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HomeMy WebLinkAbout5939 Twin Wash Sq - Applications/Reroof - 09/26/2019art C®�lo�� Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 Application # _ Date Received Job Site Address Address S 93 9 Tai e' f'Jask;nn Fa. L f e, City/State/Zip Property Owner Information Address t Phone Number 9 7o - 130 - 2 3 6 I t City/State/Zip Of � (A"-t . co 8 "Is- ( ® 0SingleFamilyDetached QTownhome(attached) QDuplex QApartment/Condo QGarage/Other © m QBank IQBar QChurch QHotel/Motel QMedicalOffice QOffice QRetail QRestaurant Value of Construction Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $ 7 f 0 0 MANUFACTURER. �#iOF 3QUARESh® ,#:6FSTORIES -© FLAT ROOF (less than 2 12'pitch} - I� u ANY WORK TO CHIMNEY? ti - QRoof Repair 49% of roof area max. Class 4 shingle is not required. oof 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? IL 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 Information Name _ 411 Y-o , Address 3 4"►? Lw Ksp.,! Qf:vt t Lute n.wk 5 0Sa3 City/State/Zip _ Loarr~� (o OS�D3 Phone Number -17o - 5,2.- 337-( Email 0bfaa41B�ri'4-C!►;- c,. Q Homeowner Q Payroll Employees �0 Exempt Roofer (1099): EX - Company Name: 11,1116 Pr License: 3 9 R -5'� Certificate: yS -1 $ -) 2— Jaen db,acbta Print Name Sign a ure Date