HomeMy WebLinkAbout2930 W Stuart St - Applications/Reroof - 09/14/2018 (3)City of 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 BI 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 # 1)� o 5 Date 9/14/2018
For o>fce use only
Job Site Address (required) Value of Construction (labor, materials, profit)
2930 W Stuart Street Building 1 GARAGE $10,800
Property Owner Name Address City/State Zip Phone
Faith Property Management 300 E Boardwalk Drive #66 Fort Collins, CO 80525 970-377-1626
Applicant Name Address City/State Zip Phone
Elise Mooney 10303 E Dry Creek Road Ste. 400 Englewood, CO 80112 720-646-1024
Contractor Address City/State Zip Phone
Ethos General Contractors, LLC 10303 E Dry Creek Road Ste. 400 Englewood, CO 80112 855-553-8467
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? ❑ Yes ❑ No
Is this a residential or commercial project? 11 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 Tear off existing and replace with 36 SQ. GAF Armourshield II. 6/12 Pitch. Single story.
*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 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: Elise Mooney Signature Date 9/14/2018
Revision date 2r8/2017