HomeMy WebLinkAbout202201513 - 6901 W 32nd Ave - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Roofing
Date: Wednesday, July 6, 2022 8:42:04 AM
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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 6901 W. 32nd Ave.
Property Owner Name Deborah Brunger
Property Owner Phone 303-249-1305
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
reitzroofinginc@gmail.com
Yes
CONTRACTOR INFORMATION
Contractor Business Reitz Roofing, Inc.
Name
Contractor's License 019543
Number
Contractor Phone 303-466-0161
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email reitzroofinginc@gmail.com
Address
Retype Contractor reitzroofinginc@gmail.com
Email Address
Attach City of Wheat 6901 W 32nd Ave ndf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
DESCRIPTION OF WORK
TOTAL SQUARES of 20
the entire scope of
work:
Project Value (contract 13680.00
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Flat roof (less than 2:12 pitch)
roof, pitched roof, or
both? (check all that
apply)
What is the pitch of the
FLAT roof?
How many squares are
part of the FLAT roof?
Describe the roofing
material for the FLAT
roof:
Type of material for the
FLAT roof:
Provide any additional
detail here on the
description of work. (Is
1:12
01
Modified TA Polyglass
Rolled
Tear off and re -roof back flat roof only
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.
Person Applying for Bernard J Reitz
Pe rm it
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