HomeMy WebLinkAbout3131 Cockney St - Applications/Reroof - 11/27/2019City of
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ROOFING PERMIT APPLICATION Application #
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Job Site Address 3131 Cockney Street City/State/Zip Fort Collins
CO 80526
Property Owner Information
Name Randy Lentz Phone Number
Address Same
970-204-4954
City/State/Zip
® Q Single Family Detached Q Townhome (attached) Q Duplex Q Apartment/Condo Q Garage/Other
)
® Q Bank Q Bar Q Church O Hotel/Motel O Medical Office O Office O Retail O Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? Q Yes Q 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? Q Yes Q No Will any insulation be removed/replaced? Q Yes Q No
Value of Construction
Residential and Commercial = Labor and Materials $ =
Materials
Manufacturer Malarkey # of Squares 24 # of Stories 2
FLAT ROOF (less than 2:12 pitch) 0 Yes Q No
®e Q Roof Repair 49% of roof,area max. Class 4 shingle is not required. j Note location(s) 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
Name Roof Source
Address 6241 NCR 13
Phone Number 970-691-0845
License R-3717
City/State/Zip Loveland, CO 80538
Email amy.roofsource@gmail.com
Certificate 417 8 - R
Q License/Certificate Holder Q Payroll Employees Q Exempt Roofer (1099): EX- 84 (R)
0 Homeowner Company Name: Alvarez Roofing
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