HomeMy WebLinkAbout1320 ROBERTSON ST - APPLICATIONS - 11/1/2019fit cdhns
281 N College Ave.
Fort Collins, CO 80524
970-416-2740
buildingservices@fcgov. com
Job Site Address G70 kha % City/StateZp'1• . &IIIlAS �(l �o-:),q
Property Owner Infor ation `
Name m � C �q �N1GCa5�un Phone NumbeAMat,�Og 103 � • � j�]�
Address ���� �PO��ZVkSt�n City/StatelZiptic,,
D single Family Detached —�
Q Townhome (attached) Q Duplex QApartment/Condo Q Garage/Other
° QBank — _--------
Q Bar Q Church Q HotellMotel Q Medigl Office - - - - -- -- _ ,---- - - ------.—�
Q Office Q Retail Q Restaurant j
COMMERCIAL STRUCTURES —
! Are you tearing off existing roofing materials to the decking? Q Yes Q No — _ i — -•
If keeping existing layers, how many layers are there? What kind of material are they?
Wh t i
i
a new roofing materials are you using?
GIs there existing insulation? Q Yes Q No _ Will any insulation be removedireplaced? Q Yes
Materials �q -
Manufacturer \ 1CS # of Squares q # of Stories
FLAT ROOF (less than 2:12 pitch) Q Yes No
e e a Q Roof Repair 49% of roof area max. Class 4 shingle is not required. 1 Note IocaUon(s),o$,areas7
e to,be i6paire ;in spar Repair 50% or more of roof area. Class 4 shingle s e u red II
i provided:belowr
Additional Information (if applicable) — —
Contractor
Name Ci
Address ip C)I (O Sv n"V C e i -t p—rYV1F1GL{ (ACo �{jFj �, ��`` �,` City('/State2i
Phone Number J��J• 54 �, F (( Email 2�! i(j V� i 15C roo-►s Comer. C�Yrl
License Certificate
10015D Q License/Certificate Holder
MENIENNIMMU111-10meowner
Q Payroll Employees
Exempt Roofer (1099): EX- Ho
Company NameQK oo•n!'n