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HomeMy WebLinkAbout114 S College Ave - Applications/Reroof - 07/08/2015From: Denali Roofing Fax: (970) 660-4417 To: 19702246134 Fax: +19702246134 Page 1 of 1 07l0212015 12:21 PM City of Font Collins Planning, Development & Transportation 281 N. College Ave P.O. Box 580 Fort Collins, CO 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). ❑ Air Conditioning ❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log ❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ClRoofing ❑ Sewer Line ❑ Photo -voltaic ❑ 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 accept Application # 15` �� 0 51 �3 l Q Date / 4 For office use only Sob Site Address (required) Value of Construction o materials profit) 114 S. College Ave 26 Squares~ Property Owner Name Address City/State hone Ed Siegal 114 S. College Avenue Fort Collins, CO 80525 858-755-0316 Applicant Name Address City/State Zip Phone Denali Roofing, LLC 2310 E 13th ST. Loveland/CO 80537 970-660-4417 Contractor Address City/State Zip Phone Denali Roofing, LLC 2310 E 13th St. Loveland/CO 80537 970-660-4417 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? IN Here ❑ Report Sales tax number is requiredby all contractors. Are you paying with your trust account? [iYes ❑No 49209 Is this a residential or commercial project? ❑ Residential mmercial If residential, is it: © Single Family Detached ❑ Condo/t wnhome (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? ❑ Yes a No If yes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? Ifpnor to 1975, you will need an asbestos assessment to submit with this application. Description of work Remove old roofing system down todeck. Install synthetic underlayment over entire surface. Install ice *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. Subcontractors: List the company name or City of Ft Collins license # Electrician Plumber Mechanical Roofer R2111+ 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:(t r 9t Print Name: Katrina Fenzi Signature Date 07/02/2015