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HomeMy WebLinkAbout7325 W 48th AvenueFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Wednesday, November 10, 20213:45:52 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 7325 W. 48th Ave Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Glen Duer Property Owner Email permits@plumblineservices.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Plumbline Services Name Contractor's License 24767 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-591-1502 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@plumblineservices.com Address Retype Contractor permits@plumblineservices.com Email Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line water line repair? Length of repair 80ft Location of repair front yard (backyard, frontyard, etc) Provide additional Sewer repair in yard only adding clean outs details including installation of clean- o uts. Project Value (contract 4950 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 Tiffany Gerze Permit Email not displaying correctly? View it in your browser. city cA 'Whe�-atj dge U)MMUN11Y DEVELOPMENT U07t :41A ?I 100tZI-Aff L- M M. III 7325 W 48th Avenue Property Owner (please print): Glenn Duer Date: Plan # Permit # Lfflkl�� MR-Q IBM= 32= 1:00111- fism EMM= Squares - BTU's Gallons _ Amps _ Sq Ft, RTA LOW= 11 Bldg Valuation: $_ 'I PLANNING AND DEVELOPMENT >ECTION DIVISION - 235-2855 OF WHEAT RIDGE NEST 29TH AVENUE kT RIDGE, CO 80215 7325 48TH AVE No. : 5107 5/20/97 Phone : 421-4004 Phone : OF UNDERSTANDING AND AGREEMENT inces proposed by tAis pertnit application are accurate, ces, rules or regulations of the Cky of Wheat Ridge or of record; that all measuremenGS shown, and allegations and agree to abide by all conditions printed on this sponsibilky for compliance wkh the Wheat RWge Building leWfieat Ridae ordinances, for work under this permit. Construction Value : $700.00 Permit Fee : $27.50 Pian Review Fee : $0.00 Use Tax : $14.00 Total: $41.50 BUILDING DEPARTMENT USE ONLY SIC : $q. Ft. : Walis : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company : Company : Expiration Date : Expiration Date : Approval: Approval: n 0 iet foM in yopur applice6on and is sub1ect to the taws of the SWte of Cobratlo antl to the 2onin9 or any olher,applM,eble orCinances ot the City ,.~r.wnr.,n wnhin shM (601 davs trom issue dale or (B) the Euildifg authorized i3 suspended ot ed tor a fee of one-haM the amount normaly required, providad no changes have been or will be made in fhe bn or abandonmeM has nM ezcmded one (1) year. if changes are matle a if suspensionor abanAOnment new permil. inge the natural flow of water causing a drainepe problem. ity-four (24) hoursin aCVanca for all inspactions and shall receive wrilten approvai on inspeciion cartl betore igs and speciflcations shall not ba conshued lo Ee a permtt for, nor an appioval of, any violation of the provisions rule or regulation. ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Building Permit Number Date DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : JBUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : ZIZ Property Address : 70 9--~ /'(J.- Phone : `71a~- ContractorticenseNo.: ~~-ii ~ Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurete, and do not violate applicable ordinances, rules or regulations of the Ciry 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 olher applicable Wheat Ridge ordinance , Ar work under this pertnit. (OWNER)(CONTR4CTOR) SIGNED7) ATE Description Approval: Zoning : Bulfdm_ . ents~ Approval : P,qbl - diiifn~fi&~ Approval: Occupancy : Walls Electrical License No : Company: Expiration Date : Approval: a cl n mm~e31~ Construction Value ~7ea_ Permit Fee : Plan Review Fee : Use Tax : Total : BUILDING DEPARTMENT PE ONLY SIC : Sq. Ft. : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company : Company : Expiration Date : Expiretion Date : Approval: Approval: 0 IPla'SE ELMOM (t) This permit was issuetl in