HomeMy WebLinkAbout1148 CANVASBACK DR - APPLICATIONS - 10/3/2019Fort Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Application # _
Date Received
Job Site AddressAddr� 1 - yr� C'� Vol
1 /rj � /
(.l City/State/Zip
Property Owner Infola$io � C& Vw UO-f 10 , �,A�, City/State/Zip
Address II �%�p'l/ �/Ci !State/Zip -/--C
Phone Number
I ngle Family Detached DTownhome (attached) ODuplex DApartmenticondo OGarage/Other
0 s DBank DBar OChurch DHotel/Motel QMedicalOffice QOffice 0Retail ORestaurant
Value of Construction
Residential value will be calculated per square (1 sq = 100 so. COMMERCIAL: Labor and Materials $
Materials
• • 0 Yes No RESIDENTIAL • i�MJM33= 0 Yes No
0 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? 0 Yes 0 No If there is existing insulation, is it staying or will it be removed?
Contractor Information _—/�,—p-� � �a �� r / C�
Name . / Z C s 1F�' L
Address
Phone Number
v�
Print Name
City/State/Zip T— c �o
. n la - — - a a
Email
0 Homeowner 0 Payroll Employees Wxempt Roofer (1099): rEXX- n^!
/�- Company Name: /,,J / , ► o U ✓/Q
License:_ � 5�12, Certificate: �3g>
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Date