HomeMy WebLinkAbout3514 Long Creek Dr - Applications/Reroof - 10/29/2019ROOFING PERMIT APPLICATION r
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ALL Infoffnation In REQUIRED. Incomplete applications will not be accepted.
Job Site Address �L�} turrlQ �rPr-Y,�� City/Statelzip_Vt.CoII1ti_`L
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Name � lrl Sf,-&Phone Number q10" 5s(�'
Address S q, CxQ.er City/StatefZip -Vt. (.01 1; V& ,
t� C/Single Family Detached C Townhome (attached) r Duplex C Apartment/Condo C' Garage/Other
r i Bank C' Bar r Church C HoteVMotel i Medical Office C Office
Are you tearing off existing roofing materials to the decking? r Yes C_ No
If keeping existing layers, how many layers are there? What kind of material are they?
i Retail r Restaurant
What new roofing materials are you using?
Is there existing insulation? r Yes r No Will any insulation be removedfreplaced? r Yes C No
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Manufacturer "g g Ueaa%v # of Squares # of Stories _ 4'
FLAT ROOF (less than 2:12 pitch) V Yes Ao
C" Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
Gto be repaired in spaceoof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information
(if applicable)
Name Re amond. Rzo�r►nre
Address a V 1. ,�" City/State2ip.`��` LO SOX;
PhoneNumbbeer �3�11�G�p5 p��i� Email'7"QIrQ.�i(C9nKJU 0.1A0 rOOkIVIp �w
License R.— 2 L 1 Certificate V Q q {t,
License/Certificate Holder C' Payroll Employees (y txempt Roofer (1099):EX- ,
Homeowner Company Name:
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Toga 0 I Sa Y-L TW%vj k �0� ,o l l-1I 11
Print Name Signature Date
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