HomeMy WebLinkAbout4114 Lamar StreetCity of Wheat Ridge
Residential Mechanical PERMIT - 202000958
PERMIT NO: 202000958 ISSUED, 05/28/2020
JOB ADDRESS: 4114 Lamar St EXPIRES: 05/28/2021
JOB DESCRIPTION: Replace 2 ton, 13 SEER AC in backyard
*** CONTACTS ***
OWNER JOE H & CAROLINE E MARTIN REVO
SUB (303)418-6001 ARS 021694 ARS (MECHANICAL)
SUB (303)995-1720 TODD ENGLE 020349 ELECTRICAL & LIGHTING SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,250.00
FEES
A/C Replacement 60.00
Total Valuation 0.00
Use Tax 131.25
Investigative Fees 60.00
** TOTAL ** 251.25
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
a City of Wheat Ridge
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Residential Mechanical PERMIT - 202000958
PERMIT NO: 202000958 ISSUED: 05/28/2020
JOB ADDRESS: 4114 Lamar St EXPIRES: 05/28/2021
JOB DESCRIPTION: Replace 2 ton, 13 SEER AC in backyard
I, by my signature, do hereby attest that the work 0'e performed shall comply with all accompanying approved plans ands
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
this permit. I further attest that I am legally 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 maybe subject to a fee equal to one-half of the originalpermit 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 androcedures 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 changeof 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 required
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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of C1kOfifi,Ct4!'1"''' 7 Date
REQUESTS MUST BE MADE Y 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, May 27, 2020 3:42 PM
To: CommDev Permits
Subject: Online Form Submittal: Replacement Air Conditioner/Evaporative Cooler Permit
Application
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Kim
Replacement Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY.
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 a Yes
residential replacement
AC or Evaporative Cooler
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
4114 N Lamar St
Mark Parker
303-947-4360
Field not completed.
Electronic-Payment-Form.pdf
I
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
ARS/Rescue Rooter
021694
720-298-6822
Contractor Email Address loriantczak_4@hotmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
loriantczak_4@hotmail.com
What type of replacement Replacement Air Conditioner
unit are you installing?
How many tons is the 2
unit?
For AC - what is the 13
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located backyard
(for example, rooftop,
backyard on ground etc)?
Is electrical needed for re- Yes
hook?
If electrical work is being 020349
performed, you must
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
Project Value (contract 6250
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
2
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 been Yes
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 Lori Antczak-ARS
Permit
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