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HomeMy WebLinkAbout5131 Bulrush Ct - Applications/Reroof - 08/14/2014Aug.18, 2014 8:19AM ACADEMY ROOFING No, 5812 P. 2 Planning, Development & Transpoitatlon City of 281 N, College Ave P.C. Box 500 Flirt Cothns port Collins, CO 00524 Phone 97.0.416-2740 Fax 224-6134 OVER-THE-COUNTER PERMITS ONLY 4 1-7S L 7hla application to to lye used -to apply for the following permits only (check all that apply). © Air Condilioning 0 Demolition (Interior non-structural) 0 Electrical Alteration (not service change) 0 Gas Lighter 0 Gas Log E3 Healing Unit 0 Lawn Sprinkler M Mobile Home replacement '%koofing Cl sewer Line 0 Photo -voltaic ❑ ventilation 0 Water Heater CI Water Una 0 WoodlPailet Stove (must be EPA certified, provide make, model and manufacturer). Complete all applicable Information on, the.appllcation. incomplete applications will not be accepted. Application # �f ) "Lt V � &s Aeron7ce uss only Date 8/14/14 3ob Site Address &W lmd) Value of Construction (labor, materials, prom) 5131 Bullrush Ct $13,460.00 Property Owner Name Address City/State zip Phone David Ashley 5131 Bullrush Ct Fort Collins, CO 80525 970-980-1962 Applicant Name Address dty/State Zip Phone Academy Roofing, Inc 1610 Jasper St Aurora, CO 80011 303-360-0708 Contractor Address Clty/State Zip Phone Academy Roofing inc. 1610 Jas er St. Aurora CO 80011 303-360-0708 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? Ck Here ❑ Report mlesrax„amberlsregwmdlyapmnvactoms Are you paying with your trust account? 0 Yes EXNo 22-28476 Is thls a residential or commercial project? ❑ Residential 0 Commercial If residential, Is It; C1.3ingle Family Detached 13 Condo/townhome (single family attached) 13 Duplex 0 Multifamily (apartment) C3 Garage n 'Z�w If commercial, Is it; Q•Bank ❑ Bar 13 Church i 3-Hotel/Motel 0-Medlcal office ❑ Office CI Retail d Restaurant Cl Other (explaln) Is this building 80 years of age or more? O Yes m No zfyas, you mayneed to cnntactHlsMrlc preservatton If this is for a demolition permit,. what year was the building constructed? Ifprlor to 1975, yob will need an esbdWs assessment 0slrhmft with th/s app/lcatlon. of work *if lawn sprinkler/backtlow preventer, must list licensed plumber. If first-dme AX, must list licensed electrician, Subcontractors: Llst the tompanydarne or ply off?COMM l/ctsnse # Eleadden„ Plumber MechanicalRoater,F°ra1&xA 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 knew that a permit Is not valid untli it has been paid and Issued. Applicant. Print Name; Suzie Boyd Signature Date 81.14/14