HomeMy WebLinkAbout1213 Ashlawn Ct - Applications/Reroof - 07/28/2014From: Stephen Fenzi Fax: (970) 672-0486 To: +19702246134 Fax: +19702246134 Page 3 of 3 07282014 9:51
City of 281 N. College Avepment P.O. Box 580 &Transportation
ort Cothns. Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
f3'ElS0
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 IN 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 # 1 140L 58 J
For office use only
Date 728/2014
lob Site Address (required)
Value of Construction (labor, materials, profit)
1213 Ashlawn Ct. Fort Collins, CO
28sq
Property Owner Name Address
City/State
Zip
Phone
Peter and Gail Smith 1213 Ashlawn Ct.
Fort Collins, CO
80525 970-223-0552
Applicant Name Address
City/State
Zip
Phone
Stephen Fenzi 2310 E 13th St
Loveland, CO
80537
970-660-4417
Contractor Address
City/State
Zip
Phone
Denali Roofing LLC 2310 E 13th St
Loveland, CO
80537
970-660-4417
Contractor City of R. Collins Sales Tax #
Are you paying taxes here or by report?
B Here ❑ Report
sales tax numberisrequiredbyall mntractors
Are you paying with your trust account?
❑ Yes R No
492M
Is this a residential or commercial project? ® Residential ❑ 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 this building 50 years of age or more? O Yes 0 No Ifyes, you may need to contact Historic Preseryatibn
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit wi8► this application.
Description of work Remove exiegng roofing system down to deck and install asphalt shingles over entire roof ( 28sq)
*If lawn sprinkler/backflaw preventer, 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 Plumber Mechanical Roofer Other
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. I know that a
permit is not valid until it has been paid and issued.
Applicant:
Print Name: Stephen Fenzi Signature
Date 726/2011