HomeMy WebLinkAbout3002 W Elizabeth St - Applications/Reroof - 08/08/2018 (36)City of Planning, Development, & Transportation Services
Fort Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970A16.2740 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 B 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.
Application # IJ i .I ((` 6 �
For office use only
Incomplete applications will not be accepted.
Date 08/08/18
Sob Site Address (required) Value of Construction (labor, materials, profit)
3002 W Elizabeth St Building 9 Garage, Fort Collins, CO 80521 $5,500
Property Owner Name Address City/State Zip Phone
e Saddle Ridge of Fort Collins Merged Assoaatlon 115 Riverside Ave Fort Collins 80524 970-224-9134
Applicant Name Address City/State Zip Phone
Zara Collins 2015 S Pontiac Way Denver 80224 303-507-6044
Contractor Address City/State Zip Phone
Premier Roofing 3201 E Mulberry St Suite B Fort Collins 80524 303-356-6751
Contractor City of Ft. Collins Sales Tax # Are you paying taxes here or by report? $ Here ❑ Report
Mkstaxnumber/srequlmdbya11conbadors. Are you paying with your trust account? ❑ Yes 2 No
R-2189
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, Is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) 9 Garage 1 Story
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail BulldIIng
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes liff No If yes, you may need to contactHistodc Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Residential re -roof using 20 squares of GAF Armorshield II IR shingle
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
subcontractors: List Me company name orGtyofFtColllns11tense#
Eleetridan Plumber Mechanical Roofer Ardon Roofing 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: � CO/rI
lc*'i Signature Date
Revision dale 2AM17