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HomeMy WebLinkAbout520 Muskegon Ct - Applications/Reroof - 08/02/2018Aug 02 18 12:53p Severe Weather Roofing 9702233383 PA Cityof Planning, Development, & Transportation Services � o Collins Community Development & Neighborhood Services 281 North College Avenue =ort Collins, CO 80524 Main: 970.416.2740 Fax: 970-224.6134 100,3s 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 Stcve (must be EPA certified, provide make, model and manufacturer). Complete all applicable information on the application. Incomplete applications will not be accepted. Application #� j`� Date For ofi9ce use only lob Site Address (required) Value of Construction (labor, materials, profit) r72-0 M &S e oVl CO q-D62-4 ( �'-GJ Property Owner Name Address City/State ZIP Phone boat olQ 6Z0 �Ut sY cv� Ck { ;i(�i,� (0 5(i* 3t5z Applicant Name Address City/State Zip Phone CxkVic✓ ch+'�' ��pc4 5.Co1(e e w)Nt -4-7 �crrc�il:ns C0 625 Contractor Address City/State Zip Phone S�1iU`e WCG-h4Z �; c ins h�ro��. Ccitea• .tAj_e '42,3.0 'iprk toil CC, gOSLS q 0-�z?s..�SS Contractor Gty of Ft. Collins Sales Tax # Are you paying taxes here or by report? Here ❑ Report Sales tax number& rWredbyall contradars Are you paying with your trust account? a Yes -'No 2122t2-0'Iti I Is this a residential or commercial project? Residential ❑ Commercial If residential, is it: a Single Family Detached ❑ Condo/townhome (single family attad-ted) ❑ Duplex ❑ Multifamily (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 er more? ❑ Yes W No 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 -e i D 015 '"03 t SVict^G ({ <. i,u i Sp r 'I i 1Ar 0 i !i Vi L Se- *If fawn sp nkler/baddlow preventer, must list licensed plumber. If first-time AJC, must list licensed electrician. Subcontractors: list the company name or Gty of Ft Collins license # 9ectridan Plumber Mechanical Roofer � %ijUy- Other I hereby acknowledge that I have read this application and state that the above informatior is complete and correct. I agree to comply wr&. 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 �� ! ((�� v ,_ Print Name: � utl �`- Signature �� pate R"Won =to 24no1r