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Home My WebLink About851 Southridge Greens Blvd - Applications/Reroof - 08/12/2014Aug.12.2014 01:15 PM SLAUGHTER ROOFING 9703305645 PAGE. 8/ 8 Planning, Do"Icipment & Transportation 281 N. College P.O. Box 580 Fort Collins, 0 24 Phone 970-43 7 Fax 22+6134 VER-THE-COUNTER PERM This application Is t be used to apply for the following permits only (chec ❑ Demolition (interio non-structural) 0 Electrical Alteration (not service change ❑ Heating Unit [OIL con Sprinkler 0 Mobile Home replacement ❑ Roofing I ❑ Ventilation ❑ Wat r Heater Cl Water Line ❑ Wood/Pellet Stove (must be E IComplete rlb4fof5o a311c4on. Incomplete applll Applicatlo Date All' For a rcte use only ONLY that apply). ❑ Air Conditioning I Gas Lighter ❑ Gas Log suer Line ❑ Photo -voltaic ertified, provide make, model and will not be accepted. 2, 2014 Job Site Address ( 851 SOUTHRIE ulredJ Value of Con GE GREENS BLVD $1800.00 on (labor, materials, profit) Property Owner Nami RALF BORN Address City/State SAME FT COLLINS,C Zip Phone 180525 970-377-1620 Applicant Name Michael Slaughter Address City/State 916 *h Ave Ct. #6 Greele J Zip Phone O 80634 (970)330-7881 Contractor Slaughter Roofs Address City/State ig CO 916 � 8th Ave Ct. #6 Grel le , Zip Phone O 80634 970 330-7881 Contractor Qty of Ft. SWM tax nm mber/s requi Hins Sales Tax # Are you paying taxes by aN av&actcrx Are you paying with y6 r by report? ® Here ❑ Report st account? © Yes ❑ No Fort Collins License fl 1- E03 Is this a residential or mmercial project? © Residential ❑ Commercial If residential, is It: Single Family Detached 1 ❑ Condo/townhome (single family a shed) ❑ Duplex Multifamily (apartment) i ❑Garage If commercial, is It: Bank Ej Bar El Chll ❑Hotel/Motel ❑Medical office Csffice ❑Retail Restaurant ❑ Other (explain) Is this building 50 yea of age or more? ❑Yet; 0 No If yes, you may need . ldct Hatwic Prey w1fon If this is for a demob permit, what year wa the building constructed? If prior to 1974 you /need an asbestos asmsownt to subm/t with this appl/catio . Descrlpdon Of WOrk INSTALL BASE FELT PARER, TEAR OFF SHINGLES TO IME DECKING ON FRONT SLOPE At 16 dONNE"ING SLOPE ONLY, ICE ti WATER SHIELD, ADEQUATE VENTILATION 8 DIMENSI011 HINGLES. bR IA CUGE 18 SQUARES 1 STORY *If lawn sprinkler/backf Subcontractors: Lat FJCttridan ow preventer, must list Ilcenked plumber, If first-time A/C, must company name ors ty of!R Col/Ins /lames O Plumber Mechanical lit 11 censed electrician. LMEDA OR227'9 Other I hereby acknowledge t1 at I have read this application and state that the above informal Is complete and correct. I agree to comply with all requirerr ants contained herein and cl ordinances and state laws regulap it b jilding construction. I know that a permit Is not valid un Ji It has been paid and I Applicants Print Name: VIRGIN14 SLAUGHTER 8190ature 6r��Data AUGUST 12,2014 C!