HomeMy WebLinkAbout707 Great Plains Ct - Applications/Reroof - 12/03/2013Dec• 3. 2013 3:23PM ADVANCED ROOFING No.6916 P. 1
City. of Planning, Development & Transportation
F,. rt CollinsFor N. College Ave P.p. Sox 580
��„!!� L �+ ! 1 part Collins, CO 80524
Phone 970-416-2740 Fax 224-0234
OVER4HE-COUNTER PERMITS ONLY
This application is to be used to apply far the following permits only (check all that apply). G Air Conditioning
M Demolition (interior nor. -structural) ❑ Electrical Alteration (not service change) C Gas Lighter El Gas Log
C Heating Unit El Lawn Sprinkler C Mobile Home replacement XRoofing G Sewer Line C Fhoto-voltaiC
❑ Ven*ilation 0Water Heater ❑ Water Line El WOod/Pellet Stove (must be EPA certified, provide make; model and
manufacturer).
ComRlete all applicable information on the application. Incomplete QNplications will not be acoapted.
Application "If81 ?)0(✓�D ( DGro % 5 — ;�_3
for office usa only
3^b Site Grre55 If2aue Of C.OttS$:tlr4jon (labor, mate ais, profit)
Is this a residential or commercial projeco )�[Izs'dentai commerc'al
If residentai; is t - Yk-Single ,Family Detached Rip Condojtownhbrie (siiicfe family a cched) 0 Duplex
❑ Multifamily (apar`ument) p Garage
If commercial, is it' ❑ Bank ❑ Bar ❑ Church Cl Notal/Motel ❑ Medical office ❑ Cr,'ice d Retail
❑ Restaurant C7 Offer (explain)
Is this building 50 years of age or more? 0 Yes %No -tf yes, yqu rrav nesd-to cOntaC ristcrfC Prz<er✓aaon
If this is for a demelitaoR permit, what year was the building consruced?
Ifprior tD7975, you tails need an 2sbe5t05- as-&FSsttjent to submit with this appli3tton.
or
if awn sprfrlker/bccclow prevenLer, mus itst Ilcens2d plumber. if first-t.,me A/C, mus-, list lice�sea electnean.
Subcontractors: List d e company or Giy of Ft Col/ins &,C nSe ,i
Elecrcian Ffuncer Rc4rEr Other
I hereby adkoowle,ge that i have read this apcocaaon and s:ata G`,et fie above infor7a icn is compie:e and coifed. I agree to
c6r'ply with.all regulrcmer,ts ccnbine1 here;n and City ordinances and s`-ta laws re ulatino building -crs-,ucior). I know that a
permit is not'valid until it has been paid and issues,
Applicant: 11
Print Name' Sign, ure � e
Dat
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