HomeMy WebLinkAbout1226 Nassau Way - Applications/Reroof - 12/02/2019r.i iy O
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Date io2�a -l`7
Application # 6 I 1 j (e,-3 -7
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Job Site Address 1-2 Z Ai - City/State/Zip J�4
Property Owner infor matian 1
Name G 4 a L Ir n Phone Number I qu
Address 1 Z Z AL ul a City/State/Zip i C, I (A b
C"Single Family Detached r Townhome (attached) Duplex Apartment/Condo GaragelOther
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{ �7rn j iL',(( Bank Bar Church Hotel/Motel Medical Office (� Office Retail Restal
,
C'a=.i4tf+ERCIAL S T RUCTt_'RIES _
Are you tearing off existing roofing materials to the decking? ^ Yes i � No
If keeping existing layers, how many layers are there?,
What new roofing materials are you using?
What kind of material are they?
Is there existing insulation? ^ Yes ^ No Will any insulation be removed/replaced? ^ Yes C No
M,ateria is (y
Manufacturer UN C n (j (A k A # of Squares # of Stories 2+
FLAT ROOF (less than 2:12 pitch) C- Yes r✓! No
ry,zart Roof Repair 49% of roof area max., Class 4,shingle is not required. Note location(s) of;
to be repaired in sp
(;o Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information i{ a 5 S L� Sin c + 1 i 1 C r c f S L'
(if applicable)
Contractor inarmafion
Name
Addres
Phone Number (-YU �` - d Email ° aI,
License- 4f Certificate
s License/Certificate Holder Payroll Employees exempt Roofer (1099): EX-
{ ^ Homeowner - - - - - - - Company Name: C i l m j (, L
Print Name I t1 t Z Signature Date