HomeMy WebLinkAbout611 Mathews St - Applications/Reroof - 09/16/2020City of
Flirt Collins
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Job Site Address
City/State/Zip
Property Owner Information
Name �h/. �l+(OOI c� Phone NumberC9%O/ /- -l'� //)
Address Cif/ �a/2/�lir1S City/State/Zip Td�l��►�l `/�
PSingle Family Detached Q Townhome (attached) Q Duplex QApartment/Condo O Garage/Other
p Bank p Bar Q Church Q Hotel/Motel Q Medical Office Q Office Q Retail p Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? J&Yes 0 No /� f
If keeping existing layers, how many layers are there? What kind of material are they? �O��JI�/a:f
What new roofing materials are you using? (, A4 /P✓J.? (""1" 1J✓TiS L 4 fl�'iO�Jr.'1, . 1 /�K YJ'!
Is there existing insulation? &Yes O No Will any insulation be removed/replaced? O Yes 0,No j
Materials '' � JJ /
Manufacturer lie " i # of Squares # of Stories
FLAT ROOF (less than 2:12 pitch) <@VYes N
. ®• O Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
to be repaired in space
• Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information
(if applicable)
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Contractor Information
Name
Address 34 is-- C��%L /� /%%Q�) �/,�t't 1��/� 1 C,iittyy/State/Zip
Phone Number(�70) Z Z Z ' �0�2 Email < SQL—LMJ Y' C��il
License Certificate ZOO, )Q
License/Certificate Holder Q Payroll Employees Q Exempt Roofer (1099): EX-
Homeowner Company Name:
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Print Nam ��� Signature �� Date