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HomeMy WebLinkAbout2224 CLEARVIEW AVE - APPLICATION - 5/18/2021 (2) City of e� Fort Collins Date - ��. ROOFING PERMIT APPLICATION Application# 6z1037-7 281 N College Ave. 970-416-2740 Fort Collins, CO 80524 buildingservices@fcgov.com ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address 2224 Clearview Ave City/State/Zip Fort Collins CO 80521 Property Owner Information Name Jason Meyer Phone Number 3039312086 Address 2224 Clearview Ave Citylstate/Zip Fort Collins CO 80521 RESIDENTIAL C Single Family Detached ®Townhome(attached) 0 Duplex °Apartment/Condo 0 Garage/Other *COMMERCIAL 0 Bank Q 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? C 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 Value of Construction Residential and Commercial = Labor and Materials $ $ 31600'00 Materials Manufacturer Malarkey Legacy 18 1 #of Squares #of Stories FLAT ROOF(less than 2:12 pitch) 0 Yes QJ No ASPHALT ROOF REPAIRS 0 Roof Repair 49%of roof area max.Class 4 shingle is not required. Note location(s)of areas to be repaired in space ONLY O Roof Repair 50%or more of roof area.Class 4 shingle is required. provided below. Additional Information (if applicable) Contractor Information Name Rusty Bucket LLC dba Tico's Roofing Address PO Box 1326 City/State/Zip Fort Collins CO 80522 Phone Number 970-566-1884 Email ticoroofing@hotmail.com License R-3641(+) Certificate 4018-R(+) ©License/Certificate Holder 0 Payroll Employees 0 Exempt Roofer(1099):EX- WORK PERFORMED BY 0 Homeowner Company Name: I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. Pri e G��V✓" fritrSin I I ( " I 9 Date