HomeMy WebLinkAbout4751 Pleasant Oak Pl - Applications/Reroof - 03/25/2020 (17)JD
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ROOFING PERMIT APPLICATION
281 N College Ave, 970416-2740
Fort Collins, CO 80524 buildingservices@fcgov,com
ALL ■
Job Site Addressl416( P(90&3O-rA-, C)0,Ar, Dr, l.L•Yl (40S h2 TQ City/Stateop FoVi ( D Lit YI S " 2
Property Owner Information
Name (Y okAJ -Z (je-? ka,t = k: 0 A Phone Number °(`Z C y 0
Address 6QC; I Qojdl, 1")rr City/State2lp &v—Ar(-oi,Lff1St1p
' o O Single Family Detached %Townhome (attached) O Duplex OApartment/Condo O Garage/Other
amO Bank O Bar O Church rQ HotellMotel O Medical Office 0 Office 10 Retail O Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? (Sl Yes O No
If keeping existing layers, how many layers are there? What kind of material are they?
What new roofing materials are you using? YMa1i.L&jy> �JOLL ,lA
Is there existing insulation? 0 Yes O No Will any Insulation be removed/replaced? O Yes O No
Value of Construction
Residential and Commercial =Labor and Materials
iviateriais
Manufacturer nU LGVX14Z.XA # of Squares 55.31 # of Stories
FLAT ROOF (less than 2:12 pitch) d Yes (50 No
■ ■ = O Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locatlon(s) of areas
® o to be repaired In space
Roof Repair 50 /o or more of roof area. Class 4 shingle Is reaulred, provided below,
Additional Information
(if applicable)
Contractor Information
Name 92_Yi4U o o
Address d6vc5 R,a,Ljyle, C iy- `j Cfty/State/Zip &_.A4tn I TA AI CO �SD i1 1
Phone Number At-6- '(q Zi 'j 3 Email QX 1 l Vb0'ttryum
License R - 3'L`1 1 Certificate
O Llcense/Certificate Holder O Payroll Employees ' t0 Exempt Roofer (1099): EX-�1 IC X 1 1
0 Homeowner Company Name: LUin�Y ltsrywL+i Or 1
� /� 3/31A0
Signature \o�i a `h,A �vt Date