HomeMy WebLinkAbout2833 Canby Way - Applications/Reroof - 08/21/2019Cityof
~ Application# 4,..4-~~~...1&..:
Date Received -----
CommLtnity Development and Neigl1borllood Services
281 N College
Fort Oollins, CO 80524 970-416-2740
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address /? . /o
Address '2!>~3 ~ ~
Qslngle Family Detached Orownhome (attached) Qouplex ·oA~artment/C~~-=---~Garage/0~:~----··-,-1
========================:::::::::::=::::::::::::::::::::::::::::::::.:::::::-:=-::=--------------------···---'
Qeank Oear Ochurch 0Hotel/~~:i--~~~;C8 Ooffice __ ORetan ___ QRestaur~J
Value of Construction
Residential value will be calculated per square (1 sq= 100 sf). COMMERCIAL: Labor and Materials $ __ 6_+-~_q_c:_r_. L __I _ ---
Materials
0Yes
L 0 Roof Repair 49% of roof area max. Class 4 shingle Is not required.
~ Roof Repair 50% or more of roof area. Class "4 shingle ~ required __ ·~---------------··_,
COMMERCIAL STRUCTURES
Are you going to be tearing off or keeping existing layers? ____ lf 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 Yes O No If there is existing Insulation, Is It staying or will it be r,emoved? ----------
Contractor I ·
Name . .....Ji.--Jl:.zLLd!~t,.E!!!!>=:__;Dt,'i!!-~.i!:(!!;...it-..w~~U4.:i.a,t+---------------,...-----------
Address &f tt() \A.) \1- City/State/Zip ~f'fl.et.11 , ( _b ~Q(9_~l-f
Phone Number . f:}110/~60-1"iDCo.3 . Email jor~ G) Sor~ jC· G»t::'
0 Homeowner O Payroll E:mploy~es -~ Exempt Roofer (1099): EX- (']filgt-·-·1
Company Name: fl D~oO u,,,.atru..(;t(9
Certificate: J 5't-; -\2., ·
·- ·----------------. . ... .J
License: g.--z. ~ ~_l --
I l1ereby acknowleJdge tilal I have read this application and state that the above information is complete arid correct. I agree· to comply
wilh all requir emenls contained herein and cily ordinances and stale laws rngula\ing builcl1ng construction\ I know that a permit is not
valid until it has been paid and issued. 1
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