HomeMy WebLinkAbout12095 W 35th AveFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement
Date: Monday, April 18, 2022 12:00:52 PM
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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 12095 w 35th ave
Property Owner Name Bryce Segovia
Property Owner Phone 720-366-0881
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Field not completed.
Attach City of Wheat cc auth seaovia.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
seiler construction
Name
Contractor's License
180220
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-945-1519
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
mbeaudoin@renewalcolorado.com
Address
Retype Contractor
mbeaudoin@renewalcolorado.com
Email Address
DESCRIPTION OF WORK
What is being replaced Windows
Number of window 5
and/or doors being
replaced
Location of 1 family, 1 dining, 1 sons room, 2 master
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What Is the u -value of .30 or better(custom windows)
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of seaovia specs 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 10493
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 Mackenzie Beaudoin
Pe rm it
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