HomeMy WebLinkAbout5433 Northern Lights Dr - Applications/Reroof - 08/23/2019Application # B 190
Date Received 9-1 23 / 19
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address ` ` `
Address ri'i3i 1Joc:'hern 1��[�1..�5 �c. City/State/ZipF6fV (-O g0525'
Property Owner Information tt
Address 5'-i33 t1oc k1� N N-6AV 5 K) ' • City/State/ZipIar% CV, t`5 CO gZ2.0
Phone Number 35 2 — 215 22l \
- Single Family Detached oTownhome (attached) ODuplex OApartment/Condo OGarage/Other
MEEFOBank O Bar O Church O Hotel/Motel o Medical Office OOffice o Retail O Restaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $ ID , 000
MANUFACTURER r
FLAT ROOF (less than 2512'pitch) - !�
# OF SQUARES ® # OF.STORIES
ANY WORK TO CHIMNEY? - 1
Q 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? If keeping existing layers, how many layers are there?
What kind of material are they?
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?
Contractor Information
Name iz1ue- Tc-M
Address
Phone Number 9'40 -& q`( — 5575 Email
City/State/Zips &j,& LO q05t7�,
p Homeowner p Payroll Employees p Exempt Roofer (1099): EX -
Company Name: / YJ✓\.Tbe4J
License: Certificate:
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Pdnt Name Signature Date