HomeMy WebLinkAbout936 Butte Pass Dr - Applications/Reroof - 07/23/2014Jul 23 14 02:25p Severe Weather Roofing
970-223-3383 p.1
Fo t Cottins
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 ❑ WoodlPellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information
i nfor/mation on the application. incomplete applications will not be accepted.
Application # B14 ()y'lpOX Date 7/23/14
For off1m use only
Sob Site Address (mquired)
Value of Construction (labor, materials, profit)
936 Butte Pass Dr.
$2100.00
Property Owner Name Address
City/State
Zip
Phone
Damon Gherke 936 Butte Pass Dr. Fort Collins
80526
720-775-7869
Applicant Name Address
City/Slate
Zip
Phone
John Anderson PO Box 2207
Fort Collins CO
80522
970-223-2455
Contractor Address
Gty/State
Zip
Phone
Severe Weather Roofing PO Box 2207
Fort Collins CO
80522
970-223-2455
Contractor City of R: Collins Sales Tax #
Are you paying taxes here or by report? VfHere
❑ Report
Sale; tax m"be-isrequGedbya#cunbado v.
Are you paying with your pest account? ❑ Yes O No
.50255
Is this a residential or ryrr�rcial project? Residential ❑ Commercial
If residential, Is it ooSingle Family Detached ❑ Condo/tiownhome (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 0 No If yes, you may need to contact Histatic Presetw on
If this is for a demolition permit;, what year was the building constructed?
.1fprior to 1975, you will need an as bestas assesvnent to submit wi09 this application.
Description of work Remove 21 asphalt shingles to decking and replace with 21 asphalt shingles to
code_
*If lawn sprinider/bac"ow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List Me company name or city of Ft Collins license #
Electridan 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 lays regulating balling construction. I know that a
permit is not valid until it has been paid and issued
Applicant: '
Print Name: John Andpjson Signature .Date 7/23114