HomeMy WebLinkAbout809 SNOWY PLAIN RD - APPLICATIONS - 11/18/2019Flirt Collins
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Job Site Address
Property Owner Information
Name
Addre
Date
Application #
City/State/Zip R. C6�ut"S '_W • UoSzs
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City/State2ip EL C 6 i � (&!z , Ca . aos zs
6Single Family Detached QTownhome (attached) Q Duplex oApartment/Condo p Garage/Other
010�OBan�koBa�rOC�hurchO Hotel/Motel o Medical Office O Office Q Retail O Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? Q Yes Q 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? Q Yes p No Will any insulation be removed/replaced? p Yes Q No
Materials
Manufacturer -EV, C) ��Ort C # of Squares 2 CD -# of Stories +W0
FLAT ROOF (less than 2:12 pitch) p Yes &No
. • • Q Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
to be repaired in space
• Roof Repair 50% or more of roof area. Class 4 shingle is required, provided below.
Additional Information (if applicable)
Contractor Information
� �l f Name �1 l� 1'Stniin� `�- EyJp ft5'c�-
Address Co3Li 2 NE as � �Eb City/State21Iip�0� o�&i .�r\ i20_
�3-3d Phone Number �l�O-(Q(4oEmail �[\ l o C
License ID — (D ) Certificate Z LI ` Df 7
Q License/Certificate Holder p Payroll Employees p Exempt Roofer (1099): EX-
•- •-
Q Homeowner Company Name:
Print Name P1EE ft AJ Sr qA/r7 LL Signature L( Date