HomeMy WebLinkAbout1821 Feltleaf Ct - Applications/Reroof - 09/01/2011Sep. 1. 2011 5`410PM ADVANCED ROOFING No.1290 P. 1
Planning, Development & Transp.,, ...,..t
Ci��!}of 281 N. Coilege Ave P.O, Box 580-
Port
� l Cot j t i nS Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6154
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Coneiticning
❑ Demolition (interior non-structural) C Electrical Alteration (net service change) ❑ Gas Lighter �.- Gas Log
❑ Heating Unit ❑ Lawn Scrnkler ❑ Mobile Home replacement ❑ Roofing p Sewer Line ❑ Pncto-vcitaic
❑ 'Ventilation Cl Water Heater ❑ Water Line Li Wood/Psllet.Stove (must be EFA certified, Provide make, model and
manufacturer).
Complete all applicao7jo
nformation on the applic Von. Incomplete applications will not be accepted.
Apo(ic2don 7 �� •/� Date 9--
Fcr office use only
'_� =ia.� AwJ'�s/(L^sgpuire�s)
� vac_`e 4`
C_f.sti'4 ti`^,n (tabor, mat�nafc� profit)
CcT�7�rc�a'{
Property Owner Name Arc ess
Cifr/ ote
Zio
PhoneQ
James ckh i fl—f M-J Ot /lip
Cd 90-5-
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Applicant Name _ Addr Ess
clt;//State
To
Phone Q%D
�}DVANC� �o��n9 �� nbla�ye� c{c{c�
gef+S 0a WindSdr
CO R6S50
(063-Oa0
Conte) actor Lc # Address
Ca!/St_te
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Phone
bra s 9,-lUal
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Contactcr City of Ft. Collins Sales Tax
Are you paying taxes here or by repert? Here ❑ Reper`
.sales rxnuntersreqsraeoyall =rwr�orls
Are you paying with your
tut account? O� Yes ❑ No
a 1705(Q
Is this a residential or 20 er6al project? L;�-Residcntai ❑ Commercial
If resldental; is it: 0 Single Family Detached ❑' Condb/tcwnhcme'(sincle'fani!y of ched) ❑ Duplex
❑ Multraniiy (apar-unent) O Gar -age
if conmercial, is it: ❑ Bank ❑ Bar ❑ ChurCh ❑ Hotal/Mot=l ❑ !,ie:,ic=_i ef�,-jce ❑' orlca ❑ Retail
❑ Rastaurant ❑ other (explain) r
is this building 50_ years of age or mcre? ❑ Yes c Zfyes, ycu may need7c ccnl c Preserraeon
If this is for a demolition permit, what year was the building consZnjcted?
Ifprcr to 1975 you will need an asbestos assess, —,,ant to Sohn, rt wib5 this aPF'liccG"on.
Cf
*!-I lawn spr;nkler/bc'CGlcw pr2ve;lbar, must list licensed rlumbEr. V fret -tore A/C, rout, lisp licensed e!e ripen.
S u b c a ntr actors: list the ccr parry „ewe cr G[y of Ft Collins lic_Ense
EleCJldari r ur^be.' IVecianica1 RGciar hyI,ai..1.6.[l1 ct,�e!
I he'
I�
efy 2C<nGYlSe that 1 have read this acdice^cn and sit= u:ai the 2ecve ir,fcriz�ion IS CJr:piete and CorrE�. I Scree tc
comply with all r-�GulramEnts corit=.InEd he'rafn and citJ orc-mances and SZiz- la%v5 regulating b ildinG air.<_t;uC?on. I know that a
permit is nct valid until it has been paid and issued,
Applicant:
Print Namo1" `_.eIg- fees Sign ah[ J 222C Date