HomeMy WebLinkAbout2714 Sunstone Dr - Applications/Reroof - 08/25/2014Fort of
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 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 (Pot service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement M Roofing ❑ 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
U�Applicatio �! Date �`�ALI
or SfFe use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
21 k L\ SQYNSAoV--cl)r- F+ C ckt;+nS
CO (Z0525
S 128 Vs
Property Owner Name Address
City/State
Zip Phone
r,o,r,, -A211L1 Su Soon
71 Cc 8OS25
910-310419-13]J'
Applicant Name Address
City/State
Zip Phone
i
Contractor Address
City/State
Zip Phone
CAPITOL ROOFING INC. 6540 S. COLLEGE
FORT COLLINS 80526 970-223.5600 I
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by
report? XHere ❑ Report
sa/es tax num6>Pr is reoured by all contractors.
Are you paying with your trust account?
❑ Yes CyNo
aOlb 5 k In c v
Is this a residential or commercial project? esidential ❑Commercial
If residential, is it: I -Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage i
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office El Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? []Yes t�No if yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed7
i if prior to 1975, you will need an asbestos assessment to submit with this application.
n of work
If lawn sprinkler/backFlow prevente , must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license o -A\ -c C-\-I4n. 8
Electrician Plumber
v t b, r
Mechanical Roofer
I hereby acknowledge that I have read this application and state that the above information is complete and correct. i agree m
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until It has been paid and issued.
Applicant:
Print Name: CAPITOL ROOFING INC Signature
Date