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HomeMy WebLinkAbout1700 Sheely Dr - Applications/Reroof - 05/05/201505/05/2015 11:07 This application Is to' be ❑ Demolition (interior non ❑ Heating Unit ❑ Lawn ❑ Ventilation ❑ Water Hi manufacturer). Complete all applicable Application # rL- Aw 9702241211 ROCKY MTN ROOFERS PAGE 01/01 1 cat t Planning, Development &Transportation 281 N. College Ave P.O. Box 580 insl V)N Fork Collins, CO 80524 %--- Phone 970.416-2740 Fax 224-6134 PERMITS ONLY Ipply for the following permits only (check all that apply). ❑ Air Conditioning ) 17 Electrical Alteration (not service change) ❑ Gas Lighter • ❑ Gas Log ❑ Mobile Home replacement Roofing ❑ Sewer Line ❑ Photo -voltaic later Line ❑ Wood/Petlet Stove (must be EPA certified, provide make, model and on the application. Incomplete appilcations will not be accepted. ' Z� Date - S . Job Site Address (mgtr Value of Constructlon (labor, materials, profit) 7 Property Owner Name I Address City/State Zip Phoneg-RQ YVI: Le 1400 )Nr. -jVTC co (0 5 Applicant Name • Address City/State Zip Phone I Contractor Address City/state Zip Phoneggo Contractor City of FL Coll Sa Tax #,l 13 *(v Are you paying taxes here or tryreport? 0 Here It Report S;+kataxnumbersregtared all Are you paying with your trust account? 4d Yes ❑ No is this a residential or comitiercial r roject? ® Residential CI Commercial If residential, Is R. ■ Single Farr ily Detached 0 C.ando/townhome (single family attached) 0 Duplex ❑• ML tjfamil (apartment) 0 Garage If commercial, is it: I] Bak 0 far r3 Church © HoteVMotel ❑ Medical office ❑ Office ❑ Retail 13 Re taurant E3 Other (explain) Is this building So years age oi more? O Yes !No. Dyes, ynu may need to contact HWtrr/cpreservarion If this is for a demolition rnnit, what year was the building constructed? F-%D Ifpnor to 1975, you M an aswwmentto submit with this app/ir bbn. am *If lawn sprinkler/bacidlow wevente , must list licensed plumber. if first-b*e A/C, must fid licensed electrician. Subeontmicbnm Lktricaewpanybame or txty oFR ca✓l/ns Ike= 7l.-dw 0XV*'-3s Elecbidan Plumberj_ MedianjW Roofer Other I hereby' thatii have this application and state that the above information is complete and correct I agree to comply witty all r, q:U emencontain herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until has been paid and Issued. Applicent: Print Nerve: B Lj SIgnanrre Data � S'