HomeMy WebLinkAbout202201542 - 10400 W 44th Ave - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION General
Date: Friday, July 8, 2022 12:31:35 PM
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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 Commercial
Residential or
Commercial?
Property Address 10400 W 44th Ave, Wheat Ridge, CO 80033
Property Owner Name Newgate Associates
Property Owner Phone 720-498-1226
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed
Address
Attach City of Wheat Wheat Ridge Electronic -Payment -Form Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Submitting General Copper Mechanical
Contractor or Architect
Contractor's License 202173
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone 720-799-0563
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address ashley@coppermechanicals.com
Retype Contact Email ashley@coppermechanicals.com
Address
Check the appropriate Mechanical
boxes if the following
work is involved in the
project.
Mechanical Contractor Copper Mechanical
Name
Mechanical Contractor 202173
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Are there any
No
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
Detailed Scope of
In unit #344-2B. Provide and perform installation of Goodman, 13
Work - Provide a
SEER 1.5 ton condensing unit. Like -for -like replacement.
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of
500
scope of work
Location of work
Backyard
(backyard, on roof, etc)
Project Value (contract
1500
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
Newaate 344-2B Full Install.docx
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 Ashley Adams
Pe rm it
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