HomeMy WebLinkAbout1200 N College Ave - Applications/Reroof - 10/15/2018City 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 9Roofing ❑ 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 # I✓ It .44
I S�
For office use only
Date 10 s� 8
Job Site Addressf required)�t % Value of Construction (labor, materials, profit)
ZOO /�,��- LD14 Y� D,'% Col���lS Lo AQ p- -
Property Owner Name Address City/State Zip Phone
e Boscz 97m- L-779
Applicant Name Address City/State Zip Phone
Contractor Address City/State -> Zip Phone
r�'oklr An1 !� 7,7-7—/3b�
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 lEr-No
Is this a residential or commercial project? ❑ Residential ACommercial
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 011etail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes oNo 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 )2&-,wekiF� � n c ��
�1 /.�h�� � L'sr�
t L N S�Gurt.Sf�/Bf7 �� fO�f//Sd9 `L-,1P �/�y f��D !J ~lz-
*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. o,
Applicant:
Print Name: AAr7'_ A4,eo� Signature ...!llrrrffY" Date
'7�19
3ZZ.
Revision date 2J62017
Fort f o tins
Commercial Roofing Questions
Planning, Development & Transportation
Community Development & Neighborhood Services
281 North College Avenue
P.O. Box 580
Fort Collins, CO 80522.0580
970.416.2740
970.224.6134-fax
hftPYA yAcaov.com/bulldlnd
1. What is the slope of the roof? �2 I J
6 �
2. Are you going to be tearing off or keeping existing layers? [�Oeg 1��
• If keeping, existing layers how many layers are there?
• What kind of material are they?un$ca�,��Q
r!
3. What new roofing materials are you using? /'- yl'C" e"'CFO
4. Is there existing Insulation? j �s
If there is existing insulation is it staying or will It be removed?
ray