HomeMy WebLinkAbout3703 Rocky Stream St - Applications/Reroof - 03/03/2020Or
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281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservicesQtcgov.com
Job Site Address -S% o
Property Owner Information
Name /fG41LG' A
Address ✓ q- /4J eO C 6
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e/,� City/State/zip Pre, Rig S"L$
Phone Number 976 7elL
City/State2ip F-77—e- iiOSZj
C Single Family Detached C Townhome (attached) C Duplex C Apartment/Condo (^ Garage/Other
(" • - • C Bank (- Bar (- Church C Hotel/Motal C Medical Office C Office C Retail (- Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? C Yes f No
If keeping existing layers, how many layers are there? What kind of material are they?
Nhat new roofing materials are you using?
s there existing insulation? C, Yes (-' No Will any insulation be removed/replaced? C Yes C No
Materials Manufacturer QC �%ym //0 3 !o # of Squares 7r 3 # of Stories
FLAT ROOF (less than 2:12 pitch) ( Yes (i No
. e e C' Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locatiari((s) of areas,;
to be repalreEJn spacer4
• ®Roof Repair 50% or more of roof area. Class 4 shingle Is reaulred. p[oyided tiatow
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Additional Information
(if applicable)
Contractor Mop ati�
Name /pAo'(/C- 47/vVA&/C/7/0A)
Address `7/03 �� �Gk' otlyG City/S-t/ate0p 7 %�G rit7s2�
Phone Number i2G (b N��� Email _�-vim/!S /✓��l'CCon/sj�tvcjla,�C'o.CO�iJ
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License /jJ9 ��
— � / Certificate 0 C6
e . PERFORMED ,
('' License/Certificate Holder (' Payroll Employees • Exempt Roofer (1099):jjEX-
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Homeowner � ,3%� '� /��7,1ei �C Company Name: O4A^
Drint Name �"��S `' Signature Date Ze
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