Fillable Denver community planning Contractor License Application

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Denver community planning Contractor License Application

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The Denver community planning Contractor License Application form is 6 pages long and contains:

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  • 16 check-boxes
  • 62 other fields

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CONTRACTOR LICENSING
Contractor License
Application
Page 1 of 6
Where to Apply for a Contractor’s License:
Online at www.denvergov.org/contractorlicensing
In person at the Contractor Licensing desk on the 2
nd
floor of the Webb Municipal Building, 201 W. Colfax Ave.,
Denver, CO 80202.
Or, by mail to Contractor Licensing, 201 W. Colfax Ave., Dept. 205, Denver, CO 80202.
Applications submitted online or in person will take approximately 7-10 business days for review. Mail-in applications
may take up to 14 business days. License fees are posted at www.denvergov.org/contractorlicensing. For mail-in or
in-person applicants, please make checks payable to “Manager of Finance.” Online applicants will be prompted to pay
online once the license application is approved.
Prerequisites: Supervisor Certificate Holder or State Electrical/Plumbing License
A “supervisor certificate holder” is a qualified individual who has been issued a supervisor certificate by this office.
Before applying for a contractor’s license, an applicant must hold a supervisor certificate, employ a supervisor
certificate holder, or hold a Colorado electrical or plumbing license. License applications are not accepted until
supervisor certificates have been approved.
Steps to Apply:
1. Read Chapter 1 of the Denver Building and Fire Code. Chapter 1 explains your responsibilities as a license
holder in the City and County of Denver.
2. Complete the application on page 3. Please be sure to fill in the specific license type you are applying for on
the “license classification” line of the application. If you are applying for a right-of-way (ROW) or sewer license,
use the
ROW application available from Contractor Licensing.
3. The supervisor certificate holder must submit a “Supervisor Statement of Responsibility” with the license
application. See
page 5.
4. If the supervisor certificate holder
is not a company owner, officer, partner, member, or sole proprietor, th
e
supervisor must bring a letter on company letterhead stating that he or she will be the “Supervisor of Record”
for the company for the type of license being applied for. The letter must also be signed by an owner, officer,
partner, member, or the sole prop
rietor.
5. Submit Secretary of State documentation according to the legal status of the company. The list of required
documents is available from www.denvergov.org/contractorlicensing.
Please note: Any company officer, member, partner, or sole proprietor signing and submitting
documentation for a contractor’s license must be listed on current Secretary of State filings.
Alternatively, you may provide notarized meeting minutes or a notarized list of current owners, officers,
members, or partners along with the Secretary of State documents.
www.denvergov.org/ContractorLicensing
Revised September 25, 2018
Community Planning and Development
201 W. Colfax Ave., Dept. 205, Denver, CO 80202
Phone: 720-865-2770
CONTRACTOR LICENSING
Contractor License
Application
Page 2 of 6
6. Sole proprietors using a trade name and individuals using a personal name must sign the Affidavit of Lawful
Presence on page 6 and attach a photocopy of their “Secure and Verifiable Identification.” The list of
acceptable ID documents is provided on page 6. Applicants signing the affidavit in person do not need to have
it notarized. Applications submitted online, by mail, or by someone other than the applicant must have the
affidavit and identification notarized. (This requirement does not apply to corporations, partnerships, or LLCs.)
7. Electrical contractors must present a current State of Colorado Electrical Contractor card with their application
along with a copy of the Master Electrician’s driver’s license or ID. There is no licensing fee for electrical
contractors and the license is valid for three years. The company name listed on the state contractor card
must match exactly the company name filed with the Secretary
of State.
8. Plumbing contractors must present a current State of Colorado Plumbing Contractor card with their application
along with a photocopy of the Master Plumber’s driver’s license or ID. The license fee is $160 and the license
is valid for two years. The company name listed on the state contractor card must match exactly the company
name filed with the Secretary of State.
9. Fire Protection A & B contractors must present a current State of Colorado Fire Suppression certificate with
their application.
10. All applications must be signed by an owner/officer/partner/member and that individual must also submit a
photocopy of their State-issued photo identification
.
11. A license card will be issued only to a corporate officer, partner, member, or sole proprietor as listed on the
