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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 AL � Al "270 LI a. ft� F' ; law'. ..Mq q W 42ND AVE 09292 ■ 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