HomeMy WebLinkAbout120 Bristlecone Dr - Applications/Reroof - 08/03/2017Uk- vujr
City of Planning, Development, & Transportation Services
�^+Fort Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main 970 416 2740 Fax 970 224 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 (Z 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.
Application # � U I q I
For office use only
Incomplete applications will not be accepted
Date IF 13111
Job Site Address (required) Value of Construction (labor, materials, profit)
120 Bristlecone Or $78,776
Property Owner Name Address City/State Zip Phone
The Health Disrict of Northern Larimer County 120 Bristlecone Or Fort Collins, CO 80524 970-416-6519
Applicant Name Address City/State Zip Phone
Kristy Thompson 4555 Highland Meadows Pkwy Windsor, CO 80550 970-663-0203
Contractor Address City/State Zip Phone
Advanced Roofing Technologies 4555 Highland Meadows Pkwy Windsor, CO 80550 970-663-0203
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report
Sales tax number is required by all contractors. Are you paying with your trust account2 0�Yes ❑ No
29056
Is this a residential or commercial project? ❑ Residential ® ommercial
If residential, is it- ❑ Single Family Detached ❑ Condo/ nhome (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 [x No 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 Remove existing roof, replace with Johns Manville 60mil TPO, 2 layers 2.6" polyiso R-30
*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 d 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: g�3�/7
Print Name: Kristy Thompson Signature Date
Revismn date 216/2017
Fort Collins
Commercial Roofina Questions
1. What Is the slope of the roof? IY41 %a
Planning, Development & Transportation
Community Development & Neighborhood Services
281 North College Avenue
P.O Box 580
Fort Collins, CO 80522 0580
970.416.2740
970.224 6134- tax
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2. Are you going to be tearing off or keeping e)dsfing layers? ! vR2/A14 fJ«
• If keeping, existing layers how many layers are there? /✓tI14
What kind of material are they? N1/4
3. What new roofing materials are you using? Tv/S/.v✓��� Vi LLr
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4, Is there existing Insulation?
If there is existing Insulation Is it staying or will it be removed?
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