HomeMy WebLinkAbout4132 STONERIDGE CT - APPLICATIONS - 10/25/2019City of
F6rt CothBlS
281 N College Ave 970-416-2740
Fort Collins, CO 80524 buildingservices@tcgov.com
Job Site Address L-I- 13 Z S ib I LIZ I DG Gv--� City/State/Zip F 6 %G c5 86 5 ZS
Property Owner Information
Name j-n (yIZT I Phone Number Q-Zo - Z Z.? " GO S 23
Address A 13 Z I 0CrC3 � City/State/Zip P C/ [,d 8-d•32_'
ingle Family Detached C' Townhome (attached) r' Duplex CApartment/Condo C- Garage/Other
(�' •s. (� Bank C/ Bar (~ Church C1 HoteVMotel Medical Office (-'Office C' Retail Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? /Yes o No
If keeping existing layers, how many layers are there? 1 What kind of material are they?
What new roofing materials are you using? CI` MS HIOL D
Is there existing insulation? es (' No Will any insulation be removed/replaced? ( Yes r_<DD
71 goo • ao
Materials /�
Manufacturer 64117 a IEN 02 S11 f FL D # of Squares 6 # of Stories
FLAT ROOF (less than 2:12 pitch) C' Yes PrfTo
Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
to be repaired in space
P�oof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information
(if applicable)
Contractor Information
Name -2 l L (4— C:6N5S1Z— vcSi10 k)
Address R22-4 I\qE.Sii- \j(TR0 fs V_ City/State/Zip i C/ Go /.Qo<_:-ZS
Phone Number /� C'i -to - 2-1 q - 4,(� Email �Ca��'�I Ci4t-arti'�•�--Cl c�(� h:- C,-6
License h` Z' 3� I Certificate 4 8 Qe 2
Print Name
(� License/Certificate Holder Payroll Employees (' El xempt Roofer (1099): EX-. � I
r r Homeowner Company Name: Tt�L�
Date