HomeMy WebLinkAbout900 Rocky Mountain Way - Applications/Reroof - 10/26/20171tu
+~ity of Planning, Development, & Transportation Services
Fort Collins Community Development & Neighborhood Services
M' 281 North College Avenue
Fort Collins, CO 80524 Main: 970.416.2740 Fax: 970.224.6134
PLEASE CALL FOR PAYMENT
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 serve a change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement Woofing ❑ 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 # 0� 11y I (M Date
For office use only
Job Site Address (required)
900 Rocky Mountain Way Fort Collins, CO
Property Owner Name
Bill Grindle
Applicant Name
Carly Fronsee
Contractor
Severe Weather Roofin
Address
900 Rocky Mountain Way
Address
3307 South College Ave. #220
Address
3307 So.
Contractor City of Ft. Collins Sales Tax #
sales tax number is required by al/ contractors.
R-2152
10/26/17
Value of Construction (labor, materials, profit)
80526 52000
City/State
Zip
Fort Collins, CO
80526
City/State
Zip
Fort Collins, CO
80525
City/State
Ave. #220 Fort
Zip
CO 80525
Phone
970-223-2455
Phone
970-223-2455
Phone
970-223-2455
Are you paying taxes here or by report? Here ❑ Report
Are you paying with your trust account? ❑ Yes VNo
Is this a residential or commercial project? Residential ❑ Commercial
If residential, is it: ITSingle Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑Office El Retail
❑ Restaurant ❑ Other (explain)
Is this building So years of age or more? ❑ Yes VNo 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 20 sq. to decking and replace w/ 20 sq. Owens Corning Duration Shasta White.
Install drip edge, ice/water shield, new metals, and new vents. Detach and reset gutters. Tarp perimeter. 2 Story. 4/12 Pitch.
*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 #
Mechanical Roofer Top and Bottom Other
Electrician Plumber
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: Carly Fronsee
Print Name: Signature
Date
Revision date 2162017