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HomeMy WebLinkAbout3236 Nelson Ln - Applications/Reroof - 09/16/201401/01/2010 02:15 FAX [a 002 FCiof art GOltins Planning, Development 8t Transportation 281 N. College Ave P.O. Sox 580 Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVERmTHE-COUNTER PERMITS ONLY This application. Is to be used to apply for the following permits only (check all that apply). CI Air Conditioning 13 Demolition (interior non-structural) C3 Electrical Alteration (not service change) ❑ Gas Lighter d Gas Log ❑ Heating Unit © Lawn Sprinkler O Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo -voltaic M Ventilation ❑ Water Heater f3 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 #. FIkoga+. Date 9/16/14 For ofte use only Job Site Address (mquired) Value of Construction (labor, materials, profit) 3236 Nelson Ln. $9477.00 27.79 s Properly Owner Name Address City/State Zip Phone Perry & Sydney Pierce 3236 Nelson Ln. Fort CoIIIns,CO 80525 970 631-2132 Applicant Name Address ; Gty/State Zip Phone Craig Schultz 3864 Ash Ave. Loveland, CO 80538 970 286-3014 Contractor Address City/State Zip Phone Schultz Roofing & Repairs, LLC. same as above Contractor City of FL Collins Sales Tax # Are you paying taxes here or by report? ® Here 0 Report &1wMYnumberlsrequimdbyancnntracrox Are you paying with your trwt account? M Yes 13 No 50042. IQ thin a natiriPntial nr rommarrial project? 0 Rasidential O CommanGal If residential, Is It: 0 Single Family Detached ❑ Condo/townhome (single family attached) Cl Duplex CI Multifamily (apartment) 0 Garage If commercial, is It: 13 Bank 13 Bar 0 Church ❑ HoWVMotel 13 Medical office 0 Office ❑ Retail 17 Restaurant ❑ Other (explain) Is this building 50 years of ape or more? ❑ Yes ONO !f yes, you may need to contact H/storic Preservation If this Is for a demolition permit, what year was the building constructed? Ifpiiar to 1A7S, you will need an asbasms as mment to wbm/t w/Cr bh/s appl/catton. n~rIptinn of wnrle Rramnva 1 layerQf 22ehalt ah'naloa. inctwli so# fait ice n water Mli ld on oavoe and ! drip edges. fie -shingle with Tamko Heritage IR 30 year limited warranty shin4els T *If lawn sprinkler/baddlow preventer, must list Iloensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List 6'L- c mpanynBme or oty of Fe Coll/nS lftnS!e 0 Eleftdan Plumber — Mechanical Roofer X Other I hereby acknowledge that I have read this application and state that the above Information Is complete and correct. I agree to mmply with all narpnrPmPntr. rnnhainod hornin and r. ity ordinances and state lawn ragulating building oxtetruetbn. I know that a pul timlt is not valid until It has been paid and Issued. Applicant: 06 r Print Name: Craig Schultz _ signature _ . t--L ,_ Date 9/10/14