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HomeMy WebLinkAbout4751 Pleasant Oak Pl - Applications/Reroof - 03/25/2020 (30)01Y, a9 Fo"rfEollins ROOFING PERMIT APPLICATION T, 281 N College Ave. 970416-2740 Fort Collins, CO 80524 bulldingservices@fcgov.com REQUIRED.ALL information is Job Site Address 4'1512L1ra0.YA;. p0.1[. fir, Lun Obs C%'1� C15 City/State/ZipFoykLAliYIs.GO 25 Property Owner Information Name MOJ •t Z LC- FR � aAX- OM A Phone Number 9I" l 0 . 22b ' 6V W O AddressCRY/Statempak UILS(i ,C 59ff?_S O ' O Single Family Detached %Townhome (attached) O Duplex OApartment/Condo O Garage/other O �Bank �13ar �OChurc�hol4ot�eUMotel O Medlcal Office (D Oftce �O Retail O Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? l54Yes O No If keeping existing layers, how many layers are there? What kind of material are they? What new roofing materials are you using? YY�11,,1 _ _�c L,V1 s L,61(,lJ� Is there existing insulation? QYes O No Will any insulation be removed/replaced? OYes O No Materials � Manufacturer # of Squares 7 '5 Z # of Stories 2 FLAT ROOF (less than 2:12 pitch) " Yes (SP No Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locations)"of areas © to be repalred in space Roof Repair 50% or more of roof area. Class 4 shingle is reoulred. provided below. Additional Information (if applicable) Contractor Information Name Address W5Q % S. Q& �tn� C 1 Ir j City/State/Zip• NY1+Q,YN(11 kA W St ii} I Phone Number 50?j • 1 q t-} . 8S -Z 3 Email �� ¢X j -) a e o License R.— '� t Certificate 13 O License/Certificate Holder O Payroll Employees ' (0 Exempt Roofer (1099): EX- 1 1 O Homeowner Company Name: ]moo 6nb-VYw(M on Date /31,01-0