HomeMy WebLinkAbout812 Smith St - Applications/Reroof - 09/20/2018F-';i'o Pl�nn/ng, Devefopmerrii; &Transportation Se►vices
'0 Community development & Neighborhood Services
281 North Co"geAvenue
Fort Collins, CO M24 Main: 970.416.2740 Fax 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
This apptcation is 110116 used to apply for the following parmft only (clack aM that apply). 0 Air Conditioning
O Demolition (Interior non-sbuchxa4 13 Electrical Alteration (not service change) 0 Gas Lighter 13 Gas Log
O Heating Unit 0 Lawn Sprinkler 0 Mobile Home replacement t;WRoofup 0 Sewer Line 0 Photo-vortak:
• Verrtiiatlon 0 Water Heater 0 Water tine 17 WaodrPelet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable Information on the application. Incompisoe applications will not be a:csptad.
Application* V'0 0 b ll a Date
Faro teranany
]ob Sft Address (regt# d) Value of Gonsbruction (tabor, rrawrlas, prm)
812 Smith Street 1965.00
Property Owner Name Address CKY/State zip Pion
Emily Heinz 812 Smith Street, Fort Collins, CO 80524
Applicant Name Address Qy/Stft Zip phone
Henrietta Tindall 303 W Harmony Road Fort Collins CO 80526 970-223-7663
Contractor Address Qty/5tme Zip Phone
NOCO Roofing 303 W Harmony Road Fort Collins CO 80526 970-223-7663
Contractor City of Ft. Collins Sales Tax tR Are you paying taxes here or by report? QfHere a Report
seresraxnu»aersrerwrooayasmao-aaa Are you paying with your trust account? GYYes O No
Is this a residential or commercW project? 1711esidenntial 13Commen:fal
If residential, is k: Q'Single Family Detached 0 Condoftwrnhome (single fam0y attached) ❑ Duplex
0 Multifamily (apartment) O Garage
If commerdal, Is it: ❑ Bank 0 ear ❑ Church 0 Hob*74otel O Medical office 17 Office ❑ Retail
O Restaurant O Other (explain)
is this budding 50 rears of age or morel Q Yess D No Yjv4 pm mayn ed tb cwhu tlfi;ft r: Pregyraoon
If this is for a demolition permit, what year was the bulkllhg constructed?
Destnption of wort( Tear off existing shingles and re -roof 19.65 squares with Owens Coming Shingles.
Provide required attic ventilation. Install required ice and water shield.
Install shingles per manufacturer's high -wind specifications. 2 story. Lunaz Roofing to do the work.
*If lawn sphkler/bad flows promnw, must list 0omas0 plumber. If first-time ABC, must list licensed ekc&lc"
SLeconvaefrortx Lbt Hie cmWyname orW afItCoAhsko 0
6earidan cumber rxdtanal Rcohr R+3696 Oliver
I hereby adtnowkndge that I have lead this application and state that the above idormatim is complete and correct I agree to
comply wfth all requkerr ehts mmtamed herein and dty ondnahces and stare laws regulating building axshuction. I taow that a
Permit is not Valid UntM R has bean paid and neared.
Henrietta Tindall Dat* 09/19/2018
ea:on a %28FAM