HomeMy WebLinkAbout3009 Avena Ave - Applications/Reroof - 09/27/2019Fort Cottins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address
Address 3009 Avena Ct
Property Owner Information
Addrecc 3009 Avena Ct
ROOFING
•RMIT
Appliwflon #
Defa Rece(ved -
Phone Number 970-443-0320
Oi -'3 O j?}tpgr ly Q Single Family Detached QTownhome(attached)
0 OBank OBar OChurch OHotel/Motel
City/state2lp Fort Collins, CO 80528
City/State[Zip Fort Collins, CO 80528
O Duplex OApartmenticando OGarage/Other
OMedical Office OOffiCe 0Retail ORestaurant
WIUe of Construction
Residential value will be caltxllated per square (1 sq = 100 at). COMMERCIAL: Labor and Materials $
Materials
uJMalarkey Legacy o a � - 24.45 F. xJ':3(', 2
SrZ .a ^ e o . fL TCef" u1 lixt'1,1. Q Yes No RESIDENTIAL` 7�,p�>K.. u - "*tc-m(LA� byes 0 No
O Roof Repair 49 % of roof area max. Class 4 shingle Is not required.
* 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? What new roofing materials are you using?
Is there existing Insulation? O Yes O No If there is existing insulation, is it staying or.will it be removed?
Contractor Informaton
Name Fort Collins Restoration
Address 6530 S College Ave City/State/Zip Fort Collins, CO 80525
Phone Number 970-207-0000 Email gus@affordabieroofinginc.com
O Homeowner 0 Payroll Employees O Exempt Roofer (1099): EX-
R-3676
Gus Johnson
Print Name Signature
Company Name:
ir,•at„• 4102 R+
Date
9/26/19