HomeMy WebLinkAbout3043 Mountain Shadows Drive (Previously 12075 W 29th Place)City of Wheat Ridge
E -Res. Evaporative Cooler Repl PERMIT - 201900877
PERMIT NO: 201900877 ISSUED: 05/03/2019
JOB ADDRESS: 3043 Mountain Shadows Dr EXPIRES: 05/02/2020
JOB DESCRIPTION: Replacing evaporative cooler on roof, .5500 CFMs.
*** CONTACTS ***
OWNER (646)785-7382 GLOESSNER LARS
SUB (303)962-9532 Steve Brandt 021365 The Cooler Company
SUB (303)472-8514 Victor Gonzales 022017 Illuminate Electric, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned, USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,560.00
FEES
Evaporative Cooler 40.00
Total Valuation 0.00
Use Tax 116.76
** TOTAL ** 156.76
*** 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
thispenn I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be perOrneisdiscIosed 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 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 androcedures 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 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 all re uired
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, an violation of any provision of any
apble code or aiy/lordmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of C&f Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp l 6o 0
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, May 2, 2019 2:13 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Residential Replacement Air Conditioner/Evaporative Cooler Permit
Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - 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
residential replacement
AC or Evaporative Cooler
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 ATTACH
RANDOM
DOCUMENTS
3043 Mountain Shadows Dr
Lars Gloessner
6467857382
Field not completed.
LARS CC FORM.Pdf
CONTRACTOR INFORMATION
I
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
The Cooler Company
021365
303-422-5308
Contractor Email Address coolerco@aol.com
Retype Contractor Email coolerco@aol.com
Address
DESCRIPTION OF WORK
What type of replacement Replacement Evaporative Cooler
unit are you installing?
How many tons is the n/a
unit?
For AC - what is the 5500
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located Roof
(for example, rooftop,
backyard on ground etc)?
Is electrical needed for re- Yes
hook?
If electrical work is being 5560
performed, you must
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
Project Value (contract 4000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
2
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 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.
i Q 4 w
City of
Wheat P,
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
April 18, 2018
OFFICLA,L ADDRESS CHANGE
e�J D v r�.el-S
NOTIFICATION is hereby given that the following address has been assign
indicated below: Lars 4- Dp r -Lo e n
CURRENT ADDRESS: 12075 West 29' Avenue
NEW ADDRESS: 3043 Mountain Shadows Drive
C111 10 e56 &e r -
SUBDIVISION: Mountain Shadows 2' Filins LOT(s): 27 SECTION: 29
PARCEL NO: 39-294-07-013
NOTES
AUTH
This is a courtesynotificati
ORIZED BY: DATE: 4- 1
1. Property Owner
2. Jefferson County Assessor, ATTN: Data Control, Lacey Baker email to lbaker@jeffco.us
3. Jefferson County Elections, ATTN: H. Roth, 3500 Illinois St., Laramie Building, Suite 1100, Golden, CO
80401
4. Email to Jeffco IT (Mapping) Services at smitchelLa jeffco.us and edelygko@jeffigo.us
5. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
6. U.S. Post Office, 10799 W. Alameda Ave., Lakewood, CO 80226
7. Email to erhnda.j.martinez(&uWs.gov and krissyj.summerfield(4),usps.gov and arlene.a.vickreyAuMs.gov
and billy.e.co h'll(a)usps.gov
8. Xcel Energy, sandra.cardenas(a),xcelenerg m
9. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221
10. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112
11. Consolidated Mutual Water District
12. Northwest Lakewood Sanitation District
13. West Metro Fire District
14. Wheat Ridge Planning Division
15. Wheat Ridge Building Division
16. GIS Specialist
17. Log File
NOTE: Please notify all other parties concerned.
F\0 0 : ,11A"S
www.ci.wheatridge.co.us
DATE:
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