HomeMy WebLinkAbout325 Cherry St - Special Inspections/Field Verification - 08/09/2019City of �. 6rt Collins
Planning, Development & Transportation Services
Community Development & Neighborhood Services
281 North College Avenue
P.O. Box 580
Fort Colons, Co 80522.0580
970.4161740
970.224.6134-fax
jcgoltcom
City of Fort Collins
Rootng/Re-Roofing Field Verification Form
(Above Two -Stories)
325 Cherry Street B1902434
Eb.Site Address PermitNumber
A building permit (re -roofing) was obtained for the above address. This building exceeds the City's
ability to access the roof for inspection with a standard two-story ladder.
You are the listed Fort Collins licensed roofing contractor of record for this project. As such, you are
authorized to complete this RoofrnglRe-Roofing Field Verification Form in lieu of arranging for the City
inspection. Please return the completed form to Building Services in order for the project to be approved
and the permit closed.
"I hereby certify that the roofing installed at the above listed address complies with the applicable City of
Fort Collins Residential or Commercial building codes as amended and adopted. I further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas."
--46ro
Roofing Company Na
08/09/2019
Date
lea
Certific teHoderName( rint) License#
Certifica HolderN e(Sign)
If the work was performed on the aforementioned permit using a City of Fort Collins Registered Exempt
Worker crew, please acknowledge below:
Exempt Company Name Registered Exempt Worker (Print) Registration
Date