HomeMy WebLinkAbout4900 NINEBARK CT - APPLICATIONS - 9/12/2019City of
��K C®Wns Application#
R60FING PERMIT
Date Received
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Job Site Address
Address `19100 VIAV Grr City/State/Zip i'� ee«ndT, c—a A�528
Property Owner Information
Address A110V ,Y/inrehA4a irq4 City/State/Zip�l�
Phone
�Number %�D •lo ft 9?—S�
1' o - ®Single Family Detached ®Townhome (attached) ODupiex (DApartmentfCondo 0Garage/Other
Bank 0Bar Church OHotel/Motel Medical Office 001fice, ORetall 011estaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 sf). COMMERCIAL: Labor and Materials $
Materials
". " ° 1U4 "_'Nsv/,v*, l�cr.. Sl�,as.�'t'�iQ uY>a� - �+o �C�31tL / Yz
�—-No Yes No ESIDENTAoA 3[�r
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
0 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?
Is there existing insulation? 0 Yes 0 No
Contractor Information
What new roofing materials are you using?
If there is existing insulation, is it staying or will it be removed?
Name I&ACRfk'S �5�7isp/e2s�/riA/l1c NLt1¢y�p
Address 9zy G) A� Sd- . City/State/Zip Zo1-e 3,t
Phone Number Email /t[•ell,sa�[o/loe��Sei aesco.caa.
0 Homeowner 0 Payroll Employees Exempt Roofer (1099): EX- // B A
Company Name: CA,9po S
License: Certificate: I-%/33-A
Print Name �, ,�n I Si nature �� �� Date