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2133 Sandbur Dr - Applications/Reroof - 08/13/2019
C4. of F®r` Collins Application # _ ROOFING Date Received Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address 213-� -S4..6c16tu(' Dr City/State/zip F"4 6//,1.,_s, '26s2-S Property Owner Information Address a 19 S S&,,+hAht4r l� r City/State/Zip rcL �./legs , <iS2 .� /� Phone Number "t,:�o A- bq2 - 1r76m •&Single Family Detached (OTownhome (attached) ©Duplex ®Apartment/Condo ©Garage/Other ® • ®Bank ©Bar QChurch ©Hotel/Motel QMedicalOffice QOfffce 0Retail Restaurant Value of Construction Residential value will be .. 00 •Labor Materials MANUFACTURER r/ ` #'OF`STORIES' .v� FLAT ROOF (less than2:12;pdch) {� ANY,WORKTOYCHIMNEY?';0 Yes(! 0 Roof Repair 49% of roof area max. Class 4 shingle is not required. oof 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? If keeping existing layers, how many layers are there? What kind of material are they? What new roofing materials are you using? Is there existing insulation? 0 Yes Q No If there is existing insulation, is it staying or will it be removed? Contractor Name Address 333 s (nj. qj 1-1, ✓ I re 1J City/State/Zip ✓et^u e- edGZ1 • - Phone Number 9-20 - q4jt - OS I ,` Email Cc,� S re. Jo G:) Prfo ri!Ly rvu t2e%�riep� Ce M. Q Homeowner '(!)'Payroll Employees O Exempt Roofer (1099): EX - Company Name: License: k- 3Cdt y Certificate: 4 Print Name C [ Signature Date