HomeMy WebLinkAbout10161 W 26th AveFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: REVISION APPLICATION Revisions to Permit
Date: Wednesday, April 6, 2022 11:47:05 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.
REVISION APPLICATION Revisions to Permit
Permit Number 202101372
assigned to project
PROPERTY INFORMATION
Permit Number
202101372
Property Address
10151 West 26th Ave, Wheat Ridge, CO 80215
Property Owner Name
Bobby Ghiselli
Property Owner Phone
3109919901
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
bobby.ghiselIi@quannahpartners.com
Address
CONTRACTOR INFORMATION
Contact Name
Ben Goldberg
Contact Phone Number
720-450-7257
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
ben@wmsconst.com
Retype Contact Email
ben@wmsconst.com
Address
DESCRIPTION OF WORK
Detailed Revised
Revised total connected gas load schedules, revised roof
Scope of Work -
demolition plan and roof plumbing plan showing all new and
Provide a detailed
existing gas piping.
description of the
change in scope of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
Engineer Letter (if Field not completed.
applicable)
Additional Documents Golds Gas P no Revision Narrative 3-29-2022 ndf
on Letter Size
Are plans or
documents locked for
editing?
Construction Plans
scanned on 11'x17" or
larger
Additional Project
Value Only add what
the revised scope of
work is valued at.
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
No
21147 - Golds Market Blda A Gas Pioina Revisions.odf
N
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 Submitting Mike Grogan
Revision
Email not displaying correctly? View it in your browser.