HomeMy WebLinkAbout942 SAILORS REEF - SPECIAL INSPECTIONS - 10/31/2019Planning, Development & Transportation Services
City Of Community Devetopmenl & Neighborhood Servlers
�} Collins P.O.Noah011egc Avenue
` P.Box 590
Fort Collins, CO 90522.0580
970.4162740
970.224.6134- rax
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City of Fort Collins
Roofing/Re-Roofing Field Verification Form
(Above Two -Stories)
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Job Site Address PerntitNumbcr
A building permit (re -roofing) was obtained for the above address. This building exceeds the City's
ability to access the roof for inspection with a standard two-story ladder.
You are the listed Fort Collins licensed roofing contractor of record for this project. As such, you are
authorized to complete this Roofrng'Re-Roofing Field YerOcation Farm in lieu of arranging for the City
inspection. Please return the completed form to Building Services in order for the project to 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 adopted. 1 further certify that the
roofing materials used on this project were installed per the manufacturer's instructions in high -wind
areas:'
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Roofing Company Name Certificate HoldeName (Print) License #
Date Ce }I
If the work was performed on the aforementioned permit using a City of Fort Collins Registered Exempt
Worker crew, please acknowledge below:
Exempt Company Name Registered Exempt Worker (Print) Registration #
Date