HomeMy WebLinkAbout4079 Benton Street1* ► � i City of Wheat Ridge
'/� Resid. Windows/Doors PERMIT - 202100907
PERMIT NO: 202100907 ISSUED: 05/06/2021
JOB ADDRESS: 4079 Benton St EXPIRES: 05/06/2022
JOB DESCRIPTION: Replace (6) windows in living room, kitchen, bathroom, bedroom, and laundry
room. .29 u -factor
*** CONTACTS ***
OWNER VAIL JENNIFER L DALEY VAIL THO
SUB (303)574-9594 RICK ROSE 080085 WINDOW WORLD OF DENVER
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31846.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 80.77
** TOTAL ** 130.77
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .30 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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�permrt. 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.
05/06/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Thursday, May 6, 20218:48:24 AM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 4079 Benton Street
Property Owner Name Thomas Vail
Property Owner Phone 303-902-6272
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email tcornelljr@gmail.com
Address
Attach City of Wheat cc 4079 Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Window world
Name
Contractor's License 080085
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)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
What is being replaced
Number of window
and/or doors being
replaced
Location of
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
191819NITZ,INlese !
tengh@windowworldcolorado.com
tengh@windowworldcolorado.com
NVA Morel,
6 Windows
Living room Kitchen Bath bed Laundry
What is the u -value of .29
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of 4079 order.odf
window/door cut sheets
showing sizes and u -
value
Project Value (contract 3846.00
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 Tasha Engh
Permit
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