HomeMy WebLinkAbout6008 FALL HARVEST WAY - APPLICATIONS - 3/6/2020City of
F6rt Collins
Date
ROOFING PERMIT APPLICATION Application 0�cbm
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com CG
Job Site Address �l� L,24?iCe/State/Zip
Property Owner Information 1� y
Name_ �� $�$C�� Phone Number
Address �d®� /"�/�iz��/e,e� C�Je��/ City/State/Zip �� G
Family Detached O Townhome (attached) O Duplex OApartment/Condo O Garage/Other
(� •1 O Bank O Bar O Church O Hotel/Motel O Medical Office O Office O Retail O Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? O 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 existing insulation? OYes O No Will any insulation be removed/replaced? O Yes O No
$
Materials �L
Manufacturer �/T jo� # of Squares c Jar # of Stories
FLAT ROOF (less than 2:12 pitch) O Yesk No
. e O 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)
Contra
Name
Address
Phone NumberEmail
License �- d�� Certificate
�Q
License/Certificate Holder O Payroll Employees O Exempt Roofer (1099): EX-
O Homeowner Company Name:
Date Print Name Signature �/L-��