HomeMy WebLinkAbout6127 WESTCHASE RD - APPLICATIONS - 8/28/2019Citty
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Community Development and Neighborhood SS-Jces
281 N Coll f ge
Fort Collins, CO 80624 970-416-27-- C
Sob S;ic Addn.33
Addrasc 612 west chase rd
Property Owner information
Address 61?7 west chase rd
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City/State/Zip Fort Collins, CO 80528
City]Statepp Fort Collins, CO 80528
0 Single F4ily Detached QTownhome.(attached) QDupiex QApartment/Condo QGarage/Qther
OBank QBar QChurch QHotel/MoW oMedicalOffice Qoflice QRetail QResawwyt -
Value of Construction
Residential value will be calculated per square (1 sq =100 st). COMMERCIAL: Labor and Matedals $ 10725
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QQ No
0Yes
RESIDENTIALl!C f1'fi�tn�. 'Co @;I'i;P,4 /
0Yes �@)No
0 �oof Repair 49% of roof area max. Class 4 shingle us not required.
Q Roof Repair 50% or more of roof area. Class 4 shingle is real iced.
COMMERCIAL STRUCTURES
Are you going g to be tearing off or keeping existing layers? ' ilf.keeping existing layers,. how,many!layers are there?
What l ir{diof ati3d " are they? What now mofing matemals arey. ou using?
Is throe a �ti i�suFation? Q Y Q No If there is existing insulation, is dtay"t sng or will itbe removed?
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Contractor Information
Name Premier Roofing Company
Address 3201 E. Mulberry St, SOte B Cit #State/Zip Fort Collins, CO 80524
Phone Number 970-484-7663 Email apenn@premier-roofing.com
rnp - L!V= >s'o�- Ms l� Q Payroll Employees QQ ExemptRoofer�(1099): EX-15 (R)
�-� Homeowner
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�x f ,11 4 Company�Name: Ardon Roofing
":.. `±r, License: 71949 Cerfificate
Anna Penn
Print Name Si_
08/28/19