HomeMy WebLinkAbout3500 Carlton Ave - Applications/Reroof - 04/07/2020 (2)Clty of
�Fort Collins
281 N College Ave. 970-416-2740
Date
Application # ! ) ZUy -� �e"z
Fort Collins, CO 80524 buildingservices@fcgov.com
accepted.ALL information is REQUIRED. Incomplete applications will not be
Job Site Address .3S00 /4 (ltv/u e L�Llel; i M City/State/Zip
Property Owner Information
Name Ovl5i�z4t- P/U���r GY].rN�; c /' Phone Number 70 - A,2 - kak/
Address al a if M i A PO ill' f 9V S 6E 303 City/State0p r-Xt10 11" % S 90S aS
Single Family Detached ttyiownhome (attached) n Duplex 0. Apartment/Condo () Garage/Other
0 Bank Q Bar 0 Church (7)Hotel/Motel C)Medical Office 0 Office Q Retail O Restaurant
r-nMMFRrlAl STRUCTURES
Are you tearing off existing roofing materials to the decking? Oes 0 No
If keeping existing layers, how many layers are there? What kind of material are they?
What new roofing materials are you using? O W eK5
Is there existing insulation? 0Yes C15'No Will any insulation be removed/replaced? 0 Yes eNo
Materials / C��IS V
Manufacturer ce t� C_orN % s} h toms+. # of Squares 3 5 # of Stories
FLAT ROOF (less than 2:12 pitch) O Yes eNo
d Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
ASPHALT ROOF REPAIRSto be repaired in space -
ONLY
oof Repair 50% or more of roof area. Class 4 shingle Is required, provided below.
Additional Information
(if applicable)
Contractor Information
Nameer+floot
Address /3 /3 / 24 L 12r • -566 4-F City/Staterzip
Phone Number '170 ' a y Email 5 /" rY 6) cf' d b4 5f-v • �a
License (fi- a l a- 2 R Certificate
(7) License/Certificate Holder n Payroll Employees (R.-Exempt Roofer (1099): EX-
O. PERFORMED/r
(7) Homeowner Company Name: f0�'
' ten` v D;l6/ye)
Print Name / (" T Signatu