HomeMy WebLinkAbout6215 WESTCHASE RD - APPLICATIONS - 12/17/2019City of
Frt Collins
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281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Job Site Address
Date
Appricatfon #
City/StateOp ForA- t!o 1111491 Cot goS29
'Property Owner Information
Name t-eSl l'e r)axy1 alsor Phone Number LID — 2 9 -�2 Z
Address (,2.l S- 4) s -C LAM5e 2�A City/State/Zip &1144r��_�
Single Family Detached Townhome (attached) 0 Duplex (jApartmentfCondo C) GaragefOther
0 Bank Cl Bar 0 Church 0 Hotel/Motel (-) Medical Office 0 Office Ci Retail (1 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? 0 Yes C+ 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? C) Yes 0 No Will any insulation be removed/replaced? 0 Yes G No
$ 630o
Materials ��ll
Manufacturer CJLt W 5-(_ U1>t 1 t� ('/Orit�Yvr S�/�' # of Squares 3 I ' 3 3 # of Stories :01
FLAT ROOF (less than 2:12 pitch) G Yes O1 No
Roof Repair 49% of roof area max. Class 4 shingle is not required. Note locations) of areas
to be repaired inspace
® Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information
(if applicable)
Contractor Information
Name
A4 W+t)CeAiti!� L.L C
Address 330 } S Cc, I I no, J`1V'e S Pe- 220 City/State2p Irv, C- 61 b � ee) 85S-2 5-
Phone Number TO 2 Z 3 2 q Email V101tow- �- �.�2 VQNr'+_t�vaGlT ' �f ��t�1 W • CG �°
License Z 2 15, 2 Certificate S 1 24 -
C� License/Certificate Holder # Payroll Employees C Exempt Roofer (1099): EX-
OR•Rr BY
G Homeowner Company Name:
Aylw 0-ta/'6"--, ` � -Z � 12.13 ' 1
Print Name Slone q A tea.,,.. c 9V Date