HomeMy WebLinkAbout1424 Centennial Rd - Applications/Reroof - 03/10/2020�2 t0.cP0,90
Building Permit Over the Counter Application t�00�ogo
1.
Please note that in order to submit permits online, we require a trust account to be established for payment. For
more information on this process, please see our trust account handout.
1.1 have verified there are sufficient funds in our trust account to process this permit.
Yes
2. Job site address:
1424 Centennial Rd.
3. Property owner name:
Gary Voss
4. Property owner address:
Street Address::1424 Centennial Rd.
City:: Fort Collins
State:: CO
Zip:: 80525
5. Property owner phone number:
970-225-1328
6. Project type:
Residential
7. What type of residential?
Single Family Detached
8. Value of work (Labor and Materials)($):
10024.00
9. Type of permit:
Roofing
10. Manufacturer of materials:
Owens Corning
11. Number of squares:
23
12. Number of stories:
2
13. Is it a flat roof (less than 2:12 pitch)?
No
14. Check one:
Roof Repair 50% or more of roof area. Class 4 shingle is required.
15. Contractor company name:
Advanced Roofing Technologies
16. Contractor company address:
4555 Highland Meadows Pkwy.
17. Contractor phone number:
9706630203
16. Contractor company email:
sherry@advancedroofingtech.com
19. License number:
R-1161
20. Certificate number:
2764 R
21. Work performed by:
Exempt Roofer (1099)
22. Exempt roofer name:
Alpine Roofing Inc.
23. Exempt Roofer License EX
EX-921 R
24. Additional Information if applicable:
3. Review
25.1 hereby acknowledge that I have read this application and state that the above information is complete and
correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating
building construction. I know that a permit is not valid until it has been paid and issued.
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Signature of: Sherry Lynch
Date Signed:
03/09/2020
26. Please include an email address to receive a confirmation and a copy of your answers.
sherry@advancedroofingtech.com