HomeMy WebLinkAbout1705 Springmeadows Ct - Applications/Reroof - 09/09/2015Git of Planning, tati Development & Transporon
281 N. College Ave P.O. Box 580
Fort Collins 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. ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pallet Stove (must be SPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # Q ISOW 4M
Forolirce use only
Date Q'1 • ts
Job Site Address (required)
Value of Construction (labor, materials, profit)
1705 Spring Meadows Ct. Fort Collins,
CO 80525 44 Squares
$8,500
Property Owner Name
Address City/State
Zip
Phone
Spring Meadows HOA
1700 Spring Meadows Ct. Denver, CO
80525
850-559.5826
Applicant Name
Address City/State
Zip
Phone
Interstate Roofing, Inc
1000 W. 47th Ave. Denver, CO
80211
720-325-4889
Contractor
Address City/State
Zip
Phone
Interstate Roofing, Inc
1000 W. 47th Ave. Denver, CO
80211
720-325-4889
Contractor City of Ft, Collins Sales Tax
# Are you paying taxes here or by report?
❑ Here ❑ Report
sales tar number Isrequlredbyall conbvctomx
Are you paying with your trust account?
❑ Yes ❑ No
Is this a residential or commercial project? ❑ Residential ❑ 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 13 Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes ❑ 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 w111 need an asbestos assessment to submit with this application.
Description of work Removing existing roof and installing OC Duration Lifetime. 2 story
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or Oty of Ft Collin licew #
Electrician Plumber Mechanical Roofer R-1784 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.
Applicaft
Print Name: Suzanne Flanigan Signature
r
Date