HomeMy WebLinkAbout2213 Stetson Creek Dr - Applications/Reroof - 10/04/2011From Affordable Roofing I I nc 1.970.20, 7.02 89 Tue Oct 4 11:31:34 2011 MST Page 2 of 2
City 40f
()VER-THE-COUN11MPERMITS
ONLY
I ThIs application Is to be used to apply for the jollwwinq pern0a only (Check all that tPPIY)- 0 Air Condifloning
13 Demolition (Irftn0(rim-auc2ut34 0 Electrktd Alteration (not swlAcs 021190) 0 Gas L'ghber CI Gas Log
12 Pho(O-voltaIC
r) Heatiflu Unit LI Uppv sprinkler 0 Mobile Home rePtBcAment 0 FbDc@rlg r3 Sewer tine n: ide make, model and
0 Veina Waler Heater 0 WOW line 13 Woo&pepel Stove (must be EPA cWtIfied, P V
manufacturer). a
COMUIOW all applitoble k0ornlatlon on the appliGatlon. IncompleteapplIc How will not be accepted.
Application 0�--MVOAIqL�- Date Al Y4
rw ofl70- " only
vakm of construction (law, ff4l2r!315- P1110
'Job Site Address (AW"IE07 -0
property Owner NameAddress Zip
�J:Z IA phone
Address
.Applicant V525 _2Cj)Wr,
LAU -
V 7ip Phone
Conir Address atv/statm
Y) here or by report? P3,We 0 RePOrt
Cornqtra�= City of Ft T15 SaleAre you Ming
*YCW*adWK
Are YOU pminng with your tvst aWQu(,t`7.,Wes a No
tax �h.1r&f4vi*E& by
PlanidyKj, DevelIMMOK & TramPol'taft"
M N. College Ave P.O.Box SM
Fort Collins, CX) 80524
phone 970.416-2.740 Fax 224-6134
ential OCOrrrm`al
Ifresidentiall6it IW§M-e Family Dplached cicandWtownhon(singlafamilVattached)
d multtmm3y (apartment) 0 Garage 1,7ffum [3 offio-.
tigwymotal 13 mecrom
If corrare,-CW, is it: c Bank (3 Bar 0 Chon-h 13 .
C) Restlumt [3 atnu (explain)
*e or mom, 0 Yes \Ixfio if Yes, F-u may nao a to N�
Is this building 50 Years Of I ttj� bwldirtg Wnstrixted?
If chic is for a Oft'nolibOn Pffrvvdt what year was
it pmr to 1975� yw 0#1 rzacw an amestas assem,97r m satiiw
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Description of work _LLCY —T — ---------
i f
nmr. Musa Est 9mrsed plurnmr, IT rult-we A/C, n,,q list Pionsw dechickbn-
*ff lawn sorink! " �� W ail at Ft COAW kw2w .0
SIbowlb-Actum Cp?*�Y
rd cu"a I a7ce to
I hereby aeRnmAedge that I have read this on and swe that ft abcue iAfOfmztol is Mmoeft i3
aPPIL-af bddinq CM&TnX:UDrL I know that 1.3
reatUrWrAints cm"ned herein and ay ordinances 400 vmt* 13WS ma
CWrTW wan au WW is�
at ipaidperrrat tr "Mt valm "aw it has been Pa
�Apl#lkantz- —7-its O,m r44—
Jq 1 �v irvah"
At Name:
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