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44" City of Wheat Ridge
COMMERCIAL SMALL CELL PERMIT - 202002363
PERMIT NO: 202002363 ISSUED: 07/27/2021
JOB ADDRESS: 3200.5 Ames St EXPIRES: 07/27/2022
JOB DESCRIPTION: Replace existing wood Xcel street light pole with 35 ft metal comptek small
cell pole with AT&T wireless equipment mounted & concealed at various
heights.
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
thispermrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed 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 and��procedures 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 change of 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 requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
07/27/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
� ► 44" City of Wheat Ridge
'/� COMMERCIAL SMALL CELL PERMIT - 202002363
PERMIT NO: 202002363 ISSUED: 07/27/2021
JOB ADDRESS: 3200.5 Ames St EXPIRES: 07/27/2022
JOB DESCRIPTION: Replace existing wood Xcel street light pole with 35 ft metal comptek small
cell pole with AT&T wireless equipment mounted & concealed at various
heights.
*** CONTACTS ***
OWNER 39.762159 105.054372
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00
FEES
Total Valuation 0.00
Plan Review Fee 235.82
Use Tax 420.00
Permit Fee 362.80
** TOTAL ** 11018.62
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2018 International Codes, 2020 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
Pole shall be black to match city utilities (including new street lights and furniture)
ROW permit required
City of
" Wheat 1dge
COMAMUNiTy DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P:303.235.2846 F:303.235.2857
May 10, 2019
OFFICIAL ADDRESS NOTIFICATION
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 3200.5 Ames Street
NOTES: This is a courtesy notification. Address assignment is for electrical service only.
AUTHORIZED BY: gyp/2 (�— ,�_--
DATE: 5 f 0
DISTRIBUTION:
1. Property Owner
2. Applicant
3. Xcel Energy, sandra.cardenas(&xcelenergy.com
4. Wheat Ridge Building Division
5. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.w heatridge.co.0 s
DATE:
Vicinity Map
3200.5
Ames Street
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