HomeMy WebLinkAbout731 Arbor Ave - Applications/Reroof - 05/05/2015To: Planning and Development & Transportat Page 1 of 1 2015-05-05 20:03:53 (GMT)
19706928189 From: David Perez
Using Own Employees and Please Mail Permit
t Planning., Development & Transportation
�i 281 N. College Ave P.O. Box 580
CIS Fort Collins, CQ 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). C] Air Conditioning
❑ Demolition (interior non-structural) M Electrical Alteration (not service change) ❑ Gas Lighter 0 Gas Log
❑ Heating Unit ❑ Lawn Sprinkler 0 Mobile Home replacement RoRoofing d Sewer Line ❑ Photo -voltaic
❑ Ventilation 0 Water Heater ❑ Water Line 17 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 # I11
Date 05/0612015
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
731 Arbor Avenue
7000
Property Owner Name Address
City/State Tip
Phone
Fisher Sarah and Bill 731 Arbor Avenue
Fort Collins, CO 80525
Applicant Name Address
City/State lip
Phone
Glenn Rennar 5489 Gulfstar Ct Windsor, CO 80528 9703917935
Contractor Address
City/State Tip
Phone
Excellence in Building LLC. 5489 Gulfstar Ct Windsor, CO 80528 9703917935
Contractor City of R. Collins Sales Tax #
Are you paying taxes here or by report? 344ere
....❑ Report
&zlestax number IsrequfredbXallcontracrors
Are you paying with your trust account? SeYes
❑ No
00049405
Is this a residential or commercial project? CVhesidential O Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ 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? 0 Yes Chi to Ityes, you may needto contact Historloftservation
If this is for a demolition permit, what year was the building constructed?
/f prior to 1975, you will need an as'ieslas assessmenl to submit with this appCcation.
Description of work __ Reroof with a 50 year Gafelk Shingle 18 SQ 2 STORY____
If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: Lfstthe company name crGtyofR allinsdcense#
Beclridan� _ PlumberMechanical lbofer 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: Glenn Renner J>eM r�.e%�na Date 051t)5/2015
Print Name: Signature