HomeMy WebLinkAbout6950 Rosemont Ct - Applications/Reroof - 11/10/2011City of Planning, Development & Transportation
Fy 281 N. College Ave P.O. Box 580
ort Collins 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 service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement I@ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application #E 11 V'2'59 - Date
For of re use only 115 A
lob Site Address (required)
Value of Construction (labor, materials, profit)
6950 Rosemont Ct. Fort Collin, CO 80525
19 SQ
Property Owner Name Address
City/State Zip
Phone
Gary Case 6950 Rosemont Ct.
Fort Collin, CO 80525
970-227-6903
Applicant Name Address
City/State Zip
Phone
Stephen Fenzi 6944 Rosemont
Fort Collins 80525
970-660-4417
Contractor Address
City/State Zip
Phone
Denali Roofing LLC 6944 Rosemont
Fort Collins 80525
970-6604417
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report?
M Here ❑ Report
sales tax numbers required by all contractors Are you paying with your trust account?
❑ Yes B No
49209
Is this a residential or commercial project? 8 Residential ❑ Commercial
If residential, is it: B Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes B No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit with this application.
Description of work Remove existing roofing system down to deck and Install asphalt shingles over entire roof (19sq)
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/c, must list licensed electrician.
Subcontractors: List bye company name or City 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 Name: Stephen Fenzi Signature Date f vtoi2on