HomeMy WebLinkAbout1207 Duff Dr - Special Inspections/Field Verification - 10/30/2019 (2)Planning, Development & Transportation Services
FClty of Community Development & Neighborhood Services
prt Cott ins 281 Noah College Avenue
` P.O.8ox5E0
Fort Collins, CO80522.0580
970.416.2740
970.224.6134- fax
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City of Fort Collins
Rooting/Re-Roofing Field Verification Form
(Above Tw"tories)
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Job Site Address PermitNumber
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 Rooftn&,Re-Roofing Field Verification Form in lieu ofarranging for the City
inspection. Please return the completed form to Building Services in order for the project to be approved
and the permit closed.
"I 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. I further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas."
RTC Roofing
Roofing Company Name
1013O12O19
Date
Josh Vicars
Certificate HolderName (Print)
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Ce Holder ame ign
D683
License #t
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 #
Dale