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HomeMy WebLinkAbout2627 Redwing Rd - Applications/Reroof - 07/21/2015City of � t 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 0 Roofing ❑ 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 accepted. 7/21 /2015 Application # Date For office use only Job Site Address (required) Value of Construction (labor, materials, profit) 2627 Redwing Road Fort Collins: CO 80526 $10,300 Property Owner Name Address City/State Zip Phone Office One, Ltd, LLLP 2627 Redwing Dr. Unit 301 Fort Collins, CO 80526 9702237567 Applicant Name Address City/State Zip Phone Zack Stanevich 2614 S. Timberline Rd. #109-182 Fort Collins, CO 80525 9702905393 Contractor Address City/State Zip Phone Select Roofing Contractors, LLC 2614 S. Timberline Rd. #109-182 Fort Collins CO 80526 9702905393 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 6d Here ❑ Report Sales tax number is required by all contractors. Are you paying with your trust account? W Yes ❑ No Is this a residential or commercial project? ❑ Residential 0 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? ❑ Yes 29 No If yes, you may need to contact Historic Preservation If this is for a demolition permit, what year was the building constructed? Ifprior to 1975, you will need an asbestos assessment to submit with this application. Description of work 103 Squares, u act WL Gt VL ccc'C 14 L/ Y-a Ply tau vv �c Va--7 /'Y01d7V Q.FICI drS t..¢_''OSi1Lvp, soe'l *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician...5 S% Subcontractors: List the company name or City of Ft Collins license # Electrician Plumber Mechanical Roofer R-2414+ 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: Zack Stanevich Print Name: Signature 7/21/15 Date