HomeMy WebLinkAbout613 S WASHINGTON AVE - APPLICATIONS - 12/9/2019City of
F6rt
' S • ... . Date
Appticatfon #
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
Job Site Address _lo 1 3 S. Wa S k ino 4on -Ave. City/State2ip f4. Cp 11 i t1 � CO Rt751 I
Property Owner Information Name Rob KWIKOLos k i Phone Number .9-7 0 —a(� - L4500
Address 613 S, W61 hingfbn A- e City/State/zip Collins, co FrC .Z1
TX Single Family Detached
Q Townhome (attached) 0 Duplex QApartmentICondo 0 Garage/Other
C' Bank C Bar Q Church r Hotel/Motel Q Medical office G Office
COMMERCIAL STRUCTURES
�, � yuu taauny un exisung rooting materials to the decking? Q Yes O 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
insulation? 0Yes Q No
Q Retail 0 Restaurant
Will any insulation be removed/replaced? 0 Yes () No
Materials
Manufacturer _ GA E / q # of Squares
S Q
�
FLAT ROOF (less than 2:12 pitch) lr' Yes Q! No 73 'jqtAaY-CS # of Stories
t-J Roof Repair 49% of roof area max. Class 4 shingle is not required. I Note location((s),o_f areas
Roof Repair 50% or more of roof area. Class 4 shingle is required. prow repaired
belbwn space
Additional Information
(if applicable)
Contractor Information Name i �i� t^l96 m'e 6 c Ccf-I i o' C kU r
Address 3akA l wou'
p qS� ip ' -Phone Number3CitylState/Z
.
Email SCG110QhC,_a P arog CAD] Pt—i CCL COM
License !d H in Cerlificate
r License/Certificate Holder C Payroll Employees q' Exempt Roofer (1099): EX-
0, Homeowner
Company Name:
,5arG Callahan
[Pfint Name I Z I� I iq
Date