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HomeMy WebLinkAbout6244 Rookery Rd - Applications/Reroof - 12/17/2019281 N College Ave. 970-416-2740 Fort Collins, -CO 80524 buildingservices@fcgov.com o©23 REQUIRED.ALL informdtion is - Job Site Address ?Q21 City/State/Zip )*'60 Property Owner Information Name !4i'rJCe. ILf a )lam , te_l h%Pw/a UG L4- Phone Number "22 t9 tlq f -?m Address City/State/Zip e ngle Family Detached Q Townhome (attached) O Duplex QApartment/Condo G Garage/Other c e O Bank Q Bar p Church Q Hotel/Motel Q Medical Office Q Office O Retail O Restaurant COMMERCIAL STRUCTURES i Are you tearing off existing roofing materials to the decking? G Yes O 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 O No i Will any insulation be removed/replaced? 0Yes 0 No � Materials Manufacturer aVYby/0,5, . �%ice # of Squares FLAT ROOF (less than 2:12 pitch) 0 Yes C-4-Pdt1' Additional Information (if applicable) / # of Stories 0 Roof.Repair 49% of roof area max. Class 4 shingle is not required. fflocaU40 of.areas in spaRoof Repair 50% or more of roof area. Class 4 shingle is required. w. Contractor Information Name Address /�3 City/State/Zip /-!-4�> Phone Number ;e`'Zr1J Email 69 License J i 3 D Certificate —a License/Certificate Holder ayrol pEmployees Q Exempt Roofer (1099): EX- C) Homeowner Company Name: — Print Name -- � Signature Date