HomeMy WebLinkAbout202201644 - 4325 Iris St - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION General
Date: Wednesday, July 20, 2022 10:27:16 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 4325 Iris St, Wheat Ridge, CO 80033
Property Owner Name Ryan Austin
Property Owner Phone
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
720-635-7926
jryanaustin@gmail.com
Daniel Warfield
210487
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone 530-921-8579
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address wildernessaire@gmail.com
Retype Contact Email wildernessaire@gmail.com
Address
Check the appropriate Mechanical , Electrical
boxes if the following
work is involved in the
project.
Mechanical Contractor
Name
Mechanical Contractor
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Daniel Warfield
210487
Electrical Contractor Home Owner
Name
Electrical Contractor
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Are there any
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
Owner
No
Installing a multi zone mini split system. Homeowner will be
providing the electrical hookup on the side yard.
occurring,
adding/removing walls,
etc.
Square footage of
0
scope of work
Location of work
crawl space and indoor
(backyard, on roof, etc)
Project Value (contract
10000
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
multi21-plus-submittal-30mbh-c odf
Upload Additional
vireo-aen3-submittal-3vir09hD230vlah.pdf
Drawings
Upload Additional
vireo-aen3-submittal-3vir12hD230v1ah Ddf
Drawings
Upload Additional
hiah-static-slim-duct-submittal-hs-duct-12mbh-b.odf
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 Daniel Warfield
Pe rm it
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