HomeMy WebLinkAbout6126 TILDEN ST - APPLICATIONS - 10/16/2019CAY of
Fort Collins
ROOFING PERMIT APPLICATION L _=
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 bulldingservices@fcgov.com
Job Site Address 6126 Tilden st
Property Owner Information
Name Kurt Olender
Address 6126 Tilden st
Citylstate/Zip Fort Collins, CO 80528
Phone Number 970-226-0143
City/State/Zip Fort Collins, CO 80528
Single.Family Detached r Townhome (attached) (_' Duplex i' Apartment/Condo (7 Garage/Other
J�� e 1 M 1 (7 Bank � Bar � Church i' Hotel/Motel C. Medical Office � Office ( Retail � Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? ( Yes C 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? C- Yes (7 No Will any insulation be removed/replaced? (7'Yes (-' No
- $ $ 9,350.00
Materials
Manufacturer GAF
# of squares 34
FLAT ROOF (less than 2:12 pitch) (' Yes CeJ No
Additional Information
(if applicable)
# of Stories 2
r Roof Repair 49% of roof area max. Class 4 shingle is not required. Y Note locations) of areas
to be repaired in space
Roof Repair 50% or more of roof area. Class 4 shingle is required, provided below.
Contractor Information
Name Premier Roofing Company
Address 3201 E. Mulberry St, Suite B
Phone Number 970-484-7663
License R-2189
City/State0p Fort Collins, Co 80524
Email apenn@premier-roof)ng.com
Certificate 3374-R
s` C' License/Certificate Holder (-' Payroll Employees Ca- Exempt Roofer (1099): EX- 15 (R)
fs o4n?aSli3'�o At—
(' Homeowner Company Name: Ardon Roofing
i
j Print Name Anna Penn
Date 10/14/19