HomeMy WebLinkAbout700 Tradition Ct - Applications/Reroof - 04/07/2015From Stone Creek Roofing Exteriors 1.303.500.5469 Tue Apr 7 11:04:14 2015 MDT Page 2 of 2
Planning, Development & Transportation
City of 281 N. College Ave P.O. Box 580
Flirt Collins 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). O Air Conditioning
❑ (Demolition (interior non-structural) 0 Electrical Alteration (not service change) ❑ Gas Lighter d Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement 50 Roofing ❑ Sewer Line ❑ Photo -voltaic
D 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 # a -3 � ` Date 4/7/2015
For offce use only
Job Site Address (requlred)
Value of Construction (labor, materials, profit)
700. tradition Ct
6,611.00
Property Owner Name Address
City/State Zip
Phone
Mark Fleischauer 700 Tradition Ct
Ft. Collins. C
Applicant Name Address
City/State Zip
Phone
SQott Hoffman 1567 SUway Dr.Unit
A, LQngmont. CO 80504
303.772.5700
Contractor Address
City/State Zip
Phone
Stone Creek Roofing & Ext. 1567 Skyway Dr, Unit A, Longmont, CO, 80504
303.772.5700
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
❑ Here ❑ Report
Saxes tar numberlerequired by all cadiactas.
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential or commercial project? Q Residential ❑ Commercial
If residential, is it: ® Single Family Detached ❑ Candojtownhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) 0 Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ other (explain)
Is this building 50 years of age or more? ❑ Yes 19 No Ifyes, you may need to contactHlstoricPreservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestas assessment to submit with this application.
Description of work Replace entire roof on dwelling; 2 story: 16 SO
*If lawn sprinklerfbackflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician,
subcontractors: Usethe companyname or0tyofftCollinsllcense #
Electriclan Plumber,
Mechanical Roofer R-9914 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: Tika Porter f " 4/7/2015
....... ..........,......
Print Name; _Signature Date