HomeMy WebLinkAbout1985 Angelo Dr - Applications/Reroof - 09/08/2014Sep 08 1410:47a Severe Weather Roofing
970-223-3383 p.4
Fort 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 (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 # �O ® Date 9/8/2014
I`or office use only
Sob Site Address (required)
Value of Construction pabor, materials, profit)
1985 Angelo Drive
1700.00
Property Owner Name
Address
City/State Zip
Phone
Lee Korionoff
1985 Angelo
Drive Fort Collins CO 80528
970-404-0261
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 Sox 2207
Fort Collins CO 80522
970-223-2455
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
NfHere ❑ Report
saves tax numaer;vrequkeabya#cono-acmrs.
Are you paying with your trust account? ❑ Yes ❑ No
50255
Is this a residential or copimercial project? 'ff Residential ❑ Commercial
If residential, is it; Mingle Family Detached 0 Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Otter (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
Ifpnor to 1975, you will need an asbestos assessment to submit with this application.
Description of work Remove 17 vi�.phnit nqi tares to cipekiniq and rapinnin with 17 asphalt squieres to
"91
*If lawn sprinkler/badrfiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the rnmpanyname orGlyofaCollins Geense,>g
Eledtician Plumber Medianlol Roofer
Other
I hereby advlowledge 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: John Anderson signs Date 9108/2014