HomeMy WebLinkAbout2514 Dallas Creek Ct - Applications/Reroof - 08/28/2014Aug,30. 2014 11:17AM Bob Behrends Roofing
No.2385 P. 3
Ali ty, of
t Cott
Planning, (Development �. Iu ar3spo�tation
281 N, College -Ave R0, Box t80
Fort Collins, CO 80524 '
Phone 970-416-2740 FaR 224-6134
OVERrTHE-COUNTER PERMIT'S ONLY
This application is to be usadita apply for the following permits only (pheok all that apply). ❑ Air Conditioning
❑ Demolition (interior non-strsearal) ❑ Electrical Alteration (not service change) Q Gas Lighter. Q Gas Log
❑ Heating Unit El Lawn Spr.'Mer ❑ Mobile Home replacement K Roofing ❑ Sewer Line. ❑ Photo-voitalc
0 Ventilation Q Water Hsater [l. Water Line 0 Wood/Pellet Stove (must be EPA certified, provide make, model and
.,manVfagturer).
•'Cornpyate all applicable Info nation on the appllcatlon.'lncomplete applications will not be accepted,
'gpPlicailon 6 0 ''Date
For ofrlce a-qB odk
�ielue a% Construction labor, materials, profit)
job Site A�idirass (requlre) (• .
.Property Owner Name
Address
:City/State Zip
Phone
Applicant Name
Address
City/State zip
; Phone
LA 5 v�: r-� O1o3 • bq 5- D b (o
Contractor Lic #
Address
City/State Zip
Phone
04 0 io,
Contractor City of. Ft, Collins •
Tox
Are you paying taxes here or by report? 4
Hgre d Report
sales laxnumberlsreg�iredbycci+xs
�. \ 6 �.)A
Are you paying with your trust account? ;
Yes ❑ No
Is this a residential or cornme=. 1project?_10esidential M Commercial
If residential; is it:-' tsirigleflIbrnlly Detached ❑ Condo/townhome (single family. attached) ❑ Uplex
C] Muitfar (apartment) C] Garage e
If commercial, is it; ' ❑ Bank M 8ar ❑ Church ❑ Hota;/Motel M Medical office M. office ❑ Rat -(k a
❑ Restaurat. ' ❑ bther (explaln) • S
Is this building 50 years of iagemr fnore? -O Yes -:10o Af yes you may Reed to contactRktonc'presetvatlon
If this'Is.for a dernwition piatism, what year.was'the•bµilding constructed? ' ... -
1Y''prlor to 1975, you will needmasbestos assessment to submit w/th this application,
of work
S s s � D.. ore_o.�es � � �• g
.*If lawn wrinkler/backdlow•pYeveffar, mu t•list licensed plumber. If first time A/C, must list licensed electric'lan.
5ubcoiitratftrs; Llst the cagva Fparne or C/ly of Ft Colllrx .1leense
FJectridan plug• • Mechanical Roofer —LA Other
other
I hsreby'acknowledge that I taavemed. this application and state that -the above information is complete and correct. I agree to
comply with aff requirements corib&e& herein and city ordinances and state laws regulating building construction. i no1v that a
neranit Is root valid until it Masi •asa paid and issued,