HomeMy WebLinkAbout1701 Rutledge Ct - Applications/Reroof - 10/11/2017City of Planning, Development, & Transportation Services
6rt 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 I J I I • aS
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 �"oofing ❑ 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 # V �� day q a' Date 0/11/17
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
1701 Rutledge Ct. FTC/CO 80526 $2000
Property Owner Name Address City/State Zip Phone
Natalie Tourville 1701 Rutledge Ct. FTC/CO 80526 970-219-2227
Applicant Name Address City/State Zip Phone
Carly Fronsee 3307 South College Ave. #220 Fort Collins, CO 80525 970-223-2455
Contractor Address City/State Zip Phone
,Severe Weather Roofing 3307 So. College Ave. #220 Fort Collins, CO 80525 970-223-2455
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? eTlere ❑ Report
Sales tax number is required by allconbactors. Are you paying with your trust account? ❑ Yes ❑ No
R-2152
Is this a residential or commercial project?-trNsidential ❑ Commercial
If residential, is it: ;E5:9i_ngIe 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; i* 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 2n so to rlPrking anri raplarP w/ 90 cn Owens Corning niirntion Shasta White Install n
metals as required valley metal step flashipg roll it r fla h ^^ pope Jacks anti vents 6112 Pitch 2 Sto[y
New ririp P(i9Q along r k"^ andeaves1r.P/watPr chIPI(i 4 veand clPtnrh/rPSPt 9llfters
*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 Top and Bottom 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: Carly Fronsee Q
Print Name: Signature Date
n,
Revision date 2162017