HomeMy WebLinkAbout1207 Dorchester Ct - Applications/Reroof - 07/19/2012Ju I •19. 2012 9 :41 AM ADVANCED ROOFING planning, Development &Tra, zjjw% adonP' 1
City
}of 281 N, Cokoe .Ave P,p, Box 580
tb�+
�• 6tY4 Collin
s Fort Coltins, Co 80524
Phone 970-4I5-2740 Sax 224-013-
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply fcr the foilowing permits only (check ail that apply). ❑ Air Conditioning
El Demolition ClniErior non^silUcTural) ❑ Electrical ,alteration (not service chance) ❑ .Gaa Ligizter ❑ Gas Log
E] Heating Unit ❑ Lawn -sprinkler L mcbil6 home fepiacement ~�loofing r Sewer Lane E.hcto-'/Oltaic
U Ventilation —7 waisr Haaier ❑ Viater Une 0 wccd/,=eifet SiOVe (must be CafilPie , pfOVIC e nak@; modal end
f� 12r14i'uCiUref).
Complete all applica information on the application. Incomplete applications will not be accepted.
Appli[aton -� 1 0a e
Aor Of'-7Ce Lse Orly
'^L �i4� rii?e•acc /rarr J.aj✓1 t
lay?vri.^.n ii?.CCf, f^.a:er:a!S, rN'nC)
Is u1ls a residental or commercial proje- ? �4RasidErita1 ❑ Ccm;lerrial
Ir r°sdental; is iV, S+nGle rs, uy DBCaCte'0❑ Condc/townhbrrnes (s nyle =mil`i a�.�c: ed} C Duplex
Muit-miiy (aparent) 0 Garace
if C-,mrrerczl, is it: ❑ Bank ❑ 82r ❑ Church J Hot-ei/Motel C] Me,',ica! a ice ❑ C> c= E7 R--il
C7 nesl:aurant ❑ Cther (Explain)
Is this building 50 years of age or mcra? ❑ Yes 'w o Tf yam, you r ayne_dio c rtac r,'i�iorc Prese; ✓aeon
if ti'1is is Per a demolition permit:, what y_ar was Ile building constructed?
Yh7ror to 1975, you will need an a5bes=s assess„ enl Cc SU,Smit Wit; C;,rs dlipliCatic17.
of work
*If lcWn Spr n4der/CaC G10W pre-VCnte', MUsi list I1Cen5ad plL="V. Ii FirSt^ n1e A/(:, ML.st the ilCenSc'^c 212Cu ICian.
S UbcuntraCtCrs: Ls—. ee rpaR/cane cr City cfR Co/11,751/ea,'75: r
Other
I her=_by 2cc7ow!edye that I have ic3d this
appiice_en and state that the weave inrcn�,ation is co ;; {ew anc correct. ? zeree to
cor: pfy with. all raquirerner•' cont::inEd herein 2rd Gty CrCincn[$5 anal State l2vJ s rS^yulatir:G build:nc conrruc on. I knout the: a
per-mit is not >/alid
until it has been paid
and issue
Applicant; rj
Print Karne ,—
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Signer` r2
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