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2144 Maid Marian Ct - Applications/Reroof - 03/30/2020
Date Ci`cy of Cod . ns 281 N College Ave. 970-416-2740 Fort Collins. CO 80524 buildingservices@fcgay.com Application # A5 ZO O Z 9 ALL Information is REQUIRED. Incomplete applications win noz oe accepteu. - Job Site Address 2144 • Marian CourtCity/State• • llins, CO Property Owner Information Name Dorothy Northrup Phone Number Address 2144 Maid Marian Court 970-218-1014 City/State/Zip Fort Collins, CO Single Family Detached (' Townhome (attached) Duplex Apartment/Condo('; Garage/Other r ,., " *, f2 C` Bank �' Bar (' Church (7 Hotel/Motel C Medical Office C Office Retail Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? C Yes C 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? C- Yes C No f.laterials Manufacturer IKO Nordic Will any insulation be removed/replaced? C- Yes (- No $ 47400.00 # of Squares 22 FLAT ROOF (less than 2:12 pitch) C Yes Co) No s R © C� Roof Repair 49% of roof area max. Class 4 shingle is not required. t F' Roof Repair 50% or more of roof area. Class 4 shingle is required. Remove and replace shingles Additional Information (if applicable) Contractor Information Name RTC Roofing & Exteriors Arlrirpas 6342 East CR 18 Phone Number 970-663-3400 License D-683 eXt 2 Email Certificate C' License/Certificate Holder so 09 o - W Homeowner Angela Fossum Print Name Signature of Stories one Note location(s) of areas to be repaired in space provided below. City/State/Zip Johnstown. CO angela@regionaltown.com (-e Payroll Employees (— Exempt Roofer (1099): EX - Company Name: Date 3/30/2020