HomeMy WebLinkAbout925 DEERHURST CIR - APPLICATIONS - 10/23/2019FaCollins
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281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
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Property Owner Information 5ff &jtti il' ` G /, �7
Name c') t (`)`Fc i t' �S(YS (Ui�1 Phone Number l -7V — C Q f-( n- d��
Address Same City/State/Zip S(l 1"lE
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• ® Single Family Detached �ownhome (attached) Q Duplex
QApartment/Condo Q GaragelOther
(j Q Bank Q Bar Q Church Q HoteBMotel Q Medical Office Q OKce 0 Retail (1 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? Q Yes Q 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? Q Yes Q No Will any insulation be removed/replaced? Q Yes Q No
Materials
Manufacturer QL1r' tV CO �'CU l t v�+--y`-�S # of Squares _Z0 S_y# of Stories
o AT onne 11mve rh=n 9.19 nitrhl n Yes
0 0 - Q Roof Repair 49% of roof area max. Class 4 shingle is not required. [tNoobtv
e location s) of areas
e repaire in spaceo®Roof Repair 50% or more of roof area. Class 4 shingle Is required. roided below..
Additional Information
(if applicable)
Contractor Information
Name Peterich Roofing
Address 1719 E Mulberry #7
Phone Number 303-704-7366
License R-2432
City/State/Zip Fort Collins 80524
Email dancraigp@gmail.com
certificate 3594-R
Q LicenselCertificate Holder Q Payroll Employees Q' Exempt Roofer (1099): EX- 1e5fR)
D&S Roofing
Q Homeowner Company Name:
Dan Peterich � p
Print Name Signature Date [ ^ LZ