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HomeMy WebLinkAbout2826 Paddington Rd - Applications/Reroof - 11/04/201111/04/2011 09:07 19702241211 ROCKY MTN ROOFERS PAGE 01/01 Fo Crto 7.ollins OVER-' Thft application is to be used to apt 0 DemorWon (nwrior non-struchtrai) 0 1--� Unit 13 Lavern Sprinkler C1 0 Ventilation ❑ Water Heater 0 Wal ma molars tmi). Cotnpiefa ail sppi0cable hiforinadon Application #, Planning, De meat OL Transpertation 281 N. College Ave P.Q. BoaC SW Fart Colin, CO SOS24 Phone 970-416-2740 Fax 224-6134 LATER PERMITS ONLY P for the faming permfs only (check all dw apply), 0 Air Conditioning Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log obile Home replacerr►erd fiktoofinq ❑ Sewer Line ❑ Photo-volWc Line ❑ WoodtPellet Stove (must be EPA ceriaied, provide make, model and the application. fri come applications will not be accepted. ''J'�� �,//(req •. 9 __ 1 Va� WRifa7N.(N of .i (tabor, ma%i8lsr p oM 24f ZiO TC(.UC/%�/,17t*7i - �ac 1 -/6o Property Owner Name Joht, AYehClS Z Address City/State Zip Pion 37 7— YZ& l�ac�e�i/f p Rd r C �'L751S" 3 Apo=t Name Address City/State Zip Phone Contractor Uc 9 I;o C.K frVAA-1iZI i n tgojiLtj A Address S. u rm Gty/State Zip Phone qiO y c. ��Z 2-1 zzo Contractor City of Ft Collins Sales Tax i hs .SatwmeMleri;mgdwcyancvnaaa ;II L j l ?j`-1t_p Are you paying taxes here or by report? i6y0� Here Pf Report Are you pWng wtth you the account'? Yes ' ❑ No Is this a tesidenU or comme rdal pr*ct2 j - 'Re*ler&l ❑ Commerclal If residential, is it: OSingte Farhlly Detbdwed © Gondo/townhome (single famQy attached) 0 Duplex ❑ MuitfFamily (aparti' exit) ❑ Garage N cortirraerdal, is it 11 Bank 13 Bar g (Church ❑ HDWMe>tel ❑ Medical ounce ❑ Office ❑ Retail ❑ Resburant U Other (explain) Is this building 50 yeas of a'♦ge or ffwe�' .,I i] fifes No If yes, }vu may Rued m contact hfes2�rlc PyesaruaCon N this is for a densotittorn pernik what y,Oar was the building constructed? ......... Df p*r tv 1975, yno wN need an aesliesdz menf m slfftit Wffi 9& awhtaftrr. 1 *If lawn sprinkler/backfiow preventer, must Suboontradvrs: Lot dee company name o licensed plumber. If first time A/C, must list licensed ee ctrklan. ofRCC#hwffwn e # Mechardcal Roofer t?UW I hereby acknowledge that I have read this 4WIcabon mw and state that the above Ir ation IS complete and turret I agree to Comply with all requirements contained herein, and city ordinances and state laws regulating building construdion. I know that a permit is not valid urrW tt tads been paid i d iasued. I AppM=jt PRrrt Na~.�TO Signature YOYN .Dais —rtu5-r kcc ourt+ �i