HomeMy WebLinkAbout3014 Avena Ave - Applications/Reroof - 10/08/2019City of
Fort Collins
ROOFING PERMIT APPLICATION
281 N College Ave. 970-416-2740
Fort Collins CO 80524 buildmgservices@fcgov.com
Job Site Address W114 pl-V-i'1c� (C+ City/State/Zip
Property Owner inf
Phone Number
itjS,CO VQs
i1 440 �2 [L[-�yf
City/State/Zipcf7��1/1S .101&—
&Single Family Detached Q Townhome (attached) Q Duplex QApartmenuCondo Q Garage/Other
Q Bank Q Bar Q Church Q Hotel/Motel Q Medical Office Q Office Q Retail Q Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? OYes p No
If keeping existing layers, how many layers are there?
,_I J y� What kind of material are they?K-
What new roofing materials are you using?Y%f 11 IP i:11lIT/ I �� Ll ��tGS
Is there existing insulation? V Yes Q No Will any insulation be removed/replaced? Q Yes 9�0
Value of Construction
Residential and Commercial = Labor and Materials $ •
Materials //�� _
Manufacturer cl r�l (1 zedi NMI # of Squares # of Stories
FLAT ROOF (less than 2:12 pitch) Q Yes Q No
Q Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locations) of areas
to be repaired in space
Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information (if applicable)
Contractor Information 1n
Name II ` I
Address c #�U 1 ((S YiU Pivrl
Phone Number l L Ol
License
rr)1 -�)-A1 C1
Q License/Certificate Holder )Payroll Employees Q Exempt Roofer (1099): EX-
Q Homeowner Company Name: wellN AiS�ti �S
-Kok- �
Print Name
Signature
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Date