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HomeMy WebLinkAbout627 Sparrow Pl - Applications/Reroof - 01/13/2020City of F6rt Collins 281 N College Ave. 970-416-2740 Fort Collins, CO 80524 buildingservices@fcgov.coln Job Site Address v*on smrmw 1CIM City/State/Zip EM10 - 9� PropertyOwnerInformation / Name : Dphla b l0 Phone Number iQ ���Q�' (051 Address f OO1CCOW 'PIA City/State/Zip FTC Co 905015 Single Family Detached 07ownhome (attached) 0 Duplex 0Apartment/Condo 0 Garage/Other • 0 Bank 0 Bar 0 Church 0 Hotel/Motel 0 Medical Office 0 Office 0 Retail 0 Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? 0 Yes 0 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? 0 Yes 0 No Will any insulation be removed/replaced? 0 Yes 0 No = . Materials Manufacturer O n on i I ( # of Squares a a # of Stories FLAT ROOF (less than 2:12 pitch) CYes 3RNo 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) J0.emoV2 LUrrP of Li15p% o l i S'11 r10l2 5 `t• replace wish CI a 65 y Impack 'I�leti5ka11� 9hirwle5 per Cod Contractor Information Name Address City/State/Zip g. 111nfi. to. Q05A Phone Number (4-40) aa4-1 dOD Email Qdmin @C gn-toUn+a nro0�2r'J 'M I License R 17�J Certificate ao9l0O—A, 0 License/Certificate Holder 0 Payroll Employees 41 Exempt Roofer (1099): EX - 0 Homeowner Company Name: ALVO.rC1, rlWfIn Print Name /" ] I \ _Ck I Signature /�v' I (.l��X� I Date I