HomeMy WebLinkAbout2727 Canby Way - Applications/Reroof - 09/18/2019�of
t Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address
Address zI
Property Owner Information
Address
Phone Number
Z
Application #
Date Receive
City/State/Zip C�)- COLL IWS Co s
City/State/Zip
QD Single Family Detached oTownhome (attached) oDuplex oApartment/Condo Garage/Other
QBank 013ar QChurch Hotel/Motel QMedicalOffice QOffice Retail QRestaurant
Value of Construction
Residential value will be calculated per square (1 sq =100 so. COMMERCIAL: Labor and Materials $
Materials
MANUFACTURER / �
FLAT ROOF (less than 2; 12 pitch) 0 Yes
#'OFSQUARES #OF STORIES
MOMANY WORK TO CHIMNEY? `- re i
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
0 hoof 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?
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 Information
Name (—► 0 1 i2CIO f�—,IN�, cf(S J
Address �G �/ N )4e#`-Lj C N� City/State/Zip Lt'7-rL&-T6- N C(Z)
Phone Number Zo' zo& T 6 0 Q Email :y7-1-kr-,A � 9(1 x- i+N�<9 C M4-� l 4 CoWORK y�
PERFORMED BY m O Homeowner Payroll Employees (Exempt Roofer (1099): EX- /�Si23 12
/7 Company Name: 2 1'�c4 "010
License: r 3914 Certificate: 6 6 1 9
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Print Name I Signatum J — _