HomeMy WebLinkAbout1205 Stover St - Applications/Reroof - 03/01/2012Mar 1. 2012 5/:51PM ADVANCED ROOFING No,3715 P- 1
Planning, Development & Transportanon
City of 281 N. Cclle e .4ve ?.0. Box 580
_ Fort CollinslFort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply `or the following permits only (check all that apply). ❑ Air Conditioning
Z Demolition (interior non-st^ucura1) n Ciec,ncal A"aration (not service chance) C. 'Gas Lighter 2 uas Log
G Heating Unit ❑ Lawn SpnnKfer C Mobile Home-placemert ��Rocfing ❑ Sewer Line a Photo -voltaic
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❑ Ventlla'on r Water "eater 1 water Line ;' wocd/f?ller Stove (must be =PA certified, p'ovide rnake� mode and
Complete all app6ca a 'niermation on the applicaticn. Inccmpleta applications will not be accepted.
Applicaton Date ~ ,
For c r ice L se only
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jeb c1te Address �r�+JT%c�% ve:-_ of Cons-t 4C'S.':'. (ic'bC'f, fro: naS, �OfC �:)
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-opery Owne; Name Address
City/stem Zia
Phcne q7
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Applicant Narne Address
City/State Zia.
Phcne q70
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Conte c,or UC + Address
City/seta -rp
Phcne
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Contractor City of Pt Col!irs Sail Tax
rTe ycu paying rxes here or by r eper:? ❑ Here
❑ P.eperz
Sa/as Laxnumte-s,-aauir=d&Yell ror, :ours.
Ar_ you paying with your tr _ account? kyes
G No
96Y
Is t 1is a resident al or commercal prcje^? Rsiden�al ❑Commercial
- If residental; t5 it. 3z Single gamily Detached' C1Condo/`:wn;icr<< (si';,gle famif</ atsched) Ln Duplex
G Multiamily (apaftunent) ❑ Garage
If cgr-,rercai, is it: ❑ Bank ❑ Bar ❑ Churen ❑ HCtsl/MGLI ❑ Med! - cf i— rJ Of ;c_ ❑ Ke*3ii
❑ Restaurant G Ct9er (explain)
is this building So years of age or rcre? ❑ yes 3,,No If yes, ycu Tray nee.d'to r.•ist -,6f Rraserriai;on
If t�is s for a demclition permit, what year was tts building =nstructed?
it prcr to 1975, yc ill ee an astestos assessment to submit vii i this a,rOAC2 n.
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escriptcn or work r^ 2x(:5 r: Sh t no, >2,C
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'f11T fawn 5pr, le jtacMow Pr?Ve; ter, must iLct ilcens2f pluTOer. If fli sst-trte A/c, Must listlice; ise'' ele:tr tci2n. .
5ubcon.tractors: L,27LOe �rpenyrerecrCC/offiCo/lir^•sOc;E^se
rye
'ciec7c!zn ?!umb2� Me_aN�i Roo`' f i r c Crier
I hereby _d�now!edez that I have ;gad this zpplicen and 5tat:`,ct tie c.^eve irorma-dn is cc ;piae z:;c cor2 i acre- to. �
compfy w;t�.all requirements herein and ct/ ordinances end s;2te laws reg.d2titric bui!dir:c cor:<_cu uon. I know that a
permit is not valid until it has been paid and i5su-4
Applicant. r
Pant Nzr ea, in rf . 9 Sign turn � \�i'i� Data 1 l