HomeMy WebLinkAbout6156 CARMICHAEL ST - APPLICATIONS - 8/23/2019FF6rt Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site
Address
Application # _
Date Received
city/State/Zip% 1'105, CO gbSZ-q
Property Owner Information ^ Q
Addressip�r7� C�-('wtic�t� 1 t City/State/Zip
Phone Number I r `�� - /-I
L Ingle Family Detached OTownhome (attached) ODuplex OApartment/Condo 0Garage/Other
O • OBank OBar OChurch OHotellMotel OMedicalOffice OOffice ORetall ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
0L,)e—v\.5 Cpc�iv� . • 2
• • p Yes o RESIDENTIALANY WORKTO Q Yes gNo
Q Roof Repair 49% of roof area max. Class 4 shingle is not required.
Roof Repair 50% or more of roof area. Class 4 shingle is required.
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?
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 Information
Name 6\")e VC-0
Address f5�IOSS
Phone Number �I� - (o ��{ rjrjs Email
p Homeowner Q Payroll Employees
City/State/Zion�O—
Exempt Roofer (1099): EX— j7z-4
Company Name: NAny�kw M
Certificate:
�"�k 1-,' g12�<<�
Print Name Signature Date