HomeMy WebLinkAbout2302 Nancy Gray Ave - Applications/Reroof - 09/24/2019City of
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Milo Rocnived
Community Development and Neighborhood SWVIL.01
281 N College
Fort Collins. CO 80524 970-416-127.10
ALL Information Is REQUIRED. Incomplete applications will not be accepted.
Jot) Site A(1• 10s
Address City/StateIZIP-4-CAkIm, 00529
Propel ty Own. .1 Infoi 0 0
Address 23 o 2, WCAI, Gj%j City/State/Zip
Phone Number Z 0 45 a 9 n
Single Family Detached ()Townhome (attached) ODuplex OApartment/Condo ()Garage/other
-7
0 Bank
OBar ()Church oHotel/Motel Medical Office 0Office ORetail ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf)i. COMMERCIAL: Labor and Materials ac-Atc-N; 100
h1iterials
0 C '6-n SiDim dal HE
j. �� V0 yes No [RESIDENTIAL '.' I6 Yes Oo
0 R of Repair 49% of roof area max. Class 4 shingle Is not required.
Roof Repair 50% or more of roof area. Class 4 shingle Is reaulred.
COMMERCIAL STRUCTURES
Are you going to be tearing off or keeping existing layers? If keeping existing layers, how many layers are there?
What kind of material are they? _
Is there existing Insulation? 0 Yes 0 No
Contractor Informotion
Name Rea -D
What now roofing materials are you using?
If there is existing insulation, Is It staying or will It be removed?
Address -1000 b) . Wba"a,.'40 Ife 10 1 City/State/Zip b'enivcj -LL22
Phone Number C-66s) tic) 10 Email +L4Lr0A1remj1XA0b"X&rjI2 - -( -
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0 Homeowner 0 Payroll Employees (R(Exempt Roofer (1099): EX"-
Company Name: Cc CA-rX Q (Sit
j License- 9% 2,1 Lo
Certificate:. log
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Print Namo
Signature D