HomeMy WebLinkAbout2849 S College Ave - Applications/Reroof - 10/02/2014From: Katrina Fenzi Fax: (970) 672-0486 To: +19702246134
Fax: +19702246134 Page 2 of 2 10/02/2014 1:22
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Planning Development & Transportation
LUl IV. Wficyc mvc r.v. uwn jov
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ 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 # F21 H I or -
For ofce use only
Date 10/2/2014
Job Site Address (required)
Value of Construction (labor, materials, profit)
2849 S College Ave
$146,192
Property Owner Name Address
City/State Zip
Phone
Pastor IC R Co 1700 Cottonwood Point Dr.
Ft. Collins/CO 80525
970-690-8481
Applicant Name Address
City/State Zip
Phone
Denali Roofing, LLC 2310 E 13th St.
Loveland/CO 80537
970-660-4417
Contractor Address
City/State Zip
Phone
Denali Roofing, LLC 2310 E 13th St.
Loveland/CO 80537
970-660-4417
Contractor City of Ft. Collins Sales Tax # 49209
Are you paying taxes here or by report?
12 Here ❑ Report
sales tax number is required by all contractors
Are you paying with your trust account?
EkYes ❑ No
Is this a residential or commercial project? ❑ Residential ® Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant U Other (explain) car dealership
Is this building 50 years of age or more? ❑ Yes IkNo If yes, you may need to contact Historic preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you wi//need an asbestos assessment to submit wilb this application.
Description of work remove old
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install Duro-last roofing system over entire s �fao
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*If lawn sprinkler/backflow preventer, must
licensed plumber. If first-time A/C, must list
Subcontractors: List the company name or City of Ft Collins license#
Electrician Plumber Mechanical Roofer R-2111+ 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 know that a
permit is not valid until it has been paid and issued.
Applicant:
Print Name: Katrina FenZi Signature U Date
10/2/2014