HomeMy WebLinkAbout909 PROVINCE RD - APPLICATIONS - 8/28/2019C;tyof I `EI D`6
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Corn ilun �I✓eiop lent and Nei hbornood P<rvioes
2811 C e el�
For, Collin Cf O5 4 70 4 iE-27 ,J
Job Site Address
Address 909 Province Road City/.State/zip Fort Collins, CO 80525
Froperty Owner Information
Address 909 Province Road C;itylStateaqp Fort Collins, CO 80525
Phone Number 970-568-8434
0 �SingleFamilyDetached QTownhome,(attached) ODuplex OApartment7Condo 0tyaw-ge100her
O u OBank d)Bar OChurch OHotemotel Omedicalci ice O.office O;Retaii ORestazuavt
Value & Construction
Residential value will be calculated per square (t sq=1001sf� COMMERCIAL- Laborand Materials 'S 6875
TMloer�ai � I
GAF i j�;Caa;-z4"�.Ll'�a�' 25 ,.2
it l"r o o ((� 1(. K?I ). QYes Q� No i RESIDENTIAL�n'Y"3;FMMR!%, c;r' ECx T� sr- QYes � la
O Roof repair 49% of roof area max. Class 4 shingle is not required.
� Q f oof Repair 50% or more of roof area Class 4 stimgle is reauired.
COMMERCIAL STRUCTURES
Are you going to be tearing off or keeping existing layers? if keeping existing layers, ihow,manylayeis am fere?
What kind pf material are they? What new roofing materials ere you using?
Is there existing insulation? O Yes O No If there is existing insulation, is it staying or it be removed?
Contractor Information
Name Premier Roofing
Address 3201 E. Mulberry St, Suite B
Phone Number 970-484-7663
Anna Penn
City/StatelLp Fort Collins, CO 80524
Email
O Homeowner Q Payroll Employees QQ Exempt Roofer(1099):']Of-1
I I CompanyName: Ardon
71949
Print Name Signa urs I 0.%k�
08/28/19