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1537 Front Nine Dr - Applications/Reroof - 09/16/2019
City of Fort Collins Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 Job Site Address Address_ J3+ 1 jrA Oka J/t tUf Property Owner Information Address 15 31- 1 y(Ycni 'r\ia fljl',b>u sa 67 LI Phone Number e Single Family Detached QTownhome (attached) Q Duplex Q �® OBank —OBar oChurch Application # n 11 1 U11 (0 Date Received %C, ('I) .J�25 City/State/Zip City/State/Zip 21 C , 0-0 , `50- 2 ej OApartment/Condo oGarage/Other QHotel/Motel QMedicalOffice OOffice 0Retail ©Restaurant Value of Construction Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials Materials Q Yes Ll No RESIDENTIAL a e Q Yes-- — _l �o Q..,, , 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? 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 A t Information n Name I U 110 V A(}4-\/t(A Address Phone Number �rj'5'6- 3� - (J�l Email ®_ ° r" Q Homeowner Q Payroll Employees License:: City/State/Zip Q Exempt Roofer (1099): EX - Company Name:: � Certificate: — Qu " �- PrintName Date