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HomeMy WebLinkAbout5224 Coralberry Ct - Applications/Reroof - 08/01/2019City of F`rt Collins Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 Application # I Date Received Job Site Address Address 5119- Coal 1D2,rh.i Ct city/state/Zip C011tnS (�0 &25 Property Owner Information Address CtAY--�j S Phone Number 'A —1k - City/State/Zip-V;()(+ (o%ns I CU I6CG203 Single Family Detached ®Townhome (attached) Duplex ®Apartment/Condo ©Garage/Other ® • QBank ®Bar ©Church QHotel/Motel Medical Office ©Office Retail Restaurant Value of Construction Residential value will be calculated per square (1 sq = 100 so. COMMERCIAL: Labor and Materials $ �,�m��f� Vll Materials • • = Q Yes p No MEEIDENTIALANY WORKTO Q Yes.. o Q Roof Repair 49% of roof area max. Class 4 shingle is not required. oof Repair 50% or more of roof area. Class 4 shingle is required. COMMERCIAL STRUCTURES Nl / Are you going to be tearing off or keeping existing layers?aV If keeping existing layers, how many layers are there? ` What kind of material are they? What new roofing materials are you using? Is there existing insulation? Q Ye SNo If there is existing insulation, is it staying or will it be removed? Contractor Information Name EiLC- tt-QylCfL 10 l iEi CAA Llic /� Address 5ti'Q q C-`ll.l ~<S�' (�'+ �'Ciity/State/Zip W 1y� -(( (ff C.C) COS26 Phone Number `fl� Li 9��� Email �`i7�Qy\zV6L . (lt)) q V124Ct 1 • l on^ v Q Homeowner 7(Z) Payroll Employees Q Exempt Roofer (110r09''9��): EX - Company Name�c Lj j ; IOU 'nFlik.4 :l01 Certificate: 14cq (�-tL — I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. r40 Print Name Signature ■I� ..