HomeMy WebLinkAbout6233 TREESTEAD CT - SPECIAL INSPECTIONS - 5/25/2021City of
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281 N. College Ave. -PO Box 580
Fort Collins. CO 80522
970,416,2740
970.224.6134-lax
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6233 Treestead Ct
Job Site Address
tcgov.com/nbs
City of Fort Collins
Roofing/Re-Roofing field Verification Form
B1915341
Permit Number
A roofing permit was obtained for the above address. This building exceeds the City's ability to
access the roof safely. As you are listed as the licensed roofing contractor on this job, you are
required to complete this form in lieu or the City Inspection.
Malarkey Legacy Class 4
Roofing Shingle Used (UL 2218)
Place a check everything that was completed.
Ooecking replaced
□Flashing Installed Where'? _______________________ _
Ocricket or Saddle Installed (ridge side of any chimney or penetration greater than 30 inches)
I v"lke and Water installed 2 f'eet inside exterior wall line of building.
lvlDrip Edge at eaves and rakes
lviFastcning shingles to meet 140 mph wind load.
Iv" !Seal all penetrations
I vlRoof Ventilation How? _R_V ____ 5_1_1 ___________________ _
D Skylights reinstalled (Place sill flashing behind black rubber gasket)
Iv" I Roof installed per manufacturer guidelines
"I hereby certify that the roofing installed at the listed address complies with all applicable City
of Fort Collins Residential or Commercial building codes as amended or adopted.
Majestic Roofing Robert Jones R-1510 ----------Roofing Company Name Certificate Holder Name (Print) License#
05-25-21 Robert W Jones
Date Certificate Holder (Sign)
If exempt workers used, please list the City or Fort Collins Exempt Worker Crew:
Exempt Company Name Registered Exempt Worker (Print) Registration #
Please submit this form to Roofing@fcgov.com for processing and approval