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HomeMy WebLinkAbout2706 W Stuart St - Applications/Reroof - 03/30/2018Mar.29.2018 00:16 A.J.Shirk Roofing 970 669 5999 PAGE. 3/ Fo"Nobottins Planning, Development & Transportation — 281 N. College. Ave. P.O. Box 580 Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 OVEWTHE-COUNTER PERMITS ONLY This application Is to be used to apply for the following permits only (check all that apply). ❑ Air Condltloning C1 Demolition (interior non-structural) 0 Glectrical Alteration (not service change) 13 Gas Lighter ❑ Gas Log ❑ Heating Unit 0 Lawn Sprinkler Cl Mobile Home replacement 0 Roofing {3 Sewer Line C3 Photo -voltaic ❑ Ventilation 13 Water Heater 0 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 acce led. ANNlicatlon # 15($D 22 S bate - ��50 I For omce use only JOG. 50 Sob Site Address llrequlred) Value of Construction (labor, materials, profit) © l Property Owner Name Address City/State Zip Phone plicant Name Ad&& City/State Zip Phone �6 trm Contractor Address Clty/State 21p _ Phone J d Contractor City of Ft. Collins Sales Tdx # Are you paying with your trust account? -Yes E3 No Salm tax number Is requirad by all conowtors Is this a residential or commercial project? J;L_A'esldential ❑ Commercial If residential, is It: gMgle Family Detached [I Condo/townhome (single family attached) ❑ Duplex ❑ Multifamily (apartment) © Garage If commerclal, Is It: ❑ Bank ❑ Bar ❑ Church 0 Hotel/Motel 0 Medical office ❑ Offlce ❑ Retail © Restaurant ❑ Other (explain) Is this building so years of age or more? 0 Yes (t:Ob if yes, you may need to contact Hlstorlc Preservation if this -Is for a demolition.permit, what year was the building constructed? 1'f pnor to 1975, you will need an asbestos assessment to submit with this appllcadon. of *If lawn sprinkler/ba&Ilow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician. subcontractors: List the company name or Oty of Pt Collins license # Eledician_ 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. It know that a permit is not valid until it has been paid and Issued. Applicants Print Name: sign Pate D