HomeMy WebLinkAbout2860 Teller StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work
Date: Wednesday, January 19, 2022 5:22:21 PM
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PERMIT APPLICATION Electrical Service
Change/Upgrade/Electrical Work
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 2860 Teller St
Property Owner Name Development 29 LLC
Property Owner Phone 303877-4287
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Wheatridae Payment form. odf
CONTRACTOR INFORMATION
Contractor Business True Power Services
Name
Contractor's License 210254
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 720 318-8170
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
zmonger@truepowerinc.net
Address
Retype Contractor
zmonger@truepowerinc.net
Email Address
DESCRIPTION OF WORK
Is this an electrical
change
service upgrade or
change?
Number of Amps
125
Location of work
Temp Power Ped
(garage, house, etc)
Provide additional
none
details, if needed.
Project Value (contract
100.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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 Yes
been 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 tach Monger
Pe rm it
Email not displaying correctly? View it in your browser.
City of
Wheat�idge
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Electrical Subcontractor
This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR
performing electrical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
General Contractor: Lucid Studio, LLC
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: /t ederr? 6lCt iL' Contact Phone 9: 303—YOD—Jy5�)
Wheat Ridge Contractor License #: I70 to % I (required field)
State License #: / 00 E 2 %
Master License#: L90&151
////�SNa/-I - a ,
Printed Name
of Auth ized Agent
4� (i� 1 Z/// le/Z02�
Signature of Authorized Agen Date
City of
"heat�idge
CrCOMMUNI►Y EVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Mechanical Subcontractor
This form must be completed & signed by the MECHANICAL SUBCONTRACTOR
performing mechanical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 2860 Teller St Wheat Ridge, CO 80033
General Contractor: Lucid Studio, LLC 7190 W 38th Ave. Unit B Wheat Ridge CO 80033
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: Streamline Mechanical
Wheat Ridge Contractor License #:150172
Todd Simpkinson
Printed Name o Authorized Agent
Signature of Authorized Agent
Contact Phone #: 720-505-6142
(required field)
4/16/2020
Date
City of
W heat l dge
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
February 11, 2020
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 in Teller Subdivision Filing No. 1
NEW ADDRESS: 2822 Teller Street: Lot 4, Parcel # 39-264-12-031
2834 Teller Street: Lot 5, Parcel # 39-264-12-032
2846 Teller Street: Lot 6, Parcel # 39-264-12-033
2858 Teller Street: Lot 3, Parcel # 39-264-12-030
2860 Teller Street: Lot 2, Parcel # 39-264-12-029
2874 Teller Street: Lot 1, Parcel # 39-264-12-028
NOTES: This is a courtes-v notification. 2850 & 2880 Teller Street s
AUTHORIZED BY:
DISTRIBUTION:
DATE: z I M► I z o Zm
Property Owner
AddressingAieffco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections:
Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel
Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033
5. Email to arlene.a.vickrey_Ausps.gov; mariann.szaszAusps.gov; carmen.s.suarezAusps.gov;
theresa. a.kraft(a)usps. gov
6. Xcel Energy, jacob.van.laere(&xcelenergy.com
7. Century Link, Aaron.Keller(&Centurylink.com; rachel.weaver(-,centualink.com
8. Comcast, scott mooreC&cable.comcast.com
9. Consolidated Mutual Water District: en ing eering_na,cmwc.net
10. WR Sanitation District: bwillis(a,martinmartin.com; info n,wheatridgesanitation com;
mbakarich(a),morainco.com;
11. Fire Dept: planreviewAwestmetrofire.org
12. Wheat Ridge Planning Division
13. Wheat Ridge Building Division
14. GIS Specialist
15. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.w heatridge.com s
DATE:
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Site
TRUE POINT
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