HomeMy WebLinkAbout3743 Carrington Rd - Applications/Reroof - 02/12/2020Cltyof
F-6rt Collins Date b
Arrlicatfon it 13200 l -2-y
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 build ingservices@fcgov.com
Job Site Address ---S ' ! City/State/Zip—M./
Property �Owner Information
Name L•'l /l r'n (i i`���LEy 1 J-� Phone Number
Address � 2V2 (/
Family Detached Q Townhome (attached) Q Duplex Q ApartmenuCondo Q Garage/Other
( o �OBank �Bar�OChur�ch Q Hotel/Motel Q Medical Office Q Office Q Retail Q 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 r o tf g materials are you using?
Is t re existing insulation? Q Yes Q No Will any insulation be removed/replaced? p Yes Q No
Manufacturer ��j� 11?t• ; v C _t4i'�JZ t
FLAT ROOF (less than 2:12 pitch) Q Yes S
of Squares # of Stories
Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locations) of areas
to be repaired in space
o j I Roof Repair 50% or more of roof area. Class 4 shingle is required. -provided below.
Additional information (if applicable)
ation
Name 4 i
Address
Phone Number — ) Email S e
License — / / (n Certificate -4-3�
p License/Certificate Holder Q Payroll Employees
Q Homeowner
City/State/Zip
C"'AI)ay1C-erArOLO r rl a 7 P[ C U
Roofer (1099): EX -
Company
Print Name signature ✓ Date