HomeMy WebLinkAbout202201793 - 11300 W 44th Ave - Permit_Page_1JIB
City of
�Wheatl�dge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29'h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax 303-237-8929
Inspection Line: 303-2345933
Email: permits(o3ci.wheatridge.co.us
FOR OFFICE USE ONLY
■ nr liWiY
PlarvPermit # 202201793
Plan Review Fee:
Building Permit Application
***Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address:
Prospect Park - 11300 West 44th Ave., Wheat Ridge, CO 80033
Property Owner (please phnt): City of Wheat Ridge - Parks & Recreation Phone: 303.205.7553
Property Owner Email: mruote@ci.wheatridge.co.us
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
9110 W. 44th Ave.
City, State, Zip: Wheat Ridge, CO 80033
Design Concepts
Architect/Engineer E-mail:
erik@dcla.net
Contractor Name: Farrington Construction Management
303.644.5301
City of Wheat Ridge License #: 210195 Phone: 720.586.8139
Contractor E-mail Address: Chad@Farringtonconstruction.com
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Chad Austin Phone: 720.695.6882
CONTACT EMAIL(please print): Chad@Farringtonconstruction.com
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # N/A - No electrical WR. City License # N/A W.R. City License # N/A
for sign
Other City Licensed Sub: Other City Licensed Sub:
City License# Broomfield Sign Company City License#
Complete all highlighted fields, if applicable.
[]COMMERCIAL
❑ RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
s -,r-<--
Sq. FULF �5� f f BTUs
-5e-'J S
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
C) G
$ ) d • G �� Valuation Okay
OWNER/CON'TRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, casements or restrictions of record; that all measurements shown and allegations made arc
accurate: that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that I am the legal owner
or have been authorized by the legal owner of the properly to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on tis application. I, the applicant for this building permit application, warrant the
truthfulness of the information nrovidedDiLthe-appli�gn.
CIRCLE ONE: (OWNER)
Signature (first and
Printed Name:
CONTRA f UTHORIZ D REPRESENTATIVE) of (OWNS CONTRACTOR)
DATE:
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation: