HomeMy WebLinkAbout6227 GOLDEN WILLOW DR - APPLICATIONS - 10/17/2019City of
tP;r N Cot!erya Avn. 97f!-4%v- �.G
Fort Callin6. CO i bi24 huildi�q::en b:q:,(�•_.gr..:^,..
REQUIREDALL
Job Site Address 22-7 • GCL0 iAl W i LLOu% O >2 City/State2lp %T, eo Lt-1 JS fig 2d
Flmperty 04vnu+information
Name _ 114r:0.d i A- a.r) Phone Number i0 - 27-7— („ (-5-D
Address Ali, y -iE 4zq City/State/Zip rT• eov , %s rb SZ),
4"�1`�-j.�'-}r�t�j�"•ti� ® Single Family Detached 0Townhome(attached) �Dupiex QApartment/Condo 0 GaragelOther
0 Bank ()Bar Q Church 0 Hotel/Motel O Medical Office 0 Office 0 Retail 0 Restaurant
COMMERCIAL STRUCTURE-5
Are you tearing off existing roofing materiels to the decking? 0 Yes 0 No
If keeping existing layers. how many layers are there? What kind of material are they?
What new mofing materials are you using?
Is there existing insulation? 0 Yes 0 No Will any insulation be removed/replaced? 0 Yes 0 No
Manufacturer WtW -; 1-0&1JuJ/- ti., n brim) r # of Squares 26 - 5Z% # of Stories y
FLAT ROOF (less than 2:12 pitch) 0 Yes (0 No
?1, i i:�?.o g';T IC) Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
®Roof Repair 50 /.a or more of roof area. Class 4 shingle is reaulred, to be repaired In space
provided below.
Additional Information (If applicable)
ColllrDlfor Info:Ynati.n
Name :60/2T C OLLJA75 R F-STp1Z ArfOA%
Address 453a S COLLEGE. AvrE City/StateMp FicrCnc�/.�s�Co %SZ5
Phone Number 9 7e-2a7 - OOoQ Email 4u.S o(% af%rd." 1e f en-�: r..� �n P Co wt
J
License 2- 3676 Certificate -q/O2 R+
0 LicensetCertificate Holder 0 Paymll Employees 0 Exempt Roofer (f 099): EX-
4/}b111a 1: 'ice 1��Gtn)[Ri
J 0 Homeowner Company Name:
Prim Name Signature Date ��\� y 1191
� 7l � ��
J