HomeMy WebLinkAbout4673 PALAMINO LN - APPLICATIONS - 9/13/2019cltyaf
Fort Collins Application# G
Date Received —
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
ALL information is REQUIRED. Incomplete applications will not be accepted.
.. Site AddTss
Address//// /�
Property Owner
City/State/Zip
Phone Number -1 71 ) - C7`/,10 '
@Single Family Detached OTownhome(attached) ODuplex oApartmenticondo oGaragelother
OBank OBar OChurch OHotel/Motel oMedicalOffice OOfr(ce 0Retail 0Restaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Q. _
MANUFACTURER,
FLATROOF(less than 212pitcfi)
# OF SQUARES r,, # OF STORIES
ANYWORI<TO.CHIMNEY? � �
0 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? 0 Yes 0 No If there is existing insulation, is it staying or will it be removed?
Contra(
Name
Addres
Phone
WORK PERFORMED BY 0 Homeowner 0 Payroll Employees Exempt Roofer (10999)r: EX-- G
2 Company Name: J J t) 1C M
License: V Certificate: