HomeMy WebLinkAbout3404 Wadsworth BoulevardFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Roofing
Date: Friday, May 20, 2022 3:20:06 PM
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PERMIT APPLICATION Roofing
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
units are on the
property?
Single Family Home
PROPERTY INFORMATION
Property Address 3404 Wadsworth Boulevard, Wheat Ridge, CO, 80033
Property Owner Name Chris Markley
Property Owner Phone 720-233-0887
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
ckenn9979@gmail.com
Yes
CONTRACTOR INFORMATION
Contractor Business Priority Roofing of Denver
Name
Contractor's License 210450
Number
Contractor Phone 720-481-0531
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email colorado@priorityroofs.com
Address
Retype Contractor colorado@priorityroofs.com
Email Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of
work:
Project Value (contract
value or cost of ALL
materials and labor)
TEXT HERE (1) ndf
14
6631.15
Are you re -decking the Yes
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
What is the specific
pitch of the PITCHED
roof?
Pitched roof (2:12 pitch or greater)
6/12
How many squares are 14
part of the PITCHED
roof?
Describe the roofing Asphalt shingles-Owenscorning Oakridge
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional House
detail here on the
description of work. (Is
this for a house or
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.
William Miller
Person Applying for
Pe rm it
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