HomeMy WebLinkAbout3500 Carlton Ave - Applications/Reroof - 04/07/2020 (6)Fort of
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Date
Application # 3z0O 3 Z �-L
ALL information is 011 eprea.
Job Site Address 3soo C-jr- Pag A ueiiu C %3rr, b/i ry U City/State0p 4f (1,01114'S
Property Owner Information
Name OA115 ht- P -trAi `YI,4N,4s-#14Z'A17 X'G Phone Number 70 -AJ kak/
Address al 8 1 M i D.EO i ti ><- VY, S r<z 30.1 City/State2ip lc�llv l /j ^'S 90$-aS
Mm0 Single Family Detached ownhome (attached) n Duplex OApartmenUCondo 0 Garage/Other
(} • (-) Bank 0 Bar (.) Church 0 Hote[fMotel C) Medical Office n Office l7 Retail 0 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? Ct3 des (_) No
If keeping existing layers, how many layers are there? What kind of material are they?
What new roofing materials are you using? Owe -KS 7 /
Is there existing insulation? O Yes (I/No Will any insulation be removed/replaced? n Yes V No
Materials (f/'}JS y
Manufacturer O Ur,+f" :SforO-k # of Squares
FLAT ROOF (less than 2:12 pitch) Q Yes 0) No
5 5,
# of Stories
. • • 0 Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locations) of areas 1�
to be repaired in space
• oof Repair 50% or more of roof area. Class 4 shingle Is reaulred, provided befov+
Additional Information
(if applicable)
Contractor Information
Name B114s /C Re56ell+1ia'4
Address /3 /3 12Q Sir /2r • .SAc City/State2ip /r•(c,)//'-,--'; &Os-a�i
Phone Number �7iU "�/ `�3�i Email -5- /4 S%Y • Ca,"
License a / a /Z fZ Certificate kI
rr License/Certificate Holder r Payroll Employees 0�,-Exempt Roofer (1099): EX-r•eeE- 3X96
(-',' Homeowner Company Name: 1,0/'r 5,j1 et -
Print Name y<r g-r7 Signature 4-A/ Date 3` 1V as