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HomeMy WebLinkAbout4366 Starflower Dr - Applications/Reroof - 07/24/2014 (2)JUL-21-2014 07:42 FROM:CEDRR CREST ROOFING 970 669 6152 TO:2246134 P.1/3 Planning, Development & Transportation ation City of 281 N. College Ave P.O. Sm 580 Fort Collins Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY This appliostlon Is to be Bead to apply for the following permits only (oheok all thst apply). Q Air Conditioning 13 Demolfti (Interior nor"buctural) O Electrical Alteration (not service change) O Gas Ughter O Gas Log O Heating Unit O Lawn Sprinkler O Mobile Moms replacement ■ Roofing O Sewer Une O Photo -voltaic O Ventilation O Water Heater O Water Une O Wood/Pellet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable informatlo the epplloatlon. Incomwieb applk.atlone will not bs acts App1(Cation A r Wlkt° roe of* Sob Sloe Addrew (nigdmd) Value of ConatrUCIIJon (labor, matbrtals, profit) Property Owner Name Address City/suite Zip Phone /3ifj FRcd:' AI -gU Fo co 4?0ia.5 ,7/7- Applicant Name Address City/state ZIP Phone �i 23gl s Lou Contractor Uc # Address Gty/ate ap Phone C�OAR ,QG 5.` rr / it Contractor City of FL Collins Sales Tax # Are you paying taxes here or by report? ® Here ❑ Report acres aw rA#nbw m nw4i*d by ar avow om 3a0^/ Are you paying with your but account? ® Yes ❑ No Is this a residential or commercial proJect7 ® Residential 13 Commercial If. modential, is 1b ® Single Family Detached O Condo/townhWrre (single family attached) O Duplex 0 Multifamily (apartment) O Garage If eommerdal, Is It: O Bank O Bar O Church O Hotel/Motal © Medical Mice O Office O Retell © Restaurant © Other (exgrlaln) Is this building 50 years of age or more? D Yes ®No 1P ye, yew /1>aY /> lD C»ntact h au�iC Po erweEler► If this is for a dernolitlon permit, what year was the building constructed? Ypnkv to J975, low wl/l need an aaab lac anent 0 SUAIW MM V* aAMft bA Description of work *If lawn sprinkler/bacldtow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. 9ubem:1r 30m: LW tics campanY narw ar 04' of R CAN /lae w 0 _ f tuber Mechanical _ Rooter �rwag-�4 Other I hereby admowledge that I hawse read this application and state that the atxwe Information Is complete and correct I agree to comply with all requirements contained herein and city ordinances and state laws regulating bullding construction. I know tfwt a peamft Is not valid until It has been paid and ba ss& Applicant: Prlet Name: �.o . a O �ira>,�r Y Signaturo � ��� Data 76., //4,