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Home My WebLink About4808 Caravelle Dr - Applications/Reroof - 09/12/2014• To: Page 3 of 3 2014-09-12 20:38:06 (GMT) 18555244009 From: Jim Kirk CI 4f Planning, Development &Transportatioq 281 N, College.Aye 'PO Box 580 ,r ®et�uFork Collins, C0.8Q524 Phone 970 416 2740 Fax 2246134: , . " OVER-THECUNTER: PERMITS ONLY This applicabon:isto-be used to apply-for-following.pe.rmits only (check all that appiy)Air. Conditioning ; 0 pefnolition.(interior nonstructural) O Electrical'Alteration:(not.service change] .D Gas Lighter. l] Gas:Lag T7. Heating. Unit Lt Lawn Spnnkle� Q M..obile Home Yeplacertlent..N.Roofing .13 Sewer Line: fl P.boto-voltaic %_13 Venhlatipn :Q Water -Heater I]'Water;Line O. WoodlPellet :Stove (must.be. EPA.certified, provide'make, model. and manufa(zturer). ...., Complete: aII appliq?bie.information_ pn ;the,application.. ~lncomptete applicaiions :w ll not be.;accepted.. . • . Application # Date 9l12i2oI4 For afticeuse only, Job Site;Address (eequ/red) Value of.con�struiWon„(labor; materials; profit) 4808 Catavelle Drive 13,500.00' '. Property O:wper Name . • :. Address . '" City%fitate '. ; . ' . "Zip .. ..• Phone . . Dale -Walters 4808'CaravelleDrive- Fo.riCollins,:CO80526 976-227-1062 Applicant Name:. ... Address City/State. Zip Phone .. " Sandra Havelka. ' 11030-Circl6 PoinC.Ro.aii,.Suite:425- ' 'Westminster,'CO ' 0020 720-400-'5137 Contractor .. '. ' Address ` City/State Zip MadSkyRoPfmg&Restor4(ion 11030'CirclePointRoad, 'Suite'425""'Westminster,'CO 80020 855 6Z-7,5.97 Contractor Ci of FL Collins Sales Tax 4. , tY Are ou in taxes here orb .Ye ort7 y paY 9 Y.. p I7 Here .1 Report p.. satestaxnumberisrequiredbyailcnnuactors" :'.... • . ,,, Areyou.payingwithyourtrustaccount?1Yes []No. .00.L29297 .., .. ..... Is this a residential or commercial prolect7 . Residential, .17 Commercial.: If residential,as It:: Single family Detached " O;fond9/townhome.(siQgIe family. attached) ' 1 pupiex. . O Multifamily(apartment) 1� Garage ... •.. •. If Commercial, is It ❑ :Bank L1 Bar []..Church :C1 Hotei/Motel. ' l7:Medical office : 0. Office 13. Restaurant:. [], .Other (explain) ` tsaf sbuilding5D.years,ofageormore?. 0Yes..,J No•Ifygs,.youmay'/reedrocon;actHJstorlc.eTegJ-. Ion If this,is for a dernolitaon permiiwhat. ear was i{1e building.constructed? ' ,. . Y . Ifprjor to, I975, you;wl/! weed an askeshzs.assessment to submit with this'appjicaGorr.. Description"of work ''R' Move & replace:raofwith GAF'Timberl ne'UhraED. 52.3 sc ... 1 'story ., *Ifaawn sprinkieryliackFlow preventer, must list licensed plumber:. ,IE first -tithe. A/C, must list licensed electrician Subcontractors:.,L(stthe:companyname'orG7tyofFtCol!lnsllcense.# • , l lectrician RWmber Mechanical 900fer R242J .other..