HomeMy WebLinkAbout6508 Solar Ct - Applications/Reroof - 09/20/2011From Affordable Roofing Inc 1.970.207.0289 Tue Sep 20 10:24:56 2011 MST Page 1 of 1
city of a 9
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Planning, Development SL Tr ansportat4on
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). D Air Conditioning
'O Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit Q Lawn Sprinkler 11 Mobile Home replacement ❑ Roofing O Sewer Line provide make, model and
0 Ventilation O Water Heater 0 Water Line 0Wood/Pellet Stove (must be EPA certified,
manufacturer).
COmptete all applicable information on the application. Incomplete applications will not be accepted.
Application # � 11(7�..��
r omee use only
]ob Site Address (requ>red)
/ w
Value of Construction (labor, materials, profit)
rriKll 00
`,,I Phone
iP perty Owner Name Address City/State Zip
ro l
; Address City/State ,UW6ZP 5�5 Phone
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Address /State Zip Phone
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ConHere ❑ Report
;Contractor City of Ft. Collins Sales Are you paying taxes here report•
earesjar numtrerisreouiredbyaurnnrracto s Are you paying vuith your trust
account? `Yes ❑ No
Is this a residential or oommercial project?[Residential ❑ Commercial p Duplex
If residential, is it: mgk: Family Detached ❑ Condo/townhome (single family attached)
Multifamily (apartment) D Garage
if commercial, is it: ❑ Bank •❑ Bar ❑ Church ❑ HOWIMotel ❑Medical office ❑Office ❑ Retail
❑ Restaurant ❑Other (explain) ? ❑Yes �@ �o If yps� Y ournay need to contact Historic preservation
Is this building So years of age or more
If this is for a demolition permit, what year was a building constructed?
If prior to 1975, you will need an asbestos assessment to submit with this aPPv�bon
of work
st list licensed plumber. If first-time A/C, must list licensed electrician.
;.*If lawn sprinkler/backfiow preventer, mu
Subcontractors- List the company name or City of ft inJbns license
ff Mechanical Roofer��' �S Ohter_
Electridan� (lumber
I state that
hereby acknowledge that I have read this application and
with h all requirements contained herein and city ordinances an
permit is not valid until it has been paid and Issued.
Applicant:
Print Nam
le above information is complete and correct. I agree to
state laws regulating building construction. I know that a