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HomeMy WebLinkAbout5228 Greenview Dr - Applications/Reroof - 10/10/201410/10/2014 09:54 FAX 0 001 Fort Collins 111` . Planning, Development & Transportation 281 N. College Ave P.O. Box 580 Fort Collins, CO 80524 Phone 070.416-2740 Fax ��4-6i24 OVER-TH&COUNTER PERMITS ONLY This application Is to be used to apply for the following permits only (check all that apply). 0 Air Conditioning ❑ Demolition (interior non-structural) 11 Electrical Alteration (not service change) ❑ Gas Lighter 13 Gas Log ❑ Heating Unit 13 Lawn Sprinkler ❑ Mobile Home replacement 0 Roofing ❑ Sewer Line ❑ Photo -voltaic © Ventilation 0 Water Heater ❑ Water Line EI 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* 61409011 date 1o/10114 For ORCE use only Sob Site Address (mqulred) Value of Construction (labor, materials, profit) MS Green View Dr. $10,348.00 16sq Property Owner Name Address City/State Zip Phone Josh Hawkins 5228 Green View Dr. Fort Collins, CO 80525 (970) 222-7928 Applicant Name Address Clty/State Zip Phone Craig Schultz 3864 Ash Ave. Loveland CO 80538 970 28"014 Contractor Address Oty/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 13 Report Sales tax nwnber is rMu/red by all coribacbm Are you paying with your trust account? M Yes ❑ No b3342 Is this a residential or commercial project? 0 Residential ❑ Commercial it resldentlai, Is It: ® Single ramify Lmamea 0 Corldo/Li.1mliufle (bInglu ramify otLadied) ❑ Duplow IO Multifamily (apartment) ❑ Garage If commercial, Is It: ❑ Bank ❑ Bar ❑ Church C3 Hotel/Motel [3 Medical office 0 Office 0 Retail ❑ Restaurant ❑ Other (explain) Is this building 50 years of age or more? 0 Yes O No Yyes, yvu may need to contact H/stodc Pleservat/on If this Is for a demolition permit, what year was the building constructed? .rf Oor to 1975, you wl//need an asbestos assessment to subm/t Wth th/s appl/cadon. Description of work Remove 2 [Mrs of asphaltshingles, It Ice n weler shieldon eaves. and drib edges. Re shingle with Tamko Heritage 30 -year shinoels *If lawn sprinkier/badcflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician, Subcontractors: Ust the cumpany name or Oty of Ft COMM 11CVn5e 0 Bedrician __ Plumber. Mechanical Roofer X Other I hereby acknowledge that I have read this application and state that the above Information is complete and cwrreck I agree to comply with all requirements contained herein and'dty ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and timed. Applicants Print Rome: Cralarblrltz Signature Pate _ 10M0/14