HomeMy WebLinkAbout1185 Cloverdale Dr - Special Inspections/Field Verification - 10/30/2019 (2)Planning, Development & Transportation Services
City.Of Community Development & Neighborhood Services
FOCollins BOX
580 College Avenue
lV_ P.O.ro. ae.� ssa
Fort Collins, CO SOMOSSO
970.4162740
970224.6134- ray
fcgovconr
City of Fort Collins ,
Roofing/Re-Roofing Field Verification Form
(Above Two -Stories)
IS Cloverd -Le,, r, AB190UA1a
Job Site Address Permit Number
A building permit (re -roofing) was obtained for the above address. This building exceeds the City's
ability to access the roof for inspection with a standard two-story ladder.
You are the listed Fort Collins licensed roofing contractor of record for this project As such, you are
authorized to complete this Roofwg.Re-Roofr)tg Field Verification Form in lieu of arranging for the City
inspection. Please return the completed form to Building Services in order for the project to be approved
and the permit closed.
`9 hereby certify that the roofing installed at the above listed address complies with the applicable City of
Fort Collins Residential or Commercial building codes as amended and adopted. 1 further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas.,,
RTC Roofing Josh Vicars D683
Roofing Company Name Certificate Holder ame (Print) License #
10/30/2019
Date Ce to Holder ame ign
If the work was performed on the aforementioned permit using a City of Fort Collins Registered Exempt
Worker crew, please acknowledge below.
Exempt Company Name Registered Exempt Worker (Print) Registration #
Date