HomeMy WebLinkAbout4237 Garrison StreetCity of
�/ W heat j�id ie
COMMUNiTy DEVELOPMENT RECEIVED
Building & Inspection Services Division
7500 W. 291' Ave., Wheat Ridge, CO 80033 MAY 3 0 2
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933 Pe
j�
Email: PermitsCc)ci.wheatridae.co.us
FOR OFFICE USE ONLY
Dater
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address: I;t.W
Property Owner (please print): % f , I
Property Owner Email:r-
krm er or,
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property
Address:
Citv, State
Phone: P -/"/-9
Architect/Engineer: Sr
Architect/Engineer E-mail: $1-1 12J qo Phone: 7,20
Contractor: 0 ,n a 0 „ e ,—
City of Wheat Ridge License #:
Contractor E-mail Address:
Phone: � 7.�-,q - C,/ �
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical %a . ,�- Plumbing: I) ,r v�a , Mechanical: j�_J an,e d�
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
O
❑ COMMERCIAL
[RESIDENTIAL
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.
Sq. Ft.ILF {' BTUs D U 1��'c� Gallons
Amps
Squares
Commercial Projects Only: Occupancy Type: Construction Type:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
;�' �'<-/9/)G
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed bythis permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easer5ients 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 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: ( 'NFV��) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): �' frl�t G��� _DATE: `� /
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS.
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
w - 4v
City 01
Wheat i e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, 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): Te e
,
Project Property: r -f S6,0� S l
Project Type: A e 6, L/
Notarized signature of Appli
State of Colorado }
County of ss V01V
The foregoinV
nstrument was acknowledged by me this 3_ day of
T N rt4
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
20_& by
My Commission Expires 20 a�
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