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 #
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Squares - BTU's Gallons _ Amps _ Sq Ft,
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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
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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