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HomeMy WebLinkAbout1433 Beech Ct - Applications/Reroof - 09/19/2018Cityof Planning, Development, & Transportation Services Fort 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 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 ® Roofing ❑ 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 # For offce use only Date 9/19/2018 Job Site Address (required) Value of Construction (labor, materials, profit) 1433 Beech Court Fort Collins CO 3850.00 Property Owner Name Address City/State Zip Phone Brian Williamson 1433 Beech Court Fort Collins Co 80521 970-213-7682 Applicant Name Address City/State Zip Phone Steve Arends 2643 Midpoint Dr. Unit F Fort Collins, CO 80525 970-797-2502 Contractor Address City/State Zip Phone Assurance Contractors 2643 Midpoint Dr. Unit F Fort Collins/CO 80525 970-797-2502 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? ❑ Here ❑ Report Sales tax number is required by all contractors Are you paying with your trust account? WOYes ❑ No Is this a residential or commercial project? © Residential ❑ Commercial If residential, is it: ® 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 ❑ No 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 Re -Roof: Complete tear -off to decking and re -roof according to manufacturers specifications Squares:14.99 Stories: 1 Shingles: Malarkey Vista Class A *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 3199-R SUP 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: Print Name: Steve Arends Signature kjc�Date 9/18/2018 Revision date 2/6/2017