HomeMy WebLinkAbout1418 Last Oak Ct - Applications/Reroof - 08/09/2019Fort Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address
Address 1 418 Last Oak d,+
Property Owner Information beck- 4-
Address ! ql ff Last dal[ C--f-
Phone Number q 70. al 9• a 573
Application it
Date Received
City/State/Zip Flt' Collshs CO &05-25
City/State/Zip Ft eoliths GD 80So1S
Family Detached QTownhome(attached) QDuplex QApartment/Condo 0Garage/Other
QBank QBar QChurch OHoteUMotel QMedicaloffice QOffice QRetail QRestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $ o?r 700
Materials
ev.
Yes _ No J rRESIDENTIAL ( ) W Q Yes No
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Q Roof Repair 49% of roof area max. Class 4 shingle is not required.
Roof Repair 50% or more of roof area. Class 4 shingle is required.
COMMERCIAL STRUCTURES /
Are you going to be tearing off or keeping existing layers? l leA Y' If keeping existing layers, how many layers are there? / b-
What kind of material are they? A rr: h i -Pe c' i:4 ra I What new roofing materials are you using? an�rvw t k (� C 4L, S Lll
Is there existing insulation? p Yes>(No If there is existing insulation, is it staying or will it be removed? n �--
Contractor Information
Name le Ts proFassranaLs { T. e- .
Address / 3 5 5 f W • y a rol 0- - >$ a City/State/Zip t;o l el e-" Co 96 sl03
Phone Number 363 • a71 •D/OD Email Yv""+1 (ID
o o o d Q Homeowner Q Payroll Employees XExempt Roofer (1099): EX- / 6 �%
Company Name: A011, PYa rs t1?Y.modal r �.� � 4 t✓
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.* a, - License_ _ Certificate: —
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anez
I Print Name I Signature - i Date