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HomeMy WebLinkAbout809 Province Rd - Applications/Reroof - 03/23/2020cif �tf 281 N College Ave. 970-416-2740 Fort Collins, CO 80524 btiildingservices@fcgov.com Date Application 9 Job Site Address FAO" VYA I/ tV) r 0 4 City/Stale/tp C �//) PropertyOwnerI�ntormallonc �M 1 YES - Zs Name Uj & tf o(i Q Phone Number ZO, Address SCtr�f obS l f a City/State/Zip ' r Single Family Detached G Townhome D d) h (attaceO Duplex - - - - -- P OApanmenUContlo (j Garage/Other --I �' • o Bank (1 Bar --- - '-- 0 Church (D Hotel/Motel 0 Medical Office [j OrriRetail ce (� Re -- — ----- —,-- O Restaurant _ I COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? Q Yes 0 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? 0 Yes Q No Will any insulation be removed/replaced? Q Yes C) No I Residential and Commercial = Labor and Materials $food I Materials Manufacturer Li (��(� ��� (Yj" # of Squares FLAT ROOF Qess than 2:12 pitch) Q Yes V # of Stories Q- /RRoof Repair 49% of roof area max. Class 4 shingle is not required. eRoof Repair 50% or more of roof area. Class 4 shingle a re Additional Information (if applicable) Contractor Name Phone Number 1) V I � 9 N T1- 241 0 =-tL— Email License Certificate License/Certificate Holder G Payroll Employees Exempt Roofer (1099): EX-� •- - •- O Homeowner Company Name: G 0b ............_..................._.........._....._. ftr _... tJarv\v ht Name lot Scanned with CamScanner