HomeMy WebLinkAbout912 Belvedere Ct - Applications/Reroof - 10/14/2019Clt of
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ROOFING PERMIT APPLICATION
App6cn/ion 7J
2E1 IJ COIIede Ave 970.416-27 111
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NamerN (IV U IV Phone Numhur qI L}r (J`j-.)
Address - City1Slaln2rpR- Wtm E'll 3l)5�
Osingle Family Detached
f� Bank Bar (- I
COMMERCIAL STRUCTURES
C Townhome (allached) ( Duplox Apartment/Condo
lurch C' Hrelal/Motel ( Medical Office (- Offce ( Retail
Are you tearing oft existing roofing materials to the decking? (- Yes C 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? ( Yes (^ No
Garage/67t.rr — 1
(- Restaurant
Will any Insulation be removedkeplaced? (- Yes t^ No f
Value of Construction 1
Residential and Commercial = Labor and Materials $ MEN`
Materials
Manufacturer `K� IDYd1C `R 1
# of Squares l # of Stories
FLAT ROOF (less than 2:12 pitch) C Yeso:-No
\ rn ! V. i Roof Repair 49% of roof area max. Class 4 shingle Is not required. Note ��ton(s) lred In space
i , ,Y e 00 Roof Repair 50% or more of roof area. Class 4 shingle Is required. provided below.
Additional Information
(if applicable)
Contractor Information \` y
Name �O (�� l 1 -N 111' �C Pt614r 44
AddressVI-11 —} ffaft—( /� (/} (� f\1/ Ci /SStatelzpt�
Phone Number C(��(tJO ' ` 1 Ao . I ` T -1 0 Email Ur (� v `
Licensoy, 21 p"t Cerfificate " f�
( LlcenselCertlficale Holder C Payroll Employees ItExempt Roofer (1099); EX-��
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(_ Homeowner Company Nan1e:
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