HomeMy WebLinkAbout1318 Tuckaway Ct - Applications/Reroof - 07/08/2015From Affordable Roofing Inc 1.970.207.0289 Wed Jul 8 17.25:22 2015 MDT Page 2 of 2
01iyiOf Manning, Development &-1ransoofta:icr.
F—o 6 �Hins FOr N. College Ave P.U. SoxS8G
l`�r-ot`i Collins, CO 80524
Phone 970 416-7740 Fax 224613
This application Is to be used to appiyforthe following permits only (check all that apply). Q Air Gonditionrno
rl Demolition (interior non-structural) 0 Electrical Alteration (not service change) 1 Gas Lighter u Gas Lou V
u Heatino Unit 0 Lawn Sprinkler 4-1 Moblle Home replacement 0 Roo Ong ❑ Sewsr Line ❑ php(allolinic
C7 Vaniiiation O VJeter Healer G %.Ajater Lina Cr (rnustba EPA csrtifived, provide nac�, r,cd i = c
�?-
4omp1ete all s}Pplicable Yrrormatlon on `the application. Incomplete aaplications will not bs accepte i.
1 .10 ignitor 5 5D S! f5lp Date
r'r" (717TCi. use only -
0t site Addre-Gis (repuiroj.
j lam, '} l
Value of COi15itLl on (labor, materials, prdn"t)
;%Q(42M7
i
1 %rope Owner Name
LF
Ada ess
City/Mate
—^
Zio
phut
4fame
' �• �.
./ 7�= :: �`:) {` ���j
Flleant
t ,
��ess
Ci��yS7t2
`�
Ztp
Phone q 7 U
t..Cli �:-•[.LL�lt
t
.
%
•� r �,l
I
ar •arss
,ltl
phone t
COrlb, actor Cic/ o; Fz. Coffins Sates Tax
T
--i=s;ax nurb7 ti r�tuir,�d �ra1t mn zcYor
-
,
Are you paying wiin
your rust account? Yes
}
0 blo i
i
i
-_ 11,._ _ :teauc,wc, cr Commerctai project? -,amesidenti=t i � Cemmerual
_'r rrdttai, is r�Srrtgle Family Deiach2r,' 0 CondoJiorvnhome (single Family aiiarhed) ElOu lex
0 Vul&amily (apartment) n Garage p
is Cammne.oal, is it: D Bank ? : gar ❑ Church O :iotel/Mdtel ❑ Medical pence 00 O Reiair
Re�urant Cl Other (explain)
i:: t;<is Ouildin g 90 years o, age or more? 0 Yes q No rr"y- , you maynsad to wriactfilstoric Plaservatrw
-r tna is lbr a demolition Permit, what year Was the building c0akwcted?
to 4-975, You will need an asbwtc.5 a �---5rrtent to su&;Ot W,,b ,hlg appffi `om
mi
must list. Oc_nsed plumber, it first-;.-vne A)C, mus
Subconrraerorr!v: LLB• bSe comanyneme nr�ofFi CarUnsficense
licensed rJectriciart.
Plumber rtr n?car
.. - — Roams � `,' `1 Oih2r.__.—
? ;',ereb+l sGtnowledge that? have road NS application and state that the above informatlon is sompleie and cprr�ci..r a- glee to
_a t¢iy yy ,h ail .mquirements contained herein and city ordinances and stata laws regulating buliding construction. =know a to a
<ermtt ss no4 olid uni l is has been paid and issued.
1
Print Name: T-el Signature