HomeMy WebLinkAbout4351 GEMSTONE LN - APPLICATIONS - 10/15/2019Fart�olhns
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281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Date
Application #
Job Site Address/ —a -!;--/ (JGms�oi/ e Ger.-7 4e- City/StateOp
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Property Owner Information_ /^
Name Sttirls�o*te_ T own-4pr+.eJ CoM Phone Number 9 0 2,?2 - iY2 81
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Address 2/2/ //i� fl���aL1 (JQ City/StatelZip Foe /co /rp0SZT"
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O Single Family Detached ® Townhome (attached) O Duplex O ApartmentlCondo O Garage/Other
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Bank O Bar O Church O Hotel/Motel O Medical Office O Office O Retail O Restaurant
COMMERCIAL STRUCTURES
i Are you tearing off existing roofing materials to the decking? O Yes O No
If keeping existing layers, how many layers are there?
I
Fis
'What new roofing materials are you using?
there existing insulation? O Yes O No
What kind of material are they?
Will any insulation be removed/replaced? O Yes O No
Value of Construction
Residential and Commercial = Labor and Materials $
Materials / 2
Manufacturer GfFF # of Squares J' # of Stories
FLAT ROOF (less than 2:12 pitch) O Yes O No
U Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
to be repaired In space i
Roof Repair 5o% or more of roof area. Class 4 shingle is required. provided below.
Additional Information (if applicable)
Contractor Information
Name 04�o 10Q000C
Address !o / o CitylState2lp Z)en tip. lC o ISO R 2 7
Phone Number 302 - Email cep //ice�mo���P(n 20a�a �c/So�ai• Cv�,
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License %� .? / 3 �7 Certificate 2 — �?
O License/Certificate Holder ® Payroll Employees O Exempt Roofer (1099): EX-
b O Homeowner Company Name: