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1620 Ukiah Ln - Applications/Reroof - 10/08/2019
F`V' C®l��ns 281 N College Ave. 970-416-2740 Fort Collins, CO 80524 buildingservices@fcgov.cam Job Site Address 1620 Ukiah Lane Property Owner Information Name Allison Level Address 1620 Ukiah Lane City/State/Zip Fort Collins, CO 80525 Phone Number 970-980-5998 City/State/Zip Fort Collins, CO 80525 -D I© Single Family Detached Q Townhome (attached) Q Duplex QApartment/Condo Q Garage/Other NA ® Q Bank 0 Bar O Church O Hotel/Motel Q Medical Office O Office O Retail Q Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? Q Yes Q No 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 Will any insulation be removed/replaced? 0 Yes Q No $ 9,775.00 Materials Manufacturer GAF Timberline Armorshield II # of Squares 24 # of Stories 1 FLAT ROOF (less than 2:12 pitch) Q Yes ® No . `• _ _ , _ Q Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas to be repaired in space ® Q Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below. Additional Information (if applicable) Contractor Information Name Advanced Exteriors, Inc Address 2200 S. Valley Highway City/State/Zip Denver, CO 80222 Phone Number 303-756-7663 Email aepermits@advancedexteriors.net License R-2118 Certificate 3075-R Q License/Certificate Holder Q Payroll Employees ® Exempt Roofer (1099): EX- 166(R) ®• OCNAC Roofing (CL190166) Q Homeowner Company Name: H. Joelle Clark 10/8/2019 Print Name Signature Date