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HomeMy WebLinkAbout202201391 - 3440 Otis St - App_Page_1From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Siding Repair/Replacement Date: Wednesday, June 22, 2022 12:43:59 PM 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. 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 3440 Otis St., Wheat Ridge CO Property Owner Name Ed Porritt Property Owner Phone 303-818-4652 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email edporritt82117@gmail.com Address Attach City of Wheat Electronic Payment Form New (2) 202202021540092706.Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" K�]X11:L'NlC�lal�l7il:�t�i/G\I[�7� Contractor Business Joel Cooner 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 210349 720-272-4578 joel@coonerconstructionlIc.com joel@coonerconstructionlIc.com What type of material is plastic siding being removed? What type of material is Fiber cement siding being installed? How many squares of 15 siding is being installed? Project Value (contract 15,500 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 Joel sooner Pe rm it Email not displaying correctly? View it in your browser.