HomeMy WebLinkAbout2211 W Mulberry St 2 - Applications - 10/07/2021Fort Collins
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ALL irsform�tion is REQUIRED. Incomplete applications will not be accepted.
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Property Owner Informaiion
Name L L L Phone Number ��4 —�ZZ —��I ��
Address � ii ,,, w,�l l�r ✓ �� �G� _ 2- , City/State2ip ./�� 8 d�`<- r ,
�t��� i�. ,��� A�.K �Single Family Detached i�' Townhome (atEached) �.' Duplex C1 ApartmenVCondo �.=a GaragelOther
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�(� • Q Bank � Bar l J Church ;�.> Hotel/Motel +; ; Medical Office � Office fi Retail � Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? '�i Yes �,� No
If keeping existing layers, how many fayers are there? What kind of material are they?
What new roofing materials are you using?
Is there existing insulation? '`� Yes ' Na Will any insulation be removed/replaced? {� Yes � No
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Mat�: ,�.v
Manufacturer ��1� i n f'z.�o� ,.L �- # of Squares Z� # of Stories �
FLAT ROOF (less than 2:12 pitch) C'�f Yes t��r� No
�;� ��r-,� �, �,��,� �--.� : Roof Repair 49% of roof area max. Class 4 shingle is not required. Note lacatior►(s) of areas
to be repaired in space
• � Ftoof Repair 50% nr more of roof area. Class 4 shingle is reauired. provided below.
Additional Information
(if applicable}
Contractor Irifarmation
Name ,�-d,,'^ 1�G��-,�,.Y. � L C G
Address���,r 2�-� ��� T�rf ��i��s LP� City/5tate2ip gd,�2 (
Phone Number �� �?G — lS �r ... Email _G n-n-, /'��O {��x 2ti / 6 � y'.,.�,�� . C��
License �='�6 4 �- Certificate — �
Date 1 •(2�' � - _
Application # S J 2� 0�
f License/Certificate Holder i� Payroll Employees � Exempt Roofer (1099): EX-
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�� Homeowner Company Name: G�Yr,o��'�-v �`� L
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