Work Permit Application

Work Permit Application Form

The purpose of the Work Permit Application is to ensure RSI can review and approve any modifications that will be made to the roof system. A permit from our team is only required if what you are installing will directly sit on the roof’s surface or will need actual roof work performed.
Company Name*
Full Company Address*
Street Address City State ZIP Code
Contact Information
Please provide a point of contact that can answer any question’s our team may have.
Name*
First Last
Phone*
Email*
Building Owner Information
Did a specific Building Owner or Property Management team direct you to this form? Please provide their contact information.
Company Name of Owner's Representative
Name of Owner's Representative
First Last
Email of Owner's Representative
Building Information
Please provide any known information for the building where the work will be performed.
Building Address*
Street Address City State ZIP Code
Details
Project Information | Roof Modifications
File Upload
If you would like to upload all files at once, please utilize this area. Any missing required items will be requested and reviewed by our team before work commences.
Drop files here or
Max. file size: 50 MB.
Estimated Start Date*
If unknown, provide estimated days until the work may be scheduled or a time range it may take place.
Estimated Duration of Work (in Working Days)*
How long will this project take?
Roof Section Name | Location of Work*
If you do not know the pre-determined Roof Section Name, please provide a description of the general area or upload a roof map.
Max. file size: 50 MB.
Description of Work*
Please provide or upload a description of what will be done with any applicable quantities. State “See Attached” if a file is provided.
Description of Work Upload
Max. file size: 50 MB.
Is this Roof Under Warranty?*
If yes, indicate the manufacturer. If unknown, please state that.
Manufacturer schematic provided?
- Yes
- No
Will welding or other hot work be involved?*
- Yes
- No
Have owner insurance requirements been met?
If yes, please upload your Certificated of Insurance. RSI will require a certificate of insurance be submitted before any work commences.
- Yes
- No
- Unknown, RSI Assistance Requested
Certificate of Insurance
Max. file size: 50 MB.
Staging Area and Haul Paths
Please provide a detail description or upload a map with the details.
Staging Area Plan Upload
Max. file size: 50 MB.
Comments

Work Permit Application

Work Permit Application Form

Contact Information

Building Owner Information

Building Information

Project Information | Roof Modifications

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