HomeMy WebLinkAbout20221474 - 3543 Hoyt St - App_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Roofing
Date: Thursday, June 30, 2022 2:36:05 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 Duplex
units are on the
property?
PROPERTY INFORMATION
Property Address 3543 hoyt st
Property Owner Name kyle ballew
Property Owner Phone 720-387-0277
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
kyle@liveforwardadventures.com
Yes
CONTRACTOR INFORMATION
Contractor Business mcintire contruction inc
Name
Contractor's License 210375
Number
Contractor Phone 9704058191
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email dmcintire8191@gmaiI.com
Address
Retype Contractor dmcintire8191@gmaiI.com
Email Address
Attach City of Wheate�pay slip ndf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
DESCRIPTION OF WORK
TOTAL SQUARES of
30 sq new contruction roofing (1/2) duplex roof- shingles are IKO
the entire scope of
cambridge
work:
Project Value (contract
$9000.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
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
3 and 8/12
pitch of the PITCHED
roof?
How many squares are
15 sq 3/12 13 sq 8/12
part of the PITCHED
roof?
Describe the roofing
iko cambridge shingles, synthetic felt and ice/water shield
materials for the
PITCHED roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional application for the other half of the duplex submitted/building
detail here on the together 3597 hoyt st
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.
Person Applying for dustin m mcintire
Pe rm it
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