HomeMy WebLinkAbout1121 Oakmont Ct - Applications/Reroof - 07/18/2014Jul 18 1410:31 a Severe Weather Roofing
970-223-3383 PA
Fort Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 97G 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-structurao ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler O 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 # L41-M "t Date _ 7MA/u
For offlbe use oMy
Sob Site Address (flValred)
Value of Construction (labor, materials, proft)
1121 Oakmont Ct.
2733.00
Property Owner Name Address
City/State Zip
Phone
Richard Way 1121 Oakmont Ct.
Fort Collins CO 80525
970-599-5322
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 R. Collins Sales Tax #
Are you paying taxes here or by report?
Here ❑ Report
.sales tax nrnnber$mqu&Wbya&conimaos:
50255
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential or commercial project? If ilesidential ❑ Commercial
If residential, is it:"Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
Muitifamiy (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 O No If yes, you may need to contactHiskaricPneserwdon
If this is for a demolition permit;, what year was the building constructed?
Ifprlor to 1975, you will need an asbestos assessment to submit wldr this application.
Description of work Remove 27.33 asphalt scuares to decking and replace with 27.33 asphalt sguan
code.
-lr lawn spnnkler/backrtow preventer, must list licensed plumber. If first-time A/C, must Ust licensed electrician.
Subcontractors: List the company name or aly of Fr Collins rxense g
9ectHdan Plumber Mechanlcal Roofer
IGGI J
I hereby acknowledge that I have read this application and state that the above Information Is complete and oorrecL I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building eonAn►ction. I know that a
permit is not valid until it has been paid and Issued.
Applicant:
Print r4ame:,)Ohn Anderson
to