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HomeMy WebLinkAbout3815 Rock Creek Dr - Applications/Reroof - 03/26/2020City of F6rt Collins Date Application # oZ0j 281 N College Ave. 970-416-2740 Fort Collins. CO 80524 buildingservices@fcgov.com fcgov.com accepted.ALL information is REQUIRE D. Incomplete applications will not be Job Site Address 3815 R,otu C rcc�( Drive City/State/Zip F . (al i n s 4 cc) 805LS Property Owner Information (/� (� -Name �LLCy�. — 1�k 1 3ayY *. Phone Number "(� I-' 0— Q0 - - S I r G Address SIN 50-milryax aq Dr. sui-e, D City/State/Zip WIVACiSO(, co 805U "y}' �'l� q rs FSh� 0� e i Single Family Detached -Townhome (attached) Duplex C Apartment/Condo Garage/Other (^ Bank I^ Bar (7 Church (_ HotellMotel (^ Medical Office C Office C Retail C Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? %Yes f No If keeping existing layers, how many layers are there? t*41cl What kind of material are they? What new roofing materials are you using? asn ayl� u� llbi4l ,r/ Is there existing insulation? &Yes (_' No Will any Insulation be removed/replaced? (-, Yes No Materials /�Q Manufacturer l7tAP Prnooi&i eid Z # of Squares 8 # of Stories FLAT ROOF (less than 2:12 pitch) C_ Yes XNo Z o . s • (' Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locations) of areas to be repaired in space Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below. Additional Information (if applicable) Contractor Information Name v I-1t WUSr Tl Address t9yst S • US-V City/state/Zip 00)VCr. . CO 807,2L Phone Number �03 - BOLA -0303 Email License �' Z��3 Certificate 31g0-CL License/Certificate Holder C' Payroll Employees 6Z Exempt Roofer (1099): EX- Zia (RL I^ Homeowner Company Name: Print Name RVA.1 VIM S� rbOVV_ I Sionature Yv V \ //� I Date 31s