HomeMy WebLinkAbout438 HOUGHTON CT - SPECIAL INSPECTIONS - 11/9/2018j
Planning, IDevelopm t&TransportationServices
Community Development & Neighborhood Services
�°DPP s ,I 281 NoM College Avenue
[ P.O. Box 580 I
'Vli Fort Collins, CO 80522.0580
30
I, 970.416.2740
970.224.6134- fax
fcgomtcom
City of Fart Collins
Roofing/Re-Roofing Field Verification Form
(Above AO -Stories) f
r'
�A/
Job Site Address Permit ;Number
t I
i
A buiitling permit ( -roofing) was obtained for the above address. This building exceeds the City's
ability to access tht roof for inspection with a standaid two-story ladder.
You at?e the listed F rt Collins licensed roofing contractor of record fori this project. As uch, you are
authorized to compple a this Roofing/Re-Rooftng Field Verification Form ip lieu of arrangin 7 for the City
inspection. Please fet m the completed form to Building Services in order for the project t be approved
and the permit closed !'
"I hereby certify that the roofing installed at the above listed address complies with the applicable City of
Fort Collins Residential or Commercial building codes as amended and aLpted. I further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas.
t
Roofing Company Mme Certificate HolderName-(Pirtnt) ( U ense #
t/, 9,
Date
If theork was p
Worker crew, plea
ExemptI Company
I
Date
Certificate
on the aforementioned
wledge below:
I;
Registered
rName (Sign)
using a City of Fort Collins
Exempt