HomeMy WebLinkAbout1280 Stoney Hill Dr - Applications/Reroof - 06/03/2013Jun. 3. 2013 5:56PM ADVANCED ROOFING
city of
orort Collins
No. 6201 P•
Pianning, Development & Transportation
291 N. Cciieg2.Ave P.0, Box 580
port Coilin;, CO S0_.24
?,one 2-4 /j1
OVER-THE-COUNTER PERMITS ONLY I
This appiicstion is to be used to apply for the iollowin per -.,",Its onl ' it C ? " Cjy lC.�i2C{C ail i}ia'f apply). � r�i1 _.0 „CltiOri111C
Dernckn ion /Inieric, (lc^;-s4U-oc:ur2! `lam / r oa n c k j �i Cu"iC21.lic^rEaOn (not 3@1 /[.. •S !_' (�_ I C i� ��ha. C,., c5 tads C
Heating Unit 10 Lawn Sprinkler V , sol I CC(la t?CrE E,,,; (rfcni PiGDiI�i� .^,_Wer Line J piiGTC-VCl`'nIC)
11 Ventiiaticr Wa-a cr'c ' Z IN=iE('-%ne W GC/� li i ST;:V� ' n _ ..- '._.: n r L
1 L.:• n.ETE1 C "E -. (iTi"St ^_ _�=• „ (aii�.., ,Jf..t iGE r-2k;,'; rnOCS.El End
1 � ia%iactureri.
Complete all applicable iniarm2:iC,, ^n `e dpiicaticrl. Inco,;,rleia applications vr:•il not ne accepted.
Appkaton td�-3—y� ? pG'A
or cfix: - Ilse only
)0h r+l4o Adl - r,:i cam( _ _ __ .. i �lJ i/Gy /C J 1(_'.:�� C`= L'1 �.`. �' �� li-in I�n.^.•r, %'r'ri Jisr prnnt
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Property Owner Narie Address G S.a C
Lp fj to _. Phcne r?74
/»rri �a80•_neC�h�%�/Jl F/li_J ADS yi
(�LrV 1�K3c- FRbr� 1 fVC� rjS�t= 'ip P^one q'7L)
Contracor Lc r d� -; CityjS a _, ?her,e
1�� ` t
Contractor City cr Coffins Szles ; ax = a s net �r b c =co
A.rE y u Paying •axe "a ^ y a� rt? ❑ 'glare G x_ -
�2/r.-S cXirU.7.:Er %51^?^Jii"�JJ/cl%CcYrL eCOr. Are you ?ayli,?C� W!L1 V'iui L,�_L aC-'-':till? L V&5 0 ING
ago5�
is ells a 251der tial or CCfnrierCial C,rn9et-? �SC'6i-�4c: [� '; O(ii(i'iErCi21
if r--identia! Cs it: 5'lcie .. � = 11 1 a1'f'111y.i]g:w--C:ion ce.. LJ CCnGG, wWn1:CRle �SiriCIQ 1clTdly ai',oC.IE�} 1 aU.,."..leX
C7 Mul �1 lily \ -e 1: ;?entj ❑ GarcSE
I`CCr ( ErCic^I, Is (i: D Bank Q �2: ❑ Cr:L'1 ilCieiA1 i E IG l GrC° L vriCE S I ?e 31i
Restaurant rl cter
Is this i'iuking 50 years of age Ci :11CrE? M yes ❑ No if1=- ,VCU.i/Pyr78.Od :^r'i C. r!_iJCC ri"EScr�iiOf}
If this iG for a demolition permit, What yCar WaS';h,= building cons uC ed?
jflcr;br to I97S, ycu will need ^"r 25� eS ^S c^SSFcgr77� �� it SU"Adr'7(i V�,tf u7/S
DESC. ip4; or work _ R>✓
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*r4 is Wn go Il:kler/LPi f � 11- l/'
CW Nr94'_ i.�., 1T-mot il$i I(�c;^,jCQ 1t firs ri}y nj $4E3CGnti aC<GrS: L!S 5 CvrLEry nc'r-E cr t:oll/i.5 %%C2n5,e .F
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I I,c, av)' 2G�lCWIC^J ye ileC 1 ila'de rctLhIS aCCIICi i1C19 aGd 5.c-t'_ 4:Gi ::ic aCCVE lii(OC'.%c'%Qii
C7f^Lly W1itl dii -cM I F =r� C i'?^�+'
i U re^1�..0 �11...a c_ ;ereln 2r,4 C, n-n; ..^C= bU�, " <L--^'C' f kaOVl that
ij vi nc1. �$ Sh�i Sa �erJs r-,U;2-;J ,C �C� cr_ n,
par;nit is r.ct valid cr+.�'I it has been pzid and issl.;ed.
Applicari
Print Name:k(� 2_EJ 7 Signiatur �
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