HomeMy WebLinkAbout2409 Twin Fox Dr - Applications/Reroof - 06/19/2018City of Plann►ng, 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 0 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 I n/ 0-
Application # c/ Date 6/19/2018
For office use only
Sob Site Address (required) Value of Construction (labor materials profit)
2409 Twin Fox Drive Fort Collins, CO 80526 $13,500
Property Owner Name Address City/State Zip Phone
Marc Engemoen 2409 Twin Fox Drive Fort Collins, CO 80526 970 420 0100
Applicant Name Address City/State Zip Phone
Elise Mooney 10303 E Dry Creek Road Ste 400 Englewood, CO 80112 855 553 8467
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? ® Residential ❑ Commercial
If residential, is it ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Mulbfam►ly (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 Histonc Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Tear off existing and replace with 45 SQ GAF Armour Shield II in Weathered Wood
1 Story House
*If lawn spnnkler/backflow preventer must list licensed plumber If first-time A/C, must list licensed electrician
Subcontractors List the company name or City of Ft Col/ins 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 6/19/2018
Revision date 2WO17