HomeMy WebLinkAbout202201634 - 13301 W 43rd Dr - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Roofing
Date: Tuesday, July 19, 2022 2:51:53 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 Commercial
Commercial or
Residential?
PROPERTY INFORMATION
Property Address 13301 W. 43rd Dr
Property Owner Name Fuller Real Estate
Property Owner Phone 720-260-7417
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed
Address
Do you have a signed Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Alpine Roofing LTD
017911
303-296-7769
Contractor Email jmcmillan@alpineroofingco.com
Address
Retype Contractor
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)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
jmcmiIlan@alpineroofingco.com
204
$134,024.00
No
Flat roof (less than 2:12 pitch)
What is the pitch of the 1:12
FLAT roof?
How many squares are 204
part of the FLAT roof?
Describe the roofing
material for the FLAT
roof:
Carlisle RhinoBond welded/adhered 60 mil TPO roofing system
Type of material for the TPO/EPDM
FLAT roof:
Provide any additional commercial building
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 Jacob McMillan
Pe rm it
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