HomeMy WebLinkAbout202201457 - 9695 W 37th Ave - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION General
Date: Friday, June 24, 2022 8:45:53 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 9695 W 37th Ave
Property Owner Name Jennifer Jerding
Property Owner Phone 720-341-5627
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed
Address
Attach City of Wheat payment form ndf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Submitting General Thomas Williams
Contractor or Architect
Contractor's License 210463
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone
3036565581
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address
tjerding@gmail.com
Retype Contact Email
tjerding@gmail.com
Address
Check the appropriate
Field not completed.
boxes if the following
work is involved in the
project.
Are there any
No
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
Detailed Scope of
This is an application to conduct demolition on the garage and
Work - Provide a
deck of the property. We have an attached asbestos report.
detailed description of
None of the areas that tested positive for asbestos will be
work including
demoed under this permit. The asbestos inspector deemed
mechanical, electrical,
nothing in the garage needed to be tested. His reasoning was
plumbing work
because there is no finished drywall or tile work done in the
garage and the siding on the garage is the same as the siding on
occurring,
the house that was tested.
adding/removing walls,
etc.
Square footage of
700
scope of work
Location of work
backyard and west side of house
(backyard, on roof, etc)
Project Value (contract
$4,000 Valuation Okay
value or cost of ALL
materials and labor)
Upload Engineer letter
Field not completed.
Upload Asbestos
asbestos inspection report 9695 w_ 37th st wheat ridge co
Report if triggler level is
80033.pdf
met per CDPHE
regulation.
Upload Drawings JERDING REMODEL Progress Plot 4-12-22=
Upload Additional Field not completed.
Drawings
Upload Additional Field not completed.
Drawings
Upload Additional Field not completed.
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 Thomas Williams
Pe rm it
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