HomeMy WebLinkAbout6516 ORBIT WAY - APPLICATIONS - 12/5/2019of
City Collins
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
ACC—inToTTnz=n-1-5'Kt::TtFlltiAt-p,.-i.- . ... I a MOM . -. •. Job Site Address -
6516 Orbit Way City/State/Zip Ft. Collins, CO 80525
Property Owner Information
Name David Livinghouse
Address 2204 Liberty Dr.
Phone Number 970-617-3945
City/State/Zip Ft. Collins, CO 80521
o @ Single Family Detached O Townhome (attached) O Duplex OApartment/Condo 0 Garage/Other
(� s 0 Bank 0 Bar O Church '0 Hotel/Motel O Medical Office OOffice 0 Retail O Restaurant
Are you tean existing roofing materials to the decking? @Yes ( i
If keeping existing layers, any layers are there? 1 What kind of material are they?
What new roofing materials are you usin 'F11 M"
Is there existing insulation? es O No Will an ' tinLbe removed/replaced? 0 Yes @ No
ResidentialValue of Construction
• Commercial = Laborand
Materials
Manufacturer Atlas Stormaster Shake # of Squares 18 # of Stories 1
FLAT ROOF (less than 2:12 pitch) 0 Yes @) No
0 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
Name Rocky Mountain Roofing & Restoration
Address 1685 S Colorado Blvd. S176
pha,e: biumbar. 303-757-5555
License R-2241
City/State/Zip Denver, CO 80222
_ Email lisa@rkymtnroofing.com
Certificate
@ License/Certificate Holder 0 Payroll Employees 0 Exempt Roofer (1099): EX -
WORK •-
0 Homeowner Company Name:
Print Name TelLv, `,•t, i signature Date