HomeMy WebLinkAbout1159 Gold Dr - Special Inspections/Field Verification - 10/30/2019 (6)Planning, Development & Transportation Services
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Collins P8 .North BQi5Wllege Aveuac
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Fitt Collins, CO 84522-4590
970.416.2740
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City of Fort Collins
Roofing/Re-Roofing Fiend Verification Form 4
(Above Two -Stories)
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Job Zinc Address PennitNumber
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 Roof .,Re-R000frng Field Yerbicorlon 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 dosed.
"I hereby certify that the rooting installed at the above listed address complies with the applicable City of
Fort Collins Residential or Commercial building codes as amended and adopted t further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas n
RTC Roofing
Roofing Company Name
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Date
Josh Vicars
Certificate Holder ame (Print)
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License
If the work was performed on the aforementioned permit using a City of Fort Collins Registered Exempt
Workercrew, please acknowledge below:
Exempt Company Name Registered Exempt Worker (Print) Registration #
Date