HomeMy WebLinkAbout1619 Brentwood Ln - Applications/Reroof - 03/05/2020rt Collins
ROOFING PERMIT APPLICATION
281 N College Ave.
Fort Collins, CO 80524
970-416-2740
buildingservices@fcgov.com
Job Site Address /Z-,/Cl A9/W'o*nara/ le'14 i
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City/State/Zip �id %1/.)xYC4> X)Sa�
Property Owner Information
Name cS11t°4 Sy'P:Q -A/ Phone Number
Address 5�'-J»� City/State/Zip c�f�"►�
• I
o ingle Family Detached Q Townhome (attached) G Duplex QApartment/Condo Q Garage/Other
o s Q Bank Q Bar Q Church Q Hotel/Motel Q Medical Office G Office p Retail p Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? Q Yes Q 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 Q No Will any insulation be removed/replaced? 0Yes O No
$ %S yyy
Materials
Manufacturer Af4 �,4e4� # of Squares 37i9' '�-'0 2— # of Stories 1 —
FLAT ROOF (less than 2:12 pitch) O Yes or
®® e tJ Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s).of areas
to be repaired in space
e oof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information
(if applicable)
Contractor Information
Name
Address (o 3P 5-- AJ Cie 3 City/State/Zip )e
Phone Number r77n Email Co/b V4e, ,hrenoer Cesrlit
License Certificate ..2�� r-G
(lY icense/Certificate Holder ayroll Employees Q Exempt Roofer (1099): EX -
WORK PERFORMED BY
O Homeowner Company Name:
Prinf Name Signa re Date