HomeMy WebLinkAbout5161 Vivian StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Friday, September 24, 20215: 10:54 PM
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 5041 Garrison St #103 Wheat Ridge, CO 80033
Property Owner Name Reid Smith
Property Owner Phone 303-870-8439
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"
Field not completed.
CONTRACTOR INFORMATION
Contractor Business NW Extreme Installers Inc
Name
Contractor's License 210044
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 Samantha Odle
Permit
Email not displaying correctly? View it in your browser.
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):
What is the u -value of
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of
window/door cut sheets
showing sizes and u -
value
1.1101.id83E:Yil
permitting@premierservicegrp.com
permitting@premierservicegrp.com
Doors
Front entry door
na
SMITH Door Soecs.odf
Attach any additional Field not completed.
documentation
Attach any additional Field not completed.
documentation
Project Value (contract 1693.00