submitted documentation, unless a corporate officer, partner, member, or sole prop
rietor submits a dated and
signed letter affirming that the individual listed is authorized to pick up the “license card” for the company
listed. Duplicate license cards are $25
each.
12. Denial of a license may be appealed to the Board of Appeals in the manner provided by Chapter 1 of the
Denver Building and Fire Code.
A contractor’s license is required to receive permits.
www.denvergov.org/ContractorLicensing
Revised September 25, 2018
Community Planning and Development
201 W. Colfax Ave., Dept. 205, Denver, CO 80202
Phone: 720-865-2770
____________________________________________________________________________________________
CONTRACTOR LICENSING
Contractor License
Application
Page 3 of 6
Please type or print in ink.
License Classification:
_
___________________________________________________
Name of Individual or Company Conducting Business
(exactly as it is
t
o appear on license):
Business/Mailing Address:
_
________________________________________________
(Street number, name) (City, state) (Zip code)
Phone:
_
_________________________________________________________________
Local Address:
_
________________________________________________________
(if different from above) (Street number, name) (City, state) (Zip code)
Phone:
_
_________________________________________________________________
Cell Phone:________________________ Email: ________________________________
Applicant intends to do business as a:
Sole Proprietor* ☐ Partnership ☐ Corporation ☐ LLC ☐
Do not write in this space.
Approved: ☐
De
nied:
☐
For the Manag
er:
By: _____________________
Date: ___________________
License #: _______________
*For sole proprietorships using a trade name or individuals using a personal name, secure and verifiable
identifica
tion is required with a signed Affidavit of Lawful Presen
ce.
IM
PORTANT NOTES:
A Change of Name or Address of a licensee must be reported to Contractor Licensing within 15 days.
A Change of Legal Entity of a licensee will require a new license within 30 days.
PERSONNEL OF APPLICANT
If the applicant is a sole proprietor, name the sole proprietor; if a partnership, name all the partners; if a corporation*,
name all of the officers of the company (e.g., president, vice president, secretary, etc.); if an LLC*, name all of the
members of the LLC. *Notarized meeting minutes may be required to establish the identity of all officers or
members of the company.
NAME
TITLE
(Individual, Partner
or Officer)
DATE OF BIRTH
RESIDENTIAL ADDRESS and TELEPHONE
(Required to Obtain License)
www.denvergov.org/ContractorLicensing
Revised September 25, 2018
Community Planning and Development
201 W. Colfax Ave., Dept. 205, Denver, CO 80202
Phone: 720-865-2770
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
CONTRACTOR LICENSING
Contractor License
Application
Page 4 of 6
SUPERVISOR CERTIFICATE HOLDER
Name: _____________________________________________________ Date of Birth: ____________________
_
Home Address: ______________________________________________ Phone: __________________________
Certificate #: ______________________________ Certificate Type: ___________________________________
_
Has any pers
on listed under “Personnel of Applicant” ever had a licens
e unde
r the
Denver Building Code? Yes ☐ No
In other states? Yes ☐ No ☐
If yes, which state, type of license, and years it was
held: _________________________________________________
Has any person listed under “Personnel of Applicant” ever been denied a license under the Denver Building Code?
Yes ☐ No ☐
If yes, give name, type of license, and approximate date of denial: __________________________________________
Have you ever had a license or certificate revoked in the City and County of Denver? Yes ☐ No ☐
If yes, give reason for the revocation: __________________________________________________________________
Has the applicant read Chapter 1 of the Denver Building and Fire Code? Yes ☐ No ☐
WARNING: Statements made in this application are subject to verification. False or misleading statements may be cause
to deny the application, or if a license has been granted, revocation thereof upon discovery. Contractor licenses are issued
by authority of the Denver Building and Fire Code. This application must be accompanied by the license fee and supporting
documents. Make checks payable to: Manager of Finance.
The undersigned, as sole proprietor, partners, corporate officers, or members of an LLC certify that they are authorized to
act for the applicant and vouches for the truth of all statements made herein and on supplementary papers attached hereto.
“I understand all work must comply with the Denver Building and Fire Code.”
Signature of Individual, Owner, Member, or Officer of Company*:
_
__________________________________________
T
itle: ___________________________________________________________________________________________
Date: ___________________________________________________________________________________________
