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4524 Seaway Cir - Applications/Reroof - 08/02/2019
City of F6rt Collins /1> Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 Application # _ Date Received ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address 4cjZ4 Sawpq CI r M City/State/ZipTM , Q - �s Z'5' Property Owner Information Address 4!GN CW City/State/Zipm. (b. Phone Number fflW'0MVSingIe Family Detached OTownhome (attached) ()Duplex OApartment/Condo OGarage/Other ®Bank ()Bar ()Church 01-lotel/Motel ()MedicalOffice©Office ()Retail ®Restaurant Value of Construction Residential value will be calculated per square (11 sq = 100 so. COMMERCIAL: Labor and Materials$ ec no-0—+- Materials ` A jj!! 0 Yes �4fflmln�a 0 Yes -ZNo No U 0 Roof Repair 49% of roof area max. Class 4 shingle is not required. XRoof Repair 50% or more of roof area. Class 4 shingle is required. COMMERCIAL STRUCTURES Are you going to be tearing off or keeping existing layers? If keeping existing layers, how many layers are there? What kind of material are they? _ Is there existing insulation? 0 Yes 0 No Information Name What new roofing materials are you using? If there is existing insulation, is it staying or will it be removed? el>m - j Address T' V TM6 City/State/Zip Phone Number`"RD - Lk%Z -C1 100 Email OPPI-Ce �CYVIVIOACC- ODAQ 0 Homeowner �ayroll Employees 0 Exempt Roofer (1099): EX - Company Name: TATmy-�M License: Certificate: 5-14�4- � - - --------- ------ Print Name atet C4 SiSi-gnatu