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Date:
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It's 4392 Van Gordon
Linda Geothermal Pe oordinator
Office 3o3P0.3Ee W 1 Direct 720 406 1 Email lizarcapAbinrooficymm
102 376817urega Way 00
Fraeriek CO W51611106
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From: Comm Day Permits <Perni d.wheaMtlge m.us>
Sent Monday, July 18, 20221:51 PM
To: Linda Gala <Igarda@ bmmoflngcof
Cc CommOev Pertntts<Pertntts@d. wheafridgo m. us>
Subject: FN'. Online Form Submittal. PERMIT APPLICATION Roofing
Hello,
Please confirm this is the correct address for the Erse
Thank you,
Chanes Villa
Permit Technician
Building Division
�WW City Of yy��
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From: ne+eov9[ whea6tlee to u <no readd@ a whea6tlee m u9
Sent: Monday, July 18, 2022 10:24 AM
To: CommDev Permits <Permits(aDci.wheatridge.co.us>
Subject: Online Form Submittal: PERMIT APPLICATION Roofing
CAUTION:This email originated from outside of the organization. Do not click links oropen attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Roofing
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this property Commercial
Commercial
or Residential?
PROPERTY INFORMATION
Property Address
4282 Van Gordon
Property Owner Name
Lee Doud, Inc. c/o Matt Dorsten
Property Owner Phone
303-295-2525
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
mdorstenOmichaelbloomrealtv.com
Address
Do you have a signed
Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business Name
B&M Roofing
Contractor's License
018891
Number
Contractor Phone Number
720-406-6106
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
laarcia bmroofino com
Retype Contractor Email laarcia bmroofino com
Address
Attach City of Wheat Ridge Electronic Payment Form New (2) 202202021540092706.odf
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
9]:Y6]ziIaOW0N]&TON]S21
TOTAL SQUARES of the
100
entire scope of work:
Project Value (contract
75195
value or cost of ALL
materials and labor)
Are you re -decking the
No
ro of?
Is the permit for a flat roof,
Flat roof (less than 2:12 pitch)
pitched roof, or both?
(check all that apply)
What is the pitch of the
less than2:12
FLAT roof?
How many squares are part
100
of the FLAT roof?
Describe the roofing
All of the squares on each building are flat roofing (approximately
material for the FLAT roof:
1" per ft slope), and we'll be installing new EPDM membrane
over new %" EPS insulation over the existing roof system. The
system will be ballasted with the existing stone ballast, plus
Type of material for the
TPO/EPDM
FLAT roof:
Provide any additional
There is 1 Roof two seperate addresses so I had to divide the
detail here on the
valuation and squares. into 2 seperate permits
description of work. (Is this
for a house orgarage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
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 may Yes
not begin on this property
until a permit has been
issued and posted on the
property.
I certify that I have been Yes
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 Permit Linda Garcia Martinez
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