HomeMy WebLinkAbout2306 Coventry Ct - Applications/Reroof - 11/20/2017FCIt Y Of Planning, Development & Transportation
281 N. College Ave P.O. Box 580
_ _Ort Collins Fort Collins, CO 80524
Phone 970-416-2740 Fax 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 serveiF change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ElAoofing ❑ 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 # -�S\qb :z8` 3 Date A 120 . V1
For office use only
Job Site Address (required)
Value of Construction (labor, materials, profit)
2306 Coventry Ct Fort Collins, CO 80526
$11,050
Property Owner Name Address
City/State Zip
Phone
Alfredo Alilano 2306 Coventry Ct
Fort Collins, CO 80526
970-218-0190
Applicant Name Address
City/State Zip
Phone
Alex Krumrai 1600 Specht
Pt Rd ST 101 Fort Collins, CO 80525
(970) 224-4042
Contractor Address
City/State Zip
Phone
American Dream Home Improvement 3040 S Finley
Rd, Ste #200 Downers Grove, IL 60515
877-266-8666
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
M Here ❑ Report
Sales tax number is required by all contractors
Are you paying with your trust account?
❑ Yes %I No
00134440
Is this a residential or commercial project? IN Residential ❑ Commercial
If residential, is it: 6 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 E No If yes, you may need to contact Heston Preservation
If this is for a demolition permit, what year was the building constructed?
If poor to 1975, you wdl need an asbestos assessment to submit with this application.
Description of work Re -Roof 26 squaresofowens corning oakride shingles Single layer removal, one story,
single family dwelling Check main structure
*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 ANM Roofing 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: Alex Krumrai
Print Name,
i
Signature '� Date 11/13/17