Loading...
HomeMy WebLinkAbout3621 Rockaway St - Applications/Reroof - 10/24/2014Oct.24.2014 12:10 PM Slaughter Roofing Co 9703305645 - PAGE. 2/ City of Planning, Development I& Transportation Fort Collins -,� Fort Cods CO 80524 P.O. Box 580 Phone 970-416-2740 Fax 224-6134 OVER -THE -COUNTER PERMITS ONLY This application Is to be used to apply ❑ Demolition (interior non-structural) ❑ E O Heating Unit ❑ Lawn Sprinkler ❑ Mo ❑ Ventilation ❑ Water Heater ❑ Water I manufacturer). or the following permits only (check all that apply). ❑ Air Conditioning lectdcal Alteration (not service change) ❑ Gas Lighter ❑ Gas Log ile Home replacement CI Roofing ❑ Sewer Line 13 Photo -voltaic ine ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and Complete all applicable Information on the application. Incomplete applications will not be accepted. Application # BI Date OCTOBER 24, 2014 For oB9cfta use only Sob Site Address (requHed) 3621 ROCKAWAY ST Value of Construction (labor, materials, profit) $ 2200.00 Property Owner Name MARK MCDOWELL dress City/State Zip Phone ME FT COLLINS, CO 80526 970-493-3712 Applicant Name A Michael Slaughter 9 ddress City/State Zip Phone 16 38th Ave Ct. #6 Greeley, CO 80634 (970 330-7881 Contractor A Slaughter Roofing CO 916 ddress City/State Zip Phone 38th Ave Ct. #6 Greele , CO 80634 970 330-7881 Contractor City of Ft. Collins Sales Tax # sales tax rwmberasreyuimaDy8#conaacays. Are you paying taxes here or by report? 21 Here ❑ Report Are you paying with your trust account? ❑✓ Yes [] No Fort Collins License #R-1703 Is this a residential or commercial project? If residential, is it: ✓❑ Single Family Detached ❑Multifamily (apartm If commercial, is It: ❑Bank ❑ Bar ❑Lu;chHotel/Motel ❑ Restaurant ❑lain) Is this building 50 years of. age or more?©No If this is for a demolition permit, what y to 1975you w/ll need an asbestost m Residential ❑ Commercial []Condo/townhome (single family attached) (j Duplex nt) ❑Garage ❑Medical office ❑Office ❑Retail Irm,,you may need to contact Hbtodc Presiervation building constructed? to submit with this appllcatAM Description of work TEAR OFF SHINGLES TO THE DECKING. INSTALL ICE S WATER SHIELD, BASE FELT PAPER, DRIP EDGE, ADEQUATE VENTILATION & DIMENSIONAL SHIP GLES. SQUARES 22 1 STORY *If lawn sprinkler/backflow preventer, must li licensed plumber. If first-time A/C, must list licensed electrician. Subeontractorsi tlst Me company name or C ly of Ft Collins lkense 0 Electrician Plumber Mechanical Roofer OLMEDA#R2279 Other I hereby admowledge that I have read this apl comply with all requirements contained herein permit is not valid until It has been paid a ilimtlon and state that the above Information is complete and correct. I agree to nd city ordinances and state laws regulating building construction. I know that a nd Issued. Applicant: Print Name: CARA SLAUGHTER Signature oats 10/24/14