HomeMy WebLinkAbout2712 Red Cloud Ct - Applications/Reroof - 08/25/2014Fort Collins
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 (Pot service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement M Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater D Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer)
Complete all applicab a Inp(formaat'onror th gtication- Incomplete applications will not be accepted
Ap IIca01�o 1 1`0J D Date'
p E�) Fo?office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
171 1Zed UOU QOilk! K5 CO E(5SZS � q,(QS (o.S3
Property Owner Name
>rxul ivu- Loyv
Applicant Name
Contractor
rnpani ROOFING INC
Address
\Led. Q'%L4s1-
Address
Address
6540 S. COLLEGE
Contractor City of Ft. Collins Sales Tax tr
Sales ray number is reouired by all contractors
C>ob 5114 &
City/State Zip
City/State Zip
City/State Zip
FORT COLLINS 80526
Phone
225 - 0 b33
Phone
phone
970-223-5600
Are you paying taxes here or by report? KHere ❑ Report
Are you paying with your trust account? ❑ yes [VNo
Is this a residential or commercial project? esidential ❑ Commercial j
If residential, is it: ("j1-Single Family Detached ❑ Condo
(single family attached) ❑Duplex
❑ Multifamily (apartment) ❑ Garage ri
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 Coo Jf yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
!f poor to 1975, you will need an asbestos assessment to submit with this application.
Description of work Mn
C1AF itM10 i3ar•�woo
23 S r tt
*if lawn sprinkler/backftow prevente , must list licensed plumber. if first-time A/C, must list licensed electrician.
subcontractors: List the company name or City of Collins license a i
Mechanical Roofer �' Other
Elecincian Plumber
_.
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to i
in and city ordinances and state laws regulating building construction. I know that a
comply with all requirements contained here
permit is not valid until It has been paid and issued.
Applicant: Date
Print Name: CAPITOL ROOFING INC Signature