HomeMy WebLinkAbout202201761 - 5730 W 33rd_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement
Date: Thursday, August 4, 2022 7:57:50 AM
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PERMIT APPLICATION Residential Window/Door Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 5730 West 33rd Avenue Wheat Ridge, CO 80212
Property Owner Name KristyArends
Property Owner Phone 612)978-1560
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed.
Address
Attach City of Wheat 20220804065523.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
k&H Home solutions
Name
Contractor's License
018516
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
7204201724
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
sgeorge@khwindows.com
Address
Retype Contractor
sgeorge@khwindows.com
Email Address
DESCRIPTION OF WORK
What is being replaced
Windows
Number of window
3
and/or doors being
replaced
Location of garage
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of 0.28
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of 20220804065534 ndf
window/door cut sheets
showing sizes and u -
value
Attach any additional Field not completed.
documentation
Attach any additional Field not completed.
documentation
Project Value (contract 1282
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 Shawn George
Pe rm it
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