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2400 Antelope Rd - Applications/Reroof - 09/19/2019
Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 Job Site Address Address Property Owner Information Address — _ _ % L( 0 Phone Number -1 'io/ `10D - AppfcaVon # Date,Received lete applications will not /V .- Tart City/State/Zip C(ly/State2ip E ' o iringle Family Detached ®Tcwnhome (attached) Duplex oApenmenUCondo OGarage/Other • ®Bank ®Church ®Hotel/Motel ®MedicalOtfice ©Office — ®Retail ®Restaurant Value of Construction Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials S Materials - m m0 Yes --.__.. -- — QNo QYes No Q Roof Repair 49% of roof area max. Class 4 shingle is not required. P.Roof Repair 50% or more of roof area. Class 4 shingle is required. j 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 Name Address Phone Number "6 fUil tj Q'Q ` i LA Email Q Homeowner Q Payroll Employees p Exempt Roofer (1099): EX- CompanyName: /"IUd�Cb� YI to t✓'(LP.g 'K License: L Z Z t Certificate: 7