HomeMy WebLinkAbout202201424-6880 W. 33rd_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Roofing
Date: Friday, June 24, 2022 1:17:59 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 6880 W 33RD AVE WHEAT RIDGE
Property Owner Name RACHEL BURKHART
Property Owner Phone 817-917-4716
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Rlburkhart87@gmail.com
Yes
CONTRACTOR INFORMATION
Contractor Business J&K ROOFING
Name
Contractor's License 019983
Number
Contractor Phone 303-425-7531
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email EMAIL@JKROOFING.COM
Address
Retype Contractor EMAIL@JKROOFING.COM
Email Address
Attach City of Wheat TEXT HERE ndf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
DESCRIPTION OF WORK
TOTAL SQUARES of 14.32
the entire scope of
work:
Project Value (contract 19800
value or cost of ALL
materials and labor)
Are you re -decking the Yes
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:
If "Other" is selected
above. describe here:
0/12
IE99%
MULEHIDE MODIFIED PEEL & STICK
Other (specify below)
11=0IN 617f . rilP, - I
Provide any additional replace flat roof only
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.
Person Applying for HEATHER GARRINGER
Pe rm it
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