HomeMy WebLinkAbout410 E LAKE ST - APPLICATIONS - 8/6/2019City
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�` Coltin5 Application#_
ROOFING
Date Received
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address
NEW
Property Owner I
Ryon tAVAO(y
Phone Number Sd 5-- 31 6— a 3 1 S
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City/State/Zip
City/State/Zip
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!0=jff�inglc Family Detached OTownhome (attached) O Duplex OApartment/Condo 0Garage/other
O e O Bank O Bar O Church O Hotel/Motel O Medical Office OOffice O Retail ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 so. COMMERCIAL: Labor and Materials
Materials
MANUFACTURER # OF SQUARES. tl�_ # OF STORIES ��
FLAT ROOF (less than,2:12,pitch) IRESIDENT111AANY WORK TO CHIMN.EY? 0 Yes -�XNo
p Roof Repair 49% of roof area max. Class 4 shingle is not required.
-§PRoof Repair 50% or more of roof area. Class 4 shingle is required.
COMMERCIAL STRUCTURES NIA
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?
What new roofing materials are you using?
Is there existing insulation? O Yes O No If there is existing insulation, is it staying or will it be removed?
Contractor
Name
Address 17 r y n 1 JP
h/Y k-160
Phone Number 363- Z!j—,34j lr Email
City/State/Zip &'faint Ca P o(
Q Homeowner Opayroll Employees Q Exempt Roofer (1099): EX-
C� Company Name:
License: (� Certificate: C- 59 07 — /C,
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Print Name ✓ efc�y Af) c signature A� Dat