HomeMy WebLinkAbout3800 Automation Way - Applications/Reroof - 10/27/2017Nov.29.2017 02:42
A.J.Shirk Roofing
970 669 5999
PAGE. 2/
City of
Fort C� OliinS
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO $0524
Phone 970.416-2740 Fax 224-6134
OVER•THE-COUNTER PERMITS ONLY
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This application is to be used to apply for the following permits only (check all that apply). ❑ Air Condillonitig
13 Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
0 Heating Unit 0 Lawn Sprinkler ❑ Mobile Home replacement WRoofng ❑ Sewer Line 0 Photo -voltaic
0 Ventilation C] Water Heater 0 Water Line 0 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 ;x Date -_..tom l I 7
for n rcc use only
Job Site Address (required)
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Value of Construction (labor, materials. nn,fir)
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Propetty Owner Name
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City/State �711) Phonp.
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Applicant Name
Address City/State Zip Phone
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Contractor
Address
city/State Zip Phone
Contractor City of Ft. Collins Sales Tax
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Are you paying taxes here or by report? JO Here ❑ Report
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Are you paying with your trust accouttt7 M Yes ❑ No
Is this a iesidential or commpidal pro)etS? 0 Residential III Commercial
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (smglp family attached) 0 Duplex
❑ Multifamily (apartment) ❑ Garage
If commercial, is It, ❑ Bank ❑ Bar Q Church ❑ Hotel/Motel ❑ Medical office 12 Office ❑ Retall
0 Restaurant 0 Other (explain)
Is this building 50 years of age or mores D Yes E Mo he yes, you awy need to contact Historic PlLeservation
If this Is for a demolition permit, what year was the building constructed?
11 prior to 1975, you wd1 n&v dan asbestos assessment to subnur with thAs application, w
Description of work
*if lawn sprinkin/backnow weventei, must list licensed
1f first-time A/C, must list nco'sW eiettrician,
Subcontractors: 1Lsr fire cbrnpuny name cy city an Collins license #
Electrician^ Plumbs! T _ ,,, _- Mechanlwl_ _ ROOM Other
I hereby dcknowledge that 1 have read this application and state that the above Information Is complete and correct, 1 agree to
comply with all requirements contained herein and city ordinances and state taws regulating building constructiun. I know that e
Permit is not valid until It has been paid and Issued.
Applicant -
Print Name:-
Z Date.f_�.�7,_
Nov.29.2017 02:43 A.J.Shirk Roofing 970 669 5999 PAGE. 3/ 4
1. What is the slope of the roof?
2. Are you going to be tearing off or keeping existing layers?
-If keeping existing layers how many layers are there? I
-what kind of material are they? is>�
3. What new roofing materials are you using? t� (,,0 (vi
4. Is there existing insuiation? q C. S
-if there is existing Insulation is it staying or will it be removed?
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S. Once these questions have been ask and answered then pass it along to Russ.
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