HomeMy WebLinkAbout7300 W. 28th AvenueFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement
Date: Friday, March 11, 2022 10:37:03 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 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 7300 W 28th Ave
Property Owner Name Roberto Salazar
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
720-989-7689
Property Owner Email bronco351w@live.com
Address
Attach City of Wheat Salazar CC Auth.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
champion Window co of Denver
Name
Contractor's License
020146
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-974-1480
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
shemans@getchampion.com
Address
Retype Contractor
shemans@getchampion.com
Email Address
DESCRIPTION OF WORK
What is being replaced Windows
Number of window 11
and/or doors being
replaced
Location of Bedrooms, Den
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of .28
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of Salazar 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 14050.00
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 Steve Hemans
Pe rm it
Email not displaying correctly? View it in your browser.