The URL can be used to link to this page

Home My WebLink About1228 Maple St - Applications/Reroof - 02/26/2018� 116230' Ptyof�+,�Planning, Development, & Transportation Services Vdhn5 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 # U601191 Date 02/26/2018 For ofte use only lob Site Address (required) Value of Construction (labor, materlals, profit) 1228 Maple Street, Fort Collins, CO 80521 Um.00 Property Owner Name Address City/State Zip Phone Ben Thomas 1228 Maple Street Fart -Collins, CO80521 303J17-8466 Applicant Name Address City/State Zip Phone Rusty Bucket LLC, dba nco's Roofing PO Box 1326 Fort Collins, CO 80522 970-666-IW Contractor Address City/State Zip Phone Jake Hercanek PO Box 1326 Fort Collins, CO 80522 970-566-1884 Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? 12 Here ❑ Report Sales tax number is required by all cantractum Are you paying with your trust account? ❑ Yes ❑ No 00134353 Is this a residential or commercial project? ❑ Residential ❑ Commercial If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) M Duplex Q Multifamily (apartment) ❑ Garage If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail ❑ Restaurant ❑ Other (explain) Is thisbuliding-SO years of age or more? ❑ Yes ❑ No Ifyes, youmayneedtucontsctHlstolicPreservatfoll If this Is for a demolition permit, what year was the building constructed? Description of work Remove and replace 20 squares asphalt shingles, drip edge on all eaves and rake per city code *If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must Ilst licensed electrician. Subcontractors List the company name or City of Ft Collins Axf se 0 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: Melody Green Signature Na&Apage 02126/2018 V Revision date 28/2017