accoNance with lhe provisions sel forth in yopur aOVliwtion anE is subject to the laws ot Ne State o! Colo2AO and to the Zoning Re9ulations and Builtling Code of VJheat Ritlye, Cobrado or any oNer applicable ordinances of the Ciry. (2) This permit shall expire R(A) the work authonzM is not commenced witNn sixty (60) Oays from issue Eate or (B) the builtling authonzetl is suspentled or abantloneC for a peno0 of 120 tlays. (3) If this permit expires, a new permR may be acquired for a fee of one-half the amount normally required, Orovitled no changes have heen or will Oe maCe in the onginal plans and specdiwtions and any suspension or abantlonment has not exceeded one (1) year. II changes are ma0e or if sus0ension or abanCOnment exceetls one (1) year, fu0 fees shall be paid ior a new permit. (4) No work ol any manner shall be Gone that will change the natural tlow of water causin9 a drainaqe problem. (5) Contractor shall notify the Builtling Inspeclor hventy-four (24) Oours in advance for all inspeclions and shall receive written approval on inSDeclion cara before proceediing with successive phases of the )ob. (6) The issuance of a permit or the approval of tlrawings antl s0ecifiwtions shall not be wnstme0 to be a permit for, nor an approval ol, any violalion of the provisions of ihe building coCes or any other ortlinance, law. rule or re9ulation. 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 COMMUNITY DEVELOPMENT 7500WE5729thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M93#19089 234-5933 P.O. eoXS38 CiTY OF WHEAT RIOGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING iNSPECTOR AND RECEIPTED BEL'JW. 7 j /APP CA I F~O1R MISCELLANEOUS PERMIT JOB ADDRESS OWNER CONTRACT~OjR OV ~ ,4DDRESS rl ADDRESSG~~ PHONE,:2;Z/ZIPCODEBU-2 2'~ ZIP CODE 46) CONTRACT PRICE $ GlL~ ~O ~ PHONE ZL LICENSE NO~~ DATE T P G O❑ Woil❑ Pwitctinp❑ 011ur SaDFau roun Y 1. E 2. MATERIAL TOtaI SQuon FNt IG S ❑ ❑ T E4ct Pvmif No S N No 3. ILLUMINATION Yes ype . . 4. SET BACK FROM PROPERTY LME N - 5_ E _ W Zons _ ADDrwed, Zom inspator (Spxify whitn is f ronl ) ❑ ❑ ❑ ❑ Disapproved 1. 7YPE Solido Mon Thon BO% ODen[] Leu Thon BO% Open Mei ht FENCES MATERIAL 3. SET BACK FROM PROPERTY IINE N . S_ E p _ W Zone _ ADMaW,ZonsIntDlieta (SPecify whith it front) ❑ ❑ ❑ ❑ DiaapDroved 2 OTHER 3l- 2 L- ~ DRAW SKETCH OFt SHOW BElOW,1HE FENCE,SIGN,OR OTHER STRUCTURE,GIVIM1& DISTANCES FROM PROPERTV LINES. (SETBACNS OR PROJECTqNS INCIUDED) ~ SPECIFY NORTH STREET NAME SHOW OISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR IATS, SMOW LEAST DISTANCE TO PROPERTV lINES, NOT MAXIMUM OR pVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMiT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLV UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PFRMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE N0. STATE LICENSE N0. AWMINUAAWIREUNDERSIZE81LlEGAL FLOOR BSM IST 2ND 3RD 4TH N0. FUELC'eclsQrGa{0~I ENCSdor ~ WATER CI.OSET FORCED AIR - BTU TEMPORARY METER WASH 80WL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BN LIGHTIN6 SINN OTMER HEATING GARBAGE DISP REFRIGERATqN SYSTEM POWER SUB-LIFCUITS WATER HEATER Refri sront Cxoup DISPOSER,ETC.) UTIUTY(RANGE AUTO. WASHER PouMs LAar s , DISH WQSHER AUTOMATIL SPRINKIER SYSTEM FIXTURES WIRING MOTORS 9 CONTROlS FLD(Xt DRAIN ELEVAIOR SIGNS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORN OTHER MOTORS OVER I HP TOTAL FI%TURES pEMARKS t tnn iiCo- PERMIT FEE apv I nereby ocknowiedpe tna fion it correct ond undarstond tnat I USE TAX Zy 3.5y oonnot sfort thie projbct uniil Mis aDDli- cotion ia opproved. I snon comply witn TOTAL FEE the laws oi the Slafe of Colorodo ond to ths Zoninp Requlations and Bwldinq Ap~pR~VED ` Code of ihe City oi Wheat Ridpe. Any me will cause t GHIEF BUILDIN INSPECTOR,City of Wheat Ridqe er violafion of the obove immediate revocation o Js permit , Date Issued~ s~aeaw,. NO7 VAIID UNlE55 RECEIPTED /e ~ 5 ro z 9 aQ( kt ( Sa / a-- CALL 234-5933 24 HOURS IN ADVANCE FOfi INSPECTIONS