HomeMy WebLinkAbout1949 Dakota Ct - Applications/Reroof - 12/10/2019City
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ROOFING PERMIT APPLICATION I Application #
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Job Site Address l aq9 ,Da kr&a C+ City/State/Zips Co Iil n S Co �Y2�
Property Owner Information
Name <_I0 h ny V ( t. Phone Number Cat o g) y (� �1-
Address (qyq Daklja r-F City/state/ZipF]Qd C-ONYLS Cc -65j22
Q 0 Single Family Detached 0 Townhome (attached) 0 Duplex OApartmentlCondo 0 Garage/Other
0 s Q Bank 0 Bar 0 Church 0 Hotel/Motel 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? 0Yes 0 No Will any insulation be removed/replaced? 0Yes 0 No
$ 5t=112
Materials
Manufacturer i5ww \ 0 1r VU M # of Squares Z I # of Stories Z
FLAT ROOF (less than 2:12 pitch) 0 Yes (') 6
. • • . , 0 Roof Repair 49% of roof area max. Class 4 shingle is not required. 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 Blue Frog Roo
Address 435 Mountain
Phone Number
License R-3806
Limited
970-699-5575
Berthoud, CO
City/State/Zip 80513
Email info@bluefrogroofing.com
Certificate 4431-R
0 License/Certificate Holder 0 Payroll Employees Texempt Roofer (1099): EX- 172-R
WORK PERFORMED By
0 Homeowner Company Name: Montbello Roofing
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Print Name John Sokoll Signature Date