HomeMy WebLinkAbout3944 Celtic Ln - Special Inspections/Field Verification - 08/13/2019Planning, Development & Transportation Services
City.of Community Development & Neighborhood Services
281 North College Avcnuc
FA Collins'P.O. Box 580
ts,
'� — PFort.O Collins, CO 90522.0580
970.416.2740
970.224.6134- fax
fegoccom
City of Fort Collins
Roofing/Re-Roofing Field Verification Form
(Above Two -Stories)
3944 Celtic Lane, Ft. Collins, CO 80524 B1904579
Job Site Address Permit Number
A building permit (re -roofing) was obtained for the above address. This building exceeds the City's
ability to access the roof for inspection with a standard two-story ladder.
You are the listed Fort Collins licensed roofing contractor of record for this project. As such, you are
authorized to complete this Roofing/Re-Roofing Field Verification Fornr in lieu of arranging for the City
inspection. Please return the completed form to Building Services in order for the project to be approved
and the permit closed.
"I hereby certify that the roofing installed at the above listed address complies with the applicable City of
Fort Collins Residential or Commercial building codes as amended and adopted. I further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas."
EagleView Roofing, LLC Charles Perry
Roofing Company Name Certificate Holder Name (Print) License #
08/13/2019
Date
CkAQJ L:,� —
Certificate Holder Name (Sift)
If the work was performed on the aforementioned permit using a City of Fort Collins Registered Exempt
Worker crew, please acknowledge below:
Exempt Company Name Registered Exempt Worker (Print) Registration #
Date