HomeMy WebLinkAbout4200 Monmouth Ct - Applications/Reroof - 08/18/2014Aug.19.2014 02:24 PM SLAUGHTER ROOFING 9703305645
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This application Is t be used to apply for I
❑ Demolition (interio non-etructural) ❑ Elect
❑ Heating Unit ❑ L iwn Sprinkler ❑ Mobile
❑ Ventilation ❑ Wat or Heater ❑ Water Line
manufacturer).
Complete all applIcA ble Information on the
Application #
for a use only
Planning, Deg
281 N. College
Fort Coflins, C(
Phone 970-41f
'k -
following permits only (chi
I Alteration (not service chap
ne replacement ❑ Roofing
Wood/Pellet Stove (must be
plication. Incomplete appli
Date
rent rb Transportation
P.O. Box 580
I
Fax 224.6134
ONLY
that apply). ❑ Air Conditioning
I Gas Lighter 0 Gas Log
war Line ❑ Photo -voltaic
ertified, provide make, model and
s will not be accepted.
,2014
)ob Site Address (
4200 Monmoutli
uNrsr!)
Ct
Value of Con
$3,200.00t
on (labor, materials, profit)
Property Owner Nami
Addr+
City/State
21p Phone
Erin Price
sam¢
Ft Collins, CO
8
525 970-377-1166
Applicant Name
Addre
City/State
Zip Phone
Michael Slaugh
er 916
8th Ave Ct. #8 Greele
,
O 80634 (970)330-7881
Contractor
Slaughter Rooft
Addrelm
ig CO 918
City/State
08th Ave Ct. #f 8 Greele
,
Zip Phone
O 80634 970 330-7881
Contractor City of Ft.
Ilins Sales Tax #
Are you paying taxes
re
r by report? m Here ❑ Report
Sa/e913rnWnterlsrrqu
by4#cwtracMm
Are you paying with yo
r
st account? m Yes ❑ No
38663
Fort Collins License
-
703
Is this a residential or
mmercial project? m
esidential ❑ Commercial
If residential, is It:
Single Family Detached
Multifamily (apartment)
[] Condo/townhome (single faml
❑Garage
a
died) ❑ Duplex
If commercial,.is it:
Bank ❑ Bar ❑Churc
Restaurant ❑Other(explain)
❑Hotel/Motel ❑Medical offic
Office ❑Retail
Is this building So
If this is for a deMoll
Ifpr/or to 1975, you
of age or more? ❑Y
on permit, what year wa
/l need an asbestos ass
CD No IfM you mayneed
the building constructed?
t to submit frith 83ts appikWi
W Historic /reservation
Description of work
ADEQUATE VENTIIATIC
TEAR OFF SHINGLES TO
E DECKING. INSTALL ICE & WATER
HELD
SASE FELT PAPER, DRIP EDGE
4 & DIMEN81ONAL SHINGLEI,
32 SQUARES
2 STORY
*If lawn sprinkler/
Subcontractorst L& i
Electrician
preventer, must list licensed
5e crmpeny name or city o
Plumber
plumber. If first-time A/C, must
R C011inS license 0
Mechanical
i I
1
tensed efedriclan.
LMEDA BR2279 Other
1 hereby acknowledge tI
comply with all requirerT
permit Is not valid un
iat I have read this applicatli
ants contained herein and c
til It has been paid and Is
on and state that the above Infonnatl
ty ordinances and state laws regulati
Bued.
i i Is
11 building
complete and correct. I agree to
consOuctlon. I know that a
Appllosnti
Prim Name: Virginia
laughter Sig
i
ature
oats August 19,2014