HomeMy WebLinkAbout304 Albion Way - Applications/Reroof - 07/17/2014Jul 171410:49a Severe Weather Roofing
970-223-3383 p,5
Fort Collins
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 (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ 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.
Application # 13 0L4wS Date 7117/j4 �ay•�b
For of&e use only
lob Site Address (req~)
Value_ of Construction (labor, materials, profit)
304 Albion Way
2400.00
Property Owner Name
Address
City/State Zip
Phone
Prescott Appel
304 Albion Way
Fort Collins CO 80526
970-481-8589
Applicant Name
Address
City/State Zip
Phone
John Anderson .
PO Box 2207
Fort Collins CO 80522
970-223-2455
Contractor
Address
City/State Zip
Phone
Severe Weather Roofing
PO Box 2207
Fort Collins CO 80522
970-223-2455
Contractor City of Ft Collins Sales Taos #
Are you paying taxes here or by report?
JfHere ❑ Report
Wes tax nwnbwiYrequired byaff=&aaws
50255
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential of mercial project? IfResidential ❑ Commercial
If residential, is it: aL rngle Fan»ly 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 this building 50 years of age or more? ❑ Yes ❑ No Ifyeg you may need to contact Historic Rreservatfon
If this is for a demolition permit, what year was the building constructed?
Ifpnorto 1975, you MY need an asbestos as5esw7xvitto submit witlt 0%applkabon,
Description of work Remove 24 asphalt squares to decking and replace with 24 asphalt squares to
ode_
' If lawn sprinkler/baddiow preverder, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license,*
Electrician Plumbs Mechanical Roofer Other
I hereby acknanAedge 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 stabe laws regulating building construction. I know that a
permtt is not valid until it has been paid and Issued
Applicant: --
Print Name: John Anderson s196'ap,re J gate 7/17/14