HomeMy WebLinkAbout720 Arbor Ave - Applications/Reroof - 05/29/2014 (19)From (866) 941-4538 Thu 29 May 2014 10:48:27 AM MST MST Page 8 of 29
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, 00 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 nonstructural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement Is 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 # g 1 q6 Z—, o ( Date
For office use only
5/29/14
Job Site Address (required)
Value of Construction (labor, materials, profit)
720 Arbor Ave Unit 7
$4,500
Property Owner Name Address
City/State Zip Phone
Faith Property Management 300E Boardwalk
FortCollins 80526 970-377-1626
Applicant Name Address
City/State Zip Prone
Mike Montoya 821 Province Rd
Fort Collins 80525 719-248-9307
Contractor Address
City/State Zip Prone
Ethos Roofing & Restoration 6790 Sunflower Cir
Fort Collins 80109 855-553-8467
Contractor City of R. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report
Sales tax number is required by all c ntractors. Are you paying with your trust account? ❑ Yes ❑ No
Is this a residential or commercial project? 12 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? ❑ Yes ®No If yes, you may need to contact Historic FYeservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975 you will need an asbestos assessment to submit with this application.
Description of work Remove 45 SQ of shingles down to decking and replace with 30 yr architectural
shingles
' If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Su boontractors: List the company name or C)'ty of R Cbl/ins license,#
Dectricfan Rumber 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: Mike Montoya Signature , /0 L/
/d/�fNt+
Date 5/29/14