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HomeMy WebLinkAbout2457 Palomino Dr - Applications/Reroof - 08/22/2019CKYOf Coffins Community Development and Neighborhood Services 281 N C ollege Fort Collins, CO 30524 970=} 1 G-2740 Job Site Address Address_ 24157 P6_� �`LO Property Owner Information Address application # L�� u2s � Date Received i_ C0Akt C-�ap Tisr-t Co1/(�u. s Co City/State/Zip /RyJ ? City/State/Zip (?o� ~_ -'` % b OApartment/Condo ©Garage/Other t0tl QOffice ORetail QRestaurant I Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL; Labor and Materials $ Material /_-� Qq �'f O Yes ONO _ QYes j O Roof Repair 49°/, of roof area max. Class 4 shingle is not required. Nc XRoof Repalr. 50% cr more of roof area. Ciarc a rl'1.1 vi& Phon11 e Number L>'o -Z3 z v Kam` ° kSingle Family Detached - — --- — _©Townhome(attached) ©Duplex ex 'e ' Bank Qar ` - --- - ©Church QHoteVMotel © Medical office all of COIlSil-LIGI .- COMMERCIAL STRUCTURES — _ - - ' re-- °-�"� Are you going to be tearing off or keeping existing layers? What kind of material are they? -�If keeping existing layers, how many layers are there? Is (here existingInsulation? What new roofing materials are you using? O Yes Q No If there is existing insulation, is it staying or will it be removed? Contractor I{°�r;nation Name r ln, o,< c. /� A Address Y� Phone Number ef(fin�fnlw7 ---_Email f+ " O Homeowner Q Payroll Employe License^—-2�-i2,(- Name City/State/Zip G. es - Exempt Roofer (1099): EX_ Company Name: U Certificate:LA 5�-3- kz.