HomeMy WebLinkAbout4508 Red Fox Rd - Applications/Reroof - 10/05/2011Oct 5, 2011 6:50PM Bob Behrends Roofing .
No•4287 P. 6
F'1��9a9d+ag', yr�t:�ii]c�7'[ ti; a i'a�L�u.i � ailf�dl
ci:� ! of 23; IN. College Ave P.O. Bo,, 550
Foot `Coo Fort Collins, CO 80524
a Phone 970-=16-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to > e-usar tc apply far the fallowing permits orb/ (check all that apply). ❑ Air.Conditionine
Cl Demolaion•.(interior rer, sutural) ❑ Electrical Alteration (riot service change) G. Gas'Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Spriik%F ❑ Mobile Home replacement •,Z Roofing ❑ Sewer Line ❑ Photo -voltaic
❑-Ventilation ❑ Water Heater ❑ Water Line ❑Wocd/?ellet "Rove (must be EPA cartified, provide mska, model and
manufacturar).
-Complete all appCcab(e ist;C=a-dCn on the application. Inccmplets apolicaticr,s will net be acce_ted. .
Applicatior �3 14 Date
for 0 ,C_d c,'S-,Mlf
Job Site Ades Valve of Construe, or, (labor, material, profit)
Is this a residential or comrz�pr project? A Resident lal . ❑ Commercial.
If residential; is it: �ingfeTsrily Detached : ❑'Condo/townhcme (sincle family at.�ached) D Duplex
❑ MWU�av* (apartrnert) . ❑ Large
Ir mmmerdsl, Is It ❑ Bank ZBac M Church ❑ F.otel/Mctel ❑ Medical office ❑ Office d Retali'.
IJ Reemzurmt ❑ Other (explaln)
Le this bufidirg. 50 years of 2geor more? 0 Yes *0 If ye;; you may hoed to ccna&, Hi_sw c Pre_ecvsten
If this Is for a dFmolWoe; what year was the building constructed?
If pNor to 1975, you drily new �zsves�o� a�=2ssne.�C b svbm/t rrii� ifiis appGcaZon.
Description
[`
^if lawn sprinkler,!hacla`low pr,-,/e:.ar, musclist iicsnsed plumber. If firs:-dr&A/C, must list licensed e!etiidan. .
Scbear,Lractcrs:Listie can,p 7noneorCrlor,cColllnslkrnsaAP �1 _
Eecrdan �lur-r Mewhanical Rccf;.Other
I hereby admowr!edce that I have-n-=-d L' is applicFdcn and s"te Ghat the kcve information is mrnplete and correct. I agree to
comply with all requirements ant -red herein and city erdina nags and state laws reguLdng building,. cons'; uctcn.. I'oa V1 {hat ?
permit is .r.ct va'.id ur;t l t tzas?eer paid are issues.