HomeMy WebLinkAbout1925 Connecticut Dr - Applications/Reroof - 09/18/2019Fart Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address
Address 1 / 7i.S—
Property Owner Information
Phone Number 920, q q 3 O >z E-4
Application # _
Date Received
City/State/Zip II - CaL&NS CO R;S'
City/State/Zip Fl C0&/P) ' co ebg�-3_
USingleFamilyDetached oTownhome(attached) QDuplex t)Apartmenticondo 0Garage/Other
Bank 013ar oChurch oHotel/Motel OMedicalOfice Office ORetall QRestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
MANUFACTURERA IC
FLAT ROOF Ness bran "YeSNO
OF SQUARES #'OF:STORIES ■'
R-ESIDE LT11ANY WORK TO CHIMNEY? _ V
U Hoof Repair 49% of roof area max. Class 4 shingle is not required. i
tr 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?
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 (-1 O
Address
LL
RQ ►2'�
�-t City/State/zip I.t�'"T`TG�— � eei
Phone Number 7 Zo , ZQ (p . G Q Q Email co
WORK PERFORMEDBY
Homeowner Q Payroll Employees (KExempt Roofer (1099): EX-
Q Company Name: Tfl intJC"J�_t4mk 1
License: r l!� 39I Certificate: _ �o
Print/Name Signature I l � �9
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