HomeMy WebLinkAbout4751 Pleasant Oak Pl - Applications/Reroof - 03/25/2020 (22)ROOFING PERMIT APPLICATION s I '
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgovcom
REQUIRED.ALL information is -.
Job Site Address Ptea CX* 00..IL 7)r , LLY11 'tom > 7 City/State/Zip 16vt (-v 6If n S= SsQSZ$
Property Owner Information
Name MO4L -Z iz- R k a- e- W[M A Phone Number 9110 ' 223 ' SU U O
Address k"j t PI,4a2j0 1r* OCLV, Dr City/StateOp FDv- rC_oLLi(ISr
0 ' 0 0 Single Family Detached %Townhome (attached) 0 Duplex OApartment/Condo 0 Garage/Other
OEM0 Bank 0 Bar 0 Church 0 Hotel/Motel 0 Medical Office 0 Office 0 Retail 0 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? (!(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? MO.LOI.YtG{.Vl tS GnOI.!-V1
Is there existing insulation? 0 Yes 0 No Will any insulation be removed/replaced? 0 Yes 0 No IJ
Materials
Manufacturer # of Squares 3,2 A # of stories o?
FLAT ROOF (less than 2:12 pitch) d Yes (SP No
0Roof Repair 49% of roof area max. Class 4 shingle Is not required. Note locations) of areas
EM
to be repaired In space
(9 Roof Repair 50% or more of roof area. Class 4 shingle Is required. provided below.
Additional Information
(if applicable)
Contractor Information
Name Uo vi-iA�.e
Address �� cS fZbl (rife (2ilr J City/State2lp_-EQV►1r11Gltr (,u s iit
Phone Number A0?A' — 94 • 5713 Email - �Io'+a6py�Arla � _
License _R,- —1-1 � Certificate
0 License/Certificate Holder 0 Payroll Employees ' (0 Exempt Roofer (1099): EX-
0 Homeowner Company Name: L" t {brW>tYLA;(*j OV-1
PrintNam p-g& 0 _.tVMU ( Signature \orr da `�leie v� I Date