HomeMy WebLinkAbout407 Mapleton Ct - Applications/Reroof - 08/13/2014From: Katrina Fenzi Fax: (970) 672-0486 To: +19702246134 Fax: +19702246134 Page 3 of 7 08/11 r2014 3:07
Planning, Development & Transportation
City, of 281 N. College Ave P.O. Box 580
F..6r# C.611ins Fort Collins, CO 80524 ,^ /—
. Phone 970-416-2740 Fax 224-6134 W 3 W ,`�
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 El 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 y () 'gi— Date T
For ofce use only
lob Site Address (required)
Value of Construction (labor, materials, profit)
407 Mapleton Ct.
27 sq
Property Owner Name Address
City/State Zip
Phone
Trisha Larimer 407 Mapleton Ct.
Fort Collins CO
970-420-2390
Applicant Name Address
City/State Zip
Phone
Denali Roofing, LLC 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?
10 Here ❑ Report
Mastax number isrequiredbyall contraclafs.
Are you paying with your trust account?
❑ Yes ® No
49209
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? ❑ Yes L No Ifyes, you may need to contact Historic preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you wi//need an asbestos assessment to submit with this application.
Description of work tear off
Install owens corning 130
les down to deck, install ice and water and drip edges at eaves.
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/c, must list licensed electrician.
Subcontractors: List the company name or City of R Collins license #
Electrician Plumber Mechanical Roofer R2111t 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: ICatrinaFenzi Signature�v` Date