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. Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD***
    Your application cannot be processed if the City of Wheat Ridge electronic payment form is not attached. There is specific information on the form that is needed to run the payment.
    The form is located here: Electronic Payment Form Be sure to save to your computer before attaching to this application.
34. DESCRIPTION OF WORK
36. TOTAL SQUARES of the entire scope of work:*
38. Project Value (contract value or cost of ALL materials and labor)*
40. Are you re-decking the roof?*

    1. Yes
    2. No
42. 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)
44. What is the pitch of the FLAT roof?*
46. How many squares are part of the FLAT roof?*
48. Describe the roofing material for the FLAT roof:*
50. Type of material for the FLAT roof:*

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

    1. Asphalt
    2. Tile/Clay/Concrete
    3. Metal
    4. Other
62. If "Other" is selected above, describe here:*
64. Provide any additional detail here on the description of work. (Is this for a house or garage? Etc)*
66. SIGNATURE OF UNDERSTANDING AND AGREEMENT
68. 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
70. 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
72. I understand that work may not begin on this property until a permit has been issued and posted on the property.*

    1. Yes
74. 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
76. 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
78. 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:


80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit

* indicates a required field