HomeMy WebLinkAbout3119 Sharps St - Applications/Reroof - 12/27/2011From: Alex Kight Fax: To: +19702246134 Fax: f19702246134 Page 2 of 3 12/27/2011 8:12
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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 service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement B 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 #I to 12-27-11
for office use only -11.9
Job Site Address (required)
Value of Construction (labor, materials, profit)
3119 Sharp St Ft Collins 80526
Property Owner Name Address
City/State Zip
Phone
Scott Billington 3119 Sharp St
Ft Collins 80526
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
970-660-4417
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
B Here ❑ Report
Sales tax number is required by all contractors
Are you paying with your trust account?
❑ Yes B No
49209
Is this a residential or commercial project? N Residential ❑ Commercial
If residential, is it: ® 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? O Yes O No If yn& you rmy 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 assessm&7t to submit with this application.
Description of work Remove existing roofing system down to deck and install asphalt shingles over entire roof ( 20scls)
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the 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 Fenzl Signature
Date 12-27-11