HomeMy WebLinkAbout3500 Carlton Ave - Applications/Reroof - 04/08/2020 (6)rof
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281 N College Ave. 970-416-2740
Date `I'/K/ZoZO
Application # c9 d 3 Z 7 D
Fort Collins, CO 80524 buildingservices@fcgov.com
REQUIRED.I ALL information is
Job Site Address 3syy C2r Pcry A ueiic-C /"� City/State2ip .; 4140
Property Owner Information
Name On5ilY/nN,4ti44 r 7� X"CPhone Number kc2kl
Address aISI Mi0P07ti1' 0V 56a 302 City/State2ip
Single Family Detached t_y.Townhome (attached) n Duplex OApartment/Condo 0 Garage/Other
(� Bank Q Bar 0 Church 0 Hotel/Motel O Medical Office Q Office p Retail C1 Restaurant
rnNIMFRCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? Ores Q No
If keeping existing layers, how many layers are there? What kind of material are they?
What new roofing materials are you using? O LueKS % ,,/
Is there existing insulation? 0 Yes C No Will any insulation be removed/replaced? 0 Yes e No
Materials / (5/r17-5 5/
Manufacturer 610 ,4 h Aoro-t, # of Squares # of Stories
FLAT ROOF (less than 2:12 pitch) Q Yes )/ No
• • Q Roof Repair 49% of roof area max. Class 4 shingle is not required. TNote location(s) of areas
be repaired m space
• O oof Repair 50% or more of roof area. Class 4 shingle Is required. ovided below.
Additional Information
(if applicable)
Contractor Information
Name B11' 51cv /1�5ftr� fio✓l
Address /3 /3 04kAz /2r -51-c -2-r City/State/Zip
Phone Number 5'20 ' a / �/ Email 5 /" rY (P 2d b/4 SAX • 62 "r
License
c i- a Id- /Z fL Certificate �lS�'l 'C 12
(7) License/Certificate Holder n Payroll Employees
C) Homeowner
(Exempt Roofer (1099):
Company Name: f0/h �i9l�r
Print Name //,.) t/ /-7 I Stgnatum�� '�-' '�V _,-� I Date