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HomeMy WebLinkAbout519 Spinnaker Ln - Applications/Reroof - 10/21/2013Oct 08 13 02:39p Severe Weather Roofing 970-223-3383 p.1 Fort Collins Planning, (Development & Transportation 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). ❑ Air Conditioning ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not serve a changel 1 1 r;aa I irihtpr n r:ac 1 nn ❑ Heating Unit. ❑ Lawn Sprinkler ❑ Mobile Home replacement HRoofing ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation ❑ Water Heater ❑ Water Line ❑ WoodlPellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted. I?6 Application # 0 For office use only ©ate.�6 (?`l. Job Site Address (required) Value of Construction (labor, materials, profit) 519 Spinnaker Ln 9450.00 Property Owner Name Address' City/State Zip' Phone Chris Richards 519 Spinnaker Ln Fort Collins CO 80525 970-266-0414 Applicant Name Address City/State Zip Phone John Anderson 3307 S College #220 Fort Collins CO 80525 970-223-2455 Contractor Address City/State Zip Phone Severe Weather Roofing & Restoration 3307 S College #220 Fort Collins CO 970-223-2455 Contractor City of R. Collins Sales Tax # Are you paying taxes here or by report? 4Here ❑ Report safes tax number e;regnlredbyall conbadors. Are you paying with your trust account? ❑ Yes ❑ No 50255 Is this a residential or commercial project? IVResidential ❑ Commercial If residential, is it: 4 Single Family Detached ❑ Condo/townhome (single family attached) ❑ Multifamily (apartment) ❑ Garage If commercial, Is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑. Duplex ❑ Retail ❑ Restaurant ❑ Other(explain) Is this building 50 years of age or more? ❑ Yes lNo If yes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? Ifpnor to 1975, you will need an asbestos assessment to submit with this application. Description of work Tear off 26 asphalt squares to decking and replace with 26 asphalt squares of asphalt squares to code. *If lawn sprinkler/badcflow preventer, must list licensed plumber. If first-time A/c, must list licensed electrician. Subcontractors: List the company name or CYty of Ft Collins license .# Electrician Plumber Mechanical Roofer Other I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. Applicant: Print Nam