HomeMy WebLinkAbout2618 Red Mountain Ct - Applications/Reroof - 09/22/2014Sep 2214 09:38a Severe Weather Roofing
970-223-3383 p.2
City.of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
ForCollins 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 13 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 # 13 B TuC131LI Date 9122/14
For office use only '
Job Site Address (mqulred)
!Value of Construction (labor, materials, profit)
2618 Red Mountain Ct.
$2800.00
Property Owner Name Address
City/State Zip
Phone
Thomas Ley 2618 Red Mountain Ct.
Fort Collins 80525
970-231-3160
Applicant Name Address
City/State Zip
Phone
John Anderson PO Box 22C7
Fort Collins CO 80522 970-223-2455
Contractor Address
city/state Zip
Phone
Severe Weather Roofing PO Box 2207
Fort Collins CO 80522
970-223-2455
Contractor City of Ft Collins Sales Tax #
Are you paying taxes here or by report?
JfHere ❑ Report
Saes lax number 19mquired bya0 mnbactors
Are you paying with your trust account?
❑ Yes ❑ No
50255
Is this a residential or ao mercial project? Iff Residential ❑ Commercial
If residential, is it: &Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar Cl Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ No If yes,you mayneed,to mnb ct Historic Preservation
If this is for a demolition permit; what year was the building constructed?
Ifpnar to 1975, you wi/1 need an asbestos assessment to submit with this appricabon.
Description of work Remove 28 asphalt shingles to deckincl and replace with 28 asphalt shingles to
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List Vie company name or Qty of Ft CoMns Irene dd
Bectridan Plumber Medeani<al Roofer
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 oanstnxtion. I know that a
permit is not valid until It has been paid and issued.
Applicant:
Printmame: John Anderson signature Date 9/22114