HomeMy WebLinkAbout1973 Massachusetts St - Applications/Reroof - 08/21/2019~ortCoUins Cityof
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Corninunity De\~eiopment and Nefghix)rhood Ser,.:}c~s
281 t'I/ Coilege
Fort Co!iins. CO 80524 970-416-27 40
Job Site Address
Address \ l1 ]\
~gle Family Detached QTownhome (attached) Qouplex
Application # {6\ ':fu&Cv, X
Date "Received ------
City/State/Zip f C 1
( c> gc S J S-
City/State/Zip K ( O ~ 0 S "J 5
QApartment/Condo Q Garag_'e/Other
,,
0 Church O Hotel/Motel O Medi~! Office Q Office 0 Re~il O Restaurant
~..:"---- -
\/aiue of Construction
Residential value will be calculated per square (1 sq= 100 sf). COMMERCIAL: Labo'~ ~~d Materials $ __ :1:.L4-, -''.::>=,-..'-O_D_' _____ _
fviateriais
l~·lOwl_r_l_(Of_fl!~~:)-- . ·_ .
·:.·.1~~~~)iwJ»J1_ QYes ___ ~
--- - --- - -· ·--- --~ ------- ..
Q Roof Repair 49% of roof area max. Class 4 §hingle is not req_uired'.' --
efRoof Repair 50% or more of roof area. Class 4 shingle is regii_irect
_:{:OMI\IIERCIAL STRUCTURES
Are you going to be tearing off or keeping existing layers? ____ lf keeping existing layers, how many Jay~~ are there? ___ _
Wh.at kind of material are they? What new roofing materlals are you using?
Is there existing insulation? 0 Yes O No If there is existing insulation, is it staying or will it be removed?...------------
Contractor inforn~:ation
Name ~~C-u~l~o_i"~J=a...__ ..o~,... Y ....Ac.. ..a\ ..,.... ..,.L1__._(\=-u-~_+_._·:)....,._~~~~~~~~~~~~~~~~~~~-
Address d ~ 0 0 \\-e J b.,. (" A ( __... City/State/Zip b { fl-a l I,~ { 1 l O (u )o")
P~one Number 43:0 <;/~ ~ · J lf O :+ Email I · .- ~ .S.". ~ ~-!• ) 1 ~-µ &1 _L 1__ /cu-f':j~~
Q Payroll Employees ~Exempt Roofer (1099): EX-_g;:;...;c..f__,._('_Z.)_,__ ___ ~-
Company Name: C · fl O J.. ( , ) "'- e· -Z.
Certificate:
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