HomeMy WebLinkAbout317 Albion Way - Applications/Reroof - 07/07/2014Jul 071401:15p Severe Weather Roofing
970-223-3383 p.2
Planning, Development&Transportation
281 N. College Ave P.O. Box 560
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 ❑ 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 # 514 035136 Date 7/7/14
For o> ice use only
Sob Site Address (repuireg
Value of Construction (labor, materials, profit)
317 Albion Way
2400.00
Property Owner Name
Address
City/State Zip
Phone
Jenny Hope
317 Albion Way
Fort Collins CO 80526
970-231-3508
Applicant Name
Address
City/State Zip
Phone
John Anderson
PO Box 2207
Fort Collins CO 80522
970-223-2455
Contractor
Address
City/State Zip
Phone
Severe Weather Roofing
PO Box 2207
Fort Collins CO 80522
970-223-2455
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
Here Cl Report
SWesrsrequlredbyapcantradvm
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential or commercial project? ItResidential ❑ Commercial
If residential, is it: ❑ Single Family leached ❑ Condo/townhome (single family attached) ❑ Duplex 51
❑ Multifamily (apartment) El Garage �U
if commercial, is It: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
0 Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 17 No Ifyes, you may need to mnlactHishvkAl-aservabon
If this is for a demolition permit, what year was the building constructed?
rf prior to 1975, you wlil need an asbestos assessment to submit with this appilcaton.
Description of work Remove 24 asphalt squares to decking and replace with 24 asphalt squares to
*If lawn sprinkler/backilow, preverda, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins lkense 0
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: John Anderson
Date