HomeMy WebLinkAbout4326 GEMSTONE LN - APPLICATIONS - 10/15/2019City of _ __ _
FQrt Collins _ Date _ io - /o - zo-,
ROOFING PERMIT APPLICATION Application #�TZ�
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgoy.com
Job Site Addressy% `2' 6cros�o� e Z, , -7 e CitylState21p�oco /Gp /�'O -5
Property Owner Information _I
Name SpLns�okte_ (OWnL4Or+,ad CUlh Phone Number 9 0- 2,?2- - Y28f
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Address 2/Z/ X,lw� (laQ CitylStete2ipF�ca I(p032T
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I]r ] . O Single Family Detached Townhome (attached) Q Duplex oApartmenUCondo Q Garage/Other
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44Ar �(!~a ,- r• ; Bank O Bar Church HoteVMotel O Medical Office Office Retail '� Q (� 0 Q 0 Q Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? 0 Yes Q No
If keeping existing layers, how many layers are there?
I
j What new roofing materials are you using?
Is there existing insulation? 0Yes p No
What kind of material are they?
Will any insulation be removed/replaced? p Yes p No `
Value of Construction
Residential and Commercial = Labor and Materials $
Materials
Manufacturer VfFF # of Squares
FLAT ROOF (less than 2:12 pitch) p Yes Q 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.
Additional Information (if applicable)
Contractor Information
Name '4�o X000C Alta Ye/0%Q
# of Stories
rNote locations) of areas
to be repairreedd In space
provided.below. --
Address G / o
s 44e�G
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Z)ewt• leo16Vo22 4
Phone Number
3U3 - Si69h-
gysy Email/Un/1/771-1aa/Pr.�2oaFce�c/So�Ci/-
�City/State/Zip
Oo�
License '
.?8 / 3 l'�f
1 Certificate
y z �e 2
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Q License/Certificate Holder
ltr°%fit °.a ni!
f A! Q Homeowner
*Payroll Employees p Exempt Roofer (1099): EX -
Company Name: