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HomeMy WebLinkAbout6244 WESTCHASE RD - APPLICATIONS - 8/19/2019pp�- City of I ort CO«i915 NEEME1 EDaptelaReceived; lcatlon 4 Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address / q G Address ( q i�J WeST GHA}SE E>#-, City/State/Zlp P;Vclo Property Owner r� Cl70� 2!-7- 4g:;6I City/State/Zip 90714 r Family Detached QTownhome(attached) ©Duplex QApartment/Condo QGarage/Other Q Bank ©Bar Q Church o HoteWotel Q Medical Office ©Office O Retail Q Restaurant Value of Construction Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials Materials MANUFACTURER i . # OF SQUARES OF STORIES FLgR ROOF (less than 212 pitch) . OYes ONo IRES12,E ANY WORK TM CHIMNEY? 0 Yes 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. (I � COMMERCIAL STRUCTURES (-� -A 1 ( bal°W Are you going to be tearing off or keeping existing layers? V /� fr- 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 S f fZA• 601✓ RO�F /tJ M t.ot'L•ki� I t, LC — Address 217 t i-G C2u E-rr I, PR _ / City/State/Zip FOET 61 "jAtS, CO3? ? Phone Number l?v. stLI- zlgts- Email c(an/G(te �rnaoe roof i jj.11G? e - - - ORe o Homeowner ® Payroll Employees License:R + 36 7 1 p Exempt Roofer (1099): EX - Company Name: Certificate: 3 7 3 3 ^ /'Z