HomeMy WebLinkAbout3307 Downing Ct - Applications/Reroof - 09/16/2011Sep.16. 2011 11:31AM ADVANCED ROOFING No.i5ll P. 1/1
--Z81obf of ! j planning, Development & Transportation
F(5rt Collins For N. College Ave P.O, Box 580
Fort Collins, CO 80524 ,
Phcne 97a-416-2740 Fax 224-5134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). G Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) G Gas Lighter C Gas Log
C Heating Unit n Lawn Sprinkler C Mobile Home repiacament C Roofing ❑ Sewer Line C Photo-vcitaic
CJ Ventilaton C. Water Heater ❑ Water L"ne C Wcod/PeUet S,ove (must be EFA certified, erovide make. model End
manufacturer).
Complete all applicable information on the application. Incomplete applica ppss/w1il_l not be accepted.
Appflcatoli• # &/ 0 7-3 0 Date
For 06l1 rse Only
col] Site Address yawe of Cznst u4:tlon Clabor, mater'als, profit)
property Owner Name Address Cit//St2te Zi
phone 0
Applicant Name Address
�}DVPrNGt"D Rio ►n5�eehnplc>�1e$ Nc{4ra
C t1//Siate Zip Phcne 9%0
6er4.s De W,r Co WS5o (a63-Da0
Cont, ec2or Lc : Address
Gt//State Zlo
Phone
get v S iZ
Contactor City of Ft Collins Sales Tax +
Are you paying taxes here or by report? ❑ Here
❑ Reper;
5a/e52Xnumte-&'-eauir-� bla/lcbnucCJ7r
Are you paying wlt,5 your tR�' a,—,aunt?'C Fas
C! No
a.9y5to
Is this a reside: tzl or co real projed-7 0'Rasidental ❑ Conunerdal
If residentzl is it: El Single Family Detached CI Ccndc/tdwnhcme (srcle family at,-Z66d) p ❑ Ou hex
CI Multfamily (apartment) ❑ Gar -ace
If commerdal, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hctel/iNIctel ❑ Medirnl off ice 0 Cfrics C1 Ratail
❑ Restaurant ❑ Ot' era (explain)
Is this building 50 years of age Cr more? ❑ Yes !f1 o If yes, you may ne_�ro Ccn�G l'iSiGrc Preser✓2L'cn
If this is for a demolitien permit, what year was the building constructed?
If prr'ci to 1975, you w/Il need an ast'e5tcs assessment to submit wrath this agplicabcn.
of
*If lawn sprinkler/tadc1ew preventer, must ILst license? p(umber. If firs-tne A/C, musz list licensed e!e Ican.
Sub cartract ors: L'"si the ccr,:_ny nerve cr Crty cfF' Ccl'fins rcerse t
Ele--t�,dar. F!umb-r mec.'hzriczl Rccfer Lwnr� tither
I hereby. aC'.1U1owieG9e t`at 1 have read tNs appUCe_cn and s�ste act `�`le atcve in`crmc on is ccnplete and cor-act. I agree t )
comply wits all requirEments =nnined herein and dt/ crdirarc_s ane Sate laws r-eculz"Cq b0cfinc CCns`ruc Jon. I know that a
permit is not valid until it has been paid and issued,
Applicant- 1
Print Name:1'11 (i 6 CC p�1 ^ Sign a L Data I>�
r