HomeMy WebLinkAbout3002 W Elizabeth St - Applications/Reroof - 08/08/2018 (41)+ty 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 13 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) i f�r1mjatiion on the application.
Application # l W VI
for office use only
Incomplete applications will not be accepted.
Date os/og/18
Sob Site Address (required) Value of Construction (labor, materials, profit)
3002 W Elizabeth St Buildinq 7 Fort Collins CO 80521 $14,400
Property Owner Name Address City/State Zip Phone
e Saddle Ridge of Fort Collins Merged Association 116 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 Zlp 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? fiff Here ❑ Report
Sales6znumber Ismqu/red by alluoMactors Are you paying with your trust account? ❑ Yes 0 No
R-2189
Is this a residential or commercial project? ® Residential ❑ Commercial
If residential, is It: ❑ Single Family Detached 12 Cando/townhome (single family attached) ❑ Duplex
❑ Multifamily (apartment) ❑ Garage 2 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? ❑ Yes E No If yes, you may need to contact Histor/cPreservadon
If this is for a demolition permit, what year was the building constructed?
Description of work Residential re -roof using 60 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 the company name or City of Ft Collinsiicense
Electrician Plumber. Mechanical Roofer Anion 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 Nam.:,,? Signature Date
Revldon date 202017