HomeMy WebLinkAbout720 Fairbourne Way - Applications/Reroof - 09/16/2019of
City Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Application # _
Date Received
Job Site Address
Address ti� CO ail S City/State/Zip 5f05
Property Owner Information G
Address Zo cu2yt t1�,4�, Cc�"�S City/State/Zip
Phone Number C9 �-G 696 -&(I LLf
&single Family Detached OTownhome (attached) 013uplex oApartment(Condo ®Garage/Other
013ank DBar OChurch OHotel/Motel 0MedicaI0ffice 00ffice 0Retaii ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
"MANUFACTURER
FLATROOF(ess than 2:12 pitch) n 0 Yes G'
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
Goof 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? 0 Yes 0 No If there is existing insulation, is it staying or will it be removed?
Contractor Information
Name
Address
Phone Number
Email
City/State/Zip
WORK - e - e : Homeowner 0 Payroll Employees 0 Exempt Roofer (1099): EX -
Company Name:
License: Certificate:
Print Name I Signature "� Date l ((