HomeMy WebLinkAbout202201472 - 2815 Fenton St - App_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Siding Repair/Replacement
Date: Thursday, June 30, 2022 2:06:09 PM
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PERMIT APPLICATION Siding Repair/Replacement
This application is exclusively for RESIDENTIAL SIDING REPAIR OR
REPLACEMENT.
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 siding repair
or replacement?
PROPERTY INFORMATION
Property Address 2815 Fenton St.
Property Owner Name Elisa Foster
Property Owner Phone 720-932-0272
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email elisafoster@comcast.net
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Payment Form.odf
CONTRACTOR INFORMATION
Contractor Business Ultimate Exteriors of Colorado
Name
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
303-424-3738
dmikkelsen@martinsonservices.com
dmikkelsen@martinsonservices.com
What type of material is Composite
being removed?
What type of material is James Hardie Fiber-Cementq
being installed?
How many squares of 19
siding is being
installed?
Project Value (contract 29000
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 Dan Mikkelsen
Pe rm it
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