HomeMy WebLinkAbout411 EDWARDS ST - APPLICATIONS - 1/27/2020FortCollins
271 N GAI,ge Avy y7ry.-:IC-274(I
Fort Collins. CO 116524 haild'++np>Tr:�o^ar�:.'..pa c
InT01"llatiOn IS ••
Job She Address L!/! jffn.LL)Pr,y-os -ST-_ Ctty/state/Op_ $"d 524
Property Owner Informntioo Name J f�FG Rt.r,t0 oe_T 1-t Phone Number q70 —2 �-(— 51 e,19
Address All l' )F- D ul A-".3 Sr-. cy
ny/statemp FT Cr]t1.,,t�s $oSz
Single Family Detached Q Tawnhome (attached) Q Duplex QApartment/Cando Q Garagal0ther
C5 uM=Q Bank Q Bar Q Chumh Q HoteliMatel Q Medical Once Q ORce _ Q Retail Q 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 materiels are you using?
Is there existing insulation? Q Yes Q No Will any insulation be removed/replaced? QYes Q No
Value Of COnSti-Liction
-- .
$ 3.9-p
rdatnimis d
Manufacturer O W BAJ,$ Cup-✓+yG /itA17yA-, V A) YLf.X # of Squares # of Stories I
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(a) of areas
to be repaired In space
®Roof Repair 50% or more of roof area. Class 4 shingle Is nreoulred- provided below
Additional Information (If applicable)
Contractor Information
Name FeD)QT- CQLA.110S RECTe2/LT/D0
Address_ 453aS CoLL£GE AV E- City/Statamp
p �itr!'�cci use Cn BoSZS
Phone Number 7d-247^4010v0 Email &061444le re a-S:i Inc Co wt
License 2- 3676 Certificate-t!/D2. R+
*" v Q License/Certificate Holder Pa ll Em I ® yro p oyees Q Exempt Roofer (1099): F>(-
Q Homeowner Company Name:
G. JorFiJsn.J (� t(� r/y�/10
Prtnt Nama S/pnefura �^�' Date