HomeMy WebLinkAbout2343 Pike Cir S - Applications/Reroof - 11/24/2015City OF Planning, Development & Transportation
C 281 N. College Ave P.O. Box 580
_! Ort 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). O Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement E Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
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Application # -�>1508-d
For ofAce use only
Date 11 /24/15
Job Site Address (required)
Value of Construction (labor, materials, profit)
2343 Pike Cir S.
$22,000
Property Owner Name Address
City/State Zip
Phone
Touchstone Property 2850 McClelland Dr.
Fort Collins CO 80525
Applicant Name Address
City/State Zip
Phone
Mike Montoya 412 Tulane Dr.
Fort Collins CO 80525
719-248-9307
Contractor Address
City/State Zip
Phone
Ethos General Contractors 412 Tulane Dr.
Fort Collins CO 80525
855-553-8467
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
91 Here ❑ Report
Sales tax number is required by all contractors.
Are you paying with your trust account?
❑ Yes 0 No
Is this a residential or commercial project? 2 Residential ❑ Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office
❑ Duplex
❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 10 No If yes, you may need to contactHistoric 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 Remove 51 SQ of old roof down to decking. Replace with a class 4 impact resistant
Owens Corning shingle and provide proper attic ventilation per 2012 IRC code.
*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
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:
Print Name: Mike Montoya Signature /"„' %"'[ ''tt'r Date 11 /24/15