Loading...
HomeMy WebLinkAbout10690 W 47th PlaceCity of "' Wheatle �'"yC;o,�i.ti�uNlTl iFY; LfJPMEIrIT " Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email::. Ca?ci.wneairiac: I FOR OFFICE USE ONLY Date: Plan/Permit # Plan Revlew Fee: K -d 1 ` 55 Building. Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Propet Ly Owner (please print): ~:g- f Phone: Property Owner Email: 46'9 S Al Tenant Name (Commercial Projects Only) IA - Property Owner Mailing Address: (if different than property address) Address: City, State, Zii: Architact/Engineer-#4, -�sryJ c //off ��G .RC1 pG 1S A -K- Architect/Engineer E-mail: Andrew Kubala Phone:_ 3 0?, ¢,6,�3 Contractor Name. Freedom Design & Const. LLC iioi g E malar Ay _nue City of Wheat Ridge License #: Foxfield, CO 80016Phone: Contractor E-mail Address: �� ©/1�`C{�iCy, *CG. C om For Plan Review Questions & Comments (please print): CONTACT NAME (please print): .D Phone: CONTACT EMAIL(please print):u-���- Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: - Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License #` City License # Complete all highlighted fields QCOMMERCIAL ,(iC RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. ,��� ��� � �= %may o �. OJ(7A) GO G � -1 /� � t�� r ` rC � e-" Sq. FULF 11;9Z7 / BTUs Gallons Amps _ Squares _ For Solar: Kw # of Panels Requires structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materiels and labor included in the entire project) $ 60 a0c 0�-- Valuation Okay 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 prope 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 s application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the appli on. CIRCLE ONE: (OWNER) of (OWNER) (CO7NTRACTOR) Signature (first and East camel: Andrew K17bale �lTE 21-/T';�o Z?/ Printed Name: A7" AW E Easter Avenue ox le igCoC- ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. PUSS JCbVORKSI.CWMEr17S: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Asbestos Abatement Date: Thursday, April 7, 2022 12:41:16 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 Asbestos Abatement This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT 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 asbestos abatement? Provide copy of CDPHE State Permit or Stamped Approved CDPHE State Permit Application EX22-016 Permit - Aooroved CDPHE.odf PROPERTY INFORMATION Property Address 10690 West 47th Place Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Brian Cannon 150181919 0SOY&3 Property Owner Email mcannon@kjcequity.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A EX22-016 Wheat Ridae - Electronic Payment Form.odf CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Excel Environmental, Inc. Name Wheat Ridge 210389 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-577-9933 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email admin@excelcorp.net Address Retype Contractor admin@excelcorp.net Email Address DESCRIPTION OF WORK State Permit No. or 03/02/2022 Application Approval Date with Initials of CDPHE Employee approving application. Location of Abatement Wheat Ridge Square Footage Area 1160 of Abatement Has the abatement Yes been completed If abatement has been Final Clearance Report - 10690 W 47th PI Wheat Ridae completed, upload the AMFNDFD pdf clearance report. Project Value (contract $16,690.00 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. Person Applying for Jennifer Zavala Pe rm it 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. DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M92#17788 237-6944 ExT. zss P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. TNIS PERMIT VALiD ONLY WHEN SiGNED BY THE CHiEF BUILDING INSPECTOR ANG RECEIPTED BELOW. JOB ADDRESS CONTRACTOR AC3-`" LUT E COhS"i II 10Y.7 ADDRESS _I q`AO I-A1 R FR K 5 T v CITY D KNV1~4 ZIP CODE Sltl~ Sd22- PHONE 322'-1 1b2 LICENSE NO. 1. TVPE Ground Wall❑ OwNEa 0- E L ESTE /aL-LF_N ADORESS _IOCo`l (7 I L17"' PLAIGE PHONE y ZI ' SY KI ZIP CODE b'2 233 CONTRACT PRICE $ 2700 DATE ~ 7 1 ri -1 I Otnar 5 or D Faa 12. MATERIAL Total Spuan Fnf $IGN$ 3. ILLUMINATION Yss❑ No❑ Typs ElK}. Permit No. 4 SET BACK FROM PROPERTY LINE whitn ie E_ W Zons_ Approvsd,2one lnspoetor ❑ ❑ Disaomwsd 1. TYPE SolidU Mon Thon 80% Opan❑ Lesi Than BO% Open FENCES ? MATERIAL HoipAf 3. SET BACK FROM PROPER7Y LINE N_ 5_ E_ W Zons_ ApprwW,Zorn InsDactor p (Specify whieh ie front) ❑ ❑ ❑ DisopDroved i l~E~'bOF/N6 .45o(~a,.? -,~Il.,c• /CS / /A[Vk'ee 7"F1L2 OFI= OTHER I2 DRAW SKETCH OFt SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIV (SETBACKS OR PROJECTION$ INCLUDED) INSPECTION 71CKET JoB ADDRESS . DATE: 1 ONd\ BLDG. PnER~MIZTN Olit PERMITN BLDG. CONTR._PI,QSOLUTE SUBCONTRACTOR STREET NAME DATE INSP. REQ. ' I-Aa~-~ SHOW DISTANCES FROM THE MAIN BUIIDING TOADJOINING HOUSES, STREETS,! DISTANCE TO PROPERTY lINES, NOT MAXIMUM OR AVERAGE 015T4NCE. TYPE OF INSP. MiNtA APPLICATION FOR PLUMBING; ELECTRIC INSPECTION MADE THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCI REMARKS 1-22 --0/ z ELECTRICAL PERMIT STATE LICENSE NO PLUMBIN6 PERI, ~ STATE LICENSE N0. ALUMINUMN7REUNDERSIZE8ILLEGAL FLOOR BSM IST I pI N0. WATER CLASET W q FORM 6 19 TEMPORARY METER WASH BOWL . , . NEW SERVICE - AMPS BATH TUB CHANGE SERVICE-AMPS SHOWER / LIGHTING SINK ~ HEATING GARBAGE DISP POWER SUB-GFCUIrS WATER HEATER Refri ranf Gw UTILITY(RANGE,DISPO5ER,ETC.) AUTO. WASMER ppun" C FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CON7ROLS FLOOR DRAiN ELEVATOR SIGNS URINAL TRGNSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES t Asreby ocknowledpe thot tnw o001ica- tion n correct and understand that I connol start fhis projtlct unfil this oppli- cation if opproved. I snall comply with IM laws ol 1he Slote o( Colorodo ond to ths Zoninp Repulalions and BuildinQ Code of the City ol Wt+eat RidQe. Any violofion of the above terme will couse immediote revocation ot tnls Dermir PERMIT FEE " USE TAx - a. oL?) TOTAL FEE $ g (0. p-t/ aPpis Paev~~ CHIEF BUILDip4 INSPECTOR,City of Wheat Ridqe ~ ''L I Date IssueA .ro teom. 9~a~=w.. , NOT VALID UNLESS RECEIPTED ~ ~ y~sya 6 1-7~yaz CAL1237-8944 EXT.255 24 HOURS IN AOVANCE FOR INSPECTIONS