HomeMy WebLinkAbout2103 Bock St - Applications/Reroof - 09/17/2019City of
Fort Collins
Communi1v Devclopmunt and Ncinhl,o,hnnd Servirttr,
201 N Collcge
Fort Collets, CO 905 .1 970-116-2740
142
� 0 � � � Appfiwfion # II
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AL'L i'nformatlon;is REQUIRED Incomplelejapjtlications',,wfll noP6e accoptod; '[
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Job Site Address
Address Z163 .910 {G7�
City/StateOp Fort Collins, CO
Property Ovmcr Information
Address_ Z/03 SOLD S*4v,�^ City/State/Zip Fort Collins, CO
Phone Number
QSingle Family Detached OTownhome (attached) ODuplex OApartmenUCondo 0Garage/Other
oCtO�T,A,r% OBank OBar OChurch OHotel/Motel OMedicalOffice OOffice ORetail ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq =100 sf). COMMERCIAL: Labor and Materials $
Materials
77
irllJl'7rU,f �-QYes --N�� -a _-
Q Roof Repair 49% of roof area max. Class 4 shingle is not required. -
Q° 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 staying or will it be removed?
Contractor Information
Name Northstar Constructions & Property Services
Address 1649 Dogwood Court City/State/Zip Fort Collins. CO 80525
Phone Number (970) 685-7601 Email twind@northstarees.com
Q Homeowner Payroll Employees Q Exempt Roofer (1099): EX -
License; 2493+
Company Name:
Certificate: 3696R+
Tim Wind.. _ __ __ - _. _ • _ _ _ _ - _ _ _ _
Print Name Signature ( Dar
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