HomeMy WebLinkAbout648 STOVER ST - APPLICATIONS - 11/8/2019j�l ll'�1.1 :1. ��1•, Il ��111 �111��L�•:11
Job Site Address
Qv: rar Inform=,lion
Name Ts'a..a-L W 1 ISO l/Y� 1
Address ' % 1
cityristacercip 0 i'-1 CD 1 U i — O.
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Phone Number
L� City/StateOp `r L'd
6s.
Ingle Family Detached O Townhome (attached) O Duplex OApartnentfCondo O Garage/Other
ry , %' •� otel O 0 Retail O Restaurant
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na �: I � O Bank Q liar O H Medical Office office
CUP:ii:1Yti�i!+1 �l'ia;r i URP:i
Are you tearing off existing roofing materials to the decking? Yes O No
If keeping existing layers, Prow many layers are thhere? What kind of material are they?
What new roofing materials are you u ' -
Is there existing insulation? es O No Will any insulation be removed8eplaced? O Yes
I,", at Q ri"la Manufacturer L1 % f (0Y d 1 1� r r
l # of Squares 0 • 2— # of Stories
FLAT ROOF (less than 212 pitch) O Yes
f rh i eke s OR oof Repav 490A of roof area max. Class 4 shingle is not required. Note Waked
I) s areas
y` ,, . H�,� ,a `� to be rape• in space
�dt�" -Q.6twrReep'air 50% or more of roof area. Class 4 shingle I Minted. I> ��.
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Additional Information (if applicable)
ccim'actor krformatic:n
Name f -ra i n ('r t jH;? ( U c s
Address O t-� /Tfr 1 ccJ t y'�2 Citty/State0p Ld�ry�C, 'U)IV
Phone Number �Q� 2 dam%! - 301 "f Email J .l'1 Ll�' 1 �i'OLlA_r_)Q r+ id MU
License 'k 23 i D C-7 Certificate-1 — /Q-1
t F 01-icense/Certificate Holder 1@4iilfy-�T& Employees
c i n Homeowner
O Exempt Roofer (1099): EX -
Company Name: Sri-, ( f -1 20 r,
PCle i•9
Neme ' Signature Date