HomeMy WebLinkAbout2713 Antelope Rd - Applications/Reroof - 08/18/2014Aug.19.2014 02:24 PM SLAUGHTER ROOFING 9703305645 PAGE. 3/ 6
or�t C [tins Fort Col Collins,
Phone 970-4
VER-THEUNTER PERK
This application is t be used to apply for th following permits only (chi
O Demolition (Interio non-structural) O Electal Alteration (not service than
❑ Heating Unit wn Sprinkler ❑Mobile me replacement ❑ Roofing
O Ventilation ❑ Wa r Heater ❑ Water Line Wood/Pellet Stove (must be
manufacturer).
Complete all applici ble information on the ppllcatlon. Incomplete apple
Application # Date Augu
For o4ka use only
ment & Transportation
P.O. Box 580
!4
i Fax 224-6134
ONLY
hat apply). ❑ Air Conditioning
Gas Lighter ❑ Gas Log
rer Line ❑ Photo -voltaic
irti(fed, provide make, model and
will not be accepted.
2014
Sob Site Address (
2713 Antelope
u/ied)
d
Value of Co
$2,500.0
n (labor, materials, profit)
.
Property Owner Nam
Daniel Herringt
Add
n aam4
aty/State
Ft Collins, CO
Zip Phone
525 970-217-5215
Applicant Name
Michael Slaughl
Add
er 916
City/State
8th Ave Ct. #6 Greele
,100
Zip Phone
$0634 970 330-7881
Contractor
Slaughter Roofi
Add
ig CO 916
City/State
8th Ave Ct. #6 Greele
, CO
Zip Phone
80634 970 330-7881
Contractor City of Ft.
Illns Sales Tax #
Are you paying taxes h
r by report? m Here [J Report
sales tax number Isrequl
by aumn&actas
Are you paying with y
st account? ®Yes ❑ No
Fort Collins License
11 -
703
Is this a residential or
mmercial project? m
dendal ❑ Commercial
If residential, is It:
Single Family Detached
Multifamily (apartment)
❑Cando/townhome (single familya
[]Garage
cued) ❑ Duplex
If commercial, is it:
Bank ❑ Bar ❑Churc
Restaurant ❑Other
❑Hotel/Motel ❑Medical office
explain)
Office ❑Retail
Is this building So yea
If this is for a derlmol
If prior 0 I97S, you
of ape or more? ❑Y
n permit, what year w
/ neeo'an asbestos e
m No ff y� you may need
the building constructed?
f to submit with thk ar;pIlcabror,.
tact Historic Pneservallon
Dac11ption of Work
ADEQUATE VENTILATIO
TEAR OFF SHINGLES TO TI
• E DECKING. INSTALL ICE & WATER
HI
LD, BASE FELT PAPER, DRIP EDGE,
4 & DIMENSIONAL SHINGLES,
28 SQUARES
2 STORY
*If lawn sprinkler/ba
Subcontractors: list ta
Electrician
preventer, must list liven
mmpany name or Gty of
Plumber
wd plumber. If first-time A/C, must
Collins license o
htechanleat
Is t licensed
electrician.
MEDA M1279 Other,
I hereby acknowledge tt
comply with all requirerr
permit is not valid un
at I have read this application
ants contained herein and city
11 It has been paid and Is
and state that the above Informaift
ordinances and state laws regulatini
ued.
is
billdingoonstructlon,
complete and correct. I agree to
I know that o
Applicant:
Print Name; Virginia
laughter Sig
ature
gate August 18,2014