HomeMy WebLinkAbout410 E LAKE ST - APPLICATIONS - 8/5/2019of
City Collins
Community Development and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-2740
Application # I t U
Date Received �/ {o `I
Job Site Address I
Address -'to d E al S� 6�t c 1 to f S d City/State/Zip
Property Owner Infor ation RyanG(vj
Address 1l City/State/Zip
Phone Number
O • 0Single Family Detached OTownhome (attached) ODuplex OApartment/Condo ®Garage/Other
O • OBank OBar OChurch OHotel/Motel OMedicalOffice OOffice ORetail 0Restaurant
Value of Construction
Residential value will be calculated per square (1 sq =100 so. COMMERCIAL: Labor and Materials $
Materials
-MANUFACTURER • # OF SQUARES �i_ #"OF STQRIES. ��
FLAT ROOF (less than 2:12pitchYes OMANY WORK TO CHIMfVEY? OYes1
p Roof Repair 49% of roof area max. Class 4 shingle is not required.
"§X@oof Repair 50% or more of roof area. Class 4 shingle is required.
COMMERCIAL STRUCTURES NIA
Are you going to be tearing off or keeping existing layers? If keeping existing layers, how many layers are there?
What kind of material are they?
Is then; existing insulation? O Yes 0 No
Contractor
Name
Address /% 1'/ n l JP 1 U-r/
What new roofing materials are you using?
If there is existing insulation, is it staying or will it be removed?
L'C (—
00
Phone Number 363- Z�!j ",35 3r Email
p Homeowner W;
License: R (v
City/State/Zip 661)J4 (0 D W
a
Employees p Exempt Roofer (1099): EX -
Company Name:
Certificate: L-�59 97 - Z
1 41)t"
, 5�1,rPrint Name ✓efin'y Signature �� Dat