HomeMy WebLinkAbout4751 Pleasant Oak Pl - Applications/Reroof - 03/25/2020 (19)Frt Collins
Date ,
... APPLICATIONPS�UDarv(4'l
Application #
281 N College Ave. 970416-2740
Fort Collins, CO 80524 buildingservices@fcgovcom
ALL information is REQUIRED.
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Property Owner Information AR-1
Name 0�0 1A Phone Number C1 10 ' 2.20 O
Address kA:3cj iVL4Z(S0.rVb n0.1L ny- City/State/zip fCY-(_ottsnS�(A <&t57Z
0 - 0
0 Single Family Detached (OTownhome (attached)
0 Duplex
OAparlmentlCondo 0 Garage/Other
MM0
Bank 0 Bar 0 Church 0 HotellMotel
0 Medical Office
0 Office 0 Retail 0 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? (RYes 0 No
If keeping existing layers, how many layers are there? What kind of material are they?
What new roofing materials are you using? Y�44101N 4K_.Vl S C�,OI.(-lA
Is there existing insulation? 4) Yes 0 No Will any insulation be removed/replaced? 0 Yes 0 No
Materials I' p
Manufacturer # of Squares 75. 4 d # of stories
FLAT ROOF (less than 2:12 pitch) d Yes (�P No
0 Roof Repair 49% of roof area max. Class 4 shingle Is not required. Note location(s) of areas
MEN
to be repaired in space
Roof Repair 50% or more of roof area. Class 4 shingle is reouired. provided below.
Additional Information
(if applicable)
Contractor Information
Name t6-Y,+X"
Address (y5D City/Stateop Ct V t-E//Q��Y1y1►(J� r (,�i �0 4j j
Phone Number 5O'�j•1gy.3S�3 Emall S�,r-.� try1VIQ,{rj'i-Lc(�Q O'Ctrl� O rye
License. Q.— 'al-11 Certificate
0 License/Certificate Holder 0 Payroll Employees • 0 Exempt Roofer (1099): EX-
0 Homeowner Company Name: LLo 6 lti1'Yw6i Oy-I
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Signature ��� A — NSA 5lv1 Dat