HomeMy WebLinkAbout3002 W Elizabeth St - Applications/Reroof - 08/08/2018 (47)City of Planning, Development, & Transportation Services
Fort Collins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.4162740 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 Informa�tjio(n��on the application. Incomplete applications will not be accepted.
Application # r, '�+ `� �' r� I1 Date o8/0a/18
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
3002 W Elizabeth St Building 14 Garage, Fort Collins, CO 80521 $5 500
Property Owner Name Address City/State Zip Phone
e Saddle Rid a of Fort Collins Me ed Amodatlon 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 R. Collins Sales Tax # Are you paying taxes here or by report? B Here. q Report
Mlestax numberzsrequirodbyallca9buchm Are you paying with your trust account? ❑ Yes a 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) la Garage 1 Story
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail Building
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? 13Yes E No If yes, you may need to contactHAtorlc Preservation
If this is for a demolition permit, what year was the building constructed?
Description of work Residential re -roof using 20 sguares of GAF Armorshield 11 IR shingle
*If lawn sprinlder/backRow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: lAttfre company name orOtyoff?Collins lfcense #
Electrician 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 brow that a
permit Is not valid until it has been paid and issued.
Applicaft
Print Name:a/�i �S Signature //�+^ -��� .-� Date
Revision dale 2M=17