HomeMy WebLinkAbout3500 Carlton Ave - Applications/Reroof - 04/08/2020 (8)City of
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Application # r7 0 0 3 Z 7 Z
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
REQUIRED.ALL information is
Job Site Address .3SOO e2y- fah lj ueou.0 eeii� City/State/Zip frif/d/# SS
Property Owner Information /7
Name On Si jh t=�hi GYI�tN�S c � Phone Number 9 %y - AJ
Address alai Mir), poi k >'- ov S i4z 30a City/State2ip XWo l l" % S 96$ a,S
Q Single Family Detached CVTownhome (attached)
0 Bank 0 Bar O Church 0 HoteVMotel
r`nMMFRr:IAI STRIIr:TI1RFS
Duplex ()ApartmenVCondo 0Garage/Other
o Medical Office Q Office () Retail Q Restaurant
Are you tearing off existing roofing materials to the decking? ('Yes; 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 6K-S nrh ng ,,/
Is there existing insulation? 0 Yes JS'No Will any insulation be removed/replaced? O Yes V No
Materials
Manufacturer # of Squares S� # of Stories
FLAT ROOF (less than 2:12 pitch) Q Ye 1 No
• • (j Roof Repair 49% of roof area max. Class 4 shingle is not required. FNecafion(s) of areasepaired in space• oof Repair 50% or more of roof area. Class 4 shingle Is required, d below.
Additional Information
(if applicable)
Contractor Information
Name Blb/5/cy /z��t✓rffiorl
Address /3 /3 / U4,�f /:r • -Sfc ✓ City/State/Zip— �r�c'��r"s �S-�/
Phone Number 5?0 ' a / 2"`13(Sl Email 5/" ry t�d .614 5f�v • c6A4
License
c i- ala /R fL Certificate
0 License/Certificate Holder n Payroll Employees CZ -,-Exempt Roofer (1099): EX-1 erF- ZY96-
CF Homeowner Company Name: fa/n c54�e r
Print Name tw / y Signature !S Date