HomeMy WebLinkAbout2343 Valley Forge Ave - Applications/Reroof - 11/07/2017Platt
All ''N. Collep Ave p �c�580 O
rWm
-- Fort Coulns, oo e0524
- Phone 970,416-2740 Fax 224-6134 1
GAVO ; ,
,maa `��'--a�J �i_i4 R. PER�MRrS ONLY
Pplioatl_ on la to be used Lo apply for the totlovAng Permit on Dernolitlon (interior non-structural Ob (! aq that apt, 0 Air Conditlonhg
0 Heating Unit 0 Lawn ) Elecbical /Uieraticn;(not service change) Gas ghtsr 0 Gas Log
Sprinider f] Mobile Home replaoarnem 0 Roofing E3 8eauwr Line 0 Ph "
rn Venagaiion Vllaier Her p y�* Line O Wood/P611et,8tove (must be EPA certlfied, prOM9 make, I odel and
rrrenuiactur�,
COMPb a all Wife" IMom�n on the apaltcation, Inootrtpk
apaliaatlone hirltl not be accepted,
ApoIt # r� Date
lob, ' 1
Address -- - • -
'3�3t/Q l�
ftperty Owner Na
Aunt Name
Sohroedsr RookV, Inc
LOV / hs
Address
1300 N Monroe Ave
Contractor Addrero
801`1110eder Roofing, ]no 1300,N Monroe Ave
Contractor City GUM Cofilns Sales Tax #
�� &/�&7affavm ofYm
41047
Vowla_ t Ciansbuction
- Cb 9oS16 Oo
Ft Coliina/Cp S2os.211
� 221 1)-V
citY/wft Zip
Phone
Lovehm, CO 80537
970 487.4777
ZIP
Phone
Loyelarhd, CO 80537
97nJ%ai-W"7
Are,yMpaying taxes here or by report? 0 Here 0 Report
Are.YouOP0Yln9;wlfh your trust acm unt7 0 Yes 0 No
Is this a residential or commerdal project? 0 R_er:ldemtal p Commerdel
if r�dimtlal; �.lc 0 Single,Famly Detached 0 Condo/bownhome (single
0 fiY (aAartrncent) C3 Garage N 0 Duplex
Ir comnWCW, is It: 13 Bank 13 Bar ClOiurch p Hot!] Medkal ofMioe a.OREw O Retail 13 Rulaurant 0 ottier,(equn)
Is title bLddhslbrsg ti0 s efrsiae ar nrore? o Yes j ' o lrym yo„ nw m shams h9w2f* n
If able Is tbn,ai"'n"I —201Peeht�, whetryear was the building-amst udad7
A°ArulxQ�•197� ynyj ihad^neadan�ttasvdndT►a0ph
of yYOrl(
*If larm
must list
Subcontrutom LErtdiceoxr srrynameorQg!ofmCamm, e►
.r
A/C, must Iist ecensed ewddcmn.
Ph°"6er tterfianrai pookr R-1408 Other
I hereby admawledge that I have,read this f
+pN witihcaB• a oo an distee4hat the atimiU 1brinatlon is awe and cornett I agree bo
rerWlrernenls,contakred�hereimand�dly ord�anoe;,and �:lowsmeguledn9 tiuildin9 . I k+ro r tlhae a
PGm* k'ft *ftunHlIit ha, been jaandiNwed,
Print�l�m �t/?!?t' LPil�f l s�!oraturo G'GGCC��LP �. �_11-7 1 17