HomeMy WebLinkAbout7610 W. 35th AvenueFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Roofing Permit Application
Date: Tuesday, September 21, 20214:41:44 PM
Roofing Permit Application
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this property Residential
Commercial or
Residential?
How many dwelling Single Family Home
units are on the
property?
PROPERTY INFORMATION
Property Address 7608-7610 W 35th Avenue
Property Owner Name David Sun
Property Owner Phone
303-233-4498
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
synkh818@yahoo.com
Address
Do you have a signed
Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business
Roof Worx LLC
Name
Contractor's License
130045
Number
Contractor Phone
303-353-1825
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email ted.thomas@myroofworx.com
garage? Etc)
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 this Yes
application is NOT a
permit. I understand I
will be contacted by the
City to pay for and pick
up the permit for this
property.
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 Nicole Aguinaldo
Permit
Address
Retype Contractor ted.thomas@myroofworx.com
Email Address
Attach City of Wheat Electronic -Payment -Form Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
DESCRIPTION OF WORK
TOTAL SQUARES of
35.33
the entire scope of
wo rk:
Project Value (contract
$31,643.93
value or cost of ALL
materials and labor)
Are you re -decking the
Yes
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
What is the specific
5:12
pitch of the PITCHED
roof?
How many squares are
35.33
part of the PITCHED
roof?
Describe the roofing
GAF Timberline HDZ
materials for the
PITCHED roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional
Removing existing roof from duplex and garage and replacing w/
detail here on the
GAF Timberline HDZ
description of work. (Is
this for a house or
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