HomeMy WebLinkAbout1901 Sonora St - Applications/Reroof - 08/11/2014To: Planning and Development 8, Transportat Page 8 of 8 2014-08-22 18:47:37 (GMT)
Using Own Employees and Please Mail Permit
19706928189 From: David Perez
city --Of
..'Ford olll s.
Planning; Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 9.70-416-2740 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 Mfoofing ❑ 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 # � ° 7V el � ` Date 8/11/2014
For office use only
Job Site Address (required) !90(
Value of Construction (labor, materials, profit)
1901 St Fort Collins CO 80525
6100
Property Owner Name Address
Qty/State Zip Phone
Gary and Sylvia Harnagel 2802 William Neal Pkway
Fort Collins CO 80525 4087688207
Applicant Name Address
City/State Zip Phone
Glenn Rennar 5489 Gulfstar Ct Windsor, CO 80528
9703917935
Contractor Address
(sty/State Zip Phone
Contractor City of R. Collins Sales Tax #
Are you paying taxes here or by report? EtHere ❑Report.
Stestax number isrega:icgdbyall cvntradcrs
00049405
Are you paying with your trust account? WYes ❑ No
Is this a residential or commercial project? STResidential ❑ Commercial
If residential, is it: ❑ 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 thisbuilding 50 years of age or more? ❑ Yes VNo Ifyes, youmayneedto contact Historic Reservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you wi11 need an asbestos assessment to submit with this application_
Description of work Reroof with a 50year Gafelk Shingle 16 SQ 1 story
If lawn sprinkler/badcflow preventer, must list licensed plumber. If first-time PMn must list licensed electrician.
Subcontractors: bst the company name or ply of Collins licenseff
2ectrician Plumber McChaniCal Roofer
Cther
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. 1 know that a
permit is not valid until it has been paid and issued.
Applicant: 8/8/2014
Print Name: Glenn Rennar Signature Germ kennar Date