HomeMy WebLinkAbout5926 Espalier Ln - Applications/Reroof - 08/19/2019F6rt Collins
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
Property Owner Information
Address
Phone Number . • % —7. , --
City/StaterZip7
City/State2ip ( � 7
Detached OTownhome (attached) ODuplex OApartment/Condo OGaragefOther
• OBank OBar OChurch OHotel/Molel OMedicalOffice OOfFce ORetail ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
IT, AN1,111FACI 11]04
FLAT'ROOF (less than 2:12 pitch)
# OF SQUARES '`�� # OF STORIES
ANY WORK TO CHIMNEY? I;
O Roof Repair 49% of roof area max. Class 4 shingle is not required.
f� 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? 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? Q Yes Q No If there is existing insulation, is it staying or will it be removed?
Cdntractcr In 'rmalion,
Name A
,,-- // n
Address S CitylState/ZipA"—' 62. po5�;
Phone Number /'2/O —(/n— C/ - Email
WORK PERFORMED BY p Homeowner Q Payroll Employees Exempt Roofer (1099): EX -
Company Name:
License: Certificate: -
Print fJama. Signal Date