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610 WHEDBEE ST - APPLICATIONS - 9/19/2019
Application # _ 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. Job Site Address Address 610 Whedbee St Property Owner Information Address 610 Whedbee St Phone Number 970-567-4445 City/State/Zip Ft. Collins, CO 80524 City/State/Zip Ft. Collins, CO 80524 O • • OSingle Family Detached OTownhome (attached) ©Duplex OApartment/Condo 0Garage/Other O • OBank OBar ©Church OHotellMotel OMedicalOftice OOffice ORetail ORestaurant Value of Construction Residential value will be calculated per square (1 sq =100 sq. COMMERCIAL: Labor and Materials S 8511.70 Materials Asphalt Shingles (Class 4)I• • • - 20 2/3 • •- 1 • • 0 Yes DQ No 1 RESIDENTIAL ANY • • TO CHIMNEY9 Q Yes . *No 0 Roof Repair 49% of roof area max. Class 4 shingle is not required, Q 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? Contractor Information Name Bob Behrends Roofing Address 614 5th Ave City/State/Zip Greeley, CO 80631 Phone Number 970-395-0406 Email lily@bobbehrendsroofing.com WORK PERFORMED BY0 Homeowner 0 Payroll Employees 0 Exempt Roofer (1099): EX - Company Name: Bob Behrends Roofing License: R-1772 Certificate: 2199-R j Lily Behrends 9/17/2019 Print Name Signature �A r Date