HomeMy WebLinkAbout3591 Allison StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION General
Date: Wednesday, April 6, 2022 9:42:12 AM
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PERMIT APPLICATION General
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property Residential
Residential or
Commercial?
Property Address 3591 Allison Street Wheat Ridge, CO 80033
Property Owner Name Spencer Jones
Property Owner Phone 614-638-2862
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"
CONTACT INFORMATION
Submitting General
Contractor or Architect
Contractor's License
spencerj42@gmail.com
Blue Sky Plumbing & Heating
017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone 303-407-7967
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address randyp@blueskyplumbing.com
Retype Contact Email randyp@blueskyplumbing.com
Address
Check the appropriate Electrical
boxes if the following
work is involved in the
project.
Electrical Contractor
Name
Electrical Contractor
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Blue Sky Plumbing & Heating
017835
Are there any No
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
Detailed Scope of
Work - Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
replace electric meter only (150 amp to 150 amp)
Square footage of 25
scope of work
Location of work backyard
(backyard, on roof, etc)
Project Value (contract
2643.00
value or cost of ALL
materials and labor)
Upload Engineer letter
Field not completed.
Upload Asbestos
Field not completed.
Report if triggler level is
met per CDPHE
regulation.
Upload Drawings
Spencer Jones Meter Reolacement.ioa
Upload Additional
Field not completed.
Drawings
Upload Additional
Field not completed.
Drawings
Upload Additional
Field not completed.
Drawings
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 Randy Palato
Pe rm it
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