HomeMy WebLinkAbout4653 Independence Street #4From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement
Date: Monday, June 6, 2022 2:16:40 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Residential Window/Door Replacement
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 4653 Independence St Wheat Ridge 80033
Property Owner Name Anne Baker
Property Owner Phone 907-322-4669
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email bakeranne00@gmail.com
Address
Attach City of Wheat Baker 44099w Dayment form 6-6-22. Cdf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Dun -Rite Home Improvements
Name
Contractor's License
020671
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-722-2295
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
pat.b@drhi.com
Address
Retype Contractor
pat.b@drhi.com
Email Address
DESCRIPTION OF WORK
What is being replaced Doors
Number of window 1
and/or doors being
replaced
Location of front entry
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of 0
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of Baker 44099w drawing 6-2-22 ndf
window/door cut sheets
showing sizes and u -
value
Attach any additional Field not completed.
documentation
Attach any additional Field not completed.
documentation
Project Value (contract 8484
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 Pat Blake
Pe rm it
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From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement
Date: Thursday, January 13, 2022 11:44:15 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Water Heater Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - 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.
Do Not use this form if the Water Heater is changing locations or if this is a
conversion to a Tankless Water Heater. Please use the General Permit
Application for a more comprehensive review.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 4653 Independence St Wheat Ridge, CO 80033
Property Owner Name Anne Baker
Property Owner Phone 907-322-4669
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
permits@applewoodfixit.com
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Applewood PHE
Name
Contractor's License
18236
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-458-5988
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@applewoodfixit.com
Address
Retype Contractor
permits@applewoodfixit.com
Email Address
DESCRIPTION OF WORK
Number of gallons
40
Is the water heater
Gas
GAS or ELECTRIC?
If GAS, enter # of
40
BTUs. If electric, enter
n/a
Where is the water main floor
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2819
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 Harrison Miller
Pe rm it
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