HomeMy WebLinkAbout6000 Venus Ave - Applications/Reroof - 08/06/2014From (866) 941-4538 Wed 30 Jul 2014 08:47:20 PM MST MST Page 1 of 2
FCiof
art Collins
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 Wl 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 # �f 1405,15q
For oA'ice use only
Date 7—rJQA'4-
Job Site Address (required)
Value of Construction (labor, materials, profit)
6000 Venus Ave
$8 0230
Property Owner Name Address
City/State Zip
Phone
Margaret Jimenez 6000 Venus Ave
Fort Collins CO 80525
970-226-3546
Applicant Name Address
City/State Zip
Phone
Mike Montoya 6803 Antigua Dr. #68
Fort Collins CO 80525
719-248-9307
Contractor Address
City/State Zip
Phone
Ethos General Contractors 6790 Sunflower Cir
Elizabeth CO 80109
855-553-8467
Contractor City of R. Collins Sales Tax #
Are you paying taxes here or by report? ® Here ❑ Report
Sales tax number is required by all contractors
Are you paying with your trust account? ❑ Yes
® No
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: 12 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 12 No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit with this application.
Description of work Remove 23 SO of old roof down to
shingle and Drovide DroDer attic ventilation Der 2012 1
with 30 year architectural
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Su bcontractors: 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: Mike Montoya Signatureri..[ J�/�dt
Date 7/30/14