HomeMy WebLinkAbout526 Cajetan St - Special Inspections/Field Verification - 11/29/2018Planning, Developinent & Transportation Services
City. 01 Community Development & Neig66orhoud Services
Col81NarhCollegeAveauc
lins P.O.
`! `� .O.Bax580
Fort Col{ins, CO 90522.0580
970AIG2740
970.224.6134-fox
fcgoucom
City of Fort Collins
Roofing/Re-Roofing Field Verification Form
(Above Two -Stories)
Job Site Address PemtitNumber
A building permit (re -roofing) was obtained for the above address. This building exceeds the City's
ability to access the roof for inspection with a standard two-story ladder.
You are the listed Fort Collins licensed roofing contractor of record for this project_ As such, you are
authorized to complete this Rogf12g1Re-Roofmg Field Yerrficalion Form in lieu of arranging for the City
inspection. Please reiutn the completed form to Building Services in order for the project to be approved
and the permit closed.
"I hereby certify that the roofing installed at the above listed address complies with the applicable City of
Fort Collins Residential or Commercial building codes as amended and adopted. I further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas."
Roofing Company N
9
Date
JCIMN/Al
:ertifi te�derN
943 g
License #
If the work was performed on the aforementioned permit using a City of Fort Collins Registered' Exempt
Worker crew, please acknowledge below:
Exempt Company Name Registered Exempt Worker (Print) Registration #
Date