HomeMy WebLinkAbout4229 Garrison StreetFOR OFFICE USE ONLY
City of Date:
� Wheat P e �_V'
COMMUNi7Y DEVELOPMENT =g
E I it c � E ryV ; Plan/Permit #
Building & Inspection Services Division 45�LG /
7500 W. 29th Ave., Wheat Ridge, CO 80033 MAY ��! / / (�
tf �' 1 � Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929 , 7�
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us Pe
Building Permit Application
*"* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address. --
�'/f- P e t
Property Owner (please print): 7 -'re 6T Phone:,.
Property Owner Email:
Mailing Address: (if different than property address) V Olt>
Address:
, State, Zip:
Arch itect/E na i neer: 0o ; (A S 7_t e n
Architect/Engineer E-mail: % i !f ISS 70 �' 64*') Phone: ��D 31-1 `3 F I
Co IVL,/4 � . 2
Contractor: 14a M e (S IV n P
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical: 1c Aee to- 2r
W.R. City License #
Other City Licensed Sub:
City License #
Phone: 3 - 7,,119 (Ie 7(�'
Plumbing: 4C; AA - a ,. q e_
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical: K cs r'" o d +i )2e t�
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL 9RESIDENTIAL
Description of work: (Check all that apply)
❑W 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 REPLACEMIENT
❑ 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, appliance size and efficiency, type and
amount of materials to be used, etc.)
mew GvAIr-,f :,.. c; oluV 1 dot UaCCltir' �vl
Sq. FULF D S Btu's. E Gallons
Amps d U Squares ' Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
2 <-
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 !.-gal 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: WNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) ,
Signature (first and last name): � i � DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
b
Building Division Valuation: $
v' City of
Wh6at i0g,
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, my sig atu re, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):_ Ire, r x�
Project Property: X 2:2 9 6
Project Type: /V LP:d
Notarized signature of
State of Colorado
County of es.s
icant
) ss
-,L�
The foregoing instrument was acknowledged by me this .3b day of /'la 20IS- by
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
— My Commission Expires �// 07 J7 20x0
Notary Public —
4• City of
�MWhcatf,j,
AeMUNITY DEVELOPMET
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P:303.235.2846 F:303.235.2857
May 1, 2018
OFFICIAL ADDRESS NOTIFICATION
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
CURRENT ADDRESS: Vacant Land
NEW ADDRESS: 4229 Garrison Street and 4237 Garrison Street
SUBDIVISION: Happy Valley Gardens SECTION: 22
PARCEL NO: 29-223-02-005
NOTES: This is a courtesy notification. Addressing for a future duplex. Property is within the flood -plain
and will require a floodplain hermit prior to construction.
AUTHORIZED BY:
DISTRIBUTION:
DATE:
1. Property Owner
2. Jefferson County Assessor, ATTN: Data Control, Lacey Baker email to lbaker(a�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 smitchel(a„jeffco.us and edelynko@jeffco.us
5. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
6. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033
7. Email to erlinda j.martinezAusps.gov and krissy.j.summerfieldt7a,usps.gov and arlene.a.vickrey(a),usps.g_ov
and billy e.coghill(a-)usps.gov
8. Xcel Energy, sandra.cardenasAxcelenergy.com
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. Valley Water District
12. Clear Creek Valley Sanitation District
13. Arvada 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.
ADDRESS MAP UPDATED BY:
www.ci.wheatridge.co.us
DATE:
Site
04274
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Vicinity Map
New address assignment
for duplex construction:
Northern Duplex Unit:
5 4237 Garrison Street
Southern Duplex Unit:
4229 Garrison Street
04274
_ 04282`
04271
A
M�W
04261
4250 -
MM
New address assignment
for duplex construction:
Northern Duplex Unit:
5 4237 Garrison Street
Southern Duplex Unit:
4229 Garrison Street