HomeMy WebLinkAbout909 Chippewa Ct - Applications/Reroof - 09/09/2019�City}o/ff� f �p
\s®lL'C Ys Application#
ROOFING PERMIT
Date Received
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740 4 (o2--7
ALL information is REQUIRED. Incomplete applications will not be accepted.
.. Site Address
Address !9 )' J• a :�U
Property Owner Information
Address S Nr-C F. City/State2ip
Phone Number q*10 — ?, loaf b
,Single Family Detached oTownhome (attached) ODuplex oApartment/condo OGarage/Other
Bank QBar Church 01-lotel/Motel OMedicalOffice QOffice 0Retail (DRestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials
MANUFACTURER
FLAT ROOF (/ess,(han 212 pdc�ty � - �
AZ1' Mk'h-'rzf-P`�N-r: ME"j'stl':£d:+.�rf v!
OFRSQUA�RESi� OFrSTORIES
r ANY W6 TO GHIMNEYR. -
l l"JuK t1 •err i� a,Cr�4�ota
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Roof Repair 49% of roof area max. Class 4 shingle is not required.
(?�j2oof 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?
Contractors Information /
Name A16A,01 G c ot/57�LVCT o/)
Address V763 City/State/Zip goszs'
Phone Number 7Z 0 95/0 $rt/
Q Homeowner
Email %ltaH ��✓O�GL'c�✓Si�iicT/a�✓GO. Ca,yj
-Payroll Employees -, Exempt Roofer (1099): EX -
Company Name: AXF 12 CC�OFt tl C� 3
License: FS r- 15 q Certificate:
PrtntName \QON N-nDUW— i Signature -,_ _p I Date
4-