Loading...
HomeMy WebLinkAbout1433 Redberry Ct - Applications/Reroof - 02/25/2013From Affordable Roofing Inc 1.970.207.0289 Fri Feb 22 14:03:54 2013 MST Page 2 of 2 City of Fit Collins Planning, Development & Transportation 281 N. College Ave P.O. Box 580 Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY This application is to be used to apply for the following permits only (check all that apply). Cl Air Conditioning O Demolition (interior non-structural) O Electrical Alteration (not service change) ❑ Gas Lighter O Gas Log O Heating Unit O Lawn Sprinkler O Mobile Home replacement 03 Roofing © Sewer Line O Photo -voltaic O Ventilation O Water Heater Cl Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and manufacturer), Complete all applicable Information on the application. incomplete applications will not be accepted. Application # � � �0 �/Date a - .......... -...... ................ -_...... Far a rxe else only Job Site Address (mqurred) Value of Construction (labor, materials, profit) IK-33 FGe-cp6*'-V%� C�� 1 3, 5'6(.. Sao Property Owner Name — Address City/State Zip Phone 176 -boe--r ; S �...a t61 1'2l'i iZi> : . �Tnt., 4 (2YE �ol�'t►aS 6D �'6r;15 14--79Sr Applicant Name Address S (City/State Zip Phone 9-70 'i (Cvr'r�rA;+ e t�ra�a�vrt. .7 i't to -r.16 Ia-' _.Fi7 tol C�0 Contractor Address City/State Zip Phone '5C. Contractor City of R. Collins Sales Tax Are you playing taxes here or by report? O Here ❑ Report Sales tax nurrrirer kv rawk-ed by a# rmtractos Are you paying with your trust account? O Yes O No is this a residential or commercial project? 10 Rm4denfial 0 Commercial It residential, is it: ® Single Family Detached O Condo/townhome (single family attached) . ❑ Duplex O Multifamily (apartment) O Garage_ If commercial, is it: ❑ Bank O Bar ❑ Church ❑ Hotel/Motel O Medical office D Office O Retail O Restaurant O Other (explain) Is this building 50 years of age or more? 0 Yes O No If yes, you may need to con0a Histotir PreR� v3tion If this is for a demolition permit, what year was the building constructed?._,_- ----- —________________________ ff prior to 197S, you will need an avbeNch7s awmwmat to .sutvnit with this applicatron. of work r- wefisn 3_5 F-1 3 {%S i K ��"rw-F�dtQ � t�rNn Co �oii�S *If lawn sprin /baddlow preventer, must list licensed plumber. If first-time Alt: must list limmied electrician. Subcontractors. List the company name or Oty of R Coffins tricmse A? Ftecvican ___� Number _....__.._ Medwnka�._____--------• Roofer t c-��' `7 Other I hereby advowtedge that..I have read this application and state that the above Information Is complete and correct. 1 agree to comply with all requirements contained herein and city ordinances a4d state laws regulating building construction. I know that a permit is rwt valid until it has been paid and issued. Applicant::` i. / i_ _Signature ti: + _ _Date ��+..—•c 'T_._ ... � .. i- ----------- Print Name.