HomeMy WebLinkAbout1320 LORY ST - APPLICATIONS - 9/16/2019City of
,,Eorty�Ca[lins
Community Development anal Neil
e 1 N College I
Fort Collins CO 80524
Job Site Address
Address
Property Ormei I formation
Address. 0
/'/
Phone Number "I 76
Se'viccs
Application #
Date Received
Forf &oltt'ay
City/State/Zip 601 '1oS.?�l
City/State/Zip
e _
OSingle Family Detached OTovmhome (attached) ODuplex OApartmenUCondo OGarage/Other
OBank Oear OChurch OHolellMotel OMedicalOffice OOffice 0Retail 0Restaurant
Value of corlstrw;uo' 2r7
Residential value will be calculated per square (1 sq = 100 so. COMMERCIAL: Labor and Materials $_/f 500
M'.1e:lals ✓fiord .G
., ;a- �K�
Yes No RESIDENTIAL ®'
„ O O Yes � No
Y j
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
What kind of material are they?
Is there existing insulation? O Y
Co7itractor Irtl, rr, is or,
Name A f'C Uf ("IA
Address W ,LU J flr1?1
Phone Number 7aD - a i Z
C
-fir � �I
s9p ng existing layers? If keeping existing layers, how many layers are there?
V' What new roofing materials are you using?
No If there is existing insulation, is it staying or will it be removed?
City/State/Ziwld&A( co
Email
ter O Payroll Employees Exempt Roofer (1099) EX- ✓ I
1
Company Name: Irle- cif 41 Ili'
Certificate: 3a/7 —P` V
Print Name Signature Date