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2. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED.
4. Is this property Commercial or Residential?*

   1. Commercial
   2. Residential
6. How many dwelling units are on the property?*

   1. Single Family Home
   2. Duplex
   3. 3 or 4 units
   4. More than 4 units - Select Commercial
8. PROPERTY INFORMATION
10. Property Address*
12. Property Owner Name*
14. Property Owner Phone Number (enter WITH dashes, eg 303-123-4567)*
16. Property Owner Email Address
18. Do you have a signed contract to reroof this property?*

    1. Yes
    2. No
20. CONTRACTOR INFORMATION
22. Contractor Business Name*
24. Contractor's License Number *
26. Contractor Phone Number (enter WITH dashes, eg 303-123-4567)*
28. Contractor Email Address*
    CHECK FOR TYPOS! You will be notified via this email address when your permit is ready for pick-up.
30. Retype Contractor Email Address*
    CHECK FOR TYPOS! You will be notified via this email address when your permit is ready for pick-up.
32. DESCRIPTION OF WORK
34. TOTAL SQUARES of the entire scope of work:*
36. Project Value (contract value or cost of ALL materials and labor)*
38. Are you re-decking the roof?*

    1. Yes
    2. No
40. Is the permit for a flat roof, pitched roof, or both? (check all that apply)*

    1. Flat roof (less than 2:12 pitch)
    2. Pitched roof (2:12 pitch or greater)
42. What is the pitch of the FLAT roof?*
44. How many squares are part of the FLAT roof?*
46. Describe the roofing material for the FLAT roof:*
48. Type of material for the FLAT roof:*

    1. TPO/EPDM
    2. Rolled
    3. Other (specify below)
50. If "Other" is selected above, describe here:*
52. What is the specific pitch of the PITCHED roof?*
54. How many squares are part of the PITCHED roof?*
56. Describe the roofing materials for the PITCHED roof:*
58. Type of material for the PITCHED roof:*

    1. Asphalt
    2. Tile/Clay/Concrete
    3. Metal
    4. Other
60. If "Other" is selected above, describe here:*
62. Provide any additional detail here on the description of work. (Is this for a house or garage? Etc)*
64. PAYMENT INFORMATION
66. Payment Options*

    Payment for this permit may be submitted online, over the phone, in person, or via mail. Please indicate how you intend to submit payment:

    1. Online
    2. Over the Phone
    3. In Person
    4. Mailed Check
68. Online Payment Contact*

    Please provide the NAME and EMAIL of the person who will be paying for this permit. City staff will contact this person with payment directions when we are ready to receive payment.

    CHECK FOR TYPOS! Errors may delay processing.

70. Phone Payment Contact*

    Please provide the NAME and PHONE NUMBER of the person who will be paying for this permit. City staff will contact this person with payment directions when we are ready to receive payment.

    CHECK FOR TYPOS! Errors may delay processing.

72. SIGNATURE OF UNDERSTANDING AND AGREEMENT
74. I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit
    issued based on this application.*

    1. Yes
76. I understand that this 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.*

    1. Yes
78. I understand that work may not begin on this property until a permit has been issued and posted on the property.*

    1. Yes
80. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above.*

    1. Yes
82. I attest that everything 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.*

    1. Yes
84. Person Applying for Permit *
    Must be a person's name, not the name of the company or the application will be rejected.
Leave This Blank:


86. 1. Receive an email copy of this form.
87. Email address

    This field is not part of the form submission.

88. Submit

* indicates a required field