HomeMy WebLinkAbout3813 Granite Ct - Applications/Reroof - 10/21/2014Oct,21, 2014 8:04AM Roof Works, LLC,
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No.1540 P. 2
Fort Collins
Planning, Development &Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524 �2
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), Q Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
13 Heating Unit. ❑ Lawn Sprinkler ❑ Mobile Home replacement 12 Roofing ❑ Sewer Line ❑ Photo -voltaic
Q 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 # $I !!HI Zc1 I Date 10/2112014
For o/fice use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
3813 GRANITE CT FORT COLLINS, CO 80526
10756.86
Property Owner Name Address
city/state ZIP
Phone
ALLISON & DREW NOLTE SAME AS ABOVE
970-631.4219
Applicant Name Address
City/State Zip
Phone
SAME AS CONTRACTOR
Contractor Address
City/state zip
Phone
ROOF WORX, LLC 12301 N GRANT ST STE 130 THORNTON 60241
303-353-1825
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
IN Here ❑ Report
Sales tax number Isrequlredbya!lcontractors.
Are you paying with your trust account?
❑ Yes 19 No
50640
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is it: ® Single Family Detached Q Condo/bownhome (single family attached) O Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant El Other (explain)
Is this building 50 years of age or more? ❑ Yes M No Ifyes, you may need to contact H/storlc Preservation
If this Is for a demolition permit, what year was the building constructed?
Yptlor to 1975, you will need an asbestos assessment to submit with this application.
Description of work REMOVE EXISTING SHINGLE AND REPLACE WITH 17SQUARES OF GAF TIMBERLINE HD
*If lawn sprinkler/backRow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Llstthe company name orCltyofFtColl/nsucense0
Electrician Plumber Mechanical Roofer R-2165 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:
Print Name: EDWARD L THOMAS Signature ate 10/21/14