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HomeMy WebLinkAbout202201603 - 3520 Chase St - App_Page_1From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Friday, July 15, 2022 11:21:28 AM 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 Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT 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. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Is this Residential or Commercial? New Unit Installation Residential Property Address 3520 Chase St Property Owner Name Kevin Gomez Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 7206935596 Property Owner Email kagomez21@yahoo.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business 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 The Cooler Company [0li[cI:Y: 3034225308 morgan@thecoolercompany.com Retype Contractor morgan@thecoolercompany.com Email Address DESCRIPTION OF WORK What type of Evaporative Cooler replacement unit are you installing? How many tons is the unit? For AC - what is the SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located (for example, rooftop, backyard on ground etc)? 0 fil+'17 BACKSIDE OF ROOFTOP Is electrical needed for Yes re -hook? Provide Electrical 021365 Contractor's Wheat Ridge License No. Project Value (contract 6000 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 Steve Brandt Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION General Date: Tuesday, July 12, 2022 11:17:06 AM 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 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 4340 Teller Street Property Owner Name Neil Behnke Property Owner Phone 3039035266 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed Address Attach City of Wheat CCF 000120 Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General Jim Needham Plumbing Contractor or Architect Contractor's License 190362 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contract Phone 3036744411 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address tori@calljimnow.com Retype Contact Email tori@calljimnow.com Address Check the appropriate Plumbing boxes if the following work is involved in the project. Plumbing Contractor Name Plumbing Contractor License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Jim Needham Plumbing 190362 Are there any Field not completed. 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 occurring, adding/removing walls, etc. swaping like for like unit, gas line untouched Square footage of 0 scope of work Location of work Crawlspace (backyard, on roof, etc) Project Value (contract 6016 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 specs 1. Do Upload Additional specs iDo 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 Tori Crawford Pe rm it Email not displaying correctly? View it in your browser.