HomeMy WebLinkAbout1824 Orchard Pl - Applications/Reroof - 08/24/2011From Affordable Roofing Inc 1.970.207.0289 Wed Aug 24 10:26:16 2011 MST Page 1 of 1
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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
its application Is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement O Roofing ❑ Sewer Line ❑ Photo voltaic
Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
all applicable information on the application. Incomplete applications will not be accepted.
* 0 t' 0W llF6 Date ' S f �
For nflrice use only CJ9. AR —1 4
-Job Site Address (required)
value of Construction (labor, materials, profit)
;'Property Owner Name Address
City/State
Phone
ppZip
:,Applicant Name Address
city/state.
Zip
Phone
_
Contractor Address
dWiState
Zip
Phone
Inc
��
'Contractor City of Ft. Collins Sal #
Are you paying
here or by report?ere ❑ Report
byaff
Are you paying with your trust account?TWes
❑No
is this a residential or oommercIal project? Residential ❑Commercial
If residential, is it: gle Family Detached ❑ Cando/townhome (single family attached) 0 Duplex
In Multifamily (apartment) ❑ Garage
If commercial, is it: 0 Bank ❑ Bar ❑ Church 0 Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building so years of age or more? O Yes Pep Ifyes, youmay need to contact HistoricPreservaGon
Uf this is for a demolition permit, what year was a building constructed?
Ifprior to 1975, you col// need an asbestos assessment to sabmit witlr this applRadon.
of work
lawn sprinkierJbaddtow preventer, must list licenkmiiumber. If first-time A/C, must list licensed electrician.
List the company name orC ty of CoAlns !!tense 0
Plumber Mechanical Roofer -��Odter
hereby ack iowledge that I have read this application and state that the above information Is complete and correct. I agree to
mlply vdth all requirements contained'herein and city ordinances and slate laws regulating !wilding construction- I know that a
ermit is not valid until it has been paid and issued. 1
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