HomeMy WebLinkAbout508 BANNOCK ST - APPLICATIONS - 10/4/2019of
�FF6rt Collins
(/sseg 8N° -2-
I. : WIA
ROOFING PERMIT.APPLICATION
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
accepted.ALL information is REQUIRED. Incomplete applications will not be
Job Site Address Sid' &RJJUdi✓K .ST City/State/Zip k (014'sno Ca 00S2'7
Property Owner Information
Name &TT>< GL>�&:T,rrn6-4C Phone Number %2-0-q77-932-0
Address So$ City/State/Zip rjr Ccs
Single Family Detached Q Townhome (attached) Q Duplex 0Apartment/Condo O Garage/Other
p Bank O Bar O Church Q Hotel/Motel O Medical Office O office O Retail O Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? O Yes O No
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? O Yes O No Will any insulation be removed/replaced? O Yes O No
Materials t�l Manufacturer Q9 , C S o n!!� k, .-r. 46e,n -/,Jg c 0A SS L( # of Squares W # of Stories 2—
FLAT ROOF (less than 2:12 pitch) O Yes (�D No
. a Q Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
to be repaired in space
• Q Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information (if applicable)
Contractor Information
Name l340-6a, krrw(n
Address 1 G-70 SSva7N (-A K-C r j9/2 • City/State/Zip t0vtlet-j r. ko s 38
Phone Number LT'70 - 1a(07 • %(jD Email LZ-Ma remLn's 4s-le is (2 9 "w.-, / •eevA
License Certificate
License/Certificate Holder NFPayroll Employees Q Exempt Roofer (1099): EX-
10 WORK PERFORMED BY 0 Homeowner Company Name:
�j�3-nM� l�ztrse,•-� ��"�- 1���9�9
Print Name Signature Date