HomeMy WebLinkAbout525 Fox Glove Ct - Applications/Reroof - 10/24/2019/'"of
N_ Collins--
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buiidingservices@fcgov.com
ALL r. io ion is• - � . . • r1
Job Site Address S� Fo)K t j �rn/e L L City/State/Zip
Property Owner Information /
Name &nA&
r La n� Phone Number gIS— 703 �-�a�/3
Address _ _ a� e) X " V-C ("IL City/State/Zip E-L CAI N
t� ;1;-&1i113zW1 Single Family Detached Q Townhome (attached) Q Duplex QApartment/Condo O Garagelother
Q Bank Q Bar Q Church Q Hotel/Motel Q Medical Office 0 Office
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? p Yes p No
If keeping existing layers, how many layers are there? What kind of material are they?
Q Retail 0 Restaurant
What new roofing materials are you using?
Is there existing insulation? Q Yes p No Will any insulation be removed/replaced? O Yes p No
.
676
Materials Manufacturer 01 A)eAS - CdY! 17 # of Squares 4PS o ( 61 # of Stories
FLAT ROOF (less than 2:12 pitch) O Yes O No
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.
Additional Information (if applicable)
Contractor Information
Name g0.r
Address 0 0 Q t) q% 6V2 City/State/Zip De_rtt/ee�
Phone Number
11�� �3 ��,_� -��I y Email dt7T 'smd- co—iN'1 z�C LTt' Mdl�. 0iy7
License K - -3-7 Cp Certificate L11 9
O License/Certificate Holder 0 Payroll Employees (exempt Roofer (10999): EX- 611 /' 11 '
0 Homeowner Company Name: 7 r Cz j I&A
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ay) j
Prfnt Name 4ytq,Q to -,A L', J� Signature �r/� �� I Date