HomeMy WebLinkAbout1109 E Lake Pl - Applications/Reroof - 10/01/2019City of
Fort Co ins 9
ROOFING %IPP/icat/on #
Dare 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 1109 E Lake PI City/StateZp Fort Collins, CO 80524
Properly Owner Information
Address 1109 E Lake PI City/State/Zlp Fort Collins, CO 80524
Phone Number (303) 330-2586
0 • Q Single Family Detached OTownhome(attached) ODuplex ()Apartment/Condo ()Garage/Other
O • OBank `()Bar OChurch OHotel/Motel ()Medical Office ()Office ()Retail ORestaurent
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
Owens Coming Duration Flex • • 21.34 ' , • • - 2
EM Q Yes Q Yes QQ No RE310EN,TiAL • • - •
QQ No
Q 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 reauired.
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 Fort Collins Restoration
Address 6530 S College Ave City/State/Zip Fort Collins, CO 80525
Phone Number 970-207-0000 Email gus@affordableroofinginc.com
- - • - • Q Homeowner (Q)Payroll Employees Q Exempt Roofer (1099): EX- -�
Company Name:
License: R-3676 Certificate: 4102 R+
Gus Johnson — i 9/30/19
Print Name isignature Dale