HomeMy WebLinkAbout6201 Compton Rd - Applications/Reroof - 11/08/20112911N- 08 04:44 PM ASPEN CONTRACTING 3076351631
5/5
City of
Fort Collins
O� LW`_� 1
Planning, Development & Transportatlon
281 N. College Ave P.O. Box 580
Fort Collins, CO 80S24
Phone 970-416-2740 Fax 224-6134
This application is tOVER TH&COUNTER PERMITS ONLY
be used to
❑ Demolition (interior non-structural) C1 Electrical Alte aftlon ('nort service chc ng ) aI❑ G s Lighter1p iGas ogoning
❑ Heating Unit ❑ Lawn Sprinkler Cl Mobile Home replacement ❑ Roofing ❑ Sewer Line 13 Photo-voltalc
❑ 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 ill n be aocepted.
Applfcation # Q 3 i Lp date , SU
rvr off ce use Only
Site Addreeq (rr°qu/red)
Name Address
Name AdL� -dress
ul I
Lic # drEsc
Contractor City of Ft. Colllns Sales Tax #
Sales tax numbarlsrequlred by all ronbactars
Value Of Construction (labor, materials, profit)
`"y!'Lace Zip Phone
r� 1
4
Clty/State Zip Phone
c.e 1
City/state Zip Phone
Are you paying taxes here orYy report? Q Here ;�kReport
Are you paying with your trust account? O Yes ❑ No
Is this a residential or commercial project? If residential�/Resldentlal ❑Commercial
, is It: Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
Multifamlly (apartment) ❑ Garage
If commercial, Is It; ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office p Retail
❑ Restaurant 0 other (explain)
Is this building 50 years of age or more? O Yes 'X No If kvs, you mayneed t7 c0ntactH1st0ryc preservation
If this Is for a demolition permit, what year was the building constructed?
17prlor tO 1975, you w!!1 need an asbestOs assessment to submit with this appl/cation.
Description of work
*If lawn sprinkler/bacldiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
List t7e companyname or C/ty of)rt Co//!ns 11cense �`
Electrldan 1 — plumber Mechanlca�
_, 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: Z&LL
Print Name:Signature
Date