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314 Talon Ct - Applications/Reroof - 03/13/2012
From: Katrina Fenzi Fax: (970) 660.4417 To: +19702246134 Fax: +19702246134 Page 2 of 2 311312012 11:57 City of . Collin Planning, Development & Transportation 281 N. College Ave P.O. Box 580 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 B 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 # �,�1?� �Z�j 0 Date 3/132012 For office use only kr;A Job Site Address (required) Value of Construction (labor, materials, profit) 314 Talon Ct. Fort Collins, CO 80524 25sq Property Owner Name Address City/state Zip Phone Thomas and Virgina Bryan 314 Talon Ct. Fort Collins, CO 80524 970-217-6718 Applicant Name Address City/state Zip Phone Stephen Fenzi 6944 Rosemont Fort Collins 80525 970-660-4417 Contractor Address City/State Zip Phone Denali Roofing LLC 6944 Rosemont Fort Collins 80525 970-660-4417 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? B Here ❑ Report Sales tax number is required by all contractors Are you paying with your trust account? ❑ Yes 8 No 49209 Is this a residential or commercial project? B 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 Preservation If this is for a demolition permit, what year was the building constructed? Ifprior to 1975, you will need an asbestos assessment to subrrbt with this application. Description of work Remove existing roofing system down to deck and install asphalt shingles over entire roof (24sq) *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or City of Ft Collins license # 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: Stephen Fenzi Signature Date 7262011