HomeMy WebLinkAbout220 S Sherwood St - Applications/Reroof - 03/26/2012 (2)Q f IINB WM§r DeVeWp� & Tmdon
I Cloth ins rt
281 N. College Ave P.O. ,Box 580
Fort Collins, co 8ns24
Phone 970-416-2740 Pax 224-6134
OVEW"M4MUMER PIEMMONLY
This appik"on is to Eke used to appgrfor the following permits only (check all that apply). ❑ Air Condftioning
❑ Demolif do Cnterior non-tructuraq ❑ Electrical Alteration (net charge) • ❑ Gas Lighter -O Cas Log .
Q Heating LIM ❑ Lawn Sprinkler :❑ Mobile'Home replacement oofing M Sewer Line d Photo -voltaic
13 Ventilation ❑ Water 146ater ❑ Water Dine ❑ Wood/Pellet Stove (must be EPA oartified, provide make; model and
manulacW".
Complete all appilcabk Information on the application. Incomplete applicatlons will not.be accepted
Application # ForarDate
liFCr rs� oMy .
Is this a residential or ao wrwc al projed? ReSidentfal ❑ Commercial
If residential, Is it;PaIngle Fe��y Detaded ❑ Condo/townhome (single fam!!y atiarhed) 0 Duplex
13 Multifamily (apartment) O Garage
If commerM, is it: Ci Bank ❑ gar ❑ ChUrCh ❑ Holes/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant 0 Other (Wfaln)
Is this building " years of age or more? p Yes �No. Ifyes, you mayneed ea curtest y ges�rt+ation If this Ls for a denwi lOwpermik what year was the building eonsbvcted?
IfPvw to 1975, you wl!/neertaa asftS&s awezffA7rro submR with M&BANIMMOn. -
Description of work
If lawn sprmider/bacli pnweritEx, must rest Il ulmd O mber. If thst-trine AM, must rest ikwjed eiacuidan.
Suboa+baeCms: L& &--a rnpanynameorC&yofRaVl# s htelm ;#
WumberMwhwkW.Roofer. Other
I hereby admowledge chat I have rid this wplicftn and shft that the above infomtatlon is and correct. I agree W
Comply With all mgUremm is fineda herdn and city ordwces and stnbe lawsiv"tingl bURdim =structlon. 'I know that a
permR is not valid antli It has bears paid and issued.
ntn�re:KZ Sionsinre own.