HomeMy WebLinkAbout5626 Coppervein St - Applications/Reroof - 09/11/2019Job Site Address Address 2-4-1 GQ12 e V t1 �5L City/State/Zip ~ r6111 1,/I$ leU yzt
Property Owner Information
Address SCO 24p 6�t7AP.f UP> CitylStatelZip ec51 OW - C
Phone Number -I +0 5So Oq (jQ-D
®Single Family Detached ()Townhome(attached) ()Duplex ()Apartment/condo • ()Garage/Other
()Bank ()Bar ()Church
()HoteUMotel () Medical Office
()Office ()Retail Restaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $ 3&0c)
Maierials
fNANUEI1REi2 1AIX8-QF SQUARES ,; #"OF STOGIES
AT R0.(3 jless(f}aa�t7.pifcii} • Yes 0 No uN S' W6K TO CflMPfl • Yes (9No
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• -..roof area max. Class 4 shingle is not required.
® Roof Repair 50% or more of roof area. Class 4 shingle Is required.
COMMERCIAL<STRUCTU RES
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 'I
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Name 1J2t2 WC1 ��titn r 7 by b.V1 ui /r I
Address O -5 L^A �/ She 2 Z CD City/State/Zip l` iA- Cc t �t(nsle6
Phone Number q}b. 2 Z Z/5 s Email ion.-.0- ®5 E vP.�� r✓'C0.i 1 �t�/ (c ��tq. G�
• • " ° 0 Homeowner ® Payroll Employees 0 Exempt Roofer (1099): EX -
Company Name: s�
License: �Z �� Certificate: 3IZt I f