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HomeMy WebLinkAbout5209 Keystone Creek Ct - Applications/Reroof - 09/16/2019�F`orrt Collins Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 Job Site Address Address 5209 Keystone Creek Ct. Property Owner Information Address same Phone Number (970) 215-7654 Application #J_ Date Received City/State/Zip Fort Collins/CO City/State/Zip same �� • &Single Family Detached ®Townhome(attached) ®Duplex ®ApartmenUCondo ®Garage/Other © • �OBank �Bar ® Chu�hoHotel/Motel Medical Office �C)Office.�ORetail ® Restaurant Value of Construction Residential value will be calculated per square (1 sq = 100 sq. COMMERCIAL: Labor and Materials $ 11550 Materials MANUFACTURER #'OF'SQUARES ® #'OFSTORIES FLAT ROOF(less than 212 piteti) Q °MANY WORK TO CHIMNEY? YesNo O Roof Repair 49% of roof area max. Class 4 shingle is not required. 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? Is there existing insulation? p Yes Q No What new roofing materials are you using? If there is existing insulation, is it staying or will it be removed? Contractor Information Name Steve Martin - TSV Construction and Address 9691 Kings Mill Ln. City/State/Zip Lone Tree/CO/80124 Phone Number 303-519-7100 Email office(Ptsvconstructionandroofing.com WORK PERFORMED BY Q Homeowner Q Payroll Employees) Exempt Roofer (1099): EX- 186(R) Company Name: D&C Exteriors License: R-2294 Certificate: 4646-R Jessica Wise 9/16/19 Print Name Signature /ed'SuA�� . �Date