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HomeMy WebLinkAbout648 Marigold Ln - Applications/Reroof - 08/27/201406/27/2014 04:28 3032844067 RED DIAMOND ROOFING pPAGE 02/09 Planning, Development & Transportation Cltj/ O 281 N. College Ave P.O. Box 580 Fe bollinsFort Collins, CO 80524 �r Phone 970-416r2740 Fax 2246.134 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) 0 Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ARoofing ❑ Sewer Line ❑ Photo -voltaic ❑ Ventilation 0 Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be SPA certified, provide make, model and manufacturer). Complete all applicable information on the application. incomplete applications will not be accepted. Application # 6 l'i b % ® Co 6 Date 0 "2`Z 1 14 For otrree use only Sob site Address (required) LzLhe value of Construction (labor, materials, Profit) $ 4, CCU 4.Q c . n Property Owner Name Address city/state zip Phone AP licant Name Address City/State Zip Phone Contractor Address city/state Zip Phone Redd 'D aOx urd so VICM -tnco Contractor City of Ft Collins Sale Ta Are yo aying taxes here or by report?'1k Here CI Report ❑ Yes ( No silwtax nu ber&mqufmdbyalllcvnlraciVrs R — Zlq Lo Are you paying with your trust account? 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 El Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (expl in) Is this building 50 years of age or more? d Yes )E.No If yes, you may need to contact Historic Pmservation If this is for a demolition permit, what year was the building constructed? Ifpdor to 1975, you will need an asbastos assessment to submit with this applimdon. Description of work *If lawn sprinkler/badcflow preventer, must list licensed plumber. If flrst-time A/C, must list licensed electrician. Subcontractors: list the company name or Gty ofR Collins license 0 I]etirldan PlumI Mechanl©I Roofer Other r 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: Signature Date