HomeMy WebLinkAbout809 Southridge Greens Blvd - Applications/Reroof - 08/12/2014Aug.12.2014 01:15 PM SLAUGHTER ROOFING 9703305645 PAGE. 7/ 8
Planning, De'
281 N. College
Fort Collins, C(
Phone 970-41(
VER-THE-COUNTER PERK
This application is t 1 be used to apply for tlje following permits only (che
❑ Demolition (interio non-structural) ❑ Electrical Alteration (not service than
❑ Heating Unit ❑ L n Sprinkler ❑ Mobile Home replacement ❑ Roofing
❑ Ventilation O Wat r Heater ❑ Water Line 0 Wood/Pellet Stove (must be
manufacturer).
comp) II oli I o n dbplliratlon. Incomplete applii
App limn Date AUG
For og7ce use only
vent & TranWrtbtion
P.O. Box 580
I
Fax 22+6134
t$Tkwj
hat apply). ❑ Air Conditioning
Gas Lighter ❑ Gas Log
rer Line Q Photo-vohaic
Irtified, provide make, model and
will not be accepted.
2, 2014
fob Site Address (
809 SOUTHRI
uirl'd) Value of Con
GE GREENS BLYD $3900.00
u
n (labor, materials, profit)
Property Owner Narrm
JEFF FRYER
Address City/State
SAME FT COLLINS,C
3
Zip Phone
80525 970-402-0443
Applicant Name
Michael Slaugh
Addre§s City/State
or 916 Uth Ave Ct. #6 Greeley,
100
Zip Phone
80834 (970)330-7881
Contractor
Slaughter Roofi
Address City/State
ig CO 918 $8th Ave Ct. #6 Greele
,
Zip Phone
O 80634 970 330-7881
Contractor City of Ft,
S&IMPt xnumberlsrequ/
Dollins Sales Tax Are you paying taxes hi
4PYa0mn&adl2m Are you paying with yoS
rem
r tr
by report? m Here ❑ Report
st account? mYes No
Fort Collins License
-
703
Is this a residential or mmercial project? D Residential ❑ Commercial
If residential, is it: Single Family Detached ❑Condo/bownhome (single famil at ached) r] Duplex
Multifamily (apartment) ;[]Garage
If commercial, is it: Bank ❑ Bar ❑ Church ❑Hotel/Motel OMedical office Office ❑Retail
Restaurant El Other plain)
Is this building So yea of age or more? ❑Y Q No Dyes, you may need d HWork Preaervamon
If this is for a demoli n permit, what year was the building constructed?
Ifpiior to 1975, yMu / need an asbbestcts a to subm/t Wtb this applwcaG
Description of work
ADEQUATE VENTILATIO1
rEAR OFF SHINGLES TO E DECKING. INSTALL ICE & WATER
SHIkLD,
BASE FELT PAPER DRIP EDGE,
& DIMENSIONAL SHINGLES
39SQUARES
STORY
*If lawn sprinkler/backfl
Subcontractors: List 0
Electrician
W preventer, must list licanIi;ed plumber. If first-time A/C, must
a company name or pty of I `t colllns Ucense 0
Plumber y Mechanical
I
sed electrician.
MEDA NR2279 Other
I hereby acknowledge th
comply with all requirem
permit Is not valid uN
ot I have read this applicabd!n and state that the above InformaoOn
ants contained herein and city ordinances and state laws regulatir
il It has been paid and Is;ued.
Is
S b
complete and correct. I agree to
Ilding construction. I know that a
Appllcantl
Print Name: VIRGINIJ
SLAUGHTER 819pature
Dft AUGUST 12,2014