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1325 Fairway Five Dr - Applications/Reroof - 10/01/2019
City of F6rt Collins Application # _ s Date Received Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 ALI-Information:is REQUIRED. Incomplete applications will not be accepted. Job Site Address f af _+ _ { f Address i�Z Y j/ �Gtr�� NJ, iel City/State/Zip Property Owner Information Address :k tr/' q t 7 City/State/Zip /?rii�Dl/lszP �!/ 13(1 Phone Number 7V . S /• IU S r- o ©Single Family Detached OTownhome(attached) ODuplex OApartment/Condo 0Garage/other ^� OBank ©Bar OChurch O Hotel/Motel O Medical Office ® Office Value of Construction Residential value will be calculated per square (1 sq = 100 so. COMMERCIAL: Labor and Materials $ pAl © Retail ORestaurant PkaOSQ1 ORS um trY02�O C E T,a �► 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 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 Name 1 Phone Number / 2�,l Z 1 .� >< o v Email O Homeowner O Payroll Employees License: t2-- City/State/Zip 6 ' nA J. &j tiw r) A Exempt Roofer (1099))�: EX- Company Name: Ana Certificate: ER d V Print Name n.5 �, iM�O/'.f. I Signature C�� I Date /L�0