HomeMy WebLinkAbout625 Blue Mesa Ave - Applications/Reroof - 09/17/2019City of
,Fort Collins Applaat;an 9j. I�
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FING PERMIT Date Received
Corr.mun,N Deealopmen; an'! Sr.r , ,5
,81 to College
Pon Ccltns CO20524
Jnb Site Adure_s
Address W9 BJU4e, /&Y( City/State2ip EI_G U 2p_z
°ropeny Owner W�rrniacoo
Address&2L5, NCO- ///,y4 Aw-, City/State2ip P 60 SSZk-e
Phone Number -[� • 2-L - f�
i� + Single Family Detached OTownhome(attached) ODuples OApartmenVCondo 0Garage/Other
OBank OBar OChurch ORotel/Matel OMedical Office OOffice ORetail ORestaurant
of Ccnsuuctmn q&
Residential value vnll be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials S 1t3 , c fL�
t.lafena!s
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` n • - ^', Q Yes e�o RESID NIA "ieT v_°�`..r �' !r` ". =>1 C<a Q Yes o
Q Roof Repair 49% of roof area max. Class 4 shingle is not required. ��11
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? What new roofing materials are you using?
Is there existing insulation? Q Yes Q No If there is existing insulation, Is it slaying or will It be removed?
Name
Address -;()& lv�+- Q
Phone Number Q t v - q'� - !q 100 Email
Q Homeowner 6 Payroll Employees Q Exempt Roofer (1099): EX -
City/State2ip E� a �zC3 ;LT
Company Name:
5 License: �C Certificate: 11
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Print Name Signature Date