HomeMy WebLinkAbout1207 Ticonderoga Dr - Applications/Reroof - 08/12/2014Aug 12 14 08:53a Severe Weather Roofing
970-223-3383 p.1
CI Of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Flirt Collins Fort Collins, CO 80524
`— Phone 970-416-2740 Fax 22+6134 14� .0 3
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 # E1405-1 -mil . Date 8/12/2014
For o0rAce urn only
Job Site Address (rewired)
Value of Construction (labor, materials, profit)
1207 Ticonderoga Drive
$2900.00
Property Owner Name Address
City/State Zip
Phone
Jessica Harral 1207 Ticonderoga Drive
Fort Collins CO 80525
970-217-3717
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 R. Collins Sales Tax #
Are you paying taxes here or by report?
Here ❑Report
Saks tax nwnberisrequkedbyadca%Vdors.
Are you paying with your trust account? ❑Yes ❑No
50255
Is this a residential or c4nmercial project? 1ff Residential ❑ Commercial
If residential, is it: IYSingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Chum ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If ye4 you may need to cvntactHtst Preservation
If this is for a demolition permit what year was the building constructed?
If prior to 1975, you W/f need an asbestos ascent to submit wiflh Mis application.
Description of work Remove 29 asphalt shingles to decking and replace with 29 asphalt shingles to
enrf a _ '?
*If lawn sprinlder/baddlow preventer, must list licensed plumber. If first-time A/c, must list licensed electrician.
Subcontractors: LIst the coaWny name or city of Ft Collin license At 1✓X . �,,PP� IE'Lo
Sectrician Plumber Mechanical Roofer Other
I hereby admoMedge 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 rat valid until it has been paid and issued.
Applicant: /" —�_ Print Name: John Anderson Signataure �---� ///���---- babe 8112/14