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Section A(General Information)
Master Permit No. Process No.
Contractors Name:
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Job Address— �mff t
ROOF CATEGORY
),a ow Slope [3 Mechanically Fastened Tile E3 Mortar/Adhesive Set Tiles
O Asphaltic Shingles '� _���etaiPanel/Shingles Mood5hing|es/Shokes
O Prescriptive BUR'RA5 150
ROOF ROOF TYPE.
0 New roof [] Repair D Maintenance VAReroofing [JReoovering .
/\ .ROOF SYSTEM/mrux/m*//u
Low Slope Roof Area(SF) � Steep Sloped Roof Area(SF) Total(SF)
Section 8(Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains.
Include dimensions of sections and levels,clearly identifV dimensions of elevated pressure zones and location of parapets.
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Section C (Low Slope Roof) Surfacing:
Fill in specific roof assembly components and identify Fastener Spacing for Anchor/Base Sheet Attachment:
manufacturer Zone 1':—" oc @ Lap,#Rows @ "oo
(If a component is not used,identify as"NA") Zone 1:_..._."oc @ Lap,#Rows ® °oc
System Manufacturer: U Zone 2:—" oc @ Lap,#Rows @ °oo
Zone 3:_.._."oc @ Lap,#Rows @ "oo
Product Approval No.: SY
Number of Fasteners Per Insulation Board:
Design Wind Pressures,From RAS 128 Or Calculations: Zone 1': Zone 1: Zone 2: Zone 3:
Zone 1' one 1: Lr Zone k&> Zone 3:qAi Illustrate Components Noted and Details as Applicable:
Max. Design Pressure, from the specific product approval Woodblocking, Gutter, Edge Termination, Stripping,
system: Flashing, Continuous Cleat, Cant Strip, Base Flashing,
Counterf lashing,Coping, Etc.,
Deck: Indicate: Mean Roof Height, Parapet Height, Height of Base
Type:___ Flashing,Component Material,Material'Thickness,Fastener
U� Type,Fastener Spacing or Submit Manufacturers Details that
Gauge Thickness: Comply with RAS 111 and Chapter 16..
Slope:
Anchor/Base Sheet&No.df Ply(s):
Anchor Bas S et Fast er/Bonding Ma rial: FT.
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Insulation Base Layer:
Base Insultation Size and Thickness: Parapet
Base Insulation Fastener/Bonding Material: Height
Top Insulation Layer:
Top Insulation Size and Thickness: FT,
Top Insulation Fastener/Bonding Material:
Mean
Base Sheet(s)& No.of Ply(s): Roof
Base Sheet Fastener/Bonding Material: Height
Ply Sheet(s)'&No.of Ply(s):
Ply Sheet Fasten r/Bonding Material:
Top Ply:
Top Ply Fastener/Bonding Material:
Section D(Steep Slope Roof System)
Roof System Manufacturer:
Notice of Acceptance Number:
Minimum Design Wind Pressures,If App'c Ie(Frorra127 or Ca ations):,Zone 1 Zone 2e: one 2n oni 2r: Zone 3e:^4h 3r:
Deck Type: e
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Roof Sio e: Type Underiayment
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insulation: }
Fire Barrier:
Ridge Ventilation? Fastener Type&Spacing:
Adhesive Type:
Type Cap Sheet:
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Mean RoofHeight: Roof Covering: CVA
Type&Size Drip
Edge: =
Building Sequence: 1
Bedrooms: 2
Bathrooms: 1
Building Type: HD-
Story Height: 1 Story
No of Living Units: 1
Total Finished Area: 1,036
Gross Sketched Area: 1,476
Year Built: 1960
Effective Year: 1960
Primary Roof Cover: Dim Shingle
Primary Roof Gable
Structure:
Primary Wall: Abs Shingle
A/C %: 100
Building Sketches
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Sub Area
Building Sequence Sketch Area Code Description Finished Area Gross Area
1 OPAA Open Porch Attached Average 0 200
1 CPAA Carport Attached Average 0 240
1 BAS BASE AREA 1,036 1,036
Land Lines
Line Number Units Unit Type
1 22,215.6 SgFt
Sales History
Sale Date Sale Price Sale Code Deed Type Grantor Book Page View Document
10/11/2016 $100 0111 QC Khan Imtiaz 3920-1551 Clerk of Courts
04/16/2014 $26,000 0112 SP Federal Home Loan Mort Corp, 3623-1420 Clerk of Courts
02/11/2014 $100 0112 WD US Bank NA 3623-1416 Clerk of Courts
02/04/2014 $25,100 0112 CT Ketcham Harry C 3601-298 Clerk of Courts
11/25/1997 $45,000 XX00 WD Bailey Robert D 1114-759 Clerk of Courts
Photos