HomeMy WebLinkAbout5926 Espalier Ln - Applications/Reroof - 08/12/2019Clty of
F6rtom
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
REQUIRED.ALL information is •.
Job Site Address
Address .S li0�QC��_�i _ _ r- CtylState2ip"T r d < ` C7
Properly Owner Information
Address �' i7 _, t-C�i2 G City/State/Z'
Phone Number ` 7 :/(j"
Single Family Detached OTownhome (attached) O Duplex OApartment/Cando OGerage/Other
OBank OBar OChurch OHotellMotel OMedicalOffice OOffice 0Retail ORestaurent
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials
Materials
MANUFACTURER # OF SQUARES #'OF STORIES
FLAT ROOF (less (han 212 pitch)nYe'O�NoANY WORK'TO CHIMNEY? ®►
O Roof Repair 49% of roof area max. Class 4 shingle is not required.
,40"Roof 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? p Yes O No If there is existing insulation, is it staying or will it be removed?
Name
Clty/State2lp "d6' ) S C�'
�wlhone Number® f
O o. s_O . r
Q Homeowner Q Payroll Employees �11 Exempt Roofer (1099) EX-
Company Name: !�QL-i=e
Certificate:_
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Pnnt.Name ✓d signature.. ;'-;.�1/j�i-�. -2�._ Date