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2213 Stetson Creek Dr - Applications/Reroof - 08/26/2014
Aug.26.2014 . 10:12 AM SLAUGHTER ROOFING 9703305645 PAGE. 5/ 7 ills Planning, Doi 11100ment & Transportation 281 N. College k aL P,O. sox 580 Fort Collins, a:!4 Phone 970-41( 7 Fax 224-6134 VER-THE-COUNTER PERM This application Is t be used to apply for 1 O Demolition (interior non-structural) ❑ Glecl ❑ Heating Unit O L wn Sprinkler O Mobile p Ventilation ❑ Wati ir Heater O Water Line manufacturer). Complete all applice ble Information on the Application # ` v1 l lb For o Ge use only following permits only (chec il Alteration (not service change Tie replacement ❑ Roofing Wood/Pellet Stove (must be E plication. Incomplete appile Date ONLY hat apply). O Air Conditioning Gas Lighter ❑ Gas Log ter Line © Photo -voltaic ;rtified, provide make, model and will not be accepted. 2014 Job Site Address ( 2213 Stetson C aired) eek Dr ! Value of Con i $2,900.0 on (labor; materials, profit) Property Owner Name Addre4s City/State zip Rhone Jim Coffman $am I Ft Collins, CO 528 970-372-3005 Applicant Name Michael Slaugh Address er 916 City/State 8th Ave Ct. #6 Greele , Zip Phone O 80634 (970)$30-7881 contractor Slaughter Roofi Addre4s ig CO 916 city/State 8th Ave Ct. #6 Greele , Zip Phone O 80634 970)330-7881 contractor city of Ft, Sales taxnumbe Iset—W/ Illns Sales Tax # byal/contractcvs Are you paying taxes here Are you paying with yot c ir tr r by report? 0 Here ❑ Report ist account? El Yes ❑ No Fort Collins License - 703 Is this a residential or ommerdal project? 0 Residential ❑ Commercial If residential, is It: Single Family Detached Multifamily (apartment) ❑Condo/townhome (single family [Garage a shed) ❑ Duplex If commercial, Is it: Bank ❑ Bar ❑ Churc Restaurant ❑ Other ❑Hotel/Motel ❑ Medical office explain) Office ❑Retail Is this building 50 yea If this is for a demoll of ape or more? i]Y on permit, what year w ❑ No If yes, you may need the building constructed? ctH/stonc Preservation . IfAwbr to 1975, you /need an asbestos assess nt to submit Wth thIs app/katio Description of Work ADEQUATE VENTILATIO TEAR OFF SHINGLES TO E DECKING. INSTALL ICE & WATER S HI LD BASE FELT PAPER, DRIP EDGE, & DIMENSIQNAL SHINGLES 29 SQUARES 2 STORY *If,lawn spdnkIer/badcflm Subcontractors; List 4 Electrida preventer, must list licensed Pe Company name or dry of.rt Plumber plumber. If first time NC, must Collins lkiense AV I Mechanical Roo Istilmnsed electrician. LMEDAAR2279 Other I hereby acknowledge 0 at I have read this applicatic n and state that the above informatiq w is complete and cored. I agree to comply with all requirerr ants contained herein and d y ordinances and state laws regulati b: dlding construction. I know that a permit Is not valid un 'I it has been paid and Is wed. Applicant; ! Print Name: Virginia Ilaughter Sig fixture pate August 26, 2014