HomeMy WebLinkAbout1044 Trading Post Rd - Special Inspections/Field Verification - 10/15/2019of
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Planning, Development & Transportation Services
Community Development & Neighborhood Services
281 NorilrCollcge Avenue
P.O. Box 580
Fort Collins, CO 80522.0580
970.416.2740
970.224.6134• fax
fcgoecont
City of Fort Collins
Rooring/Re-Roofing Field Verification Form
(Above Two -Stories)
OqY 90.5+ QCJ $l a0(o04S
Job Site Address Permit Number
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 Roofing.'Re-Roofrrrg Field Yerrficalron Form in lieu of arranging for the City
inspection. Please return 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. 1 further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas.,,
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Roofing Company Name Certificate Holder Name (Print) License #
Loll! I q
Date rCertificate Holder N e (Sign)
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
Planning, Development & Transportation Services
Cl4yof
Collins -
Community Development & Neighborhood Services
281 North College Avenue
P.O. Box 580
Fort Collins, CO 80522.0580
970.416.2740
970.224.6134- fnx
fcgonconr
City of Fort Collins
Roofing/Re-Roofing Field Verification Form
(Above Two -Stories)
$ l 9 0 (0 0 4 S
Job Site Address PermitNumber
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 Roofrng.'Re-Roofing Field Prerif:cation Form in lieu of arranging for the City
inspection. Please return 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
rooting materials used on this project were installed per the manufacturer's instructions in high -wind
areas."
AkI Acunel 20Aa5 Chn s &U<LtR R 383 S
Roofing Company Name Certificate Holder Name (Print) License #
Date Certificate Holder N• e,(Sign)
If the work was performed on ttfe _aforementioned permit using a City of Fort Collins Registered Exempt
Worker crew, please acknowledge below:
Exempt Company Name
[late
Registered Exempt Worker (Print) Registration #