HomeMy WebLinkAbout727 Stonington Ln - Applications/Reroof - 09/16/2011Sep,16. 2011 11:32AM ADVANCED ROOFING No.1504 P. 1/1
Planning, Development & Transportation
�� Cil��/}of 281 N. College Ave P,O, Box 580
61 L Collins Fort Collins, CO 80524
/ Phcne 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). Ci Air Conditioning
❑ Demolition (interior non-st-uctural) ❑ Electrical Alteration (net service change) C Gas Lighter C Gas Leg
❑ Heating Unit 0 Lawn Sprnkler C Mobile Home repiacement Q Roofing C1 Sewer Line C Photo-vcftaic
❑ Ventilation Q Water Heater Q Water Line ❑ Weo&Pellet Stove (must be EPA cartined, provide rnaka, rncdel and
manufacturer).
Complete all applicable information an the application. Incomplete applic nss/willl not jbe accepted.
Applicaton n D 3 Date � 6lUJG I
For ofTica use cn/y
Job Site Add-res3 I + �+ ^e
--, Value Constrbcdon ilabcr, _-rnids, prf } ,,
7o'l-7
roperty Owner Name Ad -dress
City/State uo
Phcr,e 97�
Aei Kann' a )w
�dl�� s a
70/
Appli nt Name _ A dress
City/St3te rp
Phere 9-70
AD0rMceD Q. A43 1eChnbICIeS 1-4q
6er4-S D12 Wt ftd Sp r Co $'d550 6(03-0a0
Contractor Uc # Address
City/State Zp
phone
Ccnt~aCcr City of FL Collins Sales Tax
Are you paying taxes here or by report? Hera
C Repo
5ries I+XnuO1L�'e-i.'F=Uiradbyall carrcbra.
�C
Are you paying with your t L� account? 'Ct Tes
❑ No
,A9o5(D
Is this a residential or co -dal project? lxResidental Cl Ccmmerda(
If residential, is it: ET Single gamily Deached " 0' Condc,tdwnhcne (<_ircfe f=r fly attached) Cl ouplex
❑ Multifamily (ape ui ent) ❑ Gar -age
If cornmerdal, is it: ❑ Bank ❑ Bar ❑ Church 0 Hets!/Motel ❑ Medic-1 cfic=_ G Of ic_ ❑ Retail
❑ Restaurant ❑ other (explain
Is this building So years of age or more? C Yes o Ify=s, yeumayneed'to ccnfZC- rePreser2��r
If this is for a demaliticrt permit, what year was the building constructed?
ifprcr to 1975, you W11 need an astes'os assessrlent to submit with this acplicat'cr.
of
*if lawn spr nkler/badecw prcventcr, must ii5t RC,nSe'' PILmber, If flrst-Lme A/C, mus, lir, licer,5zd elErrlCi21!1.
Subea ntractors: L.%f ite comcary rel7e cr Citl cf r? C011irS Iicense #F ((��
EfeCtidan P!umcer Mechanicl RCCfer Li t =Ln— Other
I hereby'ackr1cw!erce L`lat is have read GNs appRatcn and s-te that t je above irfer--,iaten is complete and. correc. I acree to
comply with all requirements contained 'herein and City crdranc`s and s;=te laws re;elating building ccnstruc` on. I know that a
permit is not valid until it has been paid and issued.
Applicant: (�
PrintName:An eta pe-e SignahUeJ Dal_ ~ I