HomeMy WebLinkAbout2817 Cherrystone Pl - Applications/Reroof - 08/07/2014To: Planning and Development & Transportat Page 2 of 2 2014-08-07 19:40:41 (GMT) 19706928189 From: David Perez
City of planning, Development.& Transportation
Fortrr*�r} [ p�lC 281 N. College Ave PA Box 580
Colons, Fort Collins, CO. 80524
f 1�-�v�"'"" �► �„ 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 0 Mobile Home replacement M 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. I ,,
Application #_ �� I 1 i5—I D Date 8i7i2014 US- �0.
For oA9ce use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
2817 Che=e P1 Fort Collins CO 80525
11000
Property Owner Name. Address
City/State Zip
Phone
Lisa 8r Perry Tuttle same as job -site address
9702823730
Applicant Name Address
City/State Zip
Phone
Glenn Rennar 5489 Gulfstar CYWindsor, CO 80528 9.703917935
Contractor Address
City/State Zip
Phone
Excellence in Building LLC. 5489 Gulfstar Ct Windsor, CO 80528 9703917935
Contractor City: of Ft. Collins Sales Tax #
Are you ,paying toxes.here or by report?
L Here ❑ Report
Sales lay numba-&r muiredbyallcontractDm
0004940S
Are you paying with your trust account?
❑ Yes ffLNo
Is this a. residential or commercial project? N Residential ❑ Cornmercial
If residential, is it: ®Single Family Detached ❑. Condo/townhome (single family attached) 13 Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial,, is it: ❑ Bank ❑ Bar ❑ Church p Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant O other (explain) ___..... ._
Is this building 50 years of age or.more? ❑ Yes IMNo If yes, yop mayheed to contact Historic Preservation
If this is for a:demolition permit, what year was the building constructed?
If prior to 1W5, you will need an asbestos assessment to submit with this application.
Description of work. Rernnf with a'SOypar C:afelk Shink+)e 3S 33 SO
*If lawn sprinkler/backflow preventer,.must list licensedplumber. If first-time A/c, must list licensed. electrician,
Subcontractors:, List khe. company name or,Cly of H Colin license-#
Electrician. Plumber Mechanical Roofer Other
Thereby acknowledge that I havevead.this application and state that the above Information is complete and correct. I agree to
comply with all requirements contained herein and cityoriinances.ard. state laws regulating building:ponstruction. I.know.that a
permit i.s,not valid until it has been paid and issued.
Applicant: Glenn Rennar 8/7/14
Print Name: :Signature: pate