE CALLED Ac.- LEAST ONE WEEK PRIOR TO FINAL INSPECTI
--
Rough Mecha nical
' °"MOTE: " LL ITEMS MUST BE CO Mt' -
' CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY TIE BUILDING DIVISION DOES Nu -` - CONSTITUTEAUTHORIZ� '.
OF A CFRTIFACa ra nG C]crunnni�c nlnR PERMISSION FOR _OC CUPANCY.
FINALS
Electrical
Plumbing
—
Mechanical
Mechanical
Root - . —_ - ---
! 'lV
— - -- ---
Building Final
:Fire Department
R.G.W & Drainage
INSPECT! ^JS FOR r„ ANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULC,fE CALLED Ac.- LEAST ONE WEEK PRIOR TO FINAL INSPECTI
--
Parki Lan dscaping
' °"MOTE: " LL ITEMS MUST BE CO Mt' -
' CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY TIE BUILDING DIVISION DOES Nu -` - CONSTITUTEAUTHORIZ� '.
OF A CFRTIFACa ra nG C]crunnni�c nlnR PERMISSION FOR _OC CUPANCY.
c
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Date: Monday, August 2, 2021 1:34:01 PM
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT 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.
PROPERTY INFORMATION
Is this a new install or
replacement for an
existing AC unit?
Replacement of Existing Unit
Is this Residential or Residential
Commercial?
Property Address 12181 W. 32nd Drive
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Karen Sabatka
K 8193PA1920910,
Property Owner Email karensabatka@aol.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Electronic-Payment-Form-Blda. odf
CONTRACTOR INFORMATION
Contractor Business Metro Heating and Cooling, Inc
Name
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 cindi Doss
Permit
Email not displaying correctly? View it in your browser.
Contractor's License
019912
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-366-7868
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
coolersonline@hotmail.com
Address
Retype Contractor
coolersonline@hotmail.com
Email Address
DESCRIPTION OF WORK
What type of
Evaporative Cooler
replacement unit are
you installing?
How many tons is the
0
unit?
For AC - what is the
5500
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit rooftop
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for No
re -hook?
Project Value (contract 4595
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of