HomeMy WebLinkAbout603 LESSER DR - APPLICATIONS - 10/2/2019Cityof
Flirt Collins Date
ROOFING PERMIT APPLICATION I Application #
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com I
Job Site Address Loos he-'sS ep-' DKl V e-) City/State/Zip 'rf i k W�l�) t CO
Prope�r jOw,,ner Information
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Name 't Wki_ i YV J L l Li V � P()� l Phone Number (q I D� �� t 9 c) ;
Address Look ��C c� DR W61 City/State/Zip Fcqz� CioUns,.D6
Q Single Family Detached Q Townhome (attached) Q Duplex 0Apartment/Condo Q Garage/Other
Q Bank '0Bar Q Church Q Hotel/Motel Q Medical Office Office Q Retail Q Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? 6Yes Q No
If keeping existing layers, how many layers are there? What kind of material are they?
What new roofing materials are you using? ae- D ., ( i A ar�4
Is there existing insulation? Q Yes 64.No Will any insulation be removed/replaced? Q Yes to
Materials /� /
Manufacturer QwtU S l . P nL� 1 %S-�bQi Y) J # of Squares '70 • cl�J # of Stories
FLAT ROOF (less than 2:12 pitch) Q Yes o
• • Q Roof Repair 49% of roof area max. Class 4 shingle is not required. TNIote Ioca6on((s) of areas
be repairedin space
• Roof Repair 50% or more of roof area. Class 4 shingle is required. rovided below.
Additional Information (if applicable)
Contractor Information
Name '%_1e 6
Address
% City/State/Zip uk (t,' nab v-% CCU 3054"
Phone Number l l c���oi �- �� O 7'7 Email S�e6 r6MC G G� '4�
License 311ou Certificate
License/Certificate Holder p Payroll Employees Q Exempt Roofer (1099): EX -
WORK PERFORMED BY Q Homeowner Company Name:
Print Name Signature Date