HomeMy WebLinkAbout4454 VISTA DR - APPLICATIONS - 9/6/2019algoGgqQ
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Fart Collins
Community Development and Neighborhood Services,,c- 3 -;P, eW
281 N College
Fort Collins, CO 80524 970-416-2740
Application # _
Date Received
Job Site Address
Address y y,5-q I�;S is p, Fnf4-CAI j,n S C v �, 05 City/State/Zip
Property Owner Information
Address
Phone Number S '>'O — 27 2- - S
City/State/Zip
- o @Single Family Detached OTownhome (attached) QDuplex QApartmentlCondo 0Garage/Other
MMMIFOBank 013ar QChurch QHotel/Motel QMedicalOffice OOffice 0Retail ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
REDEEM # OF SQ6.1
UARES' #' OF STORIES
FLAT ROOF (less than:2:12 pitch)Yes . MANY WORK'fO;CHIMNEY?
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 p No If there is existing insulation, is it staying or will it be removed?
Contractor Information
Name A , &r n.._ irx
Address t C o ;ne5-2- City/State2ip
Phone Number — �0 — /� 7 5 Email n.nloo 2G%d+2—SG-�. �• rcg/"
O Homeowner (!� Payroll Employees Q Exempt Roofer (1099): EX -
Company Name:,�<
License: rG ' Di' Certificate:
2, Le,7,2-,c, 6F/�/,4
Print Name Signature Date
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