HomeMy WebLinkAbout1818 Bangor Ct - Applications/Reroof - 08/03/2018Aug 03 18 11:49a Severe Weather Roofing 9702233383 PA
F&City of Planning, Development, & Transportation Services
t Cottins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
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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/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application 6
°'For office use only
Date
Job Site Address (required) Value of Construction (labor, materials, profit)
1 r C`k2 r {- 60 i (m CD WAr22-y -4
Property owner NVme Address . City/State Zip Phone
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Applicant Name Address City/State Zp Phone
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Contractor ' Address City/State Zip Phone
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Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 15:11ere ❑ Report
Saks bxnumber is,2Wredbya#conhac7ara. Are you paying with your trust account? ❑ Yes i;-No
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2?� t s 1
Is this a residential or commercial project? *'Residential ❑ Commercial
If residential, is it: Pf 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 0No If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
description of work 7il�i n t tv irY1G Q`J F Wt 31(l
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*If lawn sprinkler/baddiow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: tJst the company name or City of Collins license #
Electrician Plumber Mechanical Roofer k " - 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.
/( f Applicant: +�py� /i c r 6 °�f
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Print Name•_ tU,ll✓ tv r Si nature � Date
9
Rev sl n mte 26/2317