HomeMy WebLinkAbout2201 Creekwood Dr - Applications/Reroof - 08/12/2019City of
F6rt Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Application #!
Date Received
150034
Job Site AddressP `45 j p /
Address_ QQO\ e�l� e>Q 1c4 CDt1o? 0 v City/State/Zip tlte,
Property Owner Information n I
Address aCa' OL eels. 111� City/State/Zip �7U�
Phone Number Q -Pr ImOR taC)4/ I
Single Family Detached OTownhome (attached) ODuplex IOApartmentlCondo QGarage/Other
Bank 013ar OChurch Hotel/Motel ()Medical Office 00ffiGe IC) Retail Restaurant
Value of Construction '0167Lgh---•
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
MANUFACTURER.
FLAT ROOF (less than 2aZpitch)
#'OF SQUARES #OF STORIES
ANY WORK TO: CRIMNEY? - ..
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
CrOR`oof 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? What new roofing materials are you using?
Is there existing insulation? Q Yes Q No If there is existing insulation, is it staying or will it be removed?
Contractor Information -- t
Name �C7rFOi Qc.%p *V A,
Address �(oLS 56W.V4 Gov( City/State/Zip ~
Phone Number q) (J ki �y� Email 4tL4a, " e)Aya 00'TC4f!Ca t�•Coa
O Homeowner (DOPPayroll Employees Q Exempt Roofer (1099): EX -
License:
Company Name:
Certificate:
Print Name $ Wei Glav\` i Signature -LYW _ IV ,(Z Date