HomeMy WebLinkAbout3806 Granite Ct - Applications/Reroof - 04/18/2013From Affordable Roofing Inc 1.970.207.0289 Mon Apr 15 11:32:04 2013 MST Page 2 of 2
Planning, Development &. Transportation
..pity of -
281 N College A+re P.Q. box 580
••;� �F.:•• \..,.,c.?t. ;:
Fort Collins, Co W524
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Pi-.".970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMffS ONLY
This application is to be used to apply for the following permits only (check all. that apply). 0 Air Corditoning
O Demolition (Interior non-structural) 0 Electrical Alteration (.not seMca change) I..1 Gas Lighter 0 Gas L.cg
t7 Heating Unit ❑ Lawn Sprinkler U Mobile Home replacement �<Roofing 0 Sawar Lane 0 Photo -voltaic
0 Ven ilation 0 Water Heater 0 Water Line ❑ Wood'Pellet Stove (must be EPA confied, provide make, model and
manufacturer).
Complete all applicable information on,the
,application. Incomplete applications ,wwilllnnot be {�accemd.
Application�_�+�� Date E ®Y O__.._v._--..-- -------
Date use win, - -
-- — —-.......... ........ ....... - _ — — ------- -
Site Address lm7urcai) value off Construction (labor, oiaw.;als, punt)
'lob
property owner Name Address City?State Zip
Prone
_...... 3�.$� C¢a�>r7E cl P7 toL.C-ruin-----.ice ......97�.'G31-E'?7i;
Applicant Address city/State Zip
Phone
Nance{{
"t'tr'-fc`G<-cCO�OIE' �CO'i1 L•^,�-1•d. a{`) t.t-�. �i ri l.��1 lLG1' i--�('� � �ti.SJ-iS
d.G!-OIIO!
` Conractrr Address C'rity!state Zip
Phone
i
i
Contractor City of P. Collins Saves Tax it Are you payling taxes hem or by report? 0 Here
0 Report
i AFC raz m+rr+!:r?•tsrrjrrreiov ae•ccv,tr.; Are you paying with your trust account? 0, Yes
0 No
I is tills a residenbBd ur pun,.^.tesCial prdJect7 ^ &iR ideniiad 0 Cornmcrcal _---_---
1f residential, IS it: 0 Single Family Detached 1-u Condoltownhome (5irste dimly auac}wd) 0 Duplex
- --
❑ mult:family (airartrriett) G Garage
i if commercial, is It: C Nank O ear ❑ ChurU G Hotellmotel O blediral office ❑ Office 0 Retail
❑ Res -tavern: C.other (explain) .. _............. — — —
Is this building so years of age or more? U Yes ONO !•FYI. N!r myy rid;+c CnnGaU Fris vic.aeuavalirin
If this is for a demolition permit,'eAiac year was Me building constrr Vled7.....-.. ---
1
i 77'rvFvr-!u 19i5, }'atr wN!!r[4xr an asiwe�s as�ec<rr+F'rt In sutrrd wrLS r:+u : y:,plir;3l;cw.
i------- ..-....-_..
--
I
Description of work _,'j.z ur n.faSl--e:<i sf it e�t :>of
a`If lawn $lrinkkv/aac?cnnw presenter, must lic trcrrtwd oumuer. If ri**three Arc, nitm rst llraiwd cie idan.
Subcontractors: U;r rbr oim/.+arrY.rr nc a CXY off? rOfflni MrM-1 f
: E{G•CtafYrar —^ h� ITS?..... a, her
_
I hereby aduicwledge That I have rears this applicatWrt and state beat tite above Information is complete and axnvot, 1 agree to
compry vritn all rC4Wrement5 rrintaineu herein and dty ardinanres and state taws regulating building mnstruWon. I know that a
permit is not Valid until ithas been paid and issued.
Applicant: ,,1y - .... .'...
Print Name:_. A"" t.l �•i a nx i xG .S Signature: