HomeMy WebLinkAbout6921 Ranger Dr - Applications/Reroof - 01/11/2012Jan 11 12 12:58p AFFORDABLE RFG /FCR 970207289 p.1
wiCoMns
Plam n% Development a Traw*Otta bon
281 N. College Ave P.O. Boer 580
Fort O3 MSr CO 805Z4
Phone 970-416-2740 Fax 224-6134
OVM-THE-CMflffM PERMS ONLY
This application is to be userl to apply f irfhe followbig permits only {check all that appiy). 0 Air CondiSoning
0 Denwfi8on (intader non-structural) ❑ Electrical Alleraii in (not semiics change) 0 Gas Lighter 13 Chas Log
ZI Heating Unit 17 Lawn Sprinkler 17 Mobile Home replacement ❑ Roofing 0 Sewer Line ❑ Photo -voltaic
p VerMadion IJ Water Heater ❑ Water Line. ❑ Wood/Pellet Stove (must be EPA certified, provide mak% model and
tnarwfac4 ).
pomplete all applicable informationothe
�he application. incomplete applications will not be accepted.
Application # 13) 2-0 0 14 " i Date 1 ! I 1 / l -
Fora rerwor* 7 J
0ob Silts Addnass (egnitMG9
Value of Consbuction [tabor, materials,• Profit)
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City/State Zip
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`CIDT tremor City of fit. Cofts Sal
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Are you g lases here or by repo t*e ❑ Report
SyPsfa rnrnnberisrapuiradbyaDmrrbaCdvS
You paying withyour�
es [7 No
5 this a reside W or oommemial project? -OReddential 0 Commen®I
If rmdential, is `dgngle Family Detached ❑� Condo/Uownhome (singiefanuty aitadled) Duplex
❑ Muft>i uNlY (aparbnent) 13 Garage
If Cammerdal, b it ❑ Blank 10 ear 0 Churcb 0 Hotel/Motel 17 Medical office 0 Office 0 Retail
0 Restaurant ❑ Other (explain
E-TS this building 50 years of age or more? ❑ Yes o Ifyes, youmayrreed fa amfad I`fis�n"cPreratlon
If this is fbr a dernorldon permit, what year was the building mrstructed?
i D'pn'orty 1975, you will neW an a,�-i martin sr�bmitwltli thisappOra�arn
r/
*0 lawn sprmklir/baddiow preventei, must list licensed plumber. if f ilst time A/C, must tst Qaensed elecfriaan.
5ubconwaGW=2 Listthe c=Panynarrre 0-r04"0fRC0ff'W iMM #
Elechtdan Plumper Medranir�f Roofer- Other
I hereby admowfexlge that I have read this appkadon and st eathat the above hlormatlon is ClImPlebt and oonerL I agree to
Comply wh all regWremerm omiaMed herein and city andlnanaes ansi sbate tarns regulating buildh9 WnWu[bTon_ I know that a
pe„nitis notvalid until it has been paid and issued. ! 1
Applicark1h
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