HomeMy WebLinkAbout3303 Planter Way - Applications/Reroof - 10/16/201410/16/2014 08:16 9703539774 INDEPEDENT ROOFING I PAGE 01
Fort of
Planning, Development &Transportation
281 N. College Ave P.O. Box 580
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
D Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement m Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater El Water Line ❑ WoodlPellet Stove (must be EPA certified, provide make, model and
manufacturer).
complete all applicable Information on the application. Incomplete applications will not be accepted.
Application # S 1 h10+1 9--
For office use only
Job Site Address (required)
3303 Planter Way
property Owner Name Address
Applicant Name I Address
Date 10-16-2014
Value of IConstructron (labor, materials, profit)
$3,500.00
11 sqs,
2 story
City/5tate
zip
Phone
Ft. Collins
80526
970-212
City/State
Zip
Phone
I Im Zip Phone
Contractor Address City/State
Independent oofi Inc S me
970-353-13�
Are you paying taxes here or by report? ®Here ❑ Report
Contractor City of Ft Collins Sales Tax #
Are you paying with your trust account? Yes ❑ No
salestax number erMureebrall cvntrad"-
Is this a residential or Commercial project? ® Residential ❑ Commercial ❑Duplex
If residential, is it: 1� Single Family Detached ❑ Cando/townhome (single family attached)
❑ Multifamily (apartment) ❑ Garage
If Commercial, is it: ❑ Bank C] Bar ❑ Church ❑ HotellMotel ❑ Medical office ❑ Office 17 Retail
❑ Restaurant ❑ other (explain)
is this building 5o years of age or more? O Yes Ct No If yes, yrou may need to contactHistonc Preservation
If this is for a demolition permit, what year was the building constructed?
lfprfor to 1975, you will need an asbestos azesxment to submit w/Gb this application.
Description of work Tear off to deck, install drip edge, ice guard at eaves, 30 lb. felt, vOilley tin,
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*If lawn sprinkler/bacidiow preventer, must list licensed plumber, if first-time A/C, must list licensed electrician.
Subcontractors: List the company name Or City Of Pt Collins Ikense or
gectrldan� Plumber,
Mechanical Roofer _B,-224_ 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: wX-rcu�WW bate 10 1t3 2014
Print Name: Tim- Kramer signature T