HomeMy WebLinkAbout969 NIGHTINGALE DR - APPLICATIONS - 10/23/2019ROOFING PERMIT APPLICATION
ALL information is REQUIRED.
Job Site Address O-,[,E INC. City/State/Zip ETC c�05�5
NameNN\a-(� Phone Number Ot -; O - 5 c5 - ��03 LI
Address IRn w P_ City/State/Zip
1 i i (aSingle Family Detached O Townhome (attached) O Duplex O Apartment/Condo O Garage/Other
O Bank O Bar O Church O Hotel/Motel O Medical Office O Office O Retail O Restaurant
Are you tearing off existing roofing materials to the decking? OYes 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
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Manufacturer (DC, # of Squares `��) • (PI o # of Stories
FLAT ROOF (less than 2:12 pitch) O Yes 1KNo
j O Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locations) of areas
Ito be repaired in space
Roof Repair 50% or more of roof area. Class 4 shingle is required, provided below.
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Additional Information (if applicable)
Name
Address \Zcip Mnn[nQ City/(S-late/Zip LOV� �% U
Phone Number bC> 6t47— 0-7%-7 Email GJChC6elef,Cob%fCID C i o 0^(1��� • LAa�1�
License y0$ Certificate sotal- K
O License/Certificate Holder O Payroll Employees 35,Exempt Roofer (1099): EX -
"I O Homeowner I Company Name: %t`F-
Print Nam
- (�ett�\p��-�� Srgnatwe Date ) O