HomeMy WebLinkAbout3323 Apollo Ct - Applications/Reroof - 11/06/2014From Affordable Roofing Inc 1.970.207.0289 Tue Nov 11 14:09:26 2014 MST Page 2 of 2
Fcipi
&I Colima
Planning, Development lk Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
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 Il Lawn Sprinkler ❑Mobile Home replacement ❑ Rooting ❑ Sewer Line ❑ Photo -voltaic
❑ ventilation ❑ Water Heater Cl Water Line ❑ Wood)PelletStove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # Date
Forofxe use only
gob Site Address (required) Value of Construction (labor, materials, profit)
t71 ,rPh 3 s(
Property Owner Name Address city/State ZIP Phone
Tim r 91D 8l-
ApplicantName Address City/state Zip Phone ci-/O
Aft r a 1-1 w . FT at, --ocf
Contractor J Address /Slate Zip Phone
Contractor City of Ft. Collins Sales Tax 4
Szies wx rumbzr&rsqubed by alf contractors. Are you paying with your trust account? Dyes ❑ No
Is this a residential or commercial project? _&'Residential ❑ commercial
if resldenbal, is it: Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑,Multifamily (apartment) ❑ Garage
If commercial, is it. ❑ Bank 0 Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)'
Is this building 50 years of age or mare? ❑ Yes O.No Ifyes, you may need to contact HisfodcPreservatlon
11' this is for a demolition permit, what year was the building constructed? __._..
If prior in 197$ you will need an asbestos assessment to submit with this aAc# wYca
Desiripoon of work wr i 1L S
"'If lawn sprinkler/baddl6w prevent&, must list licensed plumber. If first time A/C, must Iistlicensed electrician.
Subcontractors: List the company name or Uy of Ft CollinsAawse tO
Scctridan Pl=ber -Mechani®t 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 budding construction. I know that a
permit is not valid until It has been Paid and issued.
Applicant:
PrintNama: l Y 1 Signature