HomeMy WebLinkAbout3001 Ninebark Dr - Applications/Reroof - 09/17/2019Flirt CoWns
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address
Address _360 1 A' Itif— i �K Dir-z ` -
Property Owner Information
Address sa. ^e- A,S To & f ,'(-2
Phone Number 30 3 - 915 -
s Single Family Detached OTownhome (attached) ODuplex
Value of Construction
Application #
Date Received
City/State/Zip _ar� t.A ilM S7 Co $o5a g
City/State/Zip
OApartment/Condo 0Garage/Other
OBank OBar OChurch OHotel/Motel OMedicalOffice OOffice 0Retail ORestaurant
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
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MANUFACTURERS (► # OF SQUARES OF STORIES
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FLATR®OF (le ss than 2 9#2 pftcti)0 Yes e ANY�UOKTQH�MNE ?a0 Yes -ONo
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
0 Roof Repair 50% or more of roof area. Class 4 shingle is reguired.
COMMERCIAL STRUCTURES
Are you going to be tearing off or keeping existing layers?
What kind of material are they?
If keeping existing layers, how many layers are there?
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 5 Star Home Improvement Inc
Address 1350 W. 8th st
City/State/zip Loveland, co 80537
Phone Number 970 663 0110 Email 5starRoofing,@comcast.net
0 Homeowner 0 Payroll Employees 0 Exempt Roofer (10999): (E�X-
Company Name:
License: R-1969 Certificate: 2643-R
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Print NO Signature Date