HomeMy WebLinkAbout2314 Lodgepole Creek Dr - Applications/Reroof - 08/14/2019City of
Fort Collies Application #
• • • • —
��' Date Received
Community Development and Neighborhood Sewices
281 N College
Fort Collins, CO 80524 970-416-2740
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address- a3ILI L.odo, Dole 03reeek 1Dr City/State/Zip Ff Co!li2s Cd f05a49
Property Owner Information Ma.* FoSr
Address 0?3 1 L- /`endear n I e• . er e e4e— Dv City/State/Zip Cb /l r its' Co Z--o 5 a- 8
Phone Number 9 70 • L S 0 • 95 `l 5
Family Detached OTownhome(atlached) ODuplex OApadment/Condo OGarage/Other
OBank OBar OChurch OHotellMotel OMedicalOffice 00ffice ORetail ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 so. COMMERCIAL: Labor and Materials $ e 7OO
Materials
J r7 O Yes ONO I RESIDENTIAL µ o O Yes ONO _
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.
COMMERCIAL STRUCTURES
Are you going to be tearing off or keeping existing layers? %fa.- If keeping existing layers, how many layers are there? h ��
What kind of material are they? ,ZYGl1i +e a1"urez i What new roofing materials are you using? / Anar.ueL- /A dtrass +4
Is there existing insulation? O Yes gNo If there is existing insulation, is it staying or will it be removed? rt /e,-
Contractor Information
Name - RtTIThe—
Address 1355 1 W • ui 3 rd Dr # ,c� City/State/Zip I-JAIe^ ,,e? CO &DLM3
Phone Number 3343 • -271. 01 o 0 Email Nab rh LO r , /D ro . e-0
n'o - - o D - ;` Q Homeowner Q Payroll Employees Exempt Roofer (1099): EX- I lu
M x Company Name: {' Prbts ee rnt, cU.
V
License: h/�� � � Certificate:
QOfn.i Qr�onaz � !9
I Print Name I Signature LDate