HomeMy WebLinkAbout2250 Clearfield Way - Applications/Reroof - 11/06/2019Cityof r
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Flirt C®Wns Date AD
Application #
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
REQUIRED.ALL information is .-accepted.
Job Site Address ZZ 5c� CL-eA(Lf.T"AEL7 City/State2Y
ip 1'r494t-St CD W S2-�/
Property Owner Information p�
Name CA101iN h%e� Phone Number
Address 2-2-5a u-(-AYZFZeLA) WA`. City/State2ip fT CXIL�,CC7 '60j7�
1@ Single Family Detached 0 Townhome (attached) 0 Duplex OApartment(Condo 0 Garage/Other
0 Bank 0 Bar 0 Church 0 HotellMotel 0 Medical Office 0 Office 0 Retail 0 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? 0 Yes 0 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? 0 Yes 0 No Will any insulation be removed/replaced? 0 Yes 0 No
`R331 O'-1 ,
Materials G, �^�y ✓� ,�p,vl Q/ Y
Manufacturer �7 �'CV t# of Squares ( # of Stories
FLAT ROOF (less than 2:12 pitch) 0 Yes 0 No
'ASPHALT ROOF REPAIRS
0 Roof Repair 49% of roof area max. Class 4 shingle is not required. , Note location(s) of areas
ONLYto be`repain d In space
0 Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information (if applicable)
Contractor Information
Name EM M" •�C
6090-O 0000 IN L-
n
Address U26 i'Q -5 5TA-66-r Zile &2(2. City/State2ip PNULe Fooq
Phone Number '72.0 YF-Z loY d Email Qaor-u-)(1 � �C�1MAR/GSe�lhs�• ��
License 9 & I Certificate
0 License/Certificate Holder 0 Payroll Employees Q-Exempt Roofer (1099): EX-
0 Homeowner Company Name: U t PwCt, CQUz, LtFi
,60AAMG- SUkL L,
Print Name
Signature
Date