HomeMy WebLinkAbout900 E Stuart St - Applications/Reroof - 10/29/2012Oct,26. 2012 11:51AM ADVANCED ROOFING
City of
Fit ColU s
46.
Planning, Development & Tra u3pul don P • 1
281. N. College .Ave P.O. 3cx 180
Fort coliins, CO 80524
Phone 570-415-2740 Fax 224-5134
OVER-THE-COUNTER PERMITS ONLY
This application is to he used to apply for the following permits only (check all that apply). ❑- Air Conditioning
❑ Demolition (interior non-s.;ucturzl) ❑ Electrical Alteration -'net service change) G Gas Lighier ❑ Gas Loy
i ] Lieat!ng Unit ❑ Lawn Spdri ;cr �i Mobile home mpiacsrnent I�Pioc7ngg L� Sewer Line ❑ Photo -voltaic
❑ Vemflaton D, Waier ;. ;eater ❑ Water Line 17 Wocd/Pelet Move (must be -PA certified?, provide make, model and
manufacturer).
Complete all applicabblQlel1inform�aattion on the application. Incomplete applications�lwill not be accepted. - -�n
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Prope.-y Owner Name Address
City/S"-te Zip
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Aopiicen the Address
C nyiSce Zip
Phone G 70
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Conti —actor Uc = V Address
City/s�;e
Phone
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Contractor City cf Ft. Collins sales lax
:ire you paying taxas here or by report?
❑ 'Here
❑ Re --Or
S2/es axa//=rzr-aCcrs
Are you laying with your trust 3Crou7:4?
�yes
❑ No
Is tis a residential or } commercal project? W Fc sIdcndaf ❑ Cem;,^zr;si
If fESidEri lair IS t Wj Single -a illy. DenC Ed !_'COWL Cj `V]Wn CY1e (SinyiE fam11V aCIE J l7UI�IEX
❑ Multm-miiy (apartment) 0 Garsce
If =rnmerdal, is it: ❑ Bank ❑ Bar ❑ Chun. i C) Hote!/iietsl ❑ Medial ci,iCc ❑ CricE ❑ Re,ail
G Rzsaumnt ❑ Other (ex ,lain)
is this building 50 yea: s of age or More? ❑ Yes r3NO .ifye5, ycu may,7e_a'ro Ccntac ir/sori[ Prc'SErraUOl
if this is a denclition permit, what year was the building constructed?
Ir przr rA 1975, you will ne°d an asbet0s• e sessn, ert to s, bomt r//t-i u rrs dppllC,8t.,0/7.
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*11 lawr ii prcventer, MU , ffSt HCErisEc! plLm'`-!E.'. if Z:,rSt-tme A/c, must i!a`.;1censc�-!e=aician.
SUbcnnt7 ac'_'Ors; (S tte cornrar'j -,ere cr citx of'; colli,-Lc 17czrse
Ci2C�1Cfa;'� •lumt2r Nwf}enlCci
I hEr?4y 2C'.<nGNiIE�CE 4lct I i^2`/= r?�� �`1iS 20CIICH=ICI cnd 5ts� ��Ict t`1E aGOV2 iniCi"'la�Ci1 IS :^aT i2t$a;1G GOfre� , 12C�r�= CO
cOmCfy wib9 all reyuiremef`u CC•nt3inEd he,
and Cy crdinancEs -nd Swt2 laws r=,Ulcting `wilding =s.ructfon. I know that a
permit is not valid until it has peen paid and issue,
Applicant: r� nr�
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