Loading...
HomeMy WebLinkAbout3323 Shallow Pond Dr - Applications/Reroof - 09/24/2019�City{of ? ,`6rt CoWns Application # _ �- ROOFING Date Received Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address 3323 Shallow Pond Dr Property Owner Information Address Gouldey - 3323 Shallow Pond Dr Phone Number 970-225-6402 City/State/Zip Ft Collins CO 80528 City/State/Zip Ft Collins CO 80528 0Single Family Detached QTownhome (attached) QDuplex QApartment/Condo QGarage/Other QBank 013ar QChurch QHotel/Motel QMedicalOffice QOfrice 0Retail QRestaurant Value of Construction Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $ 10600 Materials MANUFACTURERt=Malarkey Legacy# OF SQUARES > °# OF STORIES )FLAT ROOF jlesstlan 2 92 pttcd�Yes *No t +... - ANY WORK TO CHIMNEY?F *No �' O Roof Repair 49% of roof area max. Class 4 shingle is not required. Q 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? Q Yes Q No If there is existing insulation, is it staying or will it be removed? Contractor Information Name On Target Roofing Address 5210 Coral Burst Circle Phone Number 970-619-8902 City/State/Zip Loveland CO 80538 Email alex@ontargetroofing.com Q Homeowner O Payroll Employees Q Exempt Roofer (1099): EX- 122R Company Name: Red Canyon Roofing LLC License: R-3637 and 1044-R Certificate: i 0ffy signed by:Alexandra Millsap e508bd33-2ba6-4850-44850 532-030177,9530d33-2ba6 9/23119 b532-030177a9530d„' 6N: C7a9530dbd33-2ba6-4850-b532- Print Name Signature bate: 2019.09.23 13:36:38 -07'00' Date