HomeMy WebLinkAbout3745 Benton StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Asbestos Abatement
Date: Tuesday, February 15, 2022 2:46:17 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 Asbestos Abatement
This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT
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
residential asbestos
abatement?
Provide copy of
3745 Benton St Wheat Ridae 80212 app (3).Ddf
CDPHE State Permit or
Stamped Approved
CDPHE State Permit
Application
PROPERTY INFORMATION
Property Address
3745 Benton St, Wheat Ridge, Co 80212
Property Owner Name
Evan Williams
Property Owner Phone
(303) 523-8656
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
evanmpw@gmail.com
Address
Attach City of Wheat
Electronic -Payment -Form - Evan Williams -.Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Clear Developments
Name
Wheat Ridge
190271
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-692-6589
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
admin@cleardevelop.net
Address
Retype Contractor
admin@cleardevelop.net
Email Address
DESCRIPTION OF WORK
State Permit No. or
January 18, 2022 - CA
Application Approval
Date with Initials of
CDPHE Employee
approving application.
Location of Abatement
main level kitchen and second level bathroom
Square Footage Area
350
of Abatement
Has the abatement
Yes
been completed
If abatement has been
Final Air Clearance Report 3745 Benton St Denver CO 80212
completed, upload the
(1)�ndf
clearance report.
Project Value (contract
3,972.01
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.
Person Applying for Larissa Aragon
Pe rm it
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.
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From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Interior Remodel
Date: Friday, February 11, 2022 3:01:21 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 Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
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.
PROPERTY INFORMATION
Property Address 3745 Benton St
Property Owner Name Evan Williams
Property Owner Phone 303-523-8656
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"
evanmpw@gmail.com
APPLICANT INFORMATION
Applicant Name Daniel G Duffy
What is your role in the General Contractor
project?
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for Plan Review
Comments
Retype Contractor
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Work - In the space
below (not as an
attachment), Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
18YAM>i A
7202173243
dduffyldd@gmail.com
dduffyldd@gmail.com
Removing non-bearing wall, Kitchen remodel, Remodel 2
bathrooms
I have entered a detailed scope of work.
Location of Work Kitchen, 2 bathrooms, Complete remodel
Square Footage Area
of Work Being
Performed
1096 SF
Asbestos Report f nal a r clearance report 3745 benton st denver cc 80212
Upload letter size Field not completed.
documents here
Construction Plans 3745 Benton St - Proposed New Conditions 02-09-2022 Ddf
scanned on 11'x17" or
larger
Project Value (contract $35,000 Valuation Adjusted
value or cost of ALL major kitchen 37,100 + 2 -
materials and labor) bathrooms remodels @ 6500
each 13,000. Total = 50,100
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.
Person Applying for Daniel G Duffy
Pe rm it
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.
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