HomeMy WebLinkAbout5309 Country Squire Way - Special Inspections/Field Verification - 04/23/2020Planning, Development
&
Transportation Services
Ci
ty
of
ktColli~
Community
Developmenl
&
Neighborhood
Sen-ices
281
North
College A
venue
P.O.
l,3ox
S80
Fort
Collins,
CO
80S22
.
0S80
970.416.2740
970.224.6134•
fax
fcgo,·.
com
City
of
Fort
Collins
Roofing/Re-Roofing
Field Verification Form
(Above
Two
-Stories)
53lft~
~
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JobSiteAddress
~
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ec,if6~~
Bt6i
12~25
Pennit Number
'
A building pennit (re-rooting)
was
obtained
for
the
above
address.
This
building exceeds
the
City's
abjJity
to
access
the
roof
for
inspection
with
a standard
.two-story
ladder.
You
are
the
listed
Fort
Collins licensed roofing contractor
of
record
for
this
project.
As
such, you
are
authorized
to
complete this
Roofing!Re-Roofing Field
Verification
Form
in
lieu
of
arranging
for
the City
inspection.
Please
return the completed fonn
to
Building Services
in
order
for
the
project to
be
approved
. and the pennit closed.
"I
hereby certify
that
the roofing installed at the above listed
address
complies
with
the applicable City
of
Fort Collins Residential or Commercial building codes
as
amended
and adopted.
I
further certify that the
rooting materials used on
this
project
were
installed
per
the
manufacturer's instructions
in
high-wind
areas."
M,>tfex:t
o(5
u~
Rooting
Company
Name
7
Wes
~
Me-M).;+I=
Certificate
~er
Name
(Print)
"'OD
?p¢4(;
7'-f
License#
4:-
:2--"3
-ZD
Date
If
the
work
was
performed .
on
the aforementioned pennit using
a City
of
Fort
Collin-s Registered
Exempt
Worker crew, please acknowledge
below:
i7,-z.f2.
Exempt Company
N
Registration
#
lf-2'3-
2-D
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at
e