HomeMy WebLinkAbout2503 Iowa Dr - Special Inspections/Field Verification - 03/23/2020I
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Planning, Development & Transportation
City. Of Community Development & Neighborhood
281 North College Avenue
Ort CO lins P.O. Box 580
Fort Cal lins,C080522.0580
�- 970.4161740
970.224.6134-fax
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City of Fort Collins
' Roofing/Re-Roofing Field Verification Form '
(Above Two -Stories)
2503 Iowa Drive B1914273
Job Site Address Permit Number i
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A building permit (re -roofing) was obtained for the above address. This building exceeds the C ity'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'
you are
authorized to complete this Roofing/Re-Roofing Field Verification Form in lieu of arranging for th City
inspection. Please return the completed form to Building Services in order for the project to lie approved
and the permit closed.
"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. I further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high wind
areas."
Interstate Roofing Ron Phillps
Roofing Company Name Certificate Holder Name (Print)
3/23/2020
Date
r
ertificate Holder Name (SiSi%)
If the work was performed on the aforementioned permit using a City of Fort Collins Registered
Worker crew, please acknowledge below:
Exempt Company Name Registered Exempt Worker (Print)
Dale