HomeMy WebLinkAbout6005 Mars Dr - Applications/Reroof - 08/27/2011Au,.21. 2011 8:56AM Bob Behrends Roofing No•3468 P. 3
Sir]i7T1'iTl'i�v 1J2'yeloi7i77]1] �rHJ75i3O1a"t70u
City of 281 N. College Ave P.O. Box 580
F&t olfi Collins,
O 80524
%Fax 224-6134
,� Phone
OVER-THE-COUNTER PERMITS ONLY
This application is to be uselto apply for the following permits only (check all that apply). ❑ Air.Conditioning
❑ Demolition (interior.non-strtatural) d Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn SprhrEEr ❑ Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater O Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable infoanaticri on the application. Incomplete applications will not be accepted.
Application.# &110 -q� ` %6,11 'Date
For office ccse rmly
Job Site Addresa (� /red) I Value of Construction (labor, materials, profit) I
Is this a residential or comrnertt- project? -f!1s;Resldentdal C] Commercial
If residential; is It .-SjrideTamity Detached ❑ Condo/townhome (single family attached) •❑ Duplex
❑ M"angy (apartment) ❑ Garage
If commercial, is It ❑ Sank n- Oar ❑ Church ❑Hotel/Motel ❑ Medical office ❑ office O Retall _
-❑ Restaurant ❑ Other (explain)
Is this building. So years of agear more? ❑ Yes--VVo If yes, you may need to contactHismrc preservation
If this is for a demolition peermt, what year was the building constructed?
If prior to 1975, you wll/ n6E!d aeasbestos assessment to submit with this application.
Description of
$If lawn sprinkler/baddiow prover for, must list licensed plumber. If first-time A/C, must IL<t licensed electrician.
Subcontractors. List Me con. pazy name cr cit/ ofRCollins. licensa 0
Electrician Flurrji2r Marharical Rxfar �_ Other
I hereby acknowledge that I Davese=d this application and state that Erie above infer-nabon is complete and correct. i agree to
Comply with all requirements i ont:ned herein and cit/ ordinances and stata I-31N5 regulating buildiig ccnstn.ctien. I krcvv that a
permit is rct valid until it has _een paid and issued. - .
Applicant: \ 22 \\ \
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