*Person signing must submit a legible copy of their current state-issued driver’s license or state-issued photo ID.
www.denvergov.org/ContractorLicensing
Revised September 25, 2018
Community Planning and Development
201 W. Colfax Ave., Dept. 205, Denver, CO 80202
Phone: 720-865-2770
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______________________________________________________________________________
______________________________________________________________________________
SUPERVISOR’S STATEMENT OF RESPONSIBILITY
This form must be submitted for all licenses that require a supervisor certificate holder.
The only license types that do not need to submit this document are electrical, plumbing,
and right-of-way (ROW).
I, ______________________________, am employed by________________________________
(name) (company name)
________________________________ in an ACTIVE, FULL-TIME capacity as SUPERVISOR
(company name continued)
for all work performed under the company’s ___________________________________ license.
(license type)
My residential or local address (if from out of state) is:
My daytime telephone number is _____________________________.
My Supervisor certificate number is __________________________.
My Supervisor certificate type is _____________________________.
I have read Chapter 1 of the Denver Building and Fire Code and hereby acknowledge that
I must adhere to the requirements of the code: www.denvergov.org/buildingcode.
SIGNED: ________________________________________________
DATED: _________________________________________________
Community Planning and Development
201 W. Colfax Ave., Dept. 205 | Denver, CO 80202
www.denvergov.org/contractorlicensing
p. 720.865.2770
_______________________________________________________________________________________________
Community Planning and Development
Office of the Manager
Contractor Licensing
201 W Colfax Ave, Dept 205
Denver, CO 80202
p: 720-865-2770
f: 720-865-2791
www.denvergov.org
AFFIDAVIT OF LAWFUL PRESENCE IN UNITED STATES
I, ______________________________________, swear or affirm under penalty of perjury under the laws of the State of
Colorado that (check one):
I am a United States citizen, or
I am a Permanent Resident of the United States, or
I am lawfully present in the United States pursuant to Federal Law, according to the following type of authorization:
I understand that this sworn statement is required by law because I have applied for a license or permit which falls under
the definition of a public benefit. I understand that Colorado state law requires me to provide one of the following forms
of proof that I am lawfully present in the United States prior to receipt of this benefit:
∞ Any Colorado Driver License, Colorado Driver Permit or Colorado Identification Card, expired one year or
less. (Temporary paper license with invalid Colorado Driver’s License, Colorado Drivers Permit, or
Colorado Identification Card, expired one year or less is acceptable).
∞ Out-of-state photo driver’s license or photo identification card, photo driver’s permit expired 1 year or less.
∞ U.S. Passport expired less than 10 years.
∞ Valid foreign passport with I-94 or valid processed for I551 stamps.
∞ Valid I551 Resident Alien/Permanent Resident card. No border crosser or USA B1/B2 Visa/BCC cards.
∞ Valid I688 Temporary Resident, I688B, and I766 Employment Authorization Card with intact photo.
∞ Valid US Military ID (active duty, dependent, retired, reserve and National Guard).
∞ Tribal Identification Card with intact photo. (U.S. or Canadian).
∞ Certificate of Naturalization with intact photo.
∞ Certificate of (US) Citizenship with intact photo.
I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is
punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute § 18-8-
503 and it shall constitute a separate criminal offense each time a public benefit is received. Furthermore, I understand it
is unlawful for me to offer, use or attempt to offer or use any evidence of my identification where such identification is
false, fraudulent or incorrect in any manner or way, or which misrepresents me, or which does not belong to me, or
which is altered, forged, defaced, or changed in any respect; except such changes as are required or authorized by law;
such unlawful use or offer of false identification is punishable under the criminal laws of the City & County of Denver
under Denver Revised Municipal Code § 38-3.
IF NOT APPEARING IN PERSON, SIGNATURE ON THIS AFFIDAVIT MUST BE WITNESSED BY NOTARY AND A
PHOTOCOPY OF THE IDENTIFICATION YOU ARE SUBMITTING MUST ALSO BE NOTARIZED.
____________________________________________ __________________
Signature of Affiant Date
STATE OF COLORADO )
) S.S. SEAL
CITY AND COUNTY OF DENVER )
Subscribed and sworn to before me on this ____________ day of _______________________, 20________
NOTARY PUBLIC: __________________________ My commission expires: ______________
Lic04 Rev. 2/1/08
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Denver community planning Contractor License Application

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Completed 15 January 2020

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