HomeMy WebLinkAbout1204 Newsom St - Applications/Reroof - 01/21/2020_ Fort Collins
Dale
Application # _}
ALL Information is REQUIRED. Incomplete applications will ot be accepted.
Job Site Address 1204 Newsom St, City/State/Zip Fort Collins, Co, 80524
Property Owner Information
Name Nancy Wagner Phone Number 9704842925
Address 1204 Newsom St. City/StatelZip Fort Collins, CO, 80524
t• r CJ Single Family Detached C Townhome (attached) (• Duplex �' ApartmentlCondo C Gamgei0ther
• C Bank C Bar (- Church (- Hotel/Motel C- Medical Office i Office (' Retail (' Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? t: Yes C' No
If keeping existing layers, how many layers are there? na What kind of material are they? na
What new roofing materials are you using? I dimensional shingles
Is there existing insulation? (-� YeS C' No Will any insulation be removed/replaced? (- Yes G No
$ $ 11,800.00
Materials
Manufacturer Owens Coming Duration Storm 32
# of Squares
FLAT ROOF (less than 2:12 pitch) C- Yes 1:1 No
90610122=111 1 1 Roof Repair 49% of roof area max. Class 4 shingle is not required.
• (: Roof Repair 50% or more of roof area. Class 4 shingle ig reguired.
Additional Information
(if applicable)
Contractor Information
Name Elite Roofing Services
Address 4424 Hummingbird Dr
Phone Number 3039602760
License R-2334
# of Stories 1
Note locations) of areas
to be repa'ved in space
provided below.
City/State/Zip Fort Collins, Co, 80526
Email rowan@roofsbyelite.com
certificate 3422-R+
C' License/Cerfificale WORK PERFORMED BY Holder O • payroll Employees C' Exempt Roofer (Io9g): EX -
Homeowner -�
Company Name:
Pnnf Name Rowan Bolduc
I