HomeMy WebLinkAbout225 Green Leaf St - Applications/Reroof - 08/17/2019 (8)l-iy tx z
"+KY
Obi 0-
COrnmunity 17evolopnant and neighborhood Services
281 Ni Coftege
Fort Collins, C:C 80.524970-41(1.2740
Job Site Address Address_a.a.S -6r"vi Lea-C S I1
. :07V
Propar4y Owner Information (TouC:+Sia .e PngerfJ �4+fa ea+ew � LLG)
Address a 8S0 /q `C IC /!a wd Or.
Phone Number 9 30 - 3 3 Eo o o
l� , ®Single Family Detached OTownhome (attached) ®Duplex
029
,Of3ank ®Bar OChurch OHotel/Motel ®Medical Office
Application #_
Date Received
City/State/Zip �[tihl LO O�Sa�
City/State/Zip I O rr (01 °1 S 60 JdSa i
OApartment/Condo OGarage/Other
Ounce
'L4alua of ('o- rtsirt,raion
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $_
Matsrials
€�€yo-•��k�y S �r•�11 K .�,..ax�
Kta-Jg- -
Gt°° EGG i! act (I 4r (�a1s'{ iii O Yes No �RES)11L�1JJAL1yVpt i
Y_"a
O 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.
ORetell O Restaurant
O Yes XNo
COMMERCIAL STRUCTURES /r�r
Are you going to be tearing off or keeping existing layers? W- dr* If keeping existing layers, how many layers are there?
What kind of material are they? mftil pnQl s l�0% Ie at new roofing materials are you using?
Is there existing insulation? 0 Yes O No If there Is existing insulation, Is It staying or will Abe removed? 94"t,4 I ►)a
Contrac::lor Infon'nalion
NameAddress 6Eb
Roa'6�rx� 4 (ZA4ctc'�r
S . R QZ'1 V%e G: r " Citty/State/ZipZe(;n 1enn ; a / CO E'o Of
Phone Number 3 3 — �� y ' 3S 3 Email 50 r-C. @ koarl+a e roD F� n q 61�
O Homeowner Payroll Employees f Exempt Roofer (1099): EX --
Company Name:
License: Certificate:
Print Name �`% �� C r �I w Signature I Date / l