HomeMy WebLinkAbout4286 Stoneridge Dr - Applications/Reroof - 08/08/2014Aug.08.2014 12:03 PM SLAUGHTER ROOFING 9703305645
C ! Planning, Devi
281 N. College A
Q t Co tins Fort Collins, CO
Phone 970-416
I
O ER -THE -COUNTER PERMI'
This application is to be used to apply for the following permits only (check
❑ Demolition (interior rim -structural) ❑ Electric4l Alteration (not service change)
❑ Heating Unit ❑ La n Sprinkler ❑ Mobile Ho(rte replacement .❑ Roofing ❑
❑ Ventilation ❑ Water Heater ❑ Water Line q Wood/Pellet Stove (must be EF
manufacturer).
Complete V5ntpir a a ca . Incomplete applicat
ADDlicatloB I a Date AUGU:
For olYite use only
PAGE. 16/ 22
i
�eM elt Tranaportatton
P.O. Box 580
Fax 229-6134
ONLY
at apply). ❑ Air Conditioning
;as Lighter O Gas Log
ar Line O Photo -voltaic
tlfied, provide make, model and
will not be accepted.
2014
Job Me Address (
ked)
Value of consti
V
on (labor, materials, profit)
4286 STONERI
GE DR
t $2,400
Property Owner Name
BILL ROGERS
Address)
SAME!
City/State
FORT COLLINS / Co0525
Zip Phone
624-4009
Applicant Name
Address
City/State
Zip Phone
Michael Slaught
r 916 3
th Ave Ct. #6 Greeley,
CO
80834 970)330-7881
Contractor
Addres
City/State
Zip Phone
Slaughter Roofin
g CO 916 3
th Ave Ct. #6 Greele :,
80634 970)330-7881
Contractor City of Ft
sweararnumberIsmq
Ilins Sales Tax #
bya#cmiacras
Are you paying taxes her
j Are you paying with you
by report? m Here ❑ Report
account? 0Yes j3 No
38663
Fort Collins License #111
1
03
Is this a residential or
If residential, is it:
mmercial project? Q
Single Family Detached
identlal ❑ Commercial
Condo/townhome (single familyshed)
❑ Duplex
If commercial, is It:
❑
ultifamily (apartment)
nk ❑ Bar ❑Church
urant ❑ Other (
Garage
Hotel/Motel ❑Medical office
plain)
ce ❑Retail
n
Is this building SO yea
of age or more? ❑Yes
❑y No tfyes, m may need to
fttoriccPreservatW
If this is for a demolhi
n permit, what year was
a building constructed?
If prior to 1975, you wl
need an asbestos arse
t!o submit with this application.
Description of work
ADEQUATE VENTILATIO
OFF SHINGLES TO TM;DECKING.
INSTALL ICE & WATER
I
D, 8A8E FELT PAPER DRIP EDGE,
8 DIMEN810NAL SHINGLES.
245QUARE3
STORY
*If lawn spMnkler/backfl
Suboontractorm Ust
ElecMclan
preventer, must list Iloens�Ld
company name or aly of At
wumber
plumber, If first-time A/C, must IN
ca ins Acenae 0
Mechanical
licensed
t 0
electrician,
EDA NR2a79 Other
_
I hereby acknowledge thi
t I have read this applicstlo
and state that the above informatle
Is
plate and correct. I agree to
comply with all require
nts contained herein and cit
ordinances and state laws regulate
(ding construction. I know that a
permit is not valid unt
1 It has been paid and i
ad.
i
Applicant:
Print Name:
Slgn�ature
Date