HomeMy WebLinkAbout2606 Newgate Ct - Applications/Reroof - 09/18/201409/19/2014 8:51PM FAX 9704938868 ACC ROOFING INC Z0001/0002
Fort Collins
OVER-TH
This application is to be used to apply
❑ Demolition (Interior non-structural) ❑ E
❑ Heating Unit ❑ Lawn Sprinkler 17 Mo
❑ Ventilation ❑ Water Heater ❑ Water I
manufacturer).
Complete all applicable information, ron
Application # 01y 6c) 3 (o L
forafte use only
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
PERMITS ONLY
the following permits only (check all that apply). ❑ Air Conditioning
trice/ Alteration (not s rvice change) ❑Gas Lighter ❑Gas Log
Home replacement'1 Rooting ❑ Sewer Line ❑ Photo-vokalc
❑ Wood/Pellet S e must be EPA certified, provide make, model and
application. Incomplete applications will not be accepted.
Date 1 2-1•ta b
Job Site Address (equ/led)
Value of Construction (labor, materials, profit)
2606 New to Ct.
2300.00
Property Owner Name Address
Gty/State Zip
Phone
Andrew Hensen 2606NeweateCt.
Ft. Collins/CO. 80525
970-689-9192
Applicant Name Ad�ress
City/State Zip
Phone
onah vendlahl 1713 E. Lincoln
Ave. #13-3 Fort Collino, 8052
970-493-2801
Contractor Address
CcIty/state Zip
Phone
ACC Roofing, Inc. 1713 E. LiIcoln
Ave. #11-3 Fort Collins CO. 80524
970-493-2801
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
Sales fax number isfflqu edbyall mnmarwm
42178
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential mmercial project? Residential ❑ Commercial
If residential, is It:PLSingle Family Detach d ❑ Condo/townhome (single family attached) ❑ Duplex
family (apartmen) ❑ Garage
If commercial, is it: ❑ Bank 0 Bar ❑ ChL rch ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ er (ex
Is this building t30 years of age or more? Yes o Ifyes, you mayneed m cnntactHlsMnC Pfpsenatron
If this is for a demolition permit, what y r es bi Itling constructed?
Ifpr/orto 1975, ynu w//l need an asbestos ass usmentto submit with drlsapp//cation.
Description of work
*If lawn sprinkler/badcFlow preventer, must list Iloensed plumber. If first-time A/C, must list licensed electrician.
subcontractorsi W the company name or of Ft Cofts I/cense 0
Electrician Plumber _ Mechanical Roofer R1819 Other
I hereby acknowledge that I have read this applkadon and state that the above Information is complete and correct I agree bo
comply with all requirements contained herein a d city ordinances and state laws regulating building construction. I know that a
permit is not valid until It has been paid ano Issued.
Applicant: �`
Print Name: ignature s 0404, 47A& t DM