HomeMy WebLinkAbout1527 Reeves Dr - Applications/Reroof - 09/16/2011Sep 16. 2011 11:31AM ADVANCED ROOFING V No•1513 P- 1/1
City of Planning, Development & Transportation
f— _ t Collins
ol i i n C FZ81or N. College Ave P.O. Ecx 580
'�"�><`�".�."� ( J Fort Collins, CO $0:24
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). El Air Conditioning
❑ Demciidon (irterior non-strJcturaf) ❑ Eiectrical Alteration (net service change) C Gas Lighter ❑ Gas Log
0 Heatirc Urit ❑ Lamm Scr'nkfer C1 Mobile Home replacement 0 Roofing G Sewer Line El Phcte-voltaic
❑ Ventilation ❑ Water Heater 0 Water Line ❑ Wood/Pellet Steve (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application_ Incomplete app(icaticps will not be accepter.
Appiicatton #
For office use'on/y
;cb Site Address (iequirc) liable ci' tlat•cr ater.als, profit)
1521g
Property Owner Name Address
City/State
Zip Phone
1 7 REEVes 12 r
//22S 95Z&
Applic.�rt Name Address
City/State
Zip phone 9'70
14Ddt3Ncuz. 2oorrt_ Ohn bj,_5 4,iq&
&45 Qe WtrtdSDr Co
ROS50 ✓ (05-00
Cont actor Uc T Address
City/Site
Zp Phcne
,E)R v 5 12 -
Cont actor City cf Fr- Collins Sales Tax n
Are you paying taxes here or by
Are your trust:
report-, ❑ Here ❑ Repert
G No
Saleslaxnemterifrquiredbya/lmntrac1tr
you paying wit`t account?.
zs
A505to
Is this a residental er com real project? ❑ Commerdel
.. a Fa +- e4 ... .. sfki .. d ._ _. .. ..
L residertal, is it: Single ,amity De.atie.. ❑ Ceiido/�cwnt;crne (..�nele fa;;,i1y a�td-ctie.,) ❑Duplex -
El Multifamily (apartment) 0 Garage
If commerdal, is it: ❑ Bank 13 Bar ❑ Church ❑ Hcte!/Motel ' ❑ Medial epos C1 Or5ca ❑ Retail
❑ Restaurant ❑ Cther (explain
Is this building 5o years of age Cr more? M Ye t c If yes, ycu may need to ccnL3d rlsrcrc Preserrat'en
If this is fcr a demolition permit, what year was 1:he building constructed?
If,pc& to 1975, ycu will need an as,`estcs to submit yritn this aF:lico&on.
of
*if lawn sprWder/ba�Glcw preverter, nus` list licensed piumLer. If rir_t- ime A/C, mus-, list Rica-sef 6ectriclan.
Subcontractors: L,r t &e ccmpary nave cr Citl cfft Ccllirs license r
E1ec�ican Nimter Mec'ianical Rccfer h L 1A--C1A"X OGher
I herety adoncwfedge Ghat I have Read This appiic2tca and state t`..at the above irfcri.-nat;cn is complete and Correct. I agree to
comply with all requiraments cont-irec. hcrein and city ordira,.ccs and stela laws re;ulacing tuffding ccn<_t,uc`den. Ii know that a
permit is not valid until it has been paid and issued. tt
Applicant: I
Print Name: A I`Aqd0. ICE/ signs \ Dat_