HomeMy WebLinkAbout4008 Mesa Verde St - Applications/Reroof - 12/02/2019City Of
Flirt Collins
Date
Application # B 1 %3 i�
281 N College Ave. 370-416-2740 -
Fort Collins. CO 8052,' building serJices@fcaov.com
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plications will not
Job Site Address �17� Me e Si, L) C (. City/State/Zip
Property Owner Information
Names 1 1A 0(,
Address 400
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Phone Number - �-0' 7L'� -,-XoSL
City/State/Zip 4 ( A (n S ( a
—'Single Family Detached Townhome (attached) f Duplex ApartmentlCondo — l^ Garage/Other —
Yank Bar i Church (� Hotel/Motel C Medical Office (� Office C Retail Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? (^ Yes i 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 Will any insulation be removed/replaced? C Yes C, No
Materials
Manufacturer ldN r ^ i ( v (At r \ # of Squares # of Stories 1
FLAT ROOF (less than 2:12 pitch) C Yes ': ;I'-N o
Roof Repair 49% of roof area max. Class,4 shingle is not required. Note locations) of areas
No be repaired in space
r' Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
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Additional Information S 5
(if applicable)
Contractor Information
Name
Addres!
Phone Number -r �-o
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Email
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License
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Certificate
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I ( ( y Employees Roofer (1099): EX- R
License/Certificate Holder Payroll Em to ees ,
C Homeowner Company Name: C 1 l (, , L
Print Name ` IYt U LT, iL `� Signature I Date