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HomeMy WebLinkAbout328 WEST ST - APPLICATIONS - 9/16/2019City of ��t Collins Community Development and Neighborhood Services blglogoq Application # _ Date Received College Fort Collins, C• :0 ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address �i28 uTe�� si . City/State/Zip fir+ Cal ling, Co lmzt Property Owner Information Address 32�i: 15A. City/State/Zip Fork Culling. CO `906z1 Phone Number (970) 3®8S- 8283 o- • (3Single Family Detached OTownhome (attached) ®Duplex OApartment/Condo ®Garage/Other O • ®Bank 013ar ®Church OHotel/Motel ©Medical Office ®Office oRetail ORestaurant Value of Construction Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $ MANUFACTURER FLAT ROOF (less than 21,12 pitch) # OF'SQUARES # OF STORIES B)MffMANYWORKTOCHIMNEY? O 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? p Yes O No If there is existing insulation, is it staying or will it be removed? Contractor Information Name f-Q2.j &rsQ Rt AnNq , LLC Address Iq 532 Fiwy Nti City/State/Zip &IV . CO 90Cc10 Phone Number (9170)3017-53OZo Email cro,zyhomLrook-in. @�ralnoo.Corn WORK PERFORMED; BQ Homeowner Payroll Employees p Exempt Roofer (1099): EX - Company Name: CMgy 1+atsA Ro61�in8 . LLC License: R-23-71 Certificate: 3499 - R i-to: Print Name Signature Date