HomeMy WebLinkAbout1657 Fossil Creek Pkwy - Applications/Reroof - 09/12/2019City of
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Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740ALL Information is
REQUIRED.. . applications . be accepted. G v
Job Site Address
Address / d �7 FUS S d G(tiek L4 rkL vy. City/State/Zip
Property Owner Information
Address 405'.50 ( frek MYL✓ tcg.v
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' •w Single Family Detached OTownhome (attached) ODuplex
City/State/Zip 6d zC'L1 h5 !a *0 (
OApartment/Condo 0Garage/Other
- - - -- - --- - - - — --- - - -
46 - - -- - -- - - - - - - -- -- -- -- -
O.om Bank OBar Church QHotel/Motel ®Medical Office 00ffice ORetail 0 Restaurant
Value of Construction - CD
Residential value will be calculated per square (1 sq =100 sf). COMMERCIAL: Labor and Materials $ S , A Y7
Materials QIULe✓) CLOnIh
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l ''.00 • 1_0 Yes 0 No I RESIDENTIAL �o u I�_, Yes 0 No
4
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 A /
Are you going to be tearing off or keeping existing layers? �kYY If keeping existing layers, how many layers are there? / V
What kind of material are they? What new roofing materials are you using? 61k CP':? &IPu nt
Is there existing insulation?jk<e� No If ere is existing insulation, is it staying or will it be removed?
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Contracior Information
Name
Address
Phone Number
City/State/Zip Jf Laeleey '8d4;FCf
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Q Homeowner Payroll Employees Q Exempt Roofer (1099): EX- , , '.-
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License: s Certificate:
Email
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Print Name e�5e( l+u fu i Signature
Date / �� rtl