___________________________________________________________________________
Development Services
201 W Colfax Ave
Denver, CO 80202
Phone: 720-865-2705
General Permit for Roofing, Soffit/Facia, Blown Insulation
www.denvergov.org/DS
& Exterior Wall Covering Input Form (ROOFSIDE)
As of Nov. 2, 2018, roofs on buildings or additions of 25,000 square feet or more must meet the Denver Green Buildings Ordinance
unless exempted. These roof permits cannot be issued as a quick permit. Please visit www.denvergov.org/greenroofs for instructions.
Property Address: ______________________________________________________Bldg Dept Log #: ____________________
Class
of Work: (check one) New Bldg Addition Repair/Replace Alteration/Tenant Finish
Contractor License #: ________________________________
Company Name: ________________________________
Supervisor Certificate #: ________________________________
Building or addition gross floor area: ______________sq. ft.
Site Contact to Gain Entry for Inspection: (please print) __________________________________ Phone #: ____________________
Email: ______________________
Landmark/historic district? Yes No
Use of Building: (check one) Single-family Res. Duplex Garage Multi-family Res. Commercial
Scope of Work: ____________________________________________________________________________________________
Type of Activity:
Roofing Details: Only 2 layers of roofing are allowed. If you tear off layers, you must remove all previously laid layers.
3-Tab T-Loc Built-up
Tile
Type (check one):
Rolled Metal
Modified Dimension/Architect Urethane
Cedar ShakeLight Shake-Medium
Shake-Heavy Membrane Other
# of squares: ________
Brand name: __________________________________ Spec. # _____________
Exterior Wall Covering Details:
# of square feet: _________________
Type (check one): Vinyl
Aluminum Steel Wood Stucco Other
Blown-In Insulation Details:
# of Bags: ___________
Type (check one):
Cellulose Fiberglass Other
Soffit/Facia Details:
# of square feet: __________________
Type: (check one): Vinyl
Aluminum Steel Wood Other
Linear Feet: ____________
Valuation of Work: (INCLUDE: labor, profit, overhead, materials, equipment & install) $______________
Contractor Remarks: _________________________________________________________________________________
Updated October 30, 2018
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