HomeMy WebLinkAbout5003 Rose Ct - Applications/Reroof - 08/15/2019Cityof�
� sort CoWns Application it
ROOFING PERMIT i
Date Received
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
Address ("<i o 0 3 use) Clfi• City/State/Zip FOB (611I WO (D h062g
Property Owner Information
Address 501)3P-0 SA bt, City/State2ip�0li
Phone Number 13.03) HYL/ g26LI
®Single Family Detached OTownhome (attached) ODuplex oApartmenticondo OGarage/Other
Bank ) Bar Church 01-lotel/Motel Medical Office 00flice C)Retali ()Restaurant
Value of Construction
Residential value will be calculated per square (1 sq =100 sf). COMMERCIAL: Labor and Materials $ r 55
Materials
(--) A F
Q Yes ® No
ZS
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.
0 Yes ® No
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 O No If there is existing insulation, is it staying or will it be removed?
Contractor Information
Name —E(n Roa trod cS0i(L}
Address La 10 d LI P cwr St- City/StatefZip D�NLU, (U W07,/�i
Phone Number 1668) q 1 Li a8 69 Email ► y GLA/N re eco rytfaj J s o I cur. c om
O Homeowner ® Payroll Employees Q Exempt Roofer (1099): EX -
Company,, Name: / \
License: L 31 I3 (f� Certificate: q 19 Z R l to
Poirn CWnt411-
Print Name Sigr turn Date