HomeMy WebLinkAbout909 Centre Ave - Applications/Reroof - 06/11/2018City of Planning, Development, & Transportation Services
F61 t `.O11Ins 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 lV 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 # 164q I
For ofte use only
Date (o - II -1418
Job Site
QAddress (required) Value of Construction pabor, mat,enals, profit)
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Property Owner Name Address /� City/State Zip Phone
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Applicant Name Address_ City/State Zip Phone
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Contractor Addressity/State_ _ Tap Phone
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Contractor City of FL Collins Sales Tax # Are you paying taxes here or by report? X Here ❑ Report
Sales w number is regwred by all conbadom Are you paying with your trust account? )tYes ❑ No
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Is this a residential or commercial project? ❑ Residential IN Commercial
If residential, is it El single Family Detached ❑ Condo/townhome (single family attached) ❑Duplex
❑ Muttifamily (apartment) ❑ Garage
If commercial, is it ❑ Bank ❑ Bar ❑ Chum ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ® Other (explain) V"Q IkrolP E i ss�Preseivahon
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Is this building 5O years of age or more? ❑ Yes 9-No If yes, you may need to contact H
If this is for a demolition permit, what year was the building constructed'
Description of work E i s E --c =
must list licensed electrician*If lawn sprinkier/baddiow preventer, must list licensed plumber If first-time A/C,
Subcontractors. List the company name or Gty of Ft Coffins laa v se # Rom other
Electndan Plumber Mechan►cai i
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
Appiicaft
Print Name
Signature ��� Date 40 1? / ao/8
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Commercial RooAna Questions
1 What is the slope of the roof? 1_7//'Z
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
MDJAMM fcoov com/bu1/dlnd
2 Are you going to be tearing off or keeping existing layers?
-� —• Af keeping, existing layers how many layers a re'i
• What kind of material are they?
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3 What new roofing materials are you using?
4 Is there existing insulation?
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If there is existing insulation is it staying or will it be removed?